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.”
Northern lights spotted across the globe
A severe geomagnetic storm made a stronger aurora than usual.
Minnesotans could see northern lights on May 14 and 15 as the natural spectacle will be visible through several northern states.
The best time to look for the aurora borealis is between 11 p.m. and 2 a.m. local time, according to the National Oceanic and Atmospheric Administration’s Space Weather Prediction Center.
Showers and thunderstorms are predicted in the early evening in St. Cloud, but skies should clear somewhat before the northern lights show would begin, according to the NOAA forecast.
There could be more auroras to come this weekend as well, as the geomagnetic activity that makes the lights viewable is predicted to continue through May 16.
Here’s what to know about catching the northern lights.
When will the northern lights be viewable?
People in several U.S. states may get chances to see the aurora display on May 14 and 15. The best times to view the lights are generally between 10 p.m. and 2 a.m. local time, according to NOAA, though this can vary significantly by location and as weather and visibility forecasts are updated.
This time around, geomagnetic activity is expected to peak between 11 p.m. and 2 a.m. local time, according to the forecast, which could trigger moderate geomagnetic storms that make the auroras viewable farther south.
More up-to-date forecasts can be found on NOAA’S Aurora Dashboard.
Which states can see the northern lights?
How far and wide the auroras can clearly be seen will depend on whether the geomagnetic storm reaches a G1 to G2 (mild to moderate) or G3 (strong) level and the weather in your location.
Though Canada is getting the best, most intense viewing this time around, the states listed below will have at least a chance of catching a glimpse, according to NOAA’S forecast map.
- Washington
- Idaho
- Montana
- North Dakota
- Minnesota
- Michigan
- Wisconsin
What are the northern lights, aka aurora borealis?
The northern lights are a luminous glow seen around the magnetic poles of the Northern and Southern hemispheres, according to the University of Alaska Fairbanks Geophysical Institute. Known for creating ribbons of colorful light in the night sky, the aurora borealis are polar lights, or aurora polaris, that appear in the Northern Hemisphere.
The Southern Hemisphere has its own polar lights known as the southern lights, or aurora australis, which create their own dazzling display.
Put simply, auroras are a result of the sun interacting with the Earth’s atmosphere. A collision between electrically charged particles from the sun and gases in Earth’s atmosphere produces a series of minuscule flashes that appear like moving lights in the sky. The charged particles are pulled toward the North and South poles due to Earth’s magnetic field.
While that magnetic field usually protects the Earth from solar winds, the winds can occasionally get strong enough to bypass the field, allowing particles and gases in the magnetosphere to interact and generate the colorful displays, according to the Geophysical Institute and the Canadian Space Agency.
Tips for viewing the northern lights
The top tip for getting the best view of the northern lights is finding a dark spot away from light pollution. Space.com recommends finding a location as far as possible from city lights and heading out there as soon as the sky gets dark. Then, it’s a waiting game.
Find a north-facing view with a clear horizon and exercise patience, as the lights often come in waves, said Space.com. You can also download apps to track aurora forecasts based on your location, such as “My Aurora Forecast & Alerts.”
How much should you tip when you go out.
If you’re heading out to a restaurant, bar or coffee shop you may leave a tip. Here’s some advice on how much to give.
Caribou Coffee, a coffeehouse known for its handcrafted beverages made with real ingredients, is rolling out a new value menu at participating locations nationwide.
Beginning May 7, a company release stated, Caribou Coffee is serving Caribou Everyday Value Menu items, including to-go favorites and barista-made beverages.
The Everyday Value Menu features a curated lineup of Caribou classics now offered at prices starting at $2, the release stated. Guests will be able to enjoy signature items such as a small, specialty-grade brewed coffee, streusel-topped blueberry muffins and Caribou’s Cold Press, its version of cold-brewed coffee.
The value menu also introduces a new a bacon breakfast sandwich. It features crispy bacon, a cage-free scrambled egg patty and melted cheddar cheese layered on a toasted English muffin for $4. These prices are before tax.
“For many of our guests, their daily coffee ritual is a meaningful part of their day, and we know how much it matters that it delivers on quality, convenience and value,” Matt Reiter, chief commercial and strategy officer for Caribou said in a release. “At Caribou, we’re committed to creating a consistent, high-quality experience every time someone walks into one of our coffeehouses, with a range of options that fit into their day. The Everyday Value Menu expands the ways we do that and creates even more flexibility and value for guests.”
