ACHE of North Texas Executive Connection - Summer 2019

SUMMER 2019

F E AT U R E S 4 President’s Message Jared C. Shelton, FACHE 5 Regent’s Message Ken Hutchenrider, FACHE ACHE Texas - Northern Regent 6 Member Spotlights 14 Event Encore 42 National News 44 Calendar of Events 46 Membership Annoucements

10 10,000 Lives Initiative

Editors

Chris Grossnicklaus Naveena Reddy

Contributing Writers

Creative Direction

Michael Belkin, FACHE Matthew Cowley Chris Grossnicklaus Martin Heath, FACHE Naveena Reddy Audrianne Schneider, FACHE Sushma Sharma PhD

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

2019 ACHENTX Board of Directors Jennifer “J” Alexander Operations Mgr, Imaging Systems & Services UT Southwestern Kyle Armstrong, FACHE President, Baylor Scott & White Medical Center Jaquetta Clemons-Davis, FACHE Felixia Colón, FACHE Regional Vice President SCP Health Jennifer Conrad Director of Healthcare Business Development EYP Health

2019 Chapter Officers President

Jared Shelton, FACHE President, Texas Health Presbyterian Hospital Allen

President Elect

Scott Hurst, FACHE Executive Director naviHealth

Immediate Past President

Kevin Stevenson, FACHE IntegraNet Health Executive Vice President

Secretary

Amanda Thrash VP of Professional & Support Services Texas Health Plano

Treasurer

Dustin Anthamatten VP, Operations Methodist Charlton Medical Center

Fraser Hay President, Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Ken Hutchenrider, FACHE President, Methodist Richardson Medical Center, ACHE Regent Ben Isgur Director, Health Research Institute PricewaterhouseCoopers Valerie Johnston, FACHE Associate Professor Texas Christian University Martin Ostensen Thomas Peck, FACHE President, Tom Peck Communications

The ACHE of North Texas e-magazine, The Executive Connection, is published triannually 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.

Nancy Vish, FACHE President, Baylor Heart and Vascular Hospital

President’s Message Another year, another sweltering heat wave here in our fair burg. Although the blazing hot temperatures we’ve experienced recently in North Texas took a little longer than usual to show up, summer has indeed arrived, and it has come with a vengeance. The oppressive heat may make it difficult for North Texans to do some of the things they love most during these dog days of summer, like enjoying dinner on the patio, walking 18 holes, or taking in some day baseball at Globe Life Park (just wait Rangers fans!), but the triple-digit temperatures certainly haven’t slowed down ACHE of North Texas from offering an unprecedented amount of value to its members.

In the spring issue I highlighted some of our dedicated volunteers and why they choose to give of their time, talents, and energy to ACHENTX. I also challenged chapter members who haven’t served as a volunteer to get involved and help to raise the bar for healthcare in North Texas.

Well, our chapter answered the call by increasing the number of volunteers actively participating in chapter events. This increased manpower has allowed us to expand our offerings to try to meet the needs of all of our members. You may be wondering, what exactly does that look like?

For starters, we’ve ramped up the amount of education events resulting in more available Face-to-Face (F2F) credits for our members. Through events on both the east side and west side of the metroplex, as well as online, we have offered 10.5 F2F credits in just the last few months and we have another multi-chapter education summit planned in September that will offer an additional 6 F2F credits.

ACHENTX has developed a reputation for hosting the best healthcare networking events around and with recent events like

Cocktails with the Chief, After Hours Networking at the Rangers game, and the sneak peek at the new Texas Health Frisco facility, it’s easy to see why.

I am also extremely proud of our chapter this year for efforts being made to be more inclusive. We have an extraordinarily diverse membership by any metric: age, race, ethnicity, sexual orientation, education background, and even different sectors of the healthcare industry. This diversity makes our chapter and healthcare community stronger and should be celebrated. But we, as healthcare leaders, should also be looking for ways to promote inclusion as it will generate new ideas, new thoughts, and new ways of improving the health of our communities. As such, we have hosted a Life Fellows & Retirees luncheon and a Diversity & Inclusion mixer in partnership with the National Association of Health Service Executives (NAHSE), National Association of Latino Healthcare Executives (NALHE), Asian Healthcare Leaders Forum (AHLF), ACHE LGBT Forum, and the Women’s Healthcare Executive Network (WHEN).

We are also planning a Women’s Breakfast and WHEN mixer in early October, so sign up now.

So, as the long summer days continue to march on, I encourage you to stay actively engaged with ACHE of North Texas. Be on the lookout for more ways to get involved in the coming months, including our 2019 General Membership Convocation which will feature a distinguished panel of healthcare leaders representing a combined 125+ years of experience; you do not want to miss it!

I look forward to seeing you out there!

Jared C. Shelton, FACHE President, ACHE of North Texas President, Texas Health Presbyterian Hospital Allen

Regent’s Message It’s Fall!! If you are like me, you have had a very busy Summer and are glad to soon be welcoming some cooler temperatures. As the summer comes to a close our children begin school again to further their education. With this in mind I want to challenge all of us to think about participating in an upcoming educational opportunity with ACHE. This Fall there is a strong line up of educational opportunities to participate in and further your knowledge in our specialty of Healthcare Administration. As we all know, Healthcare is a dynamic field and participating in an educational conference is a great way to have new tools in our toolbox as we each face the challenges of providing excellent care to our communities.

Additionally, each educational event is a great time to network with new folks or catch up with the people we know. I know in my busy life there is never enough time for networking but these events are prime opportunities to play catch up!! Finally, our educational opportunities are a great way to receive the needed credits for advancement to Fellow status or recertify as a Fellow. I hope to see each of you in the near future at an educational event!!

As always, if I can do anything to help you please do not hesitate to call.

Ken Hutchenrider, FACHE ACHE Regent for Texas – Northern President, Methodist Richardson Medical Center

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Member Spotlight Tina Hicka

What are you doing now?

