The Executive Connection of North Texas: Spring 2014

SPRING 2014 

CONTENT President’s Remarks Josh Floren, FACHE

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Advancement Promotion

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Affordable Care Act Federal Subsidy

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The Path to Becoming a FACHE

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Member Spotlight

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ACHE Executive Leadership Spotlight

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Texas Team: Advancing the Health of Texans

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Congress Scholarship Recipients

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Event Encore

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Calendar

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northtexas.ache.org

Annual Chapter Member Needs Survey ACHE National has electronically distributed their annual survey to those who have been chapter members for more than one year.

This survey allows you to provide feedback on chapter activities, services, and events and rate your overall satisfaction with the North Texas Chapter. This survey is separate from the one the Chapter conducted and we request your participation so that the results are as representative as possible.

The ACHE of North Texas e-magazine, The Executive Connection, is published quarterly (Spring, Summer, Fall and Winter) and includes information on the latest regulatory and legislative developments, as well as the quality improvement and leadership trends that are shaping and influencing the healthcare industry. Readers get indepth reporting on the issues and challenges facing hospital and health system leaders today. We make it our job to tell you about the great things the organization and Chapter are doing every day to ensure the health of our community. If you have any news and updates that you want to share with other members, please e-mail your items to info@northtexas.ache.org. Microsoft Word or compatible format is preferable. If you have a graphic or picture that you’d like to include, please send it as a separate file. The following are the types of information that our members shared in past ACHE of North Texas magazines: Advocacy Issues, Legislative Issues, Educational Opportunities, Awards / Achievements, Promotions (Members On the Move), Committee Updates, journal submissions, conference submissions, and workshop participations, sharing mentoring experiences, etc.

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

ACHE of

North Texas

2014 Board of Directors Editor-In-Chief

John G. Allen, MHA, MPH, FACHE

Managing Directors

Joan Shinkus Clark, DNP, RN, NEA-BC, CENP, FACHE, FAAN

Contributing Editors

Lisa Cox

Contributing Writers

Rhea Robinson John Allen LaToya Rivers-Azanga Amanda O’Neal Brumitt, FACHE

Production

Kay Daniel

Advertising/ Subscriptions info@northtexas.ache.org Questions and Comments:

ACHE of North Texas Editorial Office, c/o Executive Connection 250 Decker Drive | Irving, TX 75062 p: 972.413.8144 e: info@northtexas.ache.org w: northtexas.ache.org

Teresa Baker, FACHE John Peter Smith Health Network Jessica Daw, FACHE BroadJump Forney Fleming University of Texas at Dallas Jay Fox Baylor Medical Center - Waxahachie Michael Hicks, MD, FACHE Pinnacle Anesthesia Consultants Janet Holland, MSHA, MBA, FACHE BroadJump Kristin Jenkins, JD, FACHE DFW Hospital Council Foundation Kevin Stevenson, FACHE ERDMAN

2014 Chapter Officers President

Josh Floren, FACHE

Texas Health Presbyterian Hospital Plano

Past President Caleb F. O’Rear, FACHE Denton Regional Medical Center

President-Elect

Winjie Tang Miao

Texas Health Harris Methodist Hospital Alliance Secretary

Dresdene Flynn White, FACHE

John Peter Smith Health Network Treasurer

Pam Stoyanoff

Methodist Health System Regent

Michael D. Murphy, FACHE

Abilene Regional Medical Center

Demetria Wilhite University of Texas at Arlington Chip Zahn, FACHE Surgical Care Affiliates Lisa Cox Chapter Coordinator

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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President’s Remarks

Josh Floren, FACHE It is hard to believe that Spring is almost gone and Summer is right around the corner.

We hope that you have had a great start to the year and were able to participate in some of our events and/or ACHE’s annual Congress meeting in March. If you were unable to attend, don’t worry because our Chapter has many events coming up over the remainder of the year that will give you plenty of opportunity to network with colleagues in the field and receive great industry related education.

The North Texas ACHE Chapter has been busy over the past couple of months creating exceptional events throughout the metroplex and our programs are filling up quickly, which is a great sign. One of the topics that we are asked about regularly at these events is how the Accountable Care Act (ACA) is affecting patients, providers and employers in our market. For many of us, it is still too early to say how expanded access to insurance exchanges will affect our market but we know that this is just the beginning of health reform. The move from providing acute episodic care to managing a population’s health requires a dramatic change in how our systems are designed and will challenge us to be innovative and create partnerships across the entire care continuum. More details on the roll out of the ACA and healthcare reform can be found later in this newsletter.

