Ache summer 2017 singles final

SUMMER 2017

F E AT U R E S 4 President’s Message Janet S. Holland, FACHE 5 Regent’s Message John Allen, FACHE 6 Member Spotlight 18 ACHENTX Education Events 20 Event Encore 29 Event Calendar 30 Membership Annoucements

11 NTXACHE AWARDS 12 Finally, a Virtual Reality for Texas

Editor-In-Chief

Joan Clark, DNP, FACHE Thomas Peck, FACHE

Contributing Editor

Matt Malinak, FACHE

Contributing Writers

Creative Direction

Heather Worgo Beau Gee Amanda O’Neal Brumitt, FACHE Ed Bitner, FACHE Ray Dhameja Artie Goldman Valerie Shoup, FACHE

Advertising/ Subscriptions

info@achentx.org

Caleb Wills, calebsemibold.com

Questions and Comments: ACHE of North Texas

Editorial Office, c/o Executive Connection

300 Decker Drive, Suite 300 | Irving, TX 75062

p: 972.413.8144 e: info@achentx.org w: achentx.org 2017 Chapter Officers

2017 Board of Directors Jaquetta Clemons-Davis, FACHE Jennifer Conrad Director of Healthcare Business Development WHR Architects Michael Hicks, MD, FACHE EVP for Clinical Affairs University of North Texas Health Science Center Scott Hurst, FACHE Ben Isgur Director, Health Research Institute PricewaterhouseCoopers Kristin Jenkins, JD, FACHE President DFW Hospital Council Foundation Martin Ostensen University of North Texas Health Science Center Faculty, Ex-Officio, Student Council

President

Janet Holland, FACHE Executive Vice President, Business Development, BroadJump, LLC

President Elect

Past President

Kevin Stevenson, FACHE IntegraNet Health Director, Business Development Dresdene Flynn – White, FACHE Managing Director Acquired Leadership Solutions

Amanda Thrash Senior Dir of Professional & Support Services TX Health Presbyterian Hospital

Secretary

Jessica Fuhrman, FACHE VP, Business Development BroadJump, LLC

Nancy Vish, FACHE President Baylor Heart and Vascular Hospital

Treasurer

Dustin Anthamatten VP, Operations Methodist Charlton Medical Center

Demetria Wilhite Academic Advisor and Program Director University of Texas at Arlington Faculty, Ex-Officio, Student Council

Regent

John Allen, FACHE Prog Dir Safe Transitions for the Elderly Patient Univ of North Texas Health Science Ctr

Executive Director

John Whittemore ACHE of North Texas

Jared Shelton, FACHE President Texas Health Presbyterian Hospital Allen

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.

President’s Message

W

e have had a busy time already this year!

From educational offerings to committee meetings to networking and mentorship events, the calendar has filled up quickly. Upcoming on the calendar are additional face-to-face educational opportunities and some exciting new networking events. (Bowling anyone?) For the second year in a row, our chapter is partnering with the University of Alabama at Birmingham on educational programming at its upcoming healthcare symposium in Florida.

As we enter the second half of 2017, I find myself reflecting on what a truly wonderful chapter we have here in North Texas. As you probably know, we are a chapter of volunteers; we would not be able to offer the programs and events that we do without the dedication and tremendous support of our volunteers.

Nationally, we are recognized for having some of the best educational and networking events around.

The awards that our chapter receives year after year demonstrate that the hard work of our volunteers is paying off.

Last November, at our General Membership Dinner, Amanda Thrash earned well-deserved recognition by her ACHE colleagues when she received our Volunteer of the Year award. (Well done, Amanda!) This year, we asked Amanda to lead a new initiative within the organization as the head of Volunteer Engagement.

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In this capacity, Amanda is ensuring that we are harnessing the talents of our volunteers, providing them the support they require from the chapter’s leadership, and ultimately, making sure our volunteers receive the recognition they deserve for their contributions to our chapter. If you don’t know Amanda yet, you will soon!

Our board of directors is also made up of volunteers. Each of us is dedicated to delivering value for your membership, and we want to hear from you about what is working well and what we could be doing better. Please feel free to reach out to any of us personally if you have questions, concerns, or suggestions for how we may better serve you. We look forward to hearing from you.

