Minnesota
Minnesota mental health patients stay 25 hours longer than necessary in ER because of shortages
When patients in mental health crises get stuck in Minnesota’s emergency rooms, they stay 25 hours longer on average than necessary — taking up hospital space as well as the time of doctors and nurses, who could otherwise focus on the next emergencies.
Researchers documented the length of these delays by studying patient activity over 14 days last fall at more than 30 Minnesota hospitals, but they also provided vital evidence about which patients were most likely to suffer delays, and why.
Knowing which patients are at risk can help the state come up with treatments that target this population and prevent mental health crises and hospital visits, said Kristin Dillon, a coauthor from Wilder Research, which released the report on Monday along with the Minnesota Department of Health.
Delays for patients “in a hospital setting when they can be discharged is harmful to patients, caregivers, hospital staff and the health care system,” she said. “However, we cannot take steps to effectively address these discharge delays without understanding the underlying reasons behind the delays.”
Monday’s findings were presented to an advisory council created last year to reduce delays in care and the worsening problem of ER and hospital overcrowding in Minnesota.
Staffing and bed shortages at nursing homes and rehabilitation centers have worsened since the COVID-19 pandemic, leaving hospitals stuck with frail, elderly patients on their inpatient floors. Twin Cities ERs have treated patients in hallway gurneys at peak times when they have run out of beds. But these delays in many ways just compounded the longstanding problem of patients in mental health crises being boarded in ERs with nowhere to go.
Hospital inpatient psychiatric units were largely full during the study, and they couldn’t take new patients from ERs until they found space to discharge their existing patients to residential or outpatient treatment programs. The study observed 182 patients in hospital psychiatric units whose discharges were delayed, and on average it took 8 days longer than necessary to move them.
The problem was more complex than patients waiting for openings in treatment programs, though. One in five patients stuck in inpatient units was delayed by court decisions over civil commitments, or decisions over their eligibility for insurance benefits or waiver programs, the study showed.
Among patients stuck in ERs, only six in 10 needed inpatient hospital care. The rest were stuck for other reasons, including delays in arranging transportation home or in getting outpatient care lined up. A third of the delayed patients went straight home from the ERs.
M Health Fairview has been confronting the problem, opening a so-called EmPATH unit at its hospital in Edina that provides a relaxed environment and transitional care for patients who can be moved from the ER. The health system also is partnering with for-profit Acadia Healthcare to reopen the Bethesda Hospital campus in St. Paul as a psychiatric facility next year.
In some ways, the delays published in the report underestimated the problem. Delays were only calculated for patients who were discharged during the two-week study. About 5% of the ER patients had yet to be discharged by the end, and some spent the entire two weeks in care. Some hospitals have endured extreme cases, such as the boarding of a child with behavioral problems for months at Ridgeview Medical Center in Waconia.
State lawmakers were so concerned by the delays in 2022 that they waived Minnesota’s hospital construction moratorium through 2027 for any provider looking to add psychiatric capacity. However, the study makes it clear that the greatest need is in community and preventive treatment programs that keep people from crises, said Dr. Will Nicholson, vice president of medical affairs for Fairview’s East Metro hospitals.
“We can take better care of people when we can prevent illness, we can get upstream,” he said.
Minnesota has been locked for two decades in a chicken-egg debate about whether to spend limited dollars on more inpatient beds, or preventive programs to try to reduce the need for those beds. State health economists blocked a proposal in 2008 by then-named Prairie St. John’s to build a psychiatric hospital in Woodbury, based largely on the argument that prevention programs were needed more. The provider later became known as PrairieCare and built and expanded a pediatric psychiatric hospital in Brooklyn Park.
More beds aren’t the only solution at a time of workforce shortages, said Sue Abderholden, who directs the Minnesota chapter of the National Alliance on Mental Illness. Minnesota previously tackled the mental health treatment shortage by creating a stepdown level of care called intensive residential treatment services to ease the pressure on hospitals. The state has about 60 of them operating, but many can’t find enough staff and are operating well below their 16-bed capacities, she said.
The legislature this year OKed funding for counselors who could check on patients who were showing the first signs of struggling — perhaps by skipping medication doses or appointments, Abderholden said. “We’re trying to get way before a crisis, before you need an ER, before you need a crisis team.”
Minnesota
Minnesota’s oldest operating theater is in danger of closing it’s doors
One of the oldest operating theaters in the Midwest is in danger of closing its doors for good.
If you’re heading south on Highway 15, Fairmont, Minnesota, is your last gasp before you hit Iowa. It officially became a city in the late 1800s — and not long after, the Opera House was born.
“We are the oldest, operating, continuously operating theater in the state of Minnesota,” said Jane Reiman, a lifelong resident of Fairmont.
