The Executive Connection of North Texas: Fall 2010

FALL 2010

CONTENT Message from the Regent

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President’s Remarks

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John M. Haupert, FACHE

J. Eric Evans

RTKL proudly supports the ACHE North Texas Chapter.

Our Business is Keeping Physicians in the Loop 6 Meaningful Use 101 Series Part 1

9 RTKL.COM USA ASIA EUROPE MIDDLE EAST

Patient Safety, The A3 Way

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Member Spotlight

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Event Encore Calendar

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TM

With the close of 2010 fast approaching, many of you meet the eligibility criteria to become a Fellow of the American College of Healthcare Executives. I strongly encourage you to take the next step in your career advancement and complete the Fellow application to earn your FACHE credential.

If you have submitted a Fellow application, I encourage you to move forward and take the Board of Governors exam. There are resources available at both the local Chapter website and ACHE National to assist you in preparing for the exam.

Now is the time to maximize your professional potential by earning the premier credential in healthcare management.

Michael Ojeda, FACHE Co-Chair, Advancement Committee

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 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 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.

ACHE of

North Texas

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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2010 Board of Directors John Haupert, FACHE Parkland Health and Hospital Systems

Ron Coulter, MHSM, FACHE Texas Health Methodist Hospital—Cleburne Co-Chair, Mentorship Committee

Editor-In-Chief

Susan Edwards

Managing Directors

Joan Clark, MSN, RN, FACHE Angela CJVincent, MHS

Leslie Casey Coordinator, ACHE of North Texas Chapter

Contributing Editors

J. Eric Evans Scott Schmidly, FACHE Jania Villarroel, MHA Pamela Doughty, Ph.D. Lisa Cox Felicia McLaren

Beverly Dawson, RN, CCM Elder Care LP Co-Chair, Education Committee

Contributing Writers

Pamela Doughty, Ph.D. Joseph Barcie, MD, Ph.D., MBA Kriss Barlow, RN, MBA Jason James Felicia McLaren Matt Van Leeuwe

Production

Kay Daniel

Advertising/ Subscriptions

info@northtexas.ache.org

Questions and Comments:

ACHE of North Texas 3001 Skyway Circle, Suite 100, Irving, Texas 75038 p: 972.256.2291 | f: 972.570.8037 e: info@northtexas.ache.org | w: northtexas.ache.org

President J. Eric Evans Lake Pointe Health Network President-Elect Brad Simmons, FACHE Parkland Health & Hospital Systems Co-Chair, Membership Committee Past President Janet Henderson, MHA, FACHE Parkland Health & Hospital System Chair, Nominating Committee Co-Chair, Education Committee Secretary Scott Schmidly, FACHE Medical City Dallas and Medical City Children’s Hospital Co-Chair, Communication Committee Treasurer Gail Maxwell, FACHE Baylor University Medical Center

Forney Fleming University of Texas at Dallas

Jonni Johnson, CPSM RTKL Associates Inc. Chair, Sponsorship Committee Michael J. Ojeda, MHA, FACHE VA North Texas Health Care System Co-Chair, Advancement Committee Caleb F. O’Rear, FACHE Denton Regional Medical Center Co-Chair, Mentorship Committee George L. Pearson, JD, FACHE Texas Health Resources Rick Stevens JPS Heath Network Co-Chair, Membership Committee Matt Van Leeuwe Parkland Health & Hospital System Student Council Jania Villarroel, MHA Metropolitan Anesthesia Consultants, LLP Co-Chair, Communications Committee Demetria Wilhite The University of Texas at Arlington Co-Chair, Advancement Committee Bethany Williams PricewaterhouseCoopers, LLC Chair, Networking Committee

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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Message from the Regent

John M. Haupert, FACHE During this past month I have had the honor of speaking to students in various MBA and MHA programs about the benefits of membership in the American College of Healthcare Executives. During the Q&A portion of these presentations I sense an ever increasing level of anxiety among these students regarding the current job market and their ability to secure a position they find meaningful and aligned with their personal career goals. The level of anxiety is the highest I have seen in my career.

Among several suggestions I offer them, one of the most important is to identify a mentor in healthcare administration that can help guide them, serve as a confidant and also serve as a reference and advocate to future employers. I currently serve as a mentor to an early careerist from Children’s Medical Center in Dallas. I take very seriously the obligation I have to ensure that our field is armed with the best possible talent to serve the needs of patients and their families well into the future.