As we look to the future, the Chapter also recognizes that we have a responsibility to assist our membership with professional development and one way that we do this is by helping our leaders prepare and advance to fellow in the College. One of our goals for the year is to find those of you ready to advance to fellow and support you in preparing and obtaining the fellow credential.

To support our members in this process, ACHE of North Texas will reimburse the $250 application fee of the first 10 Chapter members who pass the exam before October 31st! We hope that you will choose to work to achieve this certification and be recognized as a leader in the healthcare field.

We strive to be a leading source of information and networking for healthcare executives in the area and have many exciting events coming up. I encourage you to find a way to participate and make the most of your membership.

For more information on how to become involved or to send us feedback on our programs visit us at our northtexas.ache.org or send us an email at info@northtexas.ache.org.

We look forward to seeing you soon, Josh Floren, FACHE 2014 Chapter President

Advancement Promotion It’s that time of year again when both National and the North Texas Chapter are offering to assist you in the advancement process. Take the next step in advancing your career and sit for the Board of Governors Exam to earn your FACHE credential. Be one of the first ten members to submit an application and pass the Board of Governor’s Exam before October 31st and we will reimburse the $250 application fee. If you apply for the FACHE credential before June 30th, National is offering to waive the $200 exam fee. You can find out about the Examination Fee Waiver on their website. . When you become board certified in healthcare management as an ACHE Fellow (FACHE), you have proven to have the knowledge, skills and confidence to succeed. Why not take advantage of these two offers and have the full cost of the exam covered? What are you waiting for? Maximize your professional potential by earning the premier credential in healthcare management.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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Federal Subsidy

By Micaela Dulin

The Affordable Care Act under the Obama Administration is being heavily challenged and the mandate to provide healthcare to nearly everyone is in jeopardy. Opponents of the Affordable Care Act are arguing that the verbiage in statute has been wrongly interpreted to allow those states who did not create their own state exchanges to qualify for federal subsidies. Only fourteen states created their own state exchanges when given the choice by the Supreme Court and took advantage of premium assistance credits as an incentive to offset the tax burden imposed on them.

When those 36 states were unwilling or unable to create their own exchanges, the federal exchange program was given to them as an option to be able to receive subsidy assistance via the federal exchange.

Four big lawsuits regarding this statue interpretation are being challenged because the IRS interpreted the statute to mean that the federal subsidies could also be distributed through federal exchanges in the 34 states that declined to create their own exchanges.

The interpretation of the statue is currently being argued by three circuit court judges: Judge Harry T. Edwards, Judge Thomas B. Griffith, and Judge A. Raymond Randolph. Judge Edwards is in favor of the government to allow every state whether they have a state exchange or not to qualify for federal subsidies. He said

“it seems preposterous” to suggest that subsidies should not be available in the federal exchange, which serves states with about two-thirds of the nation’s population”. On the other side, Judge Randolph is opposed to the government and feels that the verbiage in the statue indicating that the subsidies are available only “through an Exchange established by the State” is very clear and should be followed according to the way it was written.

Judge Griffith is in the middle of both sides and appears skeptical on the government’s arguments. If the decision which is expected in June determines that the language stated in Sec. 1311 of the Affordable Care Act that “health insurance subsidies are available only through an Exchange established by the State,” is true and those states without exchanges cannot qualify for federal subsidies, then this will put about 17 million people from those 36 states who are relying on federal subsidies unable to afford health insurance.

For small business owners who currently live in states who did not establish their own exchanges, a legal battle is also being fought to prevent them from being penalized under the Affordable Care Act’s employer mandate.

Texas, who is one of the 36 states who are depending on the Federal Subsidies for their approximate 27 million residents, a continued on page 6

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

change in ruling to abide by the challengers of this statue would be extremely detrimental considering that Texas continues to have the highest rate of uninsured residents compared to any other state which stood at 23.5% in 2014. This percent was only a slight decrease from 24.8% in 2012 and it was mostly attributed to employer sponsored insurances as a result of the improving economy versus people signing up for health insurance via the marketplace. Additionally, approximately 746,000 people signed up for health insurance in Texas during the open enrollment period in 2013 but still left about 5 million people uninsured. Threequarters of Texans who purchased health plans in the exchange in 2013 received financial assistance via the Federal subsidies. The median percentage for those 36 states receiving subsidies was 80% but because Texas did not expand Medicaid to cover people living below the poverty line, those individuals did not qualify for federal subsidies.