When the doors opened in 1901, operas, musicals, plays, and concerts—drew people from across southern Minnesota, and even from Iowa and South Dakota.
“We have done a lot of entertainment over the years.”
The rock band America once performed at the opera house, as did folk legend Arlo Guthrie. In the 1990’s, the opera house even got a visit from Paul McCartney. His family bought seats.
“They came here and sat in the chairs, and now we have plaques on the chairs to memorialize them.”
In 3rd grade Blake Potthoff went to his first performance at the theater, and later, he acted on stage.
“You’ve grown up with this opera house?” asked WCCO’s John Lauritsen.
“Yeah. Absolutely, it’s a part of me even before I became executive director,” said Potthoff.
But like everything else, the theater has aged over time, to the point that it’s going to cost more than $4 million just to keep it running. If they can’t raise the money, the Opera House may have already seen its final curtain call.
“The building is on life support, and we are doing everything we can to make sure we get back to surviving and thriving,” said Potthoff.
Scaffolding is there, just to reinforce the roof; that’s the biggest expense. But the Fairmont community is starting to respond. Grants and donations have raised $1.5 million so far—still short, but a start.
When renovations are complete, they’d also like to maintain the old character of this theater. That includes this hand-cast plaster, which is also 125-years-old.
The chandeliers were installed a decade before the Titanic sank, and they’re hoping to keep those too. For Blake and others, the show has to go on. For the people in the seats, the actors on stage, and for the livelihood of a small town.
“There’s reason to save this building. That $4 million isn’t impossible. Only improbable. And I truly believe it too. I have a history of performing here. And I have two young kids. I want them to perform on stage like I had the opportunity,” said Potthoff.
Minnesota
Lawmakers demand Keith Ellison resign as Minnesota fraud grilling turns brutal
WASHINGTON (TNND) — Rep. Clay Higgins (R-LA) called on Minnesota Attorney General Keith Ellison to resign during the House Oversight Committee’s hearing on the widespread fraud in Minnesota.
Higgins began his line of questioning by referring to Ellison’s open statement.
“Under Minnesota law, my Office has limited jurisdiction over criminal matters. The only kind of criminal case we can prosecute on our own is Medicaid fraud; any other criminal case must be specifically referred to us by county attorneys or the Governor,” Ellison said in his opening statement.
Higgins stated Ellison said that his office only had the authority to investigate Medicaid fraud, to which Ellison nodded his head in response.
But, Higgins pointed out that was incorrect.
“Under your own law, you have authority if the county district attorney asks you to get involved, or if the governor asks you to get involved, then your office can take the lead on any criminal investigation,” Ellison said.
Ellison remained speechless after Higgins asked him if that his statement was correct.
“So you have the authority to lead your state’s effort to respond to this massive fraud at the state level, from within the health care realm, where government money has been stolen at very, very high levels, unprecedented levels, in your state,” Higgins said.
“Are you leading that effort for the state of Minnesota?”
Ellison replied but his response was not picked up by the microphone.
“You’re addressing it,” Higgins asked. “Are you leading it?”
Ellison responded, “we are leading the effort to prosecute Medicaid fraud.”
“I’m not talking about Medicaid fraud,” Higgins yelled.
“Don’t hide behind that. You have the authority to prosecute anything criminally that the governor asked you to. And this thing is big.”
“I’m giving you an opportunity, sir. Are you leading the criminal investigative effort into this massive fraud across the board in the healthcare spectrum, in the state of Minnesota or not,” Higgins continued.
Ellison replied, saying his office was “following the law,” prompting Higgins to interject.
“You are not leading,” Higgins responded. “You’re not leading. I must say, Mr. Chairman, that the Attorney General of Minnesota should resign.”
Minnesota
Maddy Kimbrel Named Minnesota’s 2026 Ms. Hockey Winner
Maddy Kimbrel joined an illustrious group of players as Minnesota’s 2026 Ms. Hockey winner. The award is annually given to the best high school women’s hockey player in the state of Minnesota.
The Holy Family forward scored 37 goals and 57 points this season in only 26 games for her school.
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She was also an assistant captain for Team USA at the 2026 U-18 World Championships winning gold. It was her second time representing USA at the event.
Kimbrel spent four seasons playing for Orono High before moving to Holy Family this season.
The 17-year-old Mound, Minnesota product is headed to the University of Wisconsin next season.
The other four finalists for the award were Alaina Gentz (Centennial/SLP), Jasmine Hovda (Roseau), Lorelai Nelson (Edina), and Mia Miller (Northfield).
Past winners of the award include current PWHL players such as Taylor Heise (2018), Peyton Hemp (2021), Olivia Mobley (2020), Grace Zumwinkle (2017), and Hannah Brandt (2012), and 2024 Hockey Hall of Fame inductee Krissy Wendell-Pohl.
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