The American College of Healthcare Executives takes a very clear position on the obligation we all have to serve as mentors to students and early careerists. ACHE has a published policy statement entitled “Responsibility for Mentoring”. That policy states: “The future of healthcare management rests in large measure with those entering the field as well as with mid-careerists who aspire to new and greater management opportunities. While on-the-job experience and continuing education are critical elements for preparing tomorrow’s leaders, the value of mentoring these individuals cannot be overstated. Growing through mentoring relationships is an important factor in a protégé’s lifelong learning process. In turn, by sharing their wisdom, insights and experiences, mentors can give back to the profession while deriving the personal satisfaction that comes from helping others realize their potential. For the organization, mentorships can lead to more satisfied employees and the generation of new ideas and programs.”

This policy statement goes on to outline how to establish successful mentor/mentee relationships. I hope you will go to ache.org and access this policy and review it. Most of all, I am asking each and every one of you who is a student or mid-careerist to establish a mentor relationship with an experienced healthcare executive and for the experienced executives among you to step-up, get involved and serve as mentors to the future leaders of our profession. It is one of the most rewarding experiences you will ever have.

ACHE offers a national mentoring opportunity. To find out more information use this link: http://www.ache.org/newclub/career/ mentoring_overview.cfm.

ACHE of

North Texas

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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President’s Remarks

J. Eric Evans In my final President’s Remarks I would like to say thank you for the opportunity to serve the North Texas chapter in 2010. Together we have accomplished a lot and have positioned the chapter for bigger and better things moving forward.

As you are aware, we set out at the beginning of the year to achieve the Chapter of Excellence designation. While we will not know whether we have reached our objective for several months, we can certainly measure our progress year over year.

Member Satisfaction - I am proud to report that our chapter earned a 7.7 mean satisfaction score in 2010, which exceeded the Chapter of Excellence objective of 7.6. While we are excited about this achievement, you identified a number of areas in the survey with which we have improvement opportunities. Please know that we take your feedback seriously. You will be receiving more details on the action plan to address our opportunity areas in future newsletters.

Education & Networking Performance – Through mid-October we have had more events and provided more programming hours than we did in all of 2009. Notably, the quality of our events and the caliber of our presenters continue to improve. For those of you who have joined us for education or networking events this year, you are aware that our chapter provides outstanding opportunities to learn from and meet the healthcare leaders in our region.

Net Membership Growth – Even in challenging economic times, we continue to grow our chapter membership. So far this year we have increased our membership by 2.1% and are still targeting the 9.8% Chapter of Excellence objective with several programs designed to incent people to join in the last quarter of 2010. As always, our current members are our best advocates, and I encourage you to reach out to your colleagues who have not yet joined us and encourage them to take advantage of all we provide.

Advancement of Eligible Members – Through mid-October, we have already exceeded our 2009 count of new Fellow designates and Fellows at 34. We are also well positioned to exceed our Chapter of Excellence target of 44. More importantly, we are excited to see so many of our members showing the dedication and commitment to the healthcare field required to earn the FACHE credential.

With the significant uncertainty we all face as healthcare leaders in the coming years, a strong local ACHE chapter is an important asset. Regardless of what happens with healthcare reform, the services our chapter provides - access to the insights of regional and national leaders, networking opportunities with your colleagues throughout the region, and career development and advancement assistance – are more important than ever.

As I complete my term as President, I believe ACHE of North Texas is poised for continued growth and success. We have a large group of committed sponsors, a dedicated Board, and a membership body that continually pushes us to raise the bar. I am especially excited that Brad Simmons, President Elect, will be serving as your President next year. Brad’s leadership skills and innovative ideas will no doubt improve upon our current foundation.

I look forward to seeing many of you at our upcoming general membership meeting and awards dinner on November 4th. Please continue to take advantage of the many great programming offerings we have scheduled for the remainder of the year, and thanks again for your support of our chapter.

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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Our Business is Keeping Physicians

In the Loop Kriss Barlow, RN, MBA

The concept for many healthcare executives these days is managing change. Organizations are working to become more nimble adaptors and paying careful attention to competitors of every type.