Janet S. Holland, FACHE Chapter President

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

Regent’s Message Dear Colleagues, I hope the summer is treating you well. In this newsletter, I congratulate two winners of Regent’s awards and provide information on past and future events throughout the ACHE North Texas region. There are opportunities for everyone! As a reminder, check out your local chapters website for activity information: Texas Midwest Healthcare Executives, East Texas ACHE Forum, ACHE of North Texas.

Congratulations to Brett McClung, FACHE, for receiving the ACHE Senior Level Healthcare Executive Award and Jakeb Spears, MHA, for receiving a Regent’s award. Brett’s leadership role in ACHE and his community are substantial. Brett is very active in ACHE, regularly serving as faculty, moderator, and panelist for ACHE events. Most recently, he served as a standout panelist for the New Horizons CEO round table discussion on leadership. Jakeb Spears is recognized for his leadership in planning and executing the New Horizons event. This event brought together seven local CEOs and more than 130 attendees to engage in a round table dialogue about effective leadership. This was a first ever such event for the ACHE North Texas Chapter. Months in the planning for this event, Jakeb volunteered from the very start and was instrumental in the success of the New Horizons event.

On June 29, I attended the Texas Midwest Healthcare Executives Summer Cluster at Texas Tech Health Sciences Center in Lubbock. With more than 50 individuals in attendance, I found a great opportunity to meet different members of the local chapter and area as well as learn more about leadership, patient safety, and process improvement.

This was truly an excellent event! During the event, Brian Bessent, the Midwest Chapter President, expressed interest in hosting a multi-chapter educational event or cluster in the vicinity of Wichita Falls. Partner chapters for this event include Oklahoma, North Texas, and East Texas, so be on the lookout for more information.

Lastly, I would like to take a moment to talk about the importance of leadership in your career. Recently I have noticed what seems to be a barrage of both media and marketing information on the importance of leadership. Sites such as LinkedIn regularly share articles on workplace relationships and emotional intelligence. I learned from a report on NPR that 70% of employers have ongoing performance evaluation programs (rather than traditional annual performance evaluation programs) that are not linked to raises or pay; their goal is to help people “along the way” rather than do it just once a year. Additionally, we evaluate the leadership of our political leaders and bosses, and we even sometimes model our behavior after individuals we admire (or avoid modeling the behavior of someone we do not admire!). Thus, the concept of leadership can seem overwhelming, confusing, and impersonal. However, I believe there are common tenets of leadership that we can all practice that does not require reading a book or attending a conference (although these are important tools in leadership development!), which include: take care of your people; keep yourself accountable; find mentors; be candid & respectful in giving feedback; embrace feedback from others; take calculated risks; learn from your mistakes; be a lifelong learner. These are behaviors that will get you moving in the right direction.

I wish you the very best. Please feel free to contact me at any time.

John G. Allen, FACHE Regent for Texas - Northern Program Director, Safe Transitions for the Elderly Patient University of North Texas Health Science Center Jgallentexas@gmail.com

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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Member Spotlight Kyllan Cody, FACHE Administrator Cook Children’s Northeast Hospital What are you doing now?

Kyllan Cody serves as the Administrator of Cook Children’s Northeast Hospital in Hurst, TX. Cook Children’s Northeast Hospital emerged from a Joint Venture Hospital between Cook Children’s Medical Center, NueHealth (a Kansas based management company), and a group of physician investors.

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

Kyllan asserts the rising cost of healthcare combined with access is the most important issue currently, facing Texans.

Threats to Medicaid funding and the 1115 Waiver may negatively impact healthcare access and result in a negative financial impact for hospitals. Threats to Medicaid funding combined with the uncertainty surrounding healthcare on the federal level, will create challenges moving forward.

How long have you been a member of ACHE? Kyllan has been an ACHE member since 2003.

Why is being a member important to you?

Kyllan enjoys the rewards of networking with other healthcare professionals through the programs and resources ACHE offers.

She has reaped benefit from the educational opportunities ACHE provides. As the healthcare system continues to evolve, it’s imperative for healthcare leaders to commit to life-long learning. ACHE North Texas chapter offers quarterly education sessions that is a conduit for leaders to expand the dialogue on

current issues both locally and globally.

Kyllan has enjoyed serving on the ACHE Education Committee for eight years and with the abundance of subject-matter experts in North Texas, the committee is able to enhance members’ knowledge and thinking on various issues.

What advice would you give early careerists or those considering membership?

