Tuesday night we hosted dozens of hospital leaders at MHA headquarters for a rousing discussion about a potential new twist on Global Budget Revenue (seriously!). There were different perspectives along with many new faces in the room as CEOs, CFOs, COOs, and other top executives from all parts of the state came together to talk about the need for change, support, and fewer barriers. And, importantly, how we can do better for our communities under Maryland’s heavily regulated system.

Historic. Staggering. Unsustainable. These are just a few of the words Maryland hospital leaders use to describe workforce shortages that have worsened over the past two and a half years. A 2022 Global Data report, commissioned by MHA, predicts the shortage will grow worse. That data lines up with projections showing that, without intervention, openings could double or even triple by 2035.

Last week the national 988 Suicide & Crisis Lifeline debuted. The line gives those with behavioral health and substance abuse issues an alternative to 911. In Maryland there are eight coordinating centers with counselors to connect callers to the right setting—whether it be a safe station, a crisis or mental health center, or urgent care. Though the hotline comes with $400 million nationwide in federal support to enhance mental health services and crisis centers, we know more needs to be done.

Nationwide, Black mothers are twice as likely as others to suffer pregnancy complications and three to four times more likely to die as a result. Maryland is no exception. And with our population being 32% Black (versus 12.5% for the U.S.) the adverse impact is more pronounced here.