Change means that people and departments are in a state of flux. New plans are emerging and leaders are striving to predict what their future stance will be. In fact, executives are shifting their focus almost daily, from developing new payer strategies, to managing the labor shortage to weighing the feasibility of adding an additional ambulatory center – to name but a few needs.

“What is all of this change doing to the customer side of the business?” Because all the energy is focused inward – inside the organization – communication to patients, employees, employers and physicians is being compromised and fragmented. Messages and relationships become secondary because the desire to innovate, offer ROI strategies or reduce costs takes center stage.

Implications for Medical Staff For the medical staff, more change is coming at a time when hospital trust is already shaky. Many physicians believe that hospitals lack understanding of and support for their issues; many are making less money while working harder than ever.

While employment is rising, in most markets, physicians guide much of the referral business regardless of their business structure. As they work on Accountable Care Organizations and other business strategies, hospitals need to develop a plan to ensure trust and strong working relationships. The hospital and physician together can then focus on what is good for medicine, and what is good for the patient. Without a doubt, keeping physicians involved and supportive of the organization is the right thing to do. So, what needs be in place to ensure a working relationship with the key source for referrals, i.e., physicians?

Develop a Physician Relationship Strategy Health system leaders assume their employees understand that because physicians bring in referrals and are necessary for the organization’s financial survival, the team – doctors and staff – should work together. It cannot be assumed that everyone believes that nurturing, maintaining or developing physician relationships is part of their job. A physician relationship strategy must be developed. Following are the steps involved in creating such a strategy.

• Examine the current physician relationship strategy. Evaluate physician relationships, methods of communicating, methods of involvement, measures of effectiveness and the skill sets of the responsible staff. continued on page 7

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

•

The next step, an analysis of referral data, will delineate the level of dependence on a specific physician or group.

Research the percentage of hospital revenue by specialty and by individual. For many organizations, these numbers are often sobering; a few physicians are responsible for a very large percentage of the hospital’s revenue.

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Some Tips to Get Communication Rolling 1. Get people talking. Beyond the usual approach of telling the physicians what the hospital has to offer, communication should include opportunities for dialogue. The messages must be relevant or you’ll lose interest.

If your analysis indicates a need to re-tool, then the time is right to move forward.

• Get physicians involved by soliciting their input and then showing them how their input is used.

•

Assess the data, the current process, competitive vulnerabilities and market opportunities. The action portion of the plan is then developed with activities, accountabilities and outcome measures.

• Ask physician representatives to share targeted messages and solicit feedback as a part of their regular visits.

•

The traditional business planning process provides an excellent framework. Use the process and people in the planning and business development functions to evaluate where market opportunity exists. Assess internal and external market forces and how they affect the medical staff. Use trends and satisfaction indicators to develop the target market, expectations and desired outcomes.

Communication with the Medical Staff Different groups need different approaches. The assumption is that because specialists are “in the building”, they understand and have their finger on the pulse of the inner works of the organization.

Primary care physicians are a vital link and today’s leaders appreciate the need to connect with them. As you assess your program consider your approach and the effectiveness to date.

Many organizations now recognize that just because updates and information are printed in physician communications materials, that does not mean the medical staff will remember the details and respond appropriately.

2. Determine regular checkpoints for soliciting feedback – not just from the chief or department directors, but also from a variety of members of the medical staff.

•

Again, the physician representative can be an ally.

Every physician who receives a face-to-face visit can be asked the same question. Over time, trends will become apparent. The advantage is that every targeted physician responds rather than just those who can be reached by traditional survey methods. continued on page 8

MAKING HEALTH CARE

HUMAN AGAIN.

Communication seems to be a chronic problem with so many distractions that individuals fail to hear important messages. Communication is an issue for everyone, not just marketing or the CEO, but all system members across the continuum. Set physician communication as a priority and measure the impact.

There is no single perfect approach for getting your message to physicians; a mix of communication strategies must be employed to ensure a consistent flow of information.

Texas Health Resources is proud to support the ACHE North Texas Chapter.

1-877-THR-Well

| TexasHealth.org

Texas Health Resources is Harris Methodist, Arlington Memorial and Presbyterian hospitals.

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

• Make an effort to call other physicians who might be impacted by your initiative. Offer information, tell them how you will use their opinions and make sure to give them a first look.