Kyllan asserts that ACHE membership is invaluable and anyone in healthcare should get involved and reap the benefits of membership. For early careerists, Kyllan recommends active participation in the chapter to both network and to experience working with passionate healthcare professionals. Attending the educational events is necessary for all ACHE members. It’s a great way to stay current and to earn the necessary credits to become a fellow, which should also be pursued.

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

Kyllan stated she was a band nerd and played the flute from 5th grade concert band through high school orchestra and then played the piccolo as part of the college marching band for 3 years. Kyllan said with a smile, “I have probably picked up my flute 3 times since college.”

Member Spotlight Mary Greer, Manager Leaders For Today What are you doing now?

Mary Greer is a Business Development manager for Leaders for Today. The company has been in business in the Northeast for over 14 years and Mary was tasked with developing the Texas market.

Mary is excited to introduce herself and learn about everyone in Texas.

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

Mary is concerned about the uninsured and/or underinsured population. As the population ages, without appropriate medical care during that process there will be an onslaught of issues that could have been prevented. It is important to address health behavior at a young age; children must be started on the path to good health.

How long have you been a member of ACHE? Mary is a new member-just this year. She became a member of the Membership, and Networking committees and is excited about the many opportunities to volunteer.

Why is being a member important to you?

Mary has a strong desire to contribute to ACHE. As a committee volunteer, at events Mary has the opportunity to make a difference. ACHE meetings offer a learning experience; Mary has learned about facilities, and other support areas, through networking at ACHE. Many in the DFW don’t venture out-often

do not know what is going on the other side of the Metroplex. Mary has been to facilities that otherwise she would have never visited had she not experienced the extensive network ACHE offers. Mary asserted, “Did you know the security staff at Scottish Rite waves at you? I didn’t until I had a meeting there. And the more I learn, the more I can share.”

What advice would you give early careerists or those considering membership?

Mary believes joining ACHE is the smartest thing you can do. Members will make connections that will last your entire career. All the members Mary has met are willing to give assistance, advice, and answer questions you might have. Having emerged from similar backgrounds, their insight is invaluable as members build their careers in Dallas and across the country.

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

Mary stated that her current position is her THIRD career. After being successful as a business owner as well as working in a GM car dealership-Mary wanted a job that really makes a difference.

Being able to work with nurses, from staff to CEO gives her great satisfaction. Mary just may have something to offer an individual as they start or continue their career that could impact medicine or life as we know it.

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Member Spotlight Pranav Pradhan Healthcare Management & IT and System Student, University of Texas at Dallas What are you doing now?

I am currently an undergraduate student at UT Dallas double majoring in Healthcare Management and Information Technologies and Systems.

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

Healthcare today faces a multitude of sustainability problems, many of which are going to revamp the entire system as we know. Financial sustainability and real time data analysis are definitely two major areas that we need to focus on today. After all, I want to be able to have healthcare for my kids in the future too.

How long have you been a member of ACHE? I joined ACHE the beginning of this year in January when Dr. Britt Berrett informed me about this organization.

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Why is being a member important to you?

It’s amazing at how much there is to learn. ACHE has done a wonderful job for young people aspiring to join the field to get exposure to professionals who are at the top of healthcare. It’s a great place to meet new people and, most importantly, learn about everyone’s perspectives and gain as much knowledge as possible.

What advice would you give early careerists or those considering membership?

Try to do all you can with your best effort with a positive attitude. Take the leap.

Opportunities don’t simply come to you, you have to reach out and grab them. Oh and never stop learning. That’s important too.

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

I’m a huge tennis fan and Roger Federer is my favorite player.

If you haven’t watched tennis, just watch him play, its simply beautiful even when he’s older than everyone he’s playing.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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Congratulations Brett McClung!

2017 Senior Level Healthcare Executive

Brett McClung embodies the leadership excellence that makes him worthy of selection for the American College of Healthcare Executives’ (ACHE) Senior Level Healthcare Executive Award. Brett is very active in ACHE, regularly serving as faculty, moderator, and panelist for ACHE events. One of the more recent programs was in February 2017, when he served as a standout panelist for the New Horizons CEO round table discussion on leadership.

With more than 100 health administration students from various local colleges in attendance, he noted that mentors past and present have been the key to helping him succeed in his career. His leadership impact has been evident in other areas of his career as well: he serves as board member for the Dallas March of Dimes; he is a member of the Fort Worth Chamber of Commerce health care committee; he is a Fellow for both the Wharton School at the University of Pennsylvania and German Marshall Fund of the United States. Brett continues to support his alma mater, Trinity University, selflessly helping alumni and students find career and professional development opportunities at Texas Health Resources and other organizations. Brett’s tireless commitment to leadership is in keeping with this award’s criteria and is well deserved.

Congratulations Jakeb Spears!

2017 Regent’s Award

Jakeb Spears is recognized for his leadership in planning and executing the New Horizons event held February 20. 2017, at Medical City in Dallas. This event brought together seven local CEOs and more than 130 attendees to engage in a round table dialogue about effective leadership. This was a first ever such event for ACHE NTx. Months in the planning for this event, Jakeb volunteered from the very start and was instrumental in the success of the New Horizons event. He spearheaded the marketing efforts, creating high quality marketing materials that encouraged attendance. He recruited more than 10 volunteers to help with the program.

He demonstrated a strong ability to work with others, collaborating and organizing activities with volunteers, ACHE leaders, local healthcare professionals, and other stakeholders to ensure the event was executed flawlessly. Jakeb’s enthusiasm, leadership, and personal investment in this event makes him deserving of this recognition.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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Finally, a Virtual Reality for Texas

By Mike Siegel

New Legislation

Another noteworthy component of the bill is the relaxation of reimbursement requirements that will take effect on January 1, 2018. While Texas has had

a private parity law – requiring equal reimbursement for a telehealth service as for a comparable in-person service – since 1997, the new legislation bolsters the actions that private payers must take to accommodate telehealth services, such as preventing the exclusion of telehealth services based solely on their being “virtual” and by requiring payers to clearly communicate their telehealth policies. Moreover, the Texas Department of Insurance is required to finalize a list of telemedicine billing codes to go into effect for 2018. Also of note is the law’s addition of asynchronous health services to the list of those defined as telemedicine services. In other words – in addition to live video conferencing – the review of medical records or patient images to make diagnoses over the phone is now a potentially reimbursable telemedical service. Since S.B. 1107 allows a physician-patient relationship to be established virtually, the law now permits prescribing during the initial patient encounter, except in the cases of abortifacients or controlled substances.

Strategic Implications Having clarified several of the legal and practical intricacies surrounding virtual health care in Texas, it is important to understand the potential strategic opportunities now available to providers.

At the 2017 ACHE Congress Bernard Tyson, CEO of Kaiser Permanente, emphasized to the audience that new technologies are rapidly changing healthcare delivery and said “last year,

of the over 120 million encounters that we had with our members, over 50% of those were done virtually…massive disruption going on”. Perhaps the most effective opportunity for providers to start generating value from the new legislation is at the physician practice.

It is now much easier for physicians to attract new patients through a virtual care offering. Though it was already permissible for certain types of followup care, more physicians are now likely to use telemedicine services to provide expanded patient access to care, retain more patients who appreciate the convenience of virtual services and to increase panel size through improved efficiency of operations. At Teladoc, Inc., the largest provider of telehealth

“ doctors may be

able to increase the number of patients they see in a day without adding extra hours to their schedule

“

In light of all the clatter coming from Austin and Washington since the start of the year, it’s understandable if you didn’t hear about the passage of TX S.B. 1107. Governor Abbot signed this bill, which the state legislature passed unanimously, on May 27, 2017, potentially opening the floodgates for virtual health services in the State of Texas. Given the unified vote in favor of the legislation, the law went into effect immediately upon passage. At the core of this legislation is the redefining of the patientphysician relationship as one that can be established virtually. Until last month Texas was the only state in the country with such restrictive policies regarding virtual care services and arguably the state whose citizens stand to gain the most. Consider, Texas is 45th in the country in active primary care providers (PCPs) per 100,000 1, has 35 counties without an active physician of any kind and 185 of the 254 counties lack a single general psychiatrist. The need for expanded access to care is tremendous.

The previous Texas Medical Board (TMB) regulations required a face-to-face patient encounter, regarding a specific diagnosis, prior to the delivery of any telemedicine services. Such a restriction is understandably burdensome if the nearest physician is 100 miles away from the patient. The new law strips TMB’s ability to institute regulations surrounding telehealth that are more restrictive than those applying to inperson health care services.

services in the U.S., the average patient visit is 5 minutes and 40 seconds. Given the traditional 15-minute patient block for in-person visits, doctors may be able to increase the number of patients they see in a day without adding extra hours to their schedule.

Virtual visits lend themselves particularly well to follow-up appointments and

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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to managing patients with chronic conditions. For example, a patient with severe diabetes may require as many as eight routine visits per year. Initially, perhaps four of those visits can be replaced with virtual encounters to alleviate the patient’s time and travel burdens. Research also suggests that patients who have physicians remotely monitoring their blood glucose will perform their required readings more frequently. As another example, certain surgical follow-ups can be replaced with virtual visits and may even allow the patient to connect with his or her entire care team. The average orthopedic postsurgical visit lasts 3 minutes and, in many instances, can appropriately be replaced with a virtual encounter potentially saving a patient in a rural community from taking time off work and enduring travel hardships. Finally, access to mental

health care services is extremely limited in rural communities throughout Texas.

While many of the state and federal regulations already exempted most mental health telemedicine services, there was likely some confusion amongst providers regarding the nuances of the rules. Thus, it’s plausible to assume that Texas will see an uptick in tele-psych services following the new legislation.

While startup costs and overutilization concerns are legitimate, the costs of licensing a technology platform for these types of virtual visits is generally less than $10 per visit or $15 per-member, per-month on a subscription basis.

Provider resource savings and increased patient volume may easily offset these expenses. In regards to utilization, it is expected that the number of patient visits will spike, at least initially, upon

the rollout of a telemedicine program.

However, providers participating in any value-based contracts will likely realize savings from substituting virtual visits for acute encounters that may have been preemptively thwarted.

Threats to Texas Providers Despite any initial hesitation over the costs and benefits of launching a telemedicine offering, providers need to recognize that they are already at risk of losing patients to virtual competitors.

Teladoc now has more than 3 million patients subscribed to its service in Texas as of April 2017. Most of the major national insurance carriers have partnerships with virtual health providers

Technology as a Remedy Consumerism/mHeath Model

• Development of direct-to-patient health apps

• Offer as premium service to self-pay patients • Contract with commercial payers to include e-visit plans • Some health providers are white-labeling mobile health services to better reach their patient populations

As presented at the 2016 Azalea Health Leaders Summit, August 19, 2016, “Rural Health Challenges and the Remedial Prospects of Technology”

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

and have been able to quickly launch these services in Texas. Providers who ignore the growth of virtual health services risk losing the ability to manage their patients and retain control over costs and outcomes. Such a scenario could be particularly worrisome for providers participating in accountable care organizations or other risk-based contracts. The new law will likely expedite the number of providers in Texas who spend some of their time seeing patients on behalf of Teladoc, Doctor-on-Demand and other providerto-patient telemedicine platforms. It’s possible that some of these competing providers are seeing your patients and driving them toward their facilities or that your providers are lending some of their leisure time to a telemedicine platform rather than using a virtual service to grow their own practice.

There is also a risk of competing physicians using telemedicine to attract new patients from the pool of over 6 million Texans without a dedicated PCP.

Potential Roadblocks Despite the vast growth potential for virtual health services, there are still regulatory barriers to its widespread proliferation. Medicare remains the most restrictive payer governing the use of virtual health services. Fears of overutilization have prevented the Centers for Medicare & Medicaid Services from offering coverage for telemedicine services in anywhere but rural communities, despite the other barriers to care facing our nation’s senior citizens. In Texas, Medicaid is similar to Medicare in its restrictions but has recently rolled back regulations preventing coverage in public schools.

Lastly, while the new law prohibits commercial payers from excluding telemedicine services based solely on the delivery mechanism, payers may simply refuse to contract telemedicine providers into their preferred networks. However, clairvoyant payers should recognize the opportunity that virtual care offers to every industry”.

mitigate long-term costs, meet network adequacy requirements and satisfy consumer demands. As Mr. Tyson described how a new age of technological capabilities is changing the world he reiterated that “it’s going to disrupt our industry like it is beginning to disrupt

1. http://www.americashealthrankings.org/explore/2016-annual-report/measure/PCP/state/TX 2. American Medical Association Physician Master File/MMS 2014 3. 2017 Teladoc, Inc. 4. Jethwani, Kamal MD, et al. “Diabetes Connect: An Evaluation of Patient Adoption and Engagement in a Web-based Remote Glucose Monitoring Program”. Journal of Diabetes Science and Technology, 6, 6, 1328-1336, 2012.

5. http://www.xconomy.com/texas/2017/05/30/with-governors-approval-teladoc-expands-texastelehealth-services/ Mike Siegel serves as an internal consultant serving the members of Texas Care Alliance.

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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ACHE North Texas Education Event

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

Second Quarter Education Event April 27, 2017 Fifty seven ACHENTX members, careerists and students, gathered at Christus Health System auditorium to hear the industry experts speak about emergency preparedness and best practice approach to emergency department service.

They actively participated in the event by asking questions and commenting on the topics.

Panel 1: Ensuring your communities’ emergency preparedness. Moderator: Teresa Huskey FACHE Panelists: Chief Douglas Bass CEM, TEM, chief of emergency services & department manager, office of Homeland security and emergency management for Dallas County - emergency operations management. Lenard Deanarine, Director, business operations continuity and emergency preparedness, Tenet Healthcare Corporation. Dr. Carl Menckhoff, Area Medical

Director for DFW Texas Health ERs, Adeptus Health emergency medicine at Parkland hospital.

The panelists started the session explaining their role related to emergency preparedness within their organization and out in the community. The questions from the moderator and attendees ranged from how to prepare for emergency to types of disaster events to areas of focus and concerns during an emergency and beyond. Disastrous weather was discussed as the number one hazard in Texas. Communication at all levels was discussed as the most important aspect of emergency preparedness, while tracking the event was mentioned as the most frequently missed step while handling a disaster.

Panel 2: Emergency Department Service Standards: A Best Practices Approach Moderator: Scott Hurst, MBA, FACHE. Senior Director, Children’s Health Panelists: Deborah Diercks MD, Professor and Chair of Department of Emergency Medicine, UT Southwestern Medical Center. Jay Kaplan MD, Vice Chairman of Emergency Medicine, Ochsner Health System The panelists started the session with discussing the standards of Emergency Medicine. Dr. Kaplan shared his personal experience receiving service at an Emergency Department and then stressed that patient experience is the most important standard in EM. Length of stay in ED is a major barrier for patient satisfaction. Therefore the goal should be to decrease it

to <2 hours if patients not admitted and <3.5 hours if admitted to the hospital. Patient experience in ED related to the service provided was discussed at length. Some tactics to improve patient experience include: • Systems and behaviors should be inline and service oriented • Create great place to work so that you can create a great place for patients • Four steps to create a great service include - greet with smile, introduce yourself, create an even partnership with patients in the care provided, and keep them updated of the process and progress.

• Rigorous recognition of staff at all levels.

ACHE North Texas sincerely appreciates Chistus Health for hosting the event and the members for participating in this event. For more information on future events, please visit us at achentx.org or send us anemail at info@northtexas.ache.org.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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EVENT ENCORE Retiree Life Fellows Breakfast April 3, 2017

EVENT ENCORE

Cocktails With the Chiefs April 11, 2017 Members of ACHE met at the Mercury Grill in North Dallas for a networking event which included a lively discussion on the future of healthcare. The moderator interviewed panelists with a group of questions inspired by the book Alan Mulally and the Fight to Save Ford Motor Company. Our distinguished panelists responded to questions as follows.

Drug abuse, drinking, smoking, and obesity continue to be major issues in healthcare. Noncompliance with physician orders and indiscretion have a significant effect on population health.

Improving health starts with addressing health behaviors. The key to success is always keeping the patient first and the bottom line second.

Parkland hospitalâ&#x20AC;&#x2122;s COO mentioned that healthcare effectiveness should be measured in effectiveness in keeping folks out of the hospital. At Parkland Hospital, when volumes go up, margins go down; additionally, margins go down when length of stay is lowered. 80% of Parklands volume is in outpatient care, specifically primary care, prevention, and wellness.

When asked about competition, one COO commented that competition continues to be a challenge for some health systems as there are Emergency Clinics on every corner. Competition is a factor, but innovative care targeted at wellness and behavior change are essential components of care in the evolving healthcare environment.

Members of ACHE thoroughly enjoyed the speakers. We would like to thank our sponsors for supporting this event.

The food, fellowship, and education was exceptional.