Caribou’s Everyday Value Menu includes:
- $2 small brewed coffee: A rotating selection of regular and seasonal coffees, brewed every hour to ensure maximum freshness
- $3 Blueberry Muffin: A blueberry muffin topped with streusel
- $3.50 small Cold Press coffee: Caribou’s cold brew coffee served over ice
- $4 Bacon Breakfast Sandwich: Crispy bacon, cage-free scrambled egg patty and melted cheddar cheese layered on a toasted English muffin
Caribou is also offering non-dairy customization at no extra charge, the release stated. Also, the Caribou Perks loyalty program allows guests to earn points with every Caribou purchase. These points are redeemable for free handcrafted beverages, bakery items and more.
Guests can order items from the Everyday Value Menu in-store, at the drive-thru and through the Caribou Coffee app for pickup or delivery.
Caribou Coffee serves handcrafted beverages and food items in more than 800 coffeehouses worldwide. It opened its first location in 1992. Focused on smart growth, the coffee shop operates and franchises coffeehouses across 11 countries.
Caribou Coffee locations in central Minnesota
- 2423 Division Street West, St. Cloud
- 4135 W. Division Street, St. Cloud
- 2510 W. Division St., St. Cloud
- 310 Lincoln Ave., St. Cloud
- 900 Cooper Ave. S, St. Cloud
- 201 Second Ave. S, Cold Spring
- 18157 Carson Court, Elk River
- 19425 Evans St. NW, Elk River
- 324 Lowell Ave. NW, Elk River
- 533 12th St. S, Sauk Centre
- 701 Third Ave. NE, Buffalo
- 800 Hwy 55 E, Buffalo
- 630 Ryans Way, Buffalo
- 110 First St. S, Sauk Rapids
- 880 18th St. NW, Sauk Rapids
- 2319 First St. S, Willmar
- 620 First St. S, Willmar
- 12495 Fifth Ave. N, Zimmerman
- 703 Northland Drive, Princeton
- 1500 Elm St. East, St. Joseph
- 520 Jefferson Blvd. NW, Big Lake
- 705 County Road 75 NW, Clearwater
- 1725 Pine Cone Road S, Sartell
- 113 S. Waite Ave., Waite Park
3M PFAS documentary: What the company knew about PFAS
The 3M Company has vowed to stop manufacturing PFAS chemicals by the end of 2025. The FOX 9 Investigators reviewed hundreds of hours of video depositions that shed new light on how company executives and scientists responded after first learning about the widespread contaminations.
(FOX 9) – The Minnesota Pollution Control Agency (MPCA) is taking 3M back to court, saying the company hasn’t done enough to stop PFAS pollution in local water.
Minnesota sues 3M for ongoing PFAS contamination
What we know:
The MPCA filed the lawsuit May 1, alleging that 3M is responsible for ongoing groundwater and surface water contamination, including industrial and stormwater discharges into the Mississippi River near its Cottage Grove facility.
In its argument, the state says some locations tested for PFAS showed concentrations as high as 310,000 parts per trillion, far above the state standard. The agency claims that although the specific site “does not routinely discharge to surface waters,” a heavy rainfall could lead to contamination entering the river.
The MPCA also alleges that 3M has not completed required cleanup work under a 2022 order and that its groundwater extraction system is not sufficient.
Minnesota previously sued 3M over PFAS, resulting in a 2018 settlement where the company paid $850 million to help clean up drinking water in the east metro. In 2024, 3M also agreed to pay $10.3 billion over 13 years to address PFAS in drinking water systems nationwide.
3M settlement water projects
Minnesota-based 3M is required to spend hundreds of millions of dollars to clean up PFAS-contaminated drinking water in the Twin Cities after the company dumped chemical waste in the east metro for decades. But with money from a 2018 settlement agreement running out, the company is now pushing back on whether all of those projects are reasonable and necessary.
Dig deeper:
In the lawsuit, the state is seeking civil penalties of up to $30,000 per violation per day, as well as increased cleanup efforts and compensation for damage to wildlife and natural resources.
A full copy of the complaint can be found below:
3M responds to lawsuit
The other side:
In its own court filing, 3M argues that some of the PFAS pollution came from testing firefighting foam made for the U.S. military, following Department of Defense requirements. The company says it warned the federal government about PFAS risks and should not be held responsible for contamination tied to military work.
3M wants the case moved from state to federal court, saying the environmental damage cited by the state is linked to its role as a government contractor.
The company stated it completed its planned exit from all PFAS manufacturing at the end of 2025.
The Source: Information provided by Minnesota Pollution Control Agency and 3M court filings.
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