As changes continue to improve in the economy allowing more people to become insured and more improvements to the Affordable Care Act are made, Texans and those 35 other states will continue to be very heavily dependent on the federal exchange subsidies for their residents. In June 2014, the decision mostly resting on Judge Griffith in the appellate court is expected to determine if the Affordable Healthcare Act will continue as currently administered by the Obama administration or if it will change not allowing those states without their own exchanges qualify for federal subsidies.

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The Path to Becoming a FACHE

By Amanda O’Neal-Brummitt, FACHE

What is a FACHE? It is a Fellow of the American College of Healthcare Executives. Not a “fake” or “f+ache” or a “fatchie.”

It’s a credential awarded to healthcare executives that meet certain requirements and pass a test. It’s our equivalent to Board Certification. It’s an instant way for colleagues to know you are experienced in healthcare and hold a graduate level degree. So, if you aren’t a Fellow already, consider starting on the path today.

The requirements to apply are simple: • Be a Member of ACHE • Hold a Master’s or other advanced degree • Hold a healthcare management position and have a minimum of two years of healthcare management experience • Three references from current Fellows (one of which must be a structured interview) • Provide a copy of your current job description, organizational chart, and resume • $250 fee If your application is approved, then you have three years to complete the remaining criteria: • Have three years of ACHE membership tenure as a full member (not a student member) • Have a minimum of five years of healthcare management experience • 36 hours of Healthcare Management Continuing Education credit earned during the three years preceding becoming a Fellow; 12 hours must be ACHE Face-to-Face Education • Participation in two healthcare related and two community/civic activities within the past three years • Pass the Board of Governors Examination in Healthcare Management And, then, you can proudly display our FACHE credential.

You probably already meet many of the criteria. Consider making a commitment today to start down the path to achieve Fellow status.

This is the first in a series of articles about earning the credential. Watch the newsletters for additional resources on developing Fellow references, getting the education credit, and passing the Board of Governors Exam.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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MEMBER SPOTLIGHT Larry Oliver

Vice President of Professional and Support Services Texas Health Arlington Memorial Hospital What are you doing now?

Maria Pouwels Senior Manager ECG Management Consultants

What are you doing now?

In your opinion, what is the most important issue facing Healthcare today?

I am a Senior Manager with ECG Management Consulting in Plano, Texas.

The ECG consulting team partners with healthcare systems, hospitals, and large physicians groups to assist with developing strategies to meet the needs of the changing healthcare environment. The team also assists organizations with finance, operations and IT integration. As part of the team, Maria leads engagements that successfully position clients to meet the changing landscape today and position them for tomorrow.

How to redesign/restructure Healthcare to meet the requirements of the Affordable Care Act.

In your opinion, what is the most important issue facing Healthcare today?

How long have you been a member of ACHE?

I firmly believe that reform has the most critical impact on healthcare today. Healthcare reform affects operational processes, technology and organizational structure. I help our clients recognize barriers and make adjustments to remain competitive in the ‘new’ landscape. Quality of care, cost reductions and patient satisfaction require new governance models to meet reform standards and for hospital teams to achieve success.

I am Vice President of Professional and Support Services at Texas Health Arlington Memorial Hospital.

Have oversight responsibilities for Laboratory, Radiology, Respiratory Care, Non-Invasive Cardiology, Pharmacy, Rehab Services, and Food & Nutrition Services.

I joined in 2001.

Why is being a member important to you?

Being a member of ACHE North Texas provides great learning and networking opportunities.

What advice can you give to Early Careerists or those considering membership?

Build positive relationships with everyone your encounter.

Embrace “change” and be a positive “change agent”.

Tell us one thing that people don’t know about you.

Some do not know that I started my career in Healthcare as a Registered Nurse. Having a clinical background has contributed a lot towards my career growth.

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How long have you been a member of ACHE? I have been a member for one year.

Why is being a member important to you?

I joined ACHE for the many member benefits including: networking, continuing education and healthcare updates.

I especially enjoy the breakfasts with the CEO’s and the educational monthly meetings.

What advice can you give to Early Careerists or those considering membership?

Join ACHE NOW! The ACHE mentoring program is invaluable.

ACHE has excellent mentors; the mentors help new members and early careerists navigate the healthcare environment.

Tell us one thing that people don’t know about you.