I am currently the Perioperative Business Operations Manager at Texas Health Resources Fort Worth.

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

One of the issues I think about often is the excessive cost of prescription drugs.

Not only are health systems battling skyrocketing costs but the impact to consumers is costly as well. When we consider the hurdles in simply accessing affordable and quality care for certain portions of our population, the added stress of paying for treatments can be difficult for most families and in many cases seniors.

How long have you been a member of ACHE? I joined ACHE as a graduate student during my Master of Health Administration program and served as the chapter President.

I have been a member for a total of twelve years. I became a Fellow in 2015 and began serving as an education committee member for the North Texas Chapter in 2018.

Why is being a member important to you? Has ACHE membership been a benefit to you in your career?

ACHE is a way to connect and learn from other healthcare professionals. It also provides opportunities to learn

continuously about changing industry trends and has educational opportunities for every membership level.

ACHE has been a benefit to me in my career. Not only has membership allowed me to connect with other talented individuals but the learning opportunities have been a helpful way to provide guidance on how to be a better leader.

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

I would recommend joining. When you’re early in your career, it’s important to build and establish relationships early that will be beneficial later. I would also encourage participation in the mentorship program.

Having someone who is invested in your career and able to provide guidance along the way is valuable.

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

I am an avid symphony orchestra fan. Dallas Symphony Orchestra is one of my favorites ensembles and I have recently discovered that I am a Mahler fan.

Member Spotlight Wajeeha Lalee

What are you doing now?

I am a Senior Financial Analyst at Molina Healthcare. I enjoy working in healthcare and contributing to movements that support patients.

the need to spend hours and hours verifying the data accuracy. Through a chain effect, this will ultimately contribute to decreasing high healthcare costs.

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

I think there are quite a few issues facing healthcare at the moment, from the burdensome cost of healthcare that often forces families to choose between their everyday expenses and their health, to the lack of a cohesive system in place.

How long have you been a member of ACHE? I have been a member for three years. I joined while I was in school getting my MBA back in 2016.

As someone who deals with numbers and data integrity from separate silos and systems, I believe the most important issue is the lack of having a proper, efficient, and interconnected healthcare system. Often by investing in newer systems, the issue becomes complicated as we end up with four or more systems that don’t communicate well with each other. I believe our focus should be on enhancing what we already have to develop an integrated system. Such a system will help with delivery of clean and usable data without

Why is being a member important to you? Has ACHE membership been a benefit to you in your career?

My membership with ACHE has served me greatly. ACHE is not only a learning environment with the most up-to-date healthcare trends and information but it also provides me with opportunities to meet new people and healthcare leaders. I’m drawn to the environment of ACHE, as it is one that encourages innovative ideas and sustainable visions for healthcare enhancement. I have also built many friendships and connections with wonderful individuals through ACHE.

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Member Spotlight Naveena Reddy, MBA, MS, RD

What are you doing now?

Through Palmarius Consulting I improve operations efficiency, quality of care delivery, and patient experience for dialysis providers (free-standing and hospital-based) and nephrology practices.

It gives me joy when I witness the administrators and staff have the aha moment about simplifying the way they do things and achieve better results.

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

I think the healthcare issues are different for different stakeholders, but from consumer and payor perspective, the everincreasing cost of healthcare is the most important issue. According to a recent Deloitte report, the global healthcare spending is expected to increase at a rate of 5.4% annually from 2017 to 2022. Personalized medicine, increased use of health technologies, entry of disruptive and non-traditional competitors, the demand for expanded care delivery sites, etc., are reported as some of the reasons for these increased costs. I think it’s time for us to focus more on this issue at granular level.

Every healthcare provider has the responsibility to scrutinize their care delivery and find ways to be effective at lower cost.

How long have you been a member of ACHE? I have been a member since 2014. However, I have been actively participating at ACHENTX activities since 2016.

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Why is being a member important to you? Has ACHE membership been a benefit to you in your career?

In my 20 years of professional life, I have been a member of several nonprofit professional organizations. ACHE, particularly the North Texas chapter has been one of the most valuable organizations in my career. I volunteer for a few committees and made several friends who I could call upon when need professional advice. The education events had played a key role in staying abreast of current events in healthcare. I have also participated in the mentorship program which continues to assist in my professional development.

What advice would you give early careerists or those considering

membership?

As an early careerist I remember questioning every move, being nervous about taking risks, making calculated decisions so that I don’t ruin my chances of going to the next level. ACHE, with the immense amount of resources, people, and programs such as mentorship, will help in making a smooth transition into career and beyond. I advise that joining ACHE is only one of the several steps one should take. Being active with one of the committees, attending network events, and making use of online resources are other important actions needed to take full advantage of the membership.

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

I am an introvert. Even I didn’t realize this until I took a personality assessment. It surprised my close friends as much as I was.

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By: Sushma Sharma PhD Director, Community, Public and Population Health Dallas-Fort Worth Hospital Council Foundation

Introduction: The DFW Hospital Council (DFWHC) Foundation’s community health department’s current goal is to improve mental health in North Texas. The North Texas Community Health Collaborative (CHC) has over 40 participating organizations including regional health systems, local mental health authorities (LMHAs) and several community-based organizations in the North Texas region. Together, they cover 16 counties (including four urban and 12 rural counties).

In January 2018, the CHC published a Behavioral Health Needs Assessment (BHNA) for the North Texas region. That study was the first data-driven effort to identify characteristics associated with behavioral health in the North Texas region. The study found that although there is a high demand for behavioral health care facilities and providers, there is a severe shortage, especially in rural areas.

The lack of access to behavioral healthcare is a multi-faceted issue.

Therefore, community efforts on prevention and early detection of signs and symptoms became a priority for the CHC to reduce the prevalence and preventable hospitalizations. The CHC’s advisory board made a commitment to train 10,000 North Texans in Mental Health First Aid known as the “10,000 Lives Program”.