3. Conduct small task force meetings – six physicians attending two to three meetings can be a very effective format for soliciting feedback and input. The task force meetings should have a much focused structure – their job is not to develop copy or determine how customer service issues should be addressed, but to identify the areas where their understanding, buy-in and communication with colleagues is beneficial.

4. See things from physicians’ perspective. Consider how physicians would respond if they are not made aware of changes. Listen carefully in the dialogue-based meetings.

There will be good indicators of physician red flags, issues that are priorities for them and their main concerns when communicating with others.

5. Provide a conduit for information and messages regarding hospital happenings, educational opportunities, referral source follow-up, and appointment challenges, all prime areas for hospital-physician dialogue.

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Growing the Relationship and Growing the Business There is renewed interest in using face-to-face relationship sales calls to communicate with the medical staff. The old physician liaison role has changed to reflect the current marketplace. The framework, including targeted physicians, strategy, message and methodology, is derived from the physician strategy plan.

Rather than focusing on problems that never really gained new business, today’s model focuses on using the physician relations representative as a resource for targeted medical staff.

The representative becomes a single point of contact for needs, updates, and education as well as for facilitating the physicianto-physician referral process. While problems will still surface and need to be managed by the team, gone are the assumptive days when we believed that just because we fixed their oncology problem, for example, they would naturally send us all of their cardiac referrals.

Physician relations representatives should have a specific scope of responsibilities and be evaluated for their ability to increase revenue and volume, enhance satisfaction, provide market intelligence or whatever else the organization defines as the need.

The Time is Right

Architecture Branded Environments Interior Design Planning + Strategies Preservation + Reuse Urban Design

Solutions for the Changing Healthcare Environment

A Proud Sponsor of ACHE of North Texas 214.283.8700 www.perkinswill.com

While internal challenges and efficiencies do demand attention, it should not be at the expense of strategic growth and attention to customers. Successful businesses, like successful healthcare organizations, look for ways to enhance and improve their offerings and to grow.

Physicians are generally the entry points for accessing healthcare. Hospitals need to make sure that physicians know what services are offered if additional care is required. The referral relationships, communication and a sound strategy will ensure a collaborative relationship with the medical staff. Change is affirming and the rewards are many when the outcomes validate the process.

Kriss Barlow RN, MBA is a principal with Barlow/McCarthy, a training and consulting firm focused on hospital- physician solutions. Contact Kriss at (715) 381-1171 or kbarlow@ barlowmccarthy.com

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A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

Meaningful Use 101

(Series Part 1) Pam Doughty, Ph.D.

Implementation of electronic health records (EHRs) in hospitals is the first step in meeting the requirements for “meaningful use” in order for hospitals to receive the CMS incentive payments. The EHR system must meet the certification standards set by the U.S. Health and Human Services Department (HHS) three different times. The vendors must be able to report meaningful use criteria for 2011 and then to meet the upcoming meaningful use criteria for 2013 and 2015. The first ONC Certified HIT Product List (CHPL) was published on October 9, 2010 with a list of vendors who meet the criteria. According to Office of the National Coordinator for Health Information Technology HITECH, EHR technology is classified as Complete EHRs are certified to meet all applicable certification criteria adopted by the Secretary in the Standards and Certification Criteria Final Rule.

EHR Modules are those EHR technologies that have been tested and certified to at least one of the certification criteria adopted by the Secretary in the Standards and Certification Criteria Final Rule. Due to the regulatory requirement that EHR Modules be tested and certified to the security criteria, as elaborated in the Temporary Certification Program Final Rule, EHR Modules will typically be tested and certified to more than one of the adopted certification criteria (ONC, 2010).

Each Complete EHR and EHR Module included in the CHPL has been tested and certified by an ONC-Authorized Testing and Certification Body (ATCB), and reported to ONC by an ONC-ATCB, with reports validated by ONC. Only those EHR technologies appearing on the ONC-CHPL may be granted the reporting number that will be accepted by CMS for purposes of attestation under the EHR Incentive Programs.