I am passionate about paying it forward as we progress in our careers. As we navigate through life, our good deeds help others in many ways. Referring, networking and connecting with others are key constructs in developing each other in a challenging healthcare environment.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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ACHE EXECUTIVE LEADERSHIP SPOTLIGHT

Jessica Fuhrman and Janet Holland Jessica Fuhrman and Janet Holland attended the May 15th ACHE meeting at Methodist Hospital in Dallas. These two vibrant individuals attended this meeting to support their colleague David Ricker as he presented on the topic of Sustaining a Financially Vibrant Healthcare Organization.

Jessica and Janet suggested a tag team interview as they work together daily at Broadjump, LLC.

Jessica Fuhrman

Jessica Holland

What are you doing now?

Jessica and Janet partner with hospitals to help reduce their supply chain expense and improve their sourcing efficiency.

What advice can you give to early careerists or those considering membership?

In your opinion, what is the most important issue facing Healthcare today?

Holland suggested better control of operating costs and improved efficiency are essential in the changing healthcare environment. Fuhrman asserted uncertainty in healthcare delivery in the current environment is in a state of flux; changing the way administrators deliver healthcare is essential for financial viability.

Holland suggests early careerists explore ACHE’s formal mentoring program because a mentor can not only provide advice about the career path for someone who is starting out, but also serve as a sounding board for years to come.

Additionally, the networking opportunities available through local chapter events are invaluable. Fuhrman stated the mentors and colleagues found in ACHE help make early careerists strong team players. ACHE provides a network for careerists to enhance their marketability.

How long have you been a member of ACHE?

Tell us one thing that people don’t know about you.

Holland has been a member for 4 years; she was also a student member at the outset of her career. Fuhrman has been a member since 2008.

Holland’s first career was as a professional ballerina. Ballet instilled discipline and taught her structure, both of which she feels help her in her current endeavors. Fuhrman is a newlywed! She married her beau, Jon Fuhrman, on June 7th, which is the very same date her grandparents and parents got married. She is excited about the new life she is about to begin.

This excitement contributes to the joy she finds in her current professional endeavors. Holland and Fuhrman not only work together but studied together to become new ACHE Fellows earlier this year!!

Why is being a member important to you?

Holland asserted that ACHE provides excellent educational opportunities and the chance to collaborate with healthcare industry colleagues.

The learning environment and continuing education help leaders stay current in healthcare strategies and technologies. Fuhrman suggested the opportunity to meet other people you can trust creates an environment for success. Fuhrman joined ACHE because she was new to the healthcare industry. ACHE provides an environment to learn about healthcare resources.

ACHE of

North Texas

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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Texas Team: Advancing the Health of Texans

By Joan Shinkus Clark, DNP, RN, NEA-BC, CENP, FACHE, FAAN

The dynamics of healthcare in Texas are complex with statistics that rank the state as one of the worst states in terms of healthcare access, with over 25% of the state population uninsured.

Shortages of physicians and nurses are also dramatic, with Texas ranked as 42nd in the nation in terms of number of physicians per 100,000 residents and 45th in the number of nurses. As care shifts out of the acute setting and the emphasis is on health of populations, nurses will play an increasingly important role in care at all levels of the continuum. Nurses will fill in gaps in physician shortages, as advanced practice nurses, especially in areas of the states where physician access is most critical.

The potential for severe nursing shortages has long been recognized in Texas going as far back as 2008, when governor Perry created a team to focus on nursing education capacity.

This request resulted in the formation of the Team Texas, a 10-member leadership team to lead a Campaign for Action in Texas. The Texas Team Team functioned for three years and established a trajectory that as many of the state’s schools and other providers signed would double the number of professional nurse graduates from Texas schools. Additional areas of focus were on retention of nurse graduates in the state, and additional funding sought through the Texas Workforce Commission, provided the team more flexibility in provision of scholarships for training more nurse educators and advanced practice nursing.

In 2010, the Institute of Medicine (IOM) published a report based on a national coalition funded by the Robert Wood Johnson Foundation (RWJF) and the IOM, called The Future of Nursing – Leading Change, Advancing Health. In the report, the IOM advanced recommendations for significant improvements in public and institutional policies at the national, state and local levels to ensure the future care of patients and communities by addressing the future of nursing. The report included for establishment of regional action coalitions at the state level to address state and local approaches through partnering with a diverse array of stakeholders to address the eight recommendations in the report. Team Texas was transformed into

the current Texas Team to implement the recommendations of the report, which continued to include the capacity goal, but was broadened to encompass the entire reports recommendations.