The Mental Health First Aid Program: The MHFA program is an evidence-based education, detection, and prevention tool approved by the National Council of Behavioral Health. It is an 8-hour course that teaches you how to identify, understand and respond to signs of mental illnesses and substance use disorders. The training gives you the skills you need to reach out and provide initial help and support to someone who may be developing a mental health or substance use problem or experiencing a crisis.

It addresses stigma and improves the public’s knowledge of mental health issues while providing residents with appropriate care. Like traditional CPR classes, trainees learn the warning signs of mental illness and addiction in addition to available treatments.

Only Mental Health First Aid instructors are qualified to provide this training. The National Council of Behavioral Health provides five-day instructor training to selected adults who have been working in behavioral health-related areas and have completed their own Mental Health First Aid training and received a certificate.

How it Works: The CHC’s MHFA subcommittee and local mental health authorities use uniform outreach efforts in the community. The CHC partners in each of the 16 counties work

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collaboratively and schedule classes. The DFWHCF has MOU’s with all LMHA’s to provide MHFA training.

After the training, the LMHA’s instructor sends all the information and data to DFWHCF. The DFWHC Foundation maintains a data repository for the MHFA program.

How it Helps Laypeople: An adult individual, Mr. A completed his MHFA training and became a certified Mental Health First Aider. A couple of months later, he visited his parents in Erath County, and his mother complained about his dad being very lethargic lately.

His dad had also lost his appetite and hadn’t been to church since the previous month. She was complaining about the new treatment plan for his diabetes and other comorbidities.

After observing for a couple of days and talking to his father, Mr. A suggested his mother get his father screened for depression.

She wouldn’t agree and was emphasizing on changing the diabetes medicine.

Mr. A. then downloaded the providers list for Erath county from DFWHC Foundation’s community health website and identified a provider appropriate for his father. Mr. A visited the provider with his parents and his father was diagnosed with severe depression. The provider started the treatment plan and in a few months his father recovered. Mr. A was able to help his father and avoid a potential hospitalization.

The MHFA training provides knowledge, communication skills and education to identify signs and symptoms of mental health

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difficulties early on. This addresses stigma and encourages patients and family members to reach out for help.

Challenges: The CHC has been addressing barriers as they appear. Some notable barriers are: • Stigma and lack of awareness • Limited resources at rural LMHA’s (trainers, outreach and support staff) • Overall MHFA trainers’ shortage • Rural adults commuting to urban counties for work during weekdays (not available for training) • Training time (eight hours i.e. consumes one/ working day) • Training curriculum is available in only two languages (English and Spanish) • Funding (MHFA costs $100 per participant and $2,200 per instructor training) Successes So Far: The CHC’s Mental Health First Aid subcommittee is coordinating MHFA training and education in 16 North Texas counties.

• Collaborative outreach to address stigma and raise awareness • The number of North Texans trained in MHFA: Known as the “10,000 Lives Initiative,” the committee partners have trained over 5,500 North Texans in MHFA, with an overall goal of training 10,000 North Texans by 2020.

• The number of MHFA instructors trained: trained 22 North Texans as MHFA instructors to create a sustainable solution for trainer’s shortage.

• Bilingual instructors: some instructors are trained to offer classes in both English and Spanish.

• Funding: Through CHC’s collaborative efforts, the DFWHC Foundation has received funding from the Department of State Health Services HB 13 Community Mental Health Program. This funding supports CHC’s MHFA program in 12 rural counties in the North Texas region until 2020.

• Providers Resources List: The CHC has published a list of all behavioral health providers and services available for each county. All MHFA training recipients receive this information to help people in their communities and promote care continuum.

• Governor’s School Safety Initiative: The DFWHCF and CHC partners are supporting the Governor’s School Safety Initiative launched in response to school shootings in 2018. We are also promoting the youth mental health first aid program in North Texas schools.

Resources: All resources related to the CHC are available for public use.

• More information about CHC’s MHFA program is available at http://www.healthyntexas.org/ • Please contact MHFANTX@dfwhcfoundation.org for any queries related to MHFA program.

• Behavioral Health Needs Assessment: http://www. healthyntexas.org/content/sites/dallasfortworth/ BHCHNA__16_Counties_CHC. DFWHCFoundation2018.pdf • Substance Abuse/ Misuse Needs Assessment: http://www.healthyntexas.org/content/ sites/dallasfortworth/BHNA/Substance_Misuse_ NTX_2019_HIGH_2.pdf • Behavioral Health Providers Resource list: http:// www.healthyntexas.org/resourcelibrary/index/ view?id=135076201349268201 • A Collaborative Effort to Assess Disparities Associated with Behavioral Health in the North Texas Region. https://digitalscholarship.unlv.edu/ jhdrp/vol12/iss2/5/ Questions: If you are interested in learning more about the “10,000 lives program” or the Community Health Collaborative, please contact Dr. Sushma Sharma, Director of Community, Public and Population Health at the DFWHC Foundation at ssharma@dfwhcfoundation.org

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EVENT ENCORE

The Business of Healthcare March 28, 2019

by Naveena Reddy The Business of Healthcare networking event was hosted by ACHE of North Texas and Texas Christian University on March 28, 2019 at Fort Worth’s Blue Mesa Restaurant. The event showcased the following companies: Callison RTKL, GE, Integra Net Health, Medix, Paratio Group, Premier, UT Southwestern and Wello Inc. Each company plays an intricate role in the Dallas and Fort Worth Hospital Community as well as other industries.

The Business of Healthcare event was well received, accommodating more than 25 ACHENTX members, that was comprised of student members, early careerist, mid careerist and seasoned members. The attendees were assigned to a table upon arrival for table presentations that were presented by each company’s representative. Each presentation was designed to last eight minutes with presentations exceeding the time limit due to mutual enthusiasm between presenters and members. Inquiries about the company history, healthcare influences, employment opportunities and career advice, were the most common questions asked to the presenters.

ACHENTX extends thanks and appreciation to those who attended and to Valerie Johnston, FACHE and Texas Christian University for hosting the 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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EVENT ENCORE

ACHENTX Cocktails With the Chiefs April 9, 2019

By Audrianne Schneider More than 125 attendees gathered on the rooftop balcony at St. Rocco’s in Trinity Groves for the spring Cocktails With the Chiefs event. Brett Lee, FACHE, COO, Capital Senior Living, moderated a panel comprised of Barclay Berdan, FACHE, CEO, Texas Health Resources, Laura Irvine, FACHE, EVP and Chief Administrative Officer, Medical City Healthcare, Pete McCanna, President, Baylor Scott & White Health and Pamela Stoyanoff, FACHE, EVP and COO, Methodist Health System. The discussion focused around concepts from Daniel Pink’s book, When: The Scientific Secrets of Perfect Timing.

Panel members addressed a variety of thoughtful topics, ranging from ways to keeping leaders and teams motivated and engaged, the importance of strong starts for leaders and connecting to purpose. In the spirit of staying motivated and connected to purpose, panelists reinforced the importance of listening to patients and employees and to being present. Each panelist also shared a way in which he or she captures thoughts and ideas to reflect on or share with others. The session closed with an engaging Q&A that included queries about career advice, taking risks and believing in yourself; and top issues in health care including making sure patients are cared for, new market entrants into health care, retaining good talent and gaining more data about consumer behavior and the factors that influence their decisions.

The event concluded with scholarship donations to the Leadership Legacy Fund made in the name of each panelist and the moderator as thanks for their participation. ACHENTX extends thanks and appreciation to the moderator and panelists who made this event so engaging and to the members and guests who attended.

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EVENT ENCORE

Second Quarter Education Event April 25, 2019

by Michael Belkin, FACHE On Thursday April 25th, the ACHE of North Texas Chapter met at Methodist Dallas Medical center to review two relevant and critical topics for today’s healthcare leader. The first topic was reviewing how to lead and effectively manage a new generation of workers commonly referred to as millennials and generation Z. The second topic addressed the challenges that new leaders must overcome when working to lead people who are more experienced than them.

The first panel included Kimberly Anderson, FACHE, who was previously a Director at Children’s Health; Suzanne Jackson, FACHE, who serves as Vice President of Operations for CareNow; and Elaine Nelson, CNO at Texas Health Methodist in Fort Worth.

This panel was moderated by Laura Bustamante VP of Human Resources at Health Channels.

The second panel included Patrick Brown, FACHE, who serves as Support Services Director at Texas Health; Holly Hrabik, who serves as Regional Director of the Methodist Medical Group; and Melissa Threlkeld, FACHE, who serves as RVP of Oncology Services at Sarah Cannon Medical Center. This panel was moderated by Stephanie Gary, Vice President of Finance at Methodist Charlton Medical Center.

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The event was well attended by members, fellows and early careerists. There were approximately 70 people in attendance and the crowd participation was excellent.

Both sessions focused on best practices and the similarities of good communication, flexibility, using various channels of communication and focusing on the individual to help them work with different generations and leading more experienced professionals.

A key question was related to having difficult conversations with people. The key take-away is that leaders must be open to change and focus on others.

John Maxwell, noted author and leadership expert, was quoted for the three questions that every follower is asking about their leaders: Can you help me?, Do you care about me? and Can I trust you?

The ACHENTX communications committee and the chapter thank everyone for attending this educational event. Thank you Methodist Dallas Medical Center for hosting and through the use of the Weiss auditorium.

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EVENT ENCORE

Community Event DME Exchange May 4, 2019

Healthcare goes by one name.

SM

MedicalCityHealthcare.com

WORLD-CLASS EXPERTISE, CLOSE TO HOME.

In 2014, Methodist Health System became the first member of the Mayo Clinic Care Network in Texas. Today our medical staff is collaborating with Mayo Clinic specialists to tackle the toughest medical conditions and provide you with the best treatment possible.

We’re working together for you through shared resources and knowledge so you have worldclass expertise right here, close to home.

Trust. Methodist.

MethodistHealthSystem.org/Mayo Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019 21 medical staff are independent practitioners who are not employees or agents of Methodist Health System.

Methodist Health System complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

EVENT ENCORE

Texas Health Hospital Frisco and UT Southwestern Medical Center at Frisco May 7, 2019

by Audrianne Schneider, FACHE More than 100 ACHE of North Texas members received a private preview of the campus of Texas Health Hospital Frisco and UT Southwestern Medical Center at Frisco, slated to open later this year. Attendees were able to speak with the architects to learn more about the consumercentric and environmentally-friendly campus, take a tour, enjoy refreshments, network and hear the panel in the soon-to-be lobby of Texas Health Frisco. Recently named hospital president, Brett Lee, FACHE, moderated the panel discussion, which focused on the unique collaboration between UT Southwestern Medical Center and Texas Health and what it means to the community. Panelists emphasized the long history of collaboration between the two organizations, a shared vision, the strength of collaborating with the Frisco community, the opportunity to be innovative and consumer-centric from the beginning and the intention to continue to be innovative moving forward.

When speaking about the open medical staff model, Drs. Mitchell and Ransom emphasized that this collaboration represents the best of both and amplifies the level of care that can be offered, as well as the strength that the Southwestern Health Resources physician network brings.

A variety of specialties and subspecialties will be offered on the new campus, including OB-Gyn, orthopedics, neurology, gastroenterology, plastic surgery, dermatology, spine surgery, ophthalmology, otolaryngology, rehabilitation, therapy and pediatric ambulatory services.

The event concluded with an engaging Q&A that included questions concerning network coverage between the two organizations and the ways the architects used light, wood and stone to create a more comforting environment.

ACHENTX extends thanks and appreciation to those who attended and to Texas Health Resources and UT Southwestern Medical Center for hosting the event.

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Doctors on the medical staffs practice independently and are not employees or agents of Texas Health hospitals or Texas Health Resources. © 2018

EVENT ENCORE

Mentorship Orientation May 9, 2019

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EVENT ENCORE

ACHENTX Annual North Texas & East Texas Education Summit May 16, 2019 Written by Audrianne Schneider, FACHE The North & East Texas Education Summit was held in the quaint town of Terrell on May 16. Four panels were offered throughout the day, covering hot topics in health care, including Ethical Challenges in Healthcare Leadership, Closing Gaps in Patient Care Plans, Leading Information Safety-Planning for Data Privacy and Security and Ensuring Your Community’s Emergency Preparedness. Armor, a cloud security company, hosted the event, which was attended by more than 75 ACHE members from the combined North and East Texas chapters.

The first panel, Ethical Challenges in Healthcare Leadership, explored the meaning of ethical leadership, the importance of creating an environment where people feel safe bringing up concerns, resolving conflicts of interests, discussing some specific ethical issues and the values-based decision making process.

A question from the audience pertaining to conflict of duty elicited an engaging discussion about the ways data show the value of early consults.

The Closing Gaps in Patient Care Plans panel discussed the importance of fostering a culture of continuous improvement, taking the tie to look at near-misses (proactive vs reactive), using technology to predict risks (i.e., fall risk technology, computerized order entry, bar scanning) and putting safety first. The panel also identified some traits of highly reliable

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organizations; actively using tools and resources such as daily safety briefings, communicating safety stories and engaging physicians. Emphasis was also placed in training in root-cause analysis and educating leaders about the true cost of errors by using dollars as data to show impact.

After a delicious BBQ lunch, the group reconvened for the third panel, Leading Information Safety: Planning for Data Privacy and Security. This panel brought to the forefront the importance of keeping up with the threat landscape and new technology. Education and planning for threats like phishing and malware is paramount as well as working toward a central threat platform. It was also emphasized that reporting should be easy and rewarded with support coming from the very top and infused into the organization’s culture.

Also emphasized was the importance of explaining to people the action you are taking, and why, in each moment to keep them safe. The panel concluded with the importance of having a strong plan (not “if” but “when”) and that how an organization responds to a breach affects its brand. Audience questions focused around engaging staff (infusing Culture of Safety from Day One along with consequences for repeated failures) and the competitive advantage of a strong security plan (ties back to trust).

The fourth panel, Ensuring Your Community’s Emergency Preparedness, talked through many types of risks (floods, tornadoes, fire, infectious diseases,

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power outages, etc.), the importance of having a plan in place, but even more so, making sure that front-line staff know the plan. Regional plans need to be aligned with local plans and this emphasizes the importance of drills and learning what works and what does not.

Communication is most always the biggest challenge and the panelists discussed FirstNet, a system for first responders, and WPS, a communication provided through the federal government. Consistently reviewing the plan and making sure it goes from paper to performance are paramount. The hospital vulnerability analysis (HVA) is an important component of the plan as well as the hospital incident command system (HICS), which is part of NIMS (national incident management system). The recurring theme was, “drill, drill, drill”. Questions ranged from financial authority (set up ahead of time along with a system to track expenses), transportation (line up in advance, especially for specific types of patients like NICU and psych) and preparing for translators. One panelist expressed, “know your resources, supplies and community.”

The event concluded with the presentation of Legacy Fund scholarship donations made in the name of panelists and moderators to thank them for their participation. ACHENTX extends thanks and appreciation to those who attended and to Armor for hosting the event.

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EVENT ENCORE

Board of Governors Exam Review May 17, 2019

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EVENT ENCORE

ACHENTX Breakfast with the President – Fraser Hay, FACHE May 21, 2019

Written by Audrianne Schneider Texas Health Harris Methodist Hospital Hurst-EulessBedford president, Fraser Hay, FACHE, welcomed more than 55 attendees for breakfast, networking and an engaging conversation on Tuesday, May 21.

Fraser shared parts of his leadership journey, from growing up in his parent’s primary care clinic in Oklahoma through his graduate work at Trinity University to his residency at Integris Health and his years at Texas Health. He shared that key to his leadership style is this philosophy, “I’m here to listen and to be your advocate.” Fraser also advised the audience to be open to learning and to ask questions throughout their careers to show humility and engagement.

He shared some of the history of Texas Health HEB which opened in June 1973 and was funded by the HEB communities. He highlighted the many ways the hospital remains engaged with the communities it serves, including the Healing Ceiling tiles project, Teddy Bear Clinic, Metroport Meals on Wheels, Healthy Education Lifestyle Program and Bluebonnet Retreat. Fraser also highlighted that while the hospital is focused on providing exceptional service, with superior outcomes in a sustainable manner, they don’t lose sight of the need to enjoy the work they do and celebrate the fun they have together. The discussion moved to the ways Texas Health is becoming more of

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a consumer-centric organization. Fraser emphasized that hospitals are evolving and transforming to create better experiences for consumers and that Texas Health is also working to better meet the needs of consumers where they are at, with products and services that they want and need, when they want it.

He ended his presentation by challenging the group to “know your why” (his own being to create a healing environment in which all people, especially his family, can count on truly being better off than when they arrived) and stay connected to it as your career progresses.

Questions from the audience included tips to increase employee and physician engagement (listening, quick wins), the value of the Fellow credential (board certification shows a commitment to continuous learning and an investment in one’s career), and what he would want his legacy to be (a vibrant culture of continuous improvement and sustainable results – to the benefit of his three children).

ACHENTX extends thanks and appreciation to all sponsors, those who attended and to Fraser Hay, FACHE, and Texas Health HEB for hosting the event.

As a gesture of thanks to the sponsors and host, ACHE has made a donation to the Leadership Legacy Fund in support of future leaders’ career advancement.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

Our Mission

To extend the healing ministry of Jesus Christ.

christushealth.org

A Catholic health system in the United States, Mexico, Chile, and Colombia with more than 60 hospitals, 600 services and facilities, 45,000 associates and 15,000 physicians.

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EVENT ENCORE

Networking Event at TopGolf June 12, 2019

Construction with Care At Skanska, we know that building a healthy community starts with building the best healthcare and medical centers. Our expertise spans a variety of projects including cancer centers, replacement hospitals, medical office buildings, neuroscience centers, children’s hospitals, cardiac centers and more.

When you need the best in construction services, turn to Skanska. We build what matters.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

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usa.skanska.com

EVENT ENCORE

Ranger’s Game Networking Event June 19, 2019

by Naveena Reddy On June 19th, ACHE North Texas held its annual Networking Event at Globe Life Park in Arlington.

The attendees enjoyed a great night of baseball and conversation watching the Texas Rangers play Cleveland Indians from the suite of SBL Architecture.

A total of 55 members and nonmembers attended the event. The attendees were from a variety of organizations such as Baylor Scott & White, UT Southwestern, SPBS, and Achieve.

The attendees were a mix ACHE of North Texas veterans who have attended year after year to new attendees who stated that they joined the group today to make connections and explore the organization after hearing about the event from a colleague. Overall the ambience and people made this event a huge success and with several planning to come back again next year!

ACHE of North Texas greatly appreciates the host of this event, SBL Architecture, LLC for providing their suite, food and drinks. We also thank the members for attending/participating. For more information on future events, please visit us achentx.org or send us an email at info@northtexas.ache.org.

architecture

SBL

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

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EVENT ENCORE

The Value of Developing and Implementing Alternative Care Models June 25, 2019

by Matthew Cowley Within the constantly changing landscape of healthcare delivery, discussions around new delivery models that embrace alternative payment models have been top-ofmind for policy makers, providers, payers, and the general public. Fee-for-service payments and simply providing patient’s information for managing chronic illness are now evolving and progressing towards Accountable Care Organization (ACO) models and programs that focus on changing patient behavior.

About twenty members from the North Texas Chapter gathered to listen to three panelists discuss their insights and challenges in developing and implementing alternative care models. The moderator and panel included: Moderator: Joseph DeLeon – President, Texas Health Fort Worth Panel: Karim Kaissi, FACHE – General Manager CareMore Health Bret Brummit – Health Rosetta Accredited Advisor A.G. Insurance Alyssa Endres, MHA – Director of Government Programs Baylor Scott & White Quality Alliance (BSWQA)

“What are your experiences in developing care models?”

Karim: Was working with Texas Health Resources (THR) when the Affordable Care Act (ACA) was implemented. He was asked by the CEO to understand the ACA and what

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that meant for health systems and for THR. Karim helped lead the process to get into the Pioneer ACO, one of the first in Texas. They partnered with North Texas Specialty Physician (NTSP), a physician group and were able to navigate value-based care together. This process was critical in learning to take on more risk.

Bret: Views himself as an outsider from the health systems as a developer of health plans. He has seen many patients give up on care because of the complexity of the healthcare system. As the healthcare system evolves, he is excited to share these changes with employers and help them develop plans that implement innovative solutions with the ability and focus on guiding patients through their care.

Alyssa: BSW realized there are so many other areas (outside acute care) that patients receive care. BSW started their ACO (narrow network) with their own employer plan and proved that the concept works before expanding. The first step of developing this model was getting consumer skin in the game.

What have you identified as a major block for consumers within healthcare?

Karim: CareMore takes care of some of the most complex patients in Tarrant County – seeing mostly Medicaid and [recently], Medicare Advantage. The typical patient population has been to ED a handful of times in a year.

The biggest needs their patients are concerned about is fulfilling the first step of Maslow’s Hierarchy of Needs – food, water, and shelter. They partner with community stakeholders to bridge those gaps. For example, partnering with the food bank. If patients do free health screenings, they receive food packets.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

Audience: What are examples of tangible products outside normal delivery?

Karim: Mobile units, social visits in the hospital, going to someone’s home using a combination of MDs and NPs Alyssa: A care team that is non-physician based, with outreach for the sickest 5% population. This can include community and chaplain workers who are intended to be peers to older adult population. Also looking to partner with local barbershops and training barbers to take blood pressure.

What defines success for your programs?

Bret: Employer spend. Using the Kaiser number $8,000 to determine what each employee should be costing.

Alyssa: Financial utilization and quality. It is challenging to be very specific.

Karim: Net Promoter Score. Patient Experience.

How can we engage healthier millennials?

Bret: Millennials won’t stand for the current system we have. If there’s a way to do it quicker, cheaper, and more conveniently, it will get done. Why do I have to wait to get an MRI read after hours when I have the capability to send it to India to get it read right away? Millennials will usher in the change that affects everyone else.

ACHENTX would like to thank THR Willow Park Neighborhood Health and Wellness for hosting the event.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

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EVENT ENCORE

ACHENTX Diversity & Inclusion Mixer!

July 25, 2019

by Naveena Reddy ACHENTX in partnership with the National Association of Health Service Executives (NAHSE), National Association of Latino Healthcare Executives (NAHLE), Asian Healthcare Leaders Forum (AHLF), ACHE LGBT Forum, and newly forming Women’s Healthcare Executive Network (WHEN), hosted a Diversity & Inclusion education event on July 25, 2018 at Christus Health in Irving TX. A total of 101 members attended the event. After introductions and networking, the attendees were welcomed by the organizers and instructed to join one of the two panels: Panel 1 was moderated by Felixia Colón, Regional VP, SCP Health to discuss how to start a diversity initiative. The panelists were Halima McWilliams, Human Resources Director, Senior Associate at Corgan Architecture; Amanda Thrash, VP of Professional Services, Texas Health Plano, representing WHEN; and James Perez, VP of Community Oriented Primary Care at Parkland, representing NAHLE.

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Panel 2 was Moderated by Jared Shelton, President, Texas Health Presbyterian Hospital in Allen to discuss why diversity is important. The panelists were Keith Plowden, Director, Labor Management and Clinical Analytics at CHRISTUS Health, representing NAHSE; Stuart Mach, Director of Clinical Programs, Premier Management Company / Sybrid Health, representing the LGBTQ Forum; and Ajith Pai, President, Texas Health Harris Methodist Hospital Cleburne, representing AHLF. The questions from the moderators and audience ranged from the wanting to know the efforts of each health system and other organizations in North Texas in promoting diversity & inclusion to how these nonprofit organizations could work together and support the initiatives and individuals.

ACHE of North Texas greatly appreciates the host of this event, Christus Health for providing the space and Corgan Architects and Interior Designers for sponsoring the food and drinks.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

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EVENT ENCORE

Mentorship Program Mid-Year Gathering August 8, 2019

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

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National News National News | Q3 FACHE® Recertification: It’s Never Too Late to Begin Planning Earning the distinction of board certification in healthcare management as an ACHE Fellow is a great career accomplishment. Whether you are one of the many members set to recertify this year or within the next three years, you can get a head start now to maintain this prestigious credential.

To ensure that all Fellows maintain the integrity of the ACHE credentialing program, Fellows are required to recertify every three years. To continue demonstrating your professionalism, ethical decision making, competence, leadership and commitment to lifelong learning, please be sure to recertify your FACHE credential by Dec. 31.

Visit My ACHE to check your recertification status, including the current number of continuing education credit hours you have earned so far.

Postgraduate Fellowships: Creating Future Leaders Postgraduate fellowships contribute to the development of future leaders and provide tangible benefits to sponsoring organizations and the profession. The Directory of Postgraduate Administrative Fellowships gives sponsoring organizations the tools needed to develop a fellowship, including detailed resources on logistics, compensation and benefits, recruiting, onboarding and assessing candidates.

Organizations that post opportunities in the directory increase their visibility for students seeking postgraduate administrative fellowships on a national level.

Whether you are an organization creating a fellowship, a student seeking a postgraduate administrative fellowship, or an organization ready to post or update a current listing, you’ll find a variety of resources available at ache.org/PostGrad.

Community Forums Enhance Members’ Experience ACHE members with affiliated interests can communicate, collaborate and advance.through participation in one of four community groups. These groups include the Asian Healthcare Leaders Forum, the LGBT Forum, the Healthcare Consultants Forum and the Physician Executives Forum. Members can explore one forum or more for missions and benefits that align with their professional backgrounds and commitment to diversity and inclusion. Inform members in your area of these communities, and encourage them to join the ones that best meet their professional needs and goals.

Join for an annual fee of $100 each, in addition to your ACHE membership dues. All benefits are accessible online and include a quarterly newsletter, an exclusive LinkedIn Group and special designation in ACHE’s online Member Directory.

Healthcare Consultants Forum Member Directory: Connecting Executives to Consultants The Healthcare Consultants Forum Member Directory offers a robust search functionality to help you identify a consultant who meets your needs. And if you are a consultant looking to gain visibility with decision makers, consider joining the Healthcare Consultants Forum. The forum also offers resources tailored to a healthcare consultant’s specific career development needs.

ACHE Joins a Partnership Focused on Improving Diagnostic Quality and Safety Did you know that inaccurate or delayed diagnoses are responsible for roughly 80,000 deaths per year in the U.S.?

ACHE recognizes the importance of supporting improvements

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A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

Let’s get social

in diagnostic quality and safety in medicine, which is why we have joined the Coalition to Improve Diagnosis. The coalition is a collaboration of more than 50 leading healthcare organizations convened and led by the Society to Improve Diagnosis in Medicine.

For more information about the Coalition to Improve Diagnosis, visit improvediagnosis.org/cid/. For more information about ACHE’s leading for safety efforts, visit ache.org/Safety.

Planning for the Continuation of Your Career Whether you’re starting a new position or planning for retirement, building a comprehensive approach is critical to achieving your goals. To help you drive long-term success in a new role, ACHE’s Onboarding Resources is a great place to begin. If you are nearing the end of your career, our Encore Career Resources will help you make sound intellectual, psychological and financial considerations. No matter where you are in your career, we remain devoted to your success. For more on these and additional tools, visit ache.org/CareerResources.

people. purpose. planet.

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

eypae.com/healthcare

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Thursday September 26, 2019

Multi-Chapter Event

Baylor Scott & White - The Heart Hospital-Plano

8:30am4:30pm

Tuesday October 1, 2019

Women’s Annual Breakfast

La Cima Club

7:30-9:15am

Tuesday October 8, 2019

Women’s Healthcare Executive Network (WHEN) Mixer

The Network Bar - Dallas

5:30-7:30pm

Saturday October 12, 2019

Community Event: Feed My Starving Children (FMSC)

Feed My Starving Children Richardson

9-11am

Tuesday October 15, 2019

Breakfast with the CEO Kyle Armstrong, FACHE

Baylor Scott & White Medical Center - McKinney

7:30-9am

Tuesday October 22, 2019

Cocktails with the Chiefs

Fort Worth Reata

5:30-8pm

Thursday October 24, 2019

Fourth Quarter Education Event: Panel #1: Care for the Uninsured and Underinsured Panel #2: Understanding Implicit Bias and its impact on Healthcare Leadership

Mexican Sugar, Cava Room, Shops of Legacy in Plano

3-7:30pm

Friday November 1, 2019

Board of Governors Exam Review Course

Lincoln Experience Center - Frisco

8:30am-4pm

Tuesday, November 5, 2019

General Membership Convocation

Las Colinas Country Club

6-8:30pm

Tuesday, November 12, 2019

Breakfast with Pediatric Senior Executives

Children’s Medical Center Dallas

7:30-9am

Tuesday, January 28, 2020

Breakfast with the Executive Vice President Marc Nivet

UT Southwestern

7:30-9am

A Publication of the American College of Healthcare Executives of North Texas Chapter | SUMMER 2019

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WELCOME ACHENTX’S NEWEST MEMBERS MARCH Paula K. Abercrombie Lindsey Asher, MBA Melanie Bell Brian R. Cook NiKohl M. Cotton Simon De Castro Mariana Garay Romero Russell E. Griffin Robert Haas Jennifer E. Horn Grant Innes Stanley Irabor, MD, MBA Syeda Ismail Darla Johnston-Elmore Brian Lauer Kaitlyn B. McKinley Kent R. Mitchell Camelia Mitchell Rigsby, MD Kent M. Montgomery Sherri L. Morgan, MD, MBA, MPH Rustin Morse, MD Linah Nyamori Ellen Oster Shilpa Patil Michael D. Purcell Michael Talley, MHA Judy Thornton, MHA Willie Turpin Kaitlyn M. Wilson

APRIL Meeghan Abraham, PharmD Matthew Agnew, JD Gina L. Belluso Jennifer J. Beuerlein Philip J. Bierman Christopher J. Brock Laura Bustamante Kristina Clements Sarah Dantin

Jeffrey C. Daugherty Mark J. Davis Jennifer L. Eisenbarth, DNP, RN Angela M. Fisher Frederick Garcia Amie Gratch Nagendra Gupta John T. Harrell John Hawkins Nicholas Johnson, MBA, MHA Vera Johnson, MSM Sai Ram Mohan Das Koppula, BS, MHA Sahar S. Kuzbari Shernette R. Kydd, PhD Meredith Labrasca Anisha Lakhani, MHA Brett Maxfield, MBA, MHA Roberta Mello Albert J. Naylor, Jr. Blake Piro, BS, MHA Rizwan A. Sheikh, PhD, MBA Renu Singuluri Melissa E. Smith, RN Ashley L. Sower Kenneth B. Stevens, Jr. JB Tanner Rob Upton Jennifer Wagner Jennifer L. Ward, MBA William O. Zollicoffer, IV

MAY Fred Appiah-Opoku Traci Bernard Mike J. Carlozzi, MBA Nitish Chimalakonda Nneka Cos-Okpalla, PharmD, MBA Scott R. Harrison Taja Hendricks Haley Holcomb Saliyat Hussain, BS, MHA Katie Jarvis, MD, MBA

Tammy J. Jarvis, BS Khurram Khalid Mathew N. Kuriakose, MHA Melissa Kyle, BS Diane D. McGhee Allece Merchant, MBA, BSN, RN Kyle Ness Chi-Dung J. Nguyen Brittney S. Nolan LT Wendy Odell, DNP McKenzie Quinn Marianne C. Ries, MD, MBA Nicole Rios Roman Rodriguez Sree Sreenath, MBA Ruby Thapa Kendra Vander Kamp, MBA, MS Marvin Washington Stacey L. Webb, MHA, BSN, RN

JUNE Ryan J. Alcantar Emmanuel I. Amadi, MPA Bethanie L. Barnes Brian Best Kimberly Broadneax Ashley Clark, CPA Kelly Cloud Michael Fatheree, MBA, HCM Brooke L. Ferguson Benjamin J. Gazaway Robert A. Hinton Jerry James Jaison Kuruvilla, MBA, BSN, RN Nathan Lee Vance Simmons Ken Sneed Kelsie Stephenson Jayanthi Subramanian, DBA Sam Trevino

JULY Lea Aubrey Eric Beaty James V. Boyle Camille Debi Paige Gortana Bonnie B. Hurst Qiana Johnson Lindsey Kelley Tyler Mohr Byron K. Murphy, MS Adam Probst, PhD Abdulahad Rehmatulla, MD Micki Robertson Taylor Sanchez Emily Santiago Rahulkumar Singh, MD Chris Southern Shawna C. Truitt Lindsey E. Ugoji, MSHA Jesse D. Vaughn Kim Waters Tiffany S. White Peter O. William Katie Williams Marie H. Wilson Carol Young

ACHENTX’S

NEWEST

FELLOWS

MARCH NISHU WADHAWAN, FACHE

MAY DUSTIN S. ANTHAMATTEN, MBA, CPA, MA, FACHE

JUNE BARRY G. HOWELL, MBA, FACMPE, FACHE CHRISTOPHER C. RODRIGUEZ, FACHE

RECERTIFIED FELLOWS MARCH James A. Berg, FACHE Britt R. Berrett, PhD, FACHE David E. Domingue, FACHE Sandra L. Haire, FACHE Charlene Kesee, DBA, FACHE Kim M. Kimberling, RN, MHA, FACHE Kevin F. Womack, FACHE

APRIL

MAY

JUNE

Scott P. Peek, FACHE Nancy C. Cychol, FACHE Stanley Davis, FACHE Jay T. deVenny, FACHE James C. Edmonson, DNP, FACHE Mari J. Finley, DNP, RN, FACHE Brett D. Kirkham, FACHE Chad G. Robertson, FACHE Alice K. Wainwright, FACHE

Peter Blanchard, FACHE Brian Carr, FACHE J. Michael DeLeon, FACHE William Garner, DrPH, FACHE Patrick P. Makarewich, FACHE Audrianne Z. Schneider, FACHE

JULY Paul Generale, FACHE

Scott P. Peek, FACHE

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We Appreciate the Support of Our Sponsors We appreciate the support of our ACHENTX sponsors: