The Executive Connection of North Texas: Summer 2010

SUMMER 2010

CONTENT Message from the Regent 4

DCCCD Brookhaven College Allied Health Building | photo: © 2010 Mark Trew

John M. Haupert, FACHE

President’s Remarks

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J. Eric Evans

Foundation Receives $8.5 Million Dollars for Formation of Electronic Health Records 6 Making Reform a Reality 7 Ways to Facilitate Better Healthcare Payment and Delivery Systems and Lower Healthcare Costs

Member Spotlight

thoughtful design of innovative healthcare environments www.hdrarchitecture.com

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Event Encore

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Calendar

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ACHE of North Texas Board Member Receives DBJ Honor Bethany Williams, ACHE of North Texas board member and chair of the networking committee was recently named as one of the “Top 25 Women to Watch” by the Dallas Business Journal during the 2010 Women in Business Awards luncheon.

Congratulations, Bethany, on this well deserved recognition!

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

ACHE of

North Texas

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

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2010 Board of Directors John Haupert, FACHE Parkland Health and Hospital Systems Ex-Officio 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. Tim Fogles Felicia McLaren

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

Contributing Writers

Pamela Doughty, Ph.D. Christine Hammons Megan Harkey

Production

Kay Daniel

Advertising/ Subscriptions

info@northtexas.ache.org

Questions and Comments:

ACHE of North Texas Editorial Office, c/o Executive Connection 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

2010 Chapter Officers

President J. Eric Evans Tenet Healthcare Corporation

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 Ex-Officio 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 Ex-Officio Co-Chair, Advancement Committee Bethany Williams PricewaterhouseCoopers, LLC Chair, Networking Committee

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

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Message from the Regent John M. Haupert, FACHE

We are all grappling with understanding what healthcare reform will mean to our individual institutions and to each of us as individual leaders. The need for reform has been driven by the fact that many U.S. residents do not have adequate access to needed healthcare services.

Because ACHE recommends that all healthcare executives work to support access to healthcare services for all people, ACHE is raising awareness through two programs, “Covering Kids & Families” and “Cover the Uninsured Week.” You can learn more about both of these programs at ache.org.

I think it is important that all ACHE affiliates have a solid understanding of the ACHE’s position on access. ACHE recommends that all healthcare executives work to support access to healthcare services for all people. ACHE’s official position on the issue is outlined in the Policy Statement “Access to Healthcare”. The Board of Governors of ACHE did an excellent job of updating this policy statement in November 2008.

Following is an excerpt from the “policy position”: “The American College of Healthcare Executives (ACHE) believes no person should be denied necessary healthcare services because of an inability to pay. Further, ACHE believes access to care is a shared responsibility of healthcare organizations as well as government programs and agencies, community groups, and the private insurance market. To this end, ACHE urges healthcare executives to lead the effort within their organizations and on behalf of the communities their organizations serve to address issues related to funding services for the uninsured and underinsured. Consistent with ACHE’s Code of Ethics and its policy statement, “Ethical Decision Making for Healthcare Executives,” there is a responsibility to consider broader community and societal implications as well as individual and organizational impact when addressing issues such as those affecting access.”

As leaders within the healthcare industry we are often called upon to make tough decisions. We face the delicate challenge of balancing institutional priorities with societal needs. ACHE has provided us with a framework to help guide our decisions regarding our institution’s role in meeting the access needs of the communities we serve. I highly encourage you to access the Policy Statement “Access to Healthcare” at ache.org and review the leadership responsibilities that are outlined within the policy statement. Regardless of our role, regardless of the type of institution we serve, we all have a tremendous responsibility to provide the level of exceptional leadership that is going to be required to meet the mounting challenges of providing access to needed healthcare services.

ACHE of

North Texas

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

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President’s Remarks J. Eric Evans It was a pleasure to have the opportunity to see many of you at our June and July networking and education meetings. I am always impressed by the high-energy and outstanding discussion our early careerists to senior executive members create at these events. As we collectively face the economic and reform challenges ahead, please know that ACHE of North Texas is committed to continuously expanding and improving the development opportunities we provide to ensure members at all career stages are well prepared for success.

Speaking of success, I would like to highlight what your chapter has accomplished in the first half of 2010. Through the hard work and dedication of our volunteer committees and generous support of our corporate sponsors (local support is on pace to increase by nearly 300% this year), the chapter has: • Held 13 unique events with 687 attendees - on pace to increase events by 37% and attendance by 42% versus 2009 but still well below our chapter of excellence objective • Offered 29.5 total programming hours – on pace to increase by 40% versus 2009 • Provided 6 hours of Category I and 1.5 hours of Category II education credits at a significantly reduced rate due to our generous corporate sponsors • Scored 4 out of 5 in satisfaction for our education sessions • Provided 26 members had the opportunity to advance their careers by earning the FACHE designation – on pace to increase by 58% versus 2009 and to achieve our chapter of excellence objective Despite these accomplishments, there remains a couple of areas with which we need your help and are missing our goal. The first area you can help us with is membership growth. At the mid-year point, our membership has declined 7.2% to 1,121 members versus the chapter of excellence objective of 9.8% growth. While our current decline is largely a seasonal variation due to membership renewal timing, there are several ways that you can assist our chapter in providing value to an even larger portion of the healthcare executives in our region. First, if you have not as of yet renewed your membership, what are you waiting for? There has never been a better time to join us as is illustrated by our dramatic increase in quality career development opportunities highlighted above. If you are already an active member in good standing, please ask your colleagues to join us. ACHE makes asking your colleagues easy. Simply visit the Refer a Colleague tab of the ACHE website at https://www. ache.org/mbership/tell.cfm. The second area you can help us with is increasing our chapter satisfaction survey score. While our mean score of 7.4 last year was just shy of our chapter of excellence target of 7.6, we are committed to increasing our member satisfaction score to exceed our objective in 2010. In order to do that, we need to hear from you. What do you believe we are doing well and not so well? How can we better meet your needs as a chapter member? Please send your thoughts to info@ northtexas.ache.org.

As always, I encourage you to take full advantage of your chapter membership by attending chapter events. A full calendar of events is available at our website at northtexas.ache.org. You can also stay connected to the chapter by joining our Linked In group – American College of Healthcare Executives of North Texas or our Facebook group – ACHE of North Texas.

Thank you for your continued involvement with ACHE and the North Texas chapter.

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

Foundation Receives $8.5 Million Dollars for Formation of Electronic Health Records IRVING, TX – The days of attempting to read a doctor’s handwritten instructions may be over. On April 6, 2010, the Office of the National Coordinator for Health InformationTechnology (ONCHIT) awarded $8.5 million dollars to the Dallas-Fort Worth Hospital Council Education and Research Foundation (Foundation) for the formation of the North Texas Regional Extension Center (NTREC).

NTREC will assist North Texas physicians, nurse practitioners and physician assistants, in 42 counties in implementing electronic health records which will be governed by physicians in the DallasFort Worth area affiliated with the Texas Medical Association.

Additional leaders are from University of Texas Southwestern Medical School, University of Texas Dallas and the Foundation.

“This funding will permit North Texas healthcare providers to serve their patients while utilizing the most effective electronic health records and healthcare technology on the market,” said Dr. David Bragg, NTREC Board Member. “This helps providers reorganize the way they practice and work towards maximum efficiency in using electronic health records as prescribed by ONCHIT.” The $8.5 million dollars (Grant #90RC0048) will offset physician and provider costs associated with the implementation of electronic health records. ONCHIT, an extension of the Department of Health and Human Services, is attempting to modernize the U.S. health care system by implementing a nationwide health information technology infrastructure as called for in the American Recovery and Reinvestment Act of 2009. Electronic health records are collections of digital information about patients or populations capable of being shared across different health care settings allowing for the automation of workflow.

Regional extension centers such as NTREC will offer primary care providers outreach, education, and technical assistance to accelerate the adoption and meaningful use of electronic health records. For a $300 enrollment fee per year, the provider will receive access to a rich array of educational material including 20 hours of Continuing Medical Education and about 35 hours per provider of consulting assistance on key EHR decisions including practice assessment, vendor selection, workflow design, project planning, and analysis of how to qualify for government

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submitted by Pam Doughty, Ph.D.

incentive programs for EHR usage. “A perfect combination of health care quality improvement opportunities, strong incentives, and available resources make this the right time for primary care physicians to seriously investigate integrating EHR’s with their practice,” said Mike Alverson, Executive Director of the NTREC. Dallas-Fort Worth Hospital Council Education and Research Foundation is a non-profit 501c3 public charity with a mission to continually improve the community’s health by promoting safe, high quality, cost effective, accessible and equitable healthcare and by strengthening the healthcare workforce through education, research and collaboration.

SHOULDN’T A HOSPITAL’S

COMMITMENT TO A HEALTHIER COMMUNITY EXTEND

BEYOND ITS WALLS?

Sometimes making a community healthier is about building parks. It’s about supporting local schools and stocking food banks. As the largest not-for-profit, faith-based health system in North Texas in terms of patients served, we value our relationships within our communities. We are proud to continue a tradition of being a responsible, major employer in every city we serve and to building healthier communities beyond our walls. 1-877-THR-Well t TexasHealth.org

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

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Making Reform a Reality:

Ways to Facilitate Better Healthcare Payment and Delivery Systems and Lower Healthcare Costs In this paper, Harold D. Miller of the RWJF-commissioned Center for Healthcare Quality and Payment Reform takes an in-depth look at practical ways to successfully manage the multifaceted implementation challenges inherent with payment reform initiatives, using lessons learned from previous efforts.

From the Report There is widespread agreement that current methods of paying for health care contribute to both high costs and poor quality. Not only do they create strong incentives to increase the volume of services delivered, current payment methods often create barriers to delivering higher quality and more efficient care and can even penalize health care providers for keeping people healthy, reducing errors and complications, and avoiding unnecessary services.

To date the only broadly implemented changes in payment systems to try and address these issues have been pay-for-performance (P4P) programs. Although P4P programs have encouraged some improvements in quality, most involve relatively small amounts of funding and focus on relatively few care processes. Most importantly, they do not correct the problems in the underlying payment systems, falling short of the reform needed to deliver true change.

Two fundamental types of reforms in payment systems are needed: Episode-of-Care Payment, i.e., paying a single amount to cover all of the services which are provided to a patient during a single episode -of-care (e.g., the treatment of a heart attack), rather than making separate payments to hospitals, physicians, and other providers and rather than paying more for services needed to address preventable complications. Episode-of-Care Payment gives the involved providers an incentive to coordinate their activities, eliminate unnecessary services, and avoid preventable complications.

Baylor Health Care System is proud to support the American College of Healthcare Executives.

For information about Baylor Health Care System call 1.800.4BAYL0R or visit us online at BaylorHealth.com Carrollton • Dallas • Fort Worth • Fisco • Garland • Grapevine • Irving • Plano • Waxahachie ©2010 Baylor Health Care System tm.BHCS490.7/10

Comprehensive Care Payment (often called “global payment”), i.e., paying a single amount to cover all of the services needed to manage a patient’s conditions during a fixed period of time, regardless of how many separate episodes of care occur. This gives the providers involved in the patient’s care the flexibility to try innovative approaches and tailor services based on the patient’s needs, and it gives them an incentive to avoid hospitalizations and unnecessary or overly-expensive services.

Although there is now growing recognition that these kinds of payment reforms are necessary if significant improvements in health care quality and costs are to be achieved, the challenge has become convincing health care providers, payers, purchasers, and consumers that they are feasible and helping them overcome the significant hurdles to implementation.

The changes are inherently complex and risky, and the payers, providers, and communities that are interested in pursuing them face many practical challenges in doing so.

To read the report in its entirety, go to www.rwjf.org.

“Reproduced with permission of the Robert Wood Johnson Foundation, Princeton, N.J.”

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

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Member Spotlight John Mizerany What are you doing now?

RTKL proudly supports the

I am the System Vice President, Ambulatory Care Development & Operations for Texas Health Resources.

ACHE North Texas Chapter

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

The ability of healthcare providers to understand, anticipate and plan now for the future impacts of healthcare reform will be critical.

Consumers, payers and physicians continue to seek out healthcare in more accessible, convenient, and cost-effective settings which is driving continued migration of care into ambulatory and outpatient facilities. Healthcare reform will further reinforce this trend and those providers that can execute strategies to meet those demands will be well-positioned for success.

How long have you been a member of ACHE? I have been a member of ACHE for almost 19 years.

Why is being a member important to you?

It gives me the ability to connect with peers and colleagues to discuss and share insights regarding various aspects of the healthcare industry.

Membership in ACHE also gives me the ability, through it’s diverse educational programs, to continue my personal and professional development and stay abreast of the many challenges and opportunities facing our industry.

architecture . planning . design

Baltimore Chicago Dallas Dubai London Los Angeles Miami Shanghai Washington DC 888.337.4685

TM

RTKL.COM

WHR Architects is proud to support the ACHE North Texas Chapter

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

I recently won a medal in a Sumo Wrestling event that helped raise funds for the local food banks. It was a fun way to support several charitable organizations across the metroplex.

ACHE of

North Texas

Hopkins County Memorial Hospital Sulphur Springs, Texas

Houston, TX Dallas, TX Lake Como, NJ Washington, DC 713.665.5665 www.whrarchitects.com

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

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Member Spotlight Bhavesh Patel, MBA

Kristin Jenkins What are you doing now?

What are you doing now?

What are you doing now?

I am the Director of In-Licensing and Financial Support at med fusion, a newly formed reference lab President, Dallas-Fort Worth located in Lewisville, TX that provides routine and Hospital Education and esoteric testing Council for the healthcare community.

I am the Director of In-Licensing and Financial Support at Med Fusion, a newly formed reference lab located in Lewisville, TX that provides routine and esoteric testing for the healthcare community.

Research

Foundation

Senior

In your what isDallas-Fort the most important Viceopinion, President, Worthissue in Healthcare today?

Hospital Council

How the recently passed Patient Protection and Affordable Care Act (PPACA) will affect healthcare In your opinion, whatdecade. is Also, providers and patients in the following howthe Accountable Organizations (ACOs) will mostCare important issue help curb healthcare costs and improve the quality of care.facing Healthcare today?

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

two: the HowThere long haveare you been a member1)of ACHE?

How the recently passed Patient Protection and Affordable Care Act (PPACA) will affect healthcare providers and patients in the following decade. Also, how Accountable Care Organizations (ACOs) will help curb healthcare costs and improve the quality of care.

implications of healthcare on delivery models; and 2) the growing Why is being a memberpervasiveness important to you?