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EVENT ENCORE

Mentorship Program Orientation April 20, 2017

EVENT ENCORE

North and East Texas ACHE Spring Summit May 23, 2017 Panel 1: Sustaining a Vibrant Healthcare Organization Excellent education summit with 80 members attending from across North and East Texas ACHE Chapters.

Executives from both regions launched into the first panel on Sustaining Vibrant Healthcare. Keeping healthcare refreshed and renewed requires an emphasis on excellence and breeding dynamic teams with keen observations on productivity metrics and analysis. This panel addressed some of today’s pressing financial concerns with Patient Safety as number one. Patient Satisfaction and Government Regulations and Reducing Costs were runner’s up. Major takeaway was that healthcare operators have got to become more cost savvy.

Panel 2: Leading Successful Multigenerational Workforce This panel’s takeaways included: Healthcare administrators must focus on getting buy-in from millennials generation, while maintaining diverse work tools necessary for other generations still employed; Creating a culture where clinicians and administrators reinforce positive/desired behaviors; To keep today’s workforce engaged, we have to get early dynamic career paths mapped out for current and perspective employees; Keeping new and existing employees motivated will help to maintain culture and promote retention; and administrators must continually renew, refresh and reinvigorate millennials and Gen-Xers to maintain and drive up required care levels.

Panel 3: Interdependence of Public, Private and Federal

government reimbursement levels.

Internally, we need to drive healthcare in the community to deliver necessary care to patients and implement cost controls. Operators need to focus on the necessary care delivery model that make sense for their specific demographic and community. They must deliver their own health specific initiative goals according to their beliefs and interests and not wait until these initiatives are government mandated and ineffective. Remember, that we are currently #1 in healthcare spending and #14 in rank results. One key approach discussed was to develop standardized formularies.

Panel 4: Green Hospitals and Healthcare Healthcare operators should determine actions to reduce costs through eliminating waste. Operators must monitor non-use of products, begin to evaluate electricity provider costs and monitor all waste that relates to all aspects of care. Recommendations included evaluating the smallest aspect of care, from where bed linens are laundered to how many gallons of water the commode utilizes when flushing; as expansions occur, seek best value and best fit with architectural firms; and look for green certifications and operational efficiencies to drive decision selections.

Experts in efficiencies and green efforts will deliver savings to patients and generations to come. Executives should look at incorporating alternative care methods and new evolving therapies to accept, such as biophilia. Care has been shown to improve when patients are exposed to nature as well as traditional medicine.

There are different types of partnerships that play significant roles with A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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EVENT ENCORE

ACHENTX DME Exchange Community Service Event May 6, 2017 Every year ACHE North Texas chapter gives back to the community by participating in cleaning, repairing and refurbishing the donated medical equipment at DME Exchange. The DME Exchange is a nonprofit agency that collects, repairs and sanitizes durable medical equipment and then distributes them to those individuals in need in Dallas County. To secure this equipment for free, a person should have a doctor’s prescription for the item, must be 200% below the poverty level, and have no insurance coverage or have a gap in coverage. DME equipment includes: canes, crutches, walkers, rollators, bedside commodes, tub transfer benches, manual and power wheelchairs, Hoyer lifts, hospital beds and mattresses.

Twenty four ACHE members participated in this event on a Saturday morning.

They cleaned and sanitized 112 medical equipment and prepared them for donation to the patients in need. Betty Hersey, Executive Director at DME Exchange said “Y’all were amazing! Your ability to organize, keep the flow going, cheerlead – truly amazing”. When asked why they participated, several members said that it is ‘enriching to help those in need’.

ACHE North Texas sincerely appreciates DME Exchange for hosting the event and the members for participating in this event. For more information on future events, please visit us at achentx.org or send us an email at info@northtexas.ache.org.

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

EVENT ENCORE

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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EVENT ENCORE

Breakfast With the CEO Event Summery May 23, 2017

Written by: Kenneth Rose Texas Health Huguley Hospital The “Breakfast with the President” event in May took place on Tuesday, May 23 at Baylor Scott & White All Saints Medical Center - Fort Worth. Our speaker was the President/CEO of Baylor Scott & White All Saints Medical Center - Fort Worth, Michael Sanborn, MS, RPh, FASHP, FACHE. The event was a success with close to fifty attending breakfast and the presentation by Mr. Sanborn.