The recommendations included: 1. Remove scope of practice barriers to allow for all licensed professionals to practice to the full extent of their education and licensure.

2. Expand opportunities for nurses to lead and diffuse collaborative health improvement efforts 3. Implement nurse residency programs for newly licensed and advance practice nurses to facilitate their transition into practice.

4. Increase the proportion of nurses with a BS in Nursing to 80% by 2020.

5. Double the number of nurses with a doctorate by 2020 to assure faculty to educate new nurses.

6. Ensure that nurses engage in lifelong learning 7. Prepare and enable nurses to lead change to advance health of populations at all levels of the continuum.

8. Build an infrastructure for the collection and analysis of interprofessional health care workforce data to allow for better knowledge and workforce planning at regional, state and national levels.

The Texas Team saw the opportunity to expand their membership and scope and applied to RWJF to assume the responsibilities as a regional action coalition for the state of Texas in 2011. Key to the success of this coalition was to expand beyond the education arena, and partner with the Texas Nurses Association (TNA) and Blue Cross Blue Shield of Texas (BCBSTX) to achieve the IOM Future of Nursing recommendations. The team has grown in membership since then to 361 member organizations today, as well as hundreds of individual members across the state. Initial leadership of the Texas Team has grown and changed hands over time as well as the structures that support regional as well as statewide goal achievement. continued on page 10

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

Regional teams and three statewide teams focusing on specific aspects of the recommendations are in place today and an Executive Committee provides oversight of the strategic direction and alignment of the coalition. Chairing these efforts, along with practice partners from the TNA is one of our local ACHE fellows, Dr. Cole Edmonson, Chief Nursing Officer at Texas Health Presbyterian Dallas. Dr. Edmonson was able to answer some specific questions about the Texas Team and its relevance to north Texas.

Dr. Cole Edmonson

How long have you been involved with the activities of the Texas Team?

I was one of the founding members of the Texas Team representing nursing practice on the Executive Team and have taken the colead role for the state level coalition beginning in 2014. As a colead, my work is to coordinate the activities of the other teams, act as a liaison with the RWJF ongoing activities nationally and provide leadership to the entire coalition along with my other two coleads.

What has the team accomplished in its initial years from 2011 – 2013?

Regarding scope of practice barriers, the team worked with one of its economist members, Ray Perrryman, PhD, who published the Perryman Report in 2012, which addressed the economic impact of APRNs in the overall provider model, as well as coordinated the activities of professional groups to assist TNA and other stake holder groups to introduce SB406 in the 2013 legislative season, which addressed APRN Prescriptive Authority in the state, removing some barriers to APRNs functioning more closely to the full extent of their licensure.

Also, during the past 2.5 years, Texas was awarded one of the 10 national APIN grants (Academic Progression in Nursing) to reduce barriers for nurses to articulate from an associate degree program to a baccalaureate degree in nursing. Several models have been introduced statewide and already progress is being made, with an overall increase from 48.5% to 52.1% of BSN prepared nurses since

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2010. For doctoral education, Texas schools have introduced new doctoral programs related to practice (DNP) and a 39% increase has occurred in the total number of doctorally prepared nurses in the state.

To promote nursing leadership on boards and other transformational efforts, Texas Healthcare Trustees partners with our team to launch “Nurses on Boards” in summer 2013. Training is provided and the goal is to prepare over 400 nurses to serve on hospital and key policy boards by the end of 2015. The first training program is to launch in July, 2014.

Regarding building and infrastructure for interprofessional workforce data, The Texas Center for Nursing Workforce Studies (TCNWS) and the Texas Board of Nursing are collaborating to build a dashboard to collect and report nursing workforce data. Much of this work has been in progress since the TCNWS was appointed by the 2004 Texas Legislature.

When will some of the other IOM Future of Nursing recommendations be addressed by the Texas Team?

Our focus has been on infrastructure and funding, as well as the priorities already discussed. Going forward, the additional recommendations will be addressed by the various teams, with a focus on execution by the eight regional teams. The IOM recommendations call for some goals to be reached by 2020, and others will be a more long term process. I suspect that these other recommendations will be handled using short and longer term approaches across the state.

What has been the most rewarding part of this work thus far?

By far, the most rewarding aspect has been the collaboration and the sense of purpose that has surrounded these teams. Research shows that communities are healthier when nurses live and work in them, applying their leadership, clinical knowledge, skills and expertise to the population. We still have three nursing deserts within the state, where few nurses are available, and without a team effort, we cannot assure the best future for our health care without an “all out” effort.