The comprehensive list with the criteria for each vendor is located on http://onc-chpl.force.com/ehrcert/ productperformanceoverview. Included in the Complete EHR list are eClinical Works LLC version 8.0.48; Epic System’s

EpicCare Ambulatory – Core EMR version Spring 2008 and EpicCare Inpatient – Core EMR Version 2007.19.12, P2 Sentinel Version 4.2.1; NextGen Ambulatory EHR version 5.6 SP1; GE’s Centricity Advance version 4.0; and Allscripts Professional EHR version 9.2. Included in the Module list are Allscripts ED 6.3 Service Release 4 and Allscripts Peak Practice version 5.5; QRS, Inc.’s PARADIGM version 8.3 and Wellsoft EDIS version 11 (ONC, 2010). The list is a snapshot of the vendors at the time of certification; the CHPL will be updated periodically. The CHPL is version 1 and version 2 has promised to have more information available for those choosing a vendor. Below are the criteria for every vendor. Each vendor is scored according to this list of criteria and can be found on the website next to each certified vendor so that a purchaser can determine how each vendor scored. Not all the criteria must be met for a vendor to become certified.

170.302(a) Drug-drug, drug-allergy interaction checks.

170.302(b) Drug formulary checks.

170.302(c) Maintain up-to-date problem list.

170.302(d) Maintain active medication list.

170.302(e) Maintain active medication allergy list.

170.302(f ) (1) Record and Chart Vital signs.

170.302(f ) (2) Calculate Body mass index.

170.302(f ) (3) Plot and display growth charts.

170.302(g) Smoking status.

170.302(h) Incorporate laboratory test results.

170.302(i) Generate patient lists.

170.302(j) Medication reconciliation. continued on page 10

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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170.302(k) Submission to immunization registries.

170.302(l) Public health surveillance.

170.304(j) Calculate and submit clinical quality measures.

170.306(a) Computerized provider order entry.

170.302(m) Patient specific education resources.

170.302(n) Automated measure calculation.

170.306(b) Record demographics.

170.306(c) Clinical decision support.

170.302(o) Access control.

170.302(p) Emergency access.

170.306(d) (1) Electronic copy of health information.

170.306(d) (2) Electronic copy of health information Note: For discharge summary.

170.302(q) Automatic log-off.

170.302(r) Audit log.

170.302(s) Integrity.

170.302(t) Authentication.

170.302(u) General encryption.

170.302(v) Encryption when exchanging electronic health information.

170.306(e) Electronic copy of discharge instructions.

170.306(f ) Exchange clinical information and patient summary record.

170.306(g) Reportable lab results.

170.306(h) Advance directives.

170.306(i) Calculate and submit clinical quality measures.

170.302(w) Accounting of disclosures (optional).

170.304(a) Computerized provider order entry.

170.304(b) Electronic prescribing.

170.304(c) Record demographics.

Each hospital and provider must meet some of the meaningful use criteria listed in the vendor criteria above. The next article in this series will discuss hospitals criteria for 2011 to insure they receive the incentive payments.

170.304(d) Patient reminders.

170.304(e) Clinical decision support.

170.304(f ) Electronic copy of health information.

170.304(g) Timely access.

170.304(h) Clinical summaries.

170.304(i) Exchange clinical information and patient summary record.

Reference: Office of the National Coordinator (ONC). (2010). Certified Health IT Product List. Retrieved October 13, 2010 from http://onc-chpl. force.com/ehrcert

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A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

Patient Safety, The A3 Way Joseph S. Barcie, MD, Ph.D., MBA

problem solving method and tool have been so successful that they have been the driving force behind many organization wide transformations, including our acute care hospitals. There is no need for expensive software, complicated technology or even complex training. The A3 Report uses an established outline design on a sheet of paper that guides the person making the report through a few key steps toward resolving the problem they experience in their daily work, all the while effortlessly employing the scientific method.

In World War I, it was common knowledge among Officers that during trench warfare fatal head wounds were caused by bullets or hard blows directly to the head. It wasn’t until the day after a severe artillery battle, when the French Intendant General August-Louis Adrian visited the wounded that he was told by a recovering soldier that many in his troop were killed by small, slower velocity fragments. When asked how he survived, the soldier replied that he put a metal mess bowl on his head. Inspired by the story, General Adrian created a metal bowl to be worn under a soldier’s cap. This metal bowl later evolved to become the soldier’s metal helmet that we all recognize today.

So what does this have to do with A3 and patient safety you ask? Plenty!

Every Hospital Administrator today is very concerned about lowering costs; improving efficiency and safety. Even with new government priorities these trends continue. A solution is needed, one that uses an easy, TITLE Surgical note placed in medical record 100% compliance inexpensive, and most of all TO Betty Rose in Medical Record Dept BY Jane Rodriguez, RN in Surgery Dept effective tool.