Sanborn’s presentation gave wonderful insights to leaders transitioning into new

roles, as well as skills for every leader to use. He outlined three steps to success: Make sure you have the right experience – This includes education, training, work experience, networking (ACHE, HFMA) and finding a mentor Take strategic advantage of opportunities – This includes interim assignments and positions outside your comfort zone. Sanborn also said, “…but don’t say yes to everything! Be strategic and thoughtful about things that you accept.”

Market yourself and your workplace – This does not mean bragging,

rather sharing information and having specific examples that focus on team accomplishments Sanborn also recommended reading The First 90 Days by Michael D. Watkins.

Sanborn has used this book multiple times as he has made job transitions and says: “I have a dog eared and marked up copy because I pull it out regularly”.

Thanks to Baylor Scott & White All Saints Medical Center - Fort Worth for hosting this excellent event, to Mr. Sanborn for being our speaker and providing copies of The First 90 Days to everyone in attendance. Also, thanks to each of our members who was in attendance.

EVENT ENCORE

New Member Networking Blitz June 15, 2017

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EVENT ENCORE

After Hours Networking Event at Texas Rangers Game June 20, 2017 Great win for the Texas Rangers (6-1) over the Toronto Blue Jays on June 20th, and another win for North Texas’ ACHE Chapter when many members come together, at a very relaxed and informal event, to collaborate and share issues that they are experiencing on a daily basis. The Texas Rangers were not the only ones with home runs, when more than 20 members brought perspective members to the game to get a new experience and meet with today’s local healthcare leaders. Ideas were shared and many bonds were forged as leaders opened up in between the ballpark’s hotdogs, nachos and many game cheers. This event was such a pleasure and offered a premium seat and view alongside fellow healthcare leaders.

Tuesday, August 8

After Hours Event at Bowlounge 6-9 pm Bowlounge Dallas

Thursday, August 24

Third Quarter Education Event 3-7:30 pm Methodist Dallas Medical Center

Tueaday, October 3

Women’s Breakfast

7-9:15 pm La Cima Club, Las Colinas

Tuesday October 3

Women’s Event

7:30-9am La Cima Club - Las Colinas

Thursday, September 14

Cocktails with the Chiefs 6-8 pm Reata Restaurant Fort Worth

Tuesday, October 17

Breakfast with the CEO: Jared Shelton 7:30-9 pm Texas Health Presbyterian Hospital - Allen

Tuesday October 17

Breakfast with the CEO: Jared Shelton 7:30-9am Texas Health Presbyterian Hospital

Thursday, October 26

Fourth Quarter Education Event

3-7:30 pm T. Boone Pickens Hospice and Palliative Care Center Faith Presbyterian Hospice, Dallas

Tuesday, November 14

General Membership Dinner 5:30-9 pm TBD - Dallas

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ACHENTX’S

NEWEST

FELLOWS

May

June

Tucker D. Petersen, FACHE

Michael J. Reiswig, FACHE

Donny Kalluvilayil, FACHE

WELCOME ACHENTX’S NEWEST MEMBERS APRIL Cyrus Bosley, RN Susan Cedars Terrence T. Crooks Velvette Davis Blake J. Edmond Nick Hasty Russell H. Hill Kyle Hoogendoorn, DPM Mark Hulse

Kevin M. Inderhees Brian C. Koo Kristopher Leonhardt MSgt Eric D. Madden Orianna Nibarger Travis Potter Daniel Rowe Katrina A. Santayana Christopher A. Smith

RECERTIFIED FELLOWS APRIL Kyle A. Cavin, FACHE Jacqueline Dixon, FACHE Eric Wallis, FACHE

MAY Kevin M. Barnes, FACHE Brett Hadley, FACHE Kathryn A. Minx, CPA, FACHE Howard A. Shaw, MD, FACHE

MAY Brijett D. Clark Emmett Ervin Blodwen A. Jundi, RN Tuaj Lee Brittany R. Leonardi Riley Orr Leticia Shaffer Frank Sheeder

Laura F. Sittler Deborah Smith SGT Thomas L. Stidham, II

JUNE Samuel Brown Alyssa R. Endres, MHA Kelley G. Irving CW2 Ramone Martinez Paige Smith Tedrick Wright

MEMBERS WHO RECENTLY PASSED THE BOARD OF GOVERNORS EXAM JUNE Chad A. Barney, FACHE

We Appreciate the Support of Our Sponsors

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2017

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