The Texas Team has answered that call and is making a difference.

How can ACHE members learn more about this work and get involved in supporting the efforts?

Information on the Texas Team is easily accessed on the DSHS website at www.dshs.state.tx.us/chs/cnws/texasteam/ or follow them on Facebook. I encourage you all to learn more and become involved!

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2013

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CONGRESS SCHOLARSHIP RECIPIENTS I would like to thank the North Texas ACHE chapter as well as the members of the Scholarship Committee for their support. As a scholarship recipient, I was able to attend the 2014 Congress on Healthcare Leadership for the first time.

As anyone who attends Congress can attest, the experience begins at course selection. The plethora of courses offered at Congress represents a true snapshot of the richness and diversity I witnessed at Congress. As an early careerist and a first-time attendee, I wanted to maximize my Congress experience, so I chose sessions that addressed multiple facets of the healthcare industry, including ‘Hardwiring Culture Into Operations’, ‘Inspiring Continuous Quality Improvement in Your Hospital, Lessons Learned from the American “I chose sessions that College of Surgeons’, and ‘The Journey to Value Based Performance’. addressed multiple The complementary sessions offered to early careerist to guide career facets of the decisions were a valuable resource as well.

healthcare industry”

Angela CJVincent

STS Registry Coordinator Methodist Health System

A personal highlight of my Congress experience is connecting with fellow North Texas Chapter members in Chicago! Overall, my experience at Congress was positive and surpassed my goal of professional development and continuous learning.

I would like to extend my heartfelt thanks and appreciation to both the NTX ACHE board and our corporate sponsors for the opportunity to attend Congress this year.

I have several takeaways and a much deeper appreciation for what we do in healthcare. Conversations with other attendees from other states and countries reminded me of both the opportunities and challenges we face as we transform the current healthcare continuum into a truly collaborative model.

Attending the session on reducing preventable readmissions presented by Yale-New Haven Hospital system and the population health sessions gave me a better glimpse of how hospitals are approaching reducing preventable readmissions and enhancing patient engagement. The sessions on telehealth reinforced my passion for using technology in meaningful ways to engage patients in ‘owning’ their own health outcomes.

“Congress was one of the most impactful and energizing health conferences I have ever had the opportunity to attend. ”

Pete Blanchard, MHL

Director, Network Development In total, these sessions and friendships forged at Congress will assist Bethany Healthcare me in leading the enhancement / process improvement of delivering better post-acute care for home health patients while ensuring improved outcomes for our hospital, physician and ACO referral partners.

Overall, Congress was one of the most impactful and energizing health conferences I have ever had the opportunity to attend. I am dedicated to helping our chapter meet our strategic goals this year and look forward to helping anyway that I am able. Thank you.

continued on page 9

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2013

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CONGRESS SCHOLARSHIP RECIPIENTS

I scurried to get to my first event at 7 AM. The busy Chicago streets sidetracked my attention while walking to ACHE’s 2014 Express Congress Thursday morning. The first event’s room was packed as I toddled in with a hot coffee in hand – a perfect match with the Chicago wind. I leaned against the back wall and listened as John Toussaint, MD demonstrates the successful use of performance improvement huddles in the hospital setting.

The next panel discussion was a refreshing reality check on the “Unique Challenges Facing Women Healthcare Executives.” The room was filled with hundreds of women –except for the one forward thinking man that attended and was welcomed with a loud applause and laughter. The message was obvious – women are growing to become top executives and provide a different perspective to leadership. The high energy atmosphere could be felt when walking away from that event. Stacey Empson, JD, FHISS did a fabulous job moderating an honest and light hearted discussion on women executives challenge in balancing a home- work life.

Maitri Vaidya, More out of the box thinking was presented in various seminars related to the Affordable Care Act and implications on mergers and acquisitions across the DBA, MHA, CPHQ Director, Quality Management country. Alan M. Zuckerman, FACHE, FAAHC and the panel discussing “Strategic North Hills Hospital Partnering with Physicians, Payers, For Profits and Private Equity Investors Under Health Reform” provided light on the emphasis of relationships amongst various healthcare providers across the patient’s continuum. As fiscal responsibilities are shared amongst all levels of care, there will be a greater need for strong, honest relationships and collaboration amongst payer’s and providers at all levels. This environment can only be foreseen as we step into an action-oriented structure via quality initiatives leading the way for success.