DATE 12, July 2008 This solution must be a proven method that can be applied to any problem in any area of the hospital and consistently yield success. And, like the soldier who described his comrades dying from fragments and not bullets, so too can healthcare workers be trained to use this method to solve problems in their work area and not by the Officers far removed from the trenches.

So what is this method? It’s the “A3 Method” and the tool is the “A3 Report”, named after the A3 size of 11” X 17” paper still used by many to workup these reports today. This

The A3 Report outline contains: a title for the report; relevant background information; description of the current situation or process using drawings and icons; description of the cause, which by utilizing the 5 whys, will uncover the root cause of the problem; another drawing containing the ideal condition; the user has space to suggest an alternate process, just like the soldier suggesting the use of a metal mess bowl; a brief plan continued on page 12

A3 REPORT IDEAL/TARGET CONDITION

DESCRIPTION OF PROBLEM The patient chart is sent to the medical record department missing the surgical note after the patient has been discharged.

physicians call one number from anywhere

Centralized Transcription Database

Transcription Dept

Report for signature sent to floor

NEXT DAY BACKGROUND The surgeon dictates his surgical note usually in the doctor's lounge and leaves the recording in voice mail for days. Nursing sends the chart post discharge before receipt of surgical note was trascribed.

ACTUAL CONDITION Doctor's lounge

Surgery

COUNTERMEASURES

Sugeon dictates surgical note

Transfer the surgical department transcription service to the hospital current dictatiton and transcription services. Then inservice the surgeons on the new process and how use it.

Surgeon leaves without dictating

Note placed in voice mail

dictations not in queue

w/poor quality

Transcription report missing words or signature

corrected report printed and signed

IMPLEMENTATION PLAN WHAT WHO Create new SOP Ana Gonzales Inservice schedule Christina Raye Inservice classes Christina Raye COSTS creation SOP training

Patient d/c Report sent to Floor

Final Trascription filed in chart

Report sent to Medical Records

PROBLEM ANALYSIS 1. Surgeon leaves without dictating the surgical report: Why? Because surgeon has surgery at other hospital Why? Because the surgeon didn't program all surgeries at this hospital Why? The patient has a preference elsewhere 2. Some dictations may be of poor quality and/or inaudible Why? Because the system in the doctors lounge is an old dictation Why? Because it was not replaced as a part of the budget Why? Because the new technology was more expensive Why? Because Purchasing only evaluated one system only Why? Purchasing ran short on time, but now has less expensive solution 3. Report is missing words or signature Why? Dictation quality is poor or words are difficult to hear and the surgeon needs to be called and correct word is edited.

Why? Because the surgeon is not at the hospital and Transcriptionists have to find them Why? The system forces the surgeon to only dictate from the surgeon lounge

WHEN within 30 days same 30 days 60 days post intro

$

BENEFIT

OUTCOME new SOP education new procedure $

275 2,890 Reduction of incomplete medical record charts

TEST alpha test was done inhouse for one week beta test was done with doctors for one week

FOLLOW UP kickoff is set for Sept 1, 2008 Measure medical record compliance Report to COO and CNO monthly updates

WASTE none found none found

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

Patient Safety, The A3 Way, continued on how to implement this ideal condition, a brief plan to ensure the ideal condition was achieved and space to measure the results.

It sounds simple enough, but we have found that if shortcuts are used, the process yields poor results. Although this method and this tool can quickly solve problems, it would be a mistake to think of the A3 method as a short term strategy, it is not.

In order to successfully implement the A3 method in all our hospitals, it required dedicated leadership at the highest levels of the hospital and our corporate office. It required a change in organizational behavior at all levels.

It changed many from feeling powerless to empowered, from being overlooked to being valued – everyone, a part of the team.

There are those who say that in today’s healthcare environment everyone is already too busy and that this tool requires too much time. However the truth is that as problems are corrected and processes made more efficient, re-work, work-arounds and errors will be eliminated, leaving more time available for A3’s.

The beauty of the A3 method is that since services interact with other services in long value chains, when implemented and supported, the results expand ever broader until the entire organization improves and everyone benefits, most importantly our patients.

Dr. Barcie is the President, Centralized Operations for International Hospital Corporation (IHC) in Dallas, Texas.

For more information: “Understanding A3 Thinking: A Critical Component of Toyota’s PDCA Management System” by Durward K and Art Smalley.

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A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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MEMBER SPOTLIGHT Mia Johnson

Administrator, UT Southwestern What are you doing now?

I am the Senior Administrative Associate for the Mobility Foundation Center at UT Southwestern making me responsible for all center affairs.

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

Aside from healthcare reform legislation, I believe the most important issue is keeping populations healthy. Developing community health initiatives that advocate disease prevention, health promotion and reduce health disparities is necessary to meet our growing demand for healthcare services.

Madhura Chandak

Business Service Manager, Children’s Medical Center, Dallas What are you doing now?

Currently, I serve as the Business Services Manager for the Heart Center at Children’s Medical Center.

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

How long have you been a member of ACHE?

According to me, the key issue revolves around design and implementation of a shared responsibility network between health care organizations, private insurance companies, government programs and agencies and community groups to provide accessible, affordable and quality health care to all.

It is an overarching goal that demands and deserves dedicated effort from each one of us.

I became an ACHE member this year.

How long have you been a member of ACHE?

Why is being a member important to you?

Half a decade…Since 2005

I learned about ACHE over the course of my MBA studies. From that experience I realized ACHE is a chief resource to further my education, add value to my career and collaborate with industry leaders.

Why is being a member important to you?

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

ACHE offers a wealth of information along with educational and networking opportunities. Membership allows participants several ways to exercise these options like involvement with various ACHE committees and educational training. Healthcare is a vast industry and ACHE provides a forum for validation.

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

Most people are not aware of my love for the arts.

Is there a member you would like to see in the next Member Spotlight section?

If so, please send their name and contact information to us at

info@northtexas.ache.org

Being a member is my opportunity to stay current with the healthcare industry dynamics in DFW metro & nationwide. It forms the robust foundation for networking. It also provides resources for professional development and community involvement.

How did you gain your first position in healthcare? Also, describe any scenario (career planning, professional development, mentorship, project) that you feel was crucial in your success.

I began my healthcare journey as a Physical Therapist and now continue as a health care administrator where my clinical and business interests are complementary to each other. ACHE North Texas chapter event – ‘Career Positioning - Proactively managing your Professional Development’ – led me to align my actions to my professional goals. The result is my continued professional success as an early careerist.

If you could be any figure in history, who would it be and why?

Helen Keller – She was the first deaf & blind person to earn a Bachelor of Arts degree. Her quote - “It is a terrible thing to see and have no vision” – is my inspiration to do bigger and better things everyday while keeping life in perspective.

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

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EVENT ENCORE Early Career Networking at Truluck’s Submitted by Felicia McLaren

On Thursday, October 7th Becky Tucker, the Administrator of Texas Health Harris Methodist Outpatient Center in Burleson, hosted an Early Career networking event at Truluck’s in Addison. The event, organized by Angela Vincent and Felicia McLaren, is the second of its kind.

professionals were also welcome to attend, as they provided ample beneficial career advice.

It was aimed at providing early careerists an opportunity to network with others that are on similar career paths. Seasoned

For more information on future events, please visit us at www. northtexas.ache.org or send us an email at info@northtexas.ache.org.

Alua Mamade and Tre Douglas

ACHE of North Texas would like to extend our appreciation to the host, Becky Tucker, as well as the members who participated.

Bethany Williams, Networking Chair and Becky Tucker, event host

Maria Islam-Meredith, Michael Lombard, Andrew Ulrich, and Kimberly Anderson

Bench Strength Development Event Summary Submitted by Jason James

On Thursday, September 16, 2010, Doctors Hospital at White Rock Lake hosted the Talent Management for Bench Strength Development educational event for the North Texas ACHE chapter. The event was organized by Ms. Chakilla Robinson White, Ms. Jessica Daw, and Mr. Mikhail Gorbatenko, and was attended by 30 members of the organization.

The panel for the event was comprised of Candy Knowles, Chief Human Resource Officer, Parkland Health & Hospital System; Cathy Fraser, Chief Human Resource Officer, Tenet Healthcare Corporation; and John Self, President, John G. Self Associates. Moderated by Scott Manis, FACHE, the panelists discussed the importance of a comprehensive human capital strategy, with each panelist sharing specific initiatives used in their respective organizations.

Candy Knowles and Cathy Fraser

There is a concern that in many healthcare organizations, talent management is still a ‘bottomup’ approach with senior executives only giving lip service to the fact that people are the most important asset. Senior leadership must buy in and lead the effort toward preparing the workforce for new opportunities. Ms. Fraser spoke specifically of her organization’s partnership with MBA programs and of a nursing leadership pipeline. It is crucial that all employees (not just senior executives) feel they have ample opportunities to continually build their skill-set and improve at their work. Sustained ‘bench strength’ will come in those organizations, whose employees view their opportunity as ‘transformational’, as opposed to merely ‘transactional’.

For more information on future events, please visit us at northtexas.ache.org or send us an email at info@northtexas.ache.org.

Scott Manis and John Self

A Publication of the American College of Healthcare Executives of North Texas Chapter | FALL 2010

EVENT ENCORE

15

Before Choosing an Anesthesia Group, Consider the Facts.

Metropolitan anesthesia Consultants…

• is one of the largest physician-only anesthesia groups in North Texas.

• provides anesthesia at major area hospital systems, including HCA, Tenet, THR and Baylor facilities.

• is in network with all major insurance carriers.

Breakfast with the CEO: Trevor Fetter Tenet Healthcare

• is committed to excellence in providing anesthesia consultant services to our healthcare partners.

Submitted by Matt Van Leeuwe

Trevor Fetter, President and CEO of Tenet Healthcare, has helped transform the Tenet system over the last several years. Mr. Fetter was kind enough to speak on Tuesday, October 5th at the Fairmont Hotel in downtown Dallas and detail some of his organizations difficulties, initiatives, and subsequent successes.

214.252.3500

3300 Oak Lawn Avenue, Suite 200 • Dallas, Texas 75219

www.MetroAnesthesia.com

As expected, a large crowd of 74 people attended the event to hear Mr. Fetter speak. ACHE of North Texas Board Officers Eric Evans (President), Brad Simmons (President-Elect), Gail Maxwell (Treasurer), and John Haupert (Regeant) were among the many ACHE members in attendance.

The Fairmont Hotel offered a beautiful setting for the event providing a wonderful breakfast buffet and a comfortable atmosphere for the audience.

Mr. Fetter spoke at length about his experiences and then answered several probing questions from the audience. I would like to extend a very sincere thank you to Mr. Fetter for taking the time to share his insights with us and an additional thank you to all of those who participated in the event.

For more information on future events, please visit us at www. northexas.ache.org or send us an email at info@northtexas. ache.org

The Ambulatory Care Center at Lackland Air Force Base San Antonio TX

www.hdrarchitecture.com

CALENDAR

November 4, Thursday Breakfast with the CEO Meet Britt Berrett, Ph.D., FACHE, President, Texas Health Presbyterian Hospital Dallas and Executive VP, Texas Health Resources Time: 7:30 a.m. – 9:00 a.m.

Location: Texas Health Presbyterian Dallas Hospital 8200 Walnut Hill Ln. | Dallas Registration Fee: Free to members $20 non - members

November 4, Thursday General Membership Meeting • 2010 ACHE Member Recognition and Awards • Student Council Case Study Competition Awards • Vote on 2011 Chapter Officers and New Board Member Recommendations • Chapter Performance Update • CEO Roundtable Discussion Featuring Dr. Ron J. Anderson, President and CEO, Parkland Health & Hospital System and Doug Hawthorne, FACHE, CEO, Texas Health Resources Time: 5:00 p.m. – 8:00 p.m.

Location: The Palomar, Opus Room 5300 E Mockingbird Ln. Dallas, 75206 Registration Fees: $40 members $50 non-members $25 students

November 18, Thursday Sustaining a Financially Vibrant Healthcare Organization Cat I Educational event Time: 5:30 p.m. – 7:30 p.m.

Location: Methodist Mansfield Medical Center 2700 E. Broad Street, Mansfield

December 2, Thursday After Hours Networking Event Time: 5:30 p.m. - 7:00 p.m.

More details to come...

December 16, Thursday Strategic Marketing: Winning the Battle for Markets and Share Education Event | 1.5 Category I Credits awarded More details to come...

We are currently working on new educational and networking opportunities for 2011.

For the latest updates please check our website or watch your inbox for the event guide.

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