“the experience was mind-blowing”

Amongst all the technical healthcare conversations, the Leon I. Gintzig Luncheon key note speaker, Tim King, stands out to be the most effective change agent, creating an emotional twist to his success as President and CEO of Urban Prep Academies in Chicago. Mr. King provided insight on “What Happens When We Believe,” outlining the positive role his all boys public charter school plays in the challenging Chicago world, resulting in 100% success of their young men receiving college admission. Mr. King created urgency as he tied his school’s motto of “either you do or you don’t believe” to executive’s role in the changing healthcare market - with the goal of getting up and doing what you believe in. After the successful luncheon, the room was buzzing with tears being wiped away and a eagerness from all the healthcare executives in the room to believe in better care, better access and better healthcare for all.

As this was my first ACHE Congress event, the experience was mind-blowing. The powerful discussions and cutting edge leadership created an urgency to develop the ever-growing healthcare environment with keen leadership, collaboration and creativity. Together, our belief in better healthcare will inspire change to create the best healthcare for all.

This year’s Congress on Healthcare Leadership was a great opportunity to learn, network, and evaluate the current landscape and trends in the healthcare industry. I had the chance to reconnect with my Alumni association, meet healthcare leaders from across the country, and attend sessions both relevant and outside my scope of current responsibilities. The opportunity to attend Congress was an experience that both reinforced and reinvigorated the reasons why I chose this industry to dedicate my career.

The speaker for the Opening Session used the analogy of a sea shore to describe the ever changing healthcare landscape. Each day is different and poses new challenges, but there are some things that do not change.

Our overall goals in healthcare that are constant, referring to the Triple Aim, are achieving better population health, delivering high quality, safe care, and at an affordable, sustainable cost. The goals are daunting but offer guidance to the work we do and reasons why this industry needs leaders. The work we have ahead of us will not be achieved by one “Each day is different person, but through the collaboration of many from across multiple organizations and industries. and poses

new challenges”

Robin Kraase, MHA

Manager, Marketing & Public Relations, Baylor Medical Center at Carrollton continued on page 10

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2013

CONGRESS SCHOLARSHIP RECIPIENTS

Attending Congress on Healthcare Leadership for the first time was life changing. I met many professionals with an authentic passion for healthcare and further bonded with some members of our local ACHE chapter. From the many lectures; my session highlights include: ‘Creating a High-Reliability Organization: Using Lean to build a culture of Continuous Improvement’ which was a hot topic that provided useful resources to apply lean and six sigma methodologies to clinical work processes and leadership principles to adopt a quality organization culture. Also, ‘Proven Strategies and Practices to Enhance Your Hospital’s Business Intelligence Outcomes’, was a great seminar dense with tools to turn busy scorecards and data overload to meaningful information with great impact on efficiencies.

“I am looking forward to next year’s conference. ”

Moreover, the session titled ‘The Bankruptcy of Healthcare Measurement: Current State and Future Solutions’ was an insightful case study exhibition on how to effectively analyze current performance to impact outcomes. In addition, ‘The Impact of Clinical Engineering and IT Relationships on Staff Satisfaction and Productivity’ was an interesting discussion about developing better working relationships through effective communication and managing technical competencies. I am looking forward to next year’s conference.

LaToya Rivers-Azanga, MBA, LSSGB Analyst, Lean Six Sigma UT Southwestern Medical Center Dallas

I am grateful for my local chapter and excited to apply best practices shared!

I thoroughly enjoyed my experience at the 2014 Congress. The sessions I attended were focused on accountable care organizations, continuous improvement, and overall population health. I also attended several student-track sessions that helped me transition from student to early careerist. These sessions included job interviewing skills and lessons on how to succeed as an early careerist.

The complimentary events such as resume reviews and career counseling were also helpful. However, I found the session entitled “The Transition to Population Health Management” the most interesting. The presenters discussed the steps their organization took to accomplish this transition and the takeaways from this experience.

“One of the many highlights was a great reinforcement on diversity and individuality”

In addition to the educational sessions, I also was able to network with people from different states and other countries. Through this, I learned of their different backgrounds, thoughts on the healthcare industry, and advice for a graduating student.

Dante Ridgell

Student UNT Health Science Center

I appreciate ACHE of North Texas for providing the scholarship that made this experience possible and I fully plan to attend the 2015 Congress. I hope to engage even more into what the conference has to offer.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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Congress After Hours Event in March Charles Williams and Terry Spencer

Darrick Hopkins, Rhea Robinson and Tamira Dyers

Host Winston Borland and Chapter President Josh Floren

Jessica Pipkin, Karen Matscher, and Kevin Dial

Winston Borland, Erik Wikoff and Angela Morris

Organizers Teresa Huskey and Ashley Sadlon with Host Winston Borland

Paul Aslin and Michael Vinson

Paul Aslin, Jamie Moore and Bernie O’Donnell

Shane Jones, Leon Nguyen and Paul Aslin

Stacey Gullian, Laura Motch, LaToya Rivers, and Felixia Colon

Vivian Leopold and Maria Murray

A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

EVENT ENCORE

May Membership Drive at Bush Library Healthcare professionals and students from around the Dallas-Ft. Worth area gathered together at The George W. Bush Museum for fun, education, and networking for North Texas ACHE Annual Membership Drive and After Hours Event. The museum is the repository for presidential gifts as well as other donated artifacts relating to the life and career of President George W. Bush and Mrs. Laura Bush. The event was held in an elegant glass encased venue next to the museum with delicious beverages and hors d’oeuvres.

The event turned out to be a great success with over 130 guests attending both members and non-members from over 70 different companies. By the nights end, six attendees signed up for membership with ACHE. North Texas ACHE would like to extend appreciation to the staff of the George W. Bush Library and Museum for the hospitality and quality service. For more information on future events, please visit us at ww.northtexas.ache.org or send us an email at info@northtexas. ache.org Rhea Robinson, VA North Texas Health System

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SPRING 2014

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Sustaining a Financially Vibrant Healthcare Organization Summary The North Texas ACHE chapter and TAHFM coordinated to discuss opportunities for effective strategies to navigate and thrive within the changing healthcare environment. Mike Sanborn, President/CEO, Baylor Medical Center at Carrollton, moderated a dynamic panel of speakers: David Ricker, Chairman/CEO, Broad Jump; Charlotte Munn Ward, Entity Financial Officer, Texas Health Southwest Fort Worth; Kristi Waters, Sr. VP, Tenet Healthcare Corporation; and Harriett Linenberger, Director, CBRE. Considerable ground was covered during dinner expanding from the critical topics such as supply chain management, changing revenue models, balanced score cards, and the evolutional shift in healthcare management.

Over 65 professionals (mostly chapter members) engaged in dialogue regarding critical factors impacting the healthcare industry. Aptly distinguished, David Ricker’s research of medical supply cost variation; Charlotte Munn’s recommendation for deeper review of influential processes such as claim appeals, knowledge of expenses included in DRG’s, and FTE’s per adjusted patient day; Kristy Waters’ effective scorecard and great strategies to impact performance; and Harriett Linenberger’s encouragement to consider the shift in patient populations and insurance payments and structures engaged everyone. Mike Sanborn delved into the speaker’s lean management styles and consideration of clinical variation generating bountiful examples of strategic initiatives to control cost which intrigued everyone.

This wonderful educational opportunity warrants applause of our great chapter participants and attendees who desire to make DFW’s healthcare industry viable. The lovely Methodist Dallas Medical Center’s Hitt Auditorium was bountiful with great counsel from our speakers on May 15th. For more information on future events, please visit us at ww.northtexas.ache.org or send us an email at info@northtexas.ache.org.

LaToya Rivers-Azanga, UT Southwestern Medical Center

Maitri Vaidya, recipient and military attendants at luncheon

North Texas Scholarship recipients Maitri Vaidya and LaToya Rivers

North Texas Chapter mini group dinner

Thursday, June 26th ACHE of North Texas Senior Leaders Event:

2014 CALENDAR

Navigating Executive-Level Career Advancement in the Era of Healthcare Reform Time:

5:30 - 7:00 pm

Location:

Texas Health Presbyterian Hospital

Dallas Thursday, July 10th ACHE Networking Event at the Rangers Ballpark Time:

6:30 pm

Wednesday, August 6th Breakfast with the CEO Time:

7:30 - 9:00 am

Hosted by: Craig Bass, President, Molina Thursday, September 11th After Hours Networking Event Time:

5:30 - 7:30 pm

Location:

Fort Worth Botanical Gardens

For the latest updates on Chapter events, programs and promotions please check our website or watch your inbox for the event guide.

ACHE of North Texas thanks the following Corporate Sponsors for assisting the organization’s mission. By sponsoring various events throughout the year, these sponsors are provided local and national exposure with an opportunity to showcase their organization, brand, career opportunities, products and services to the ACHE membership and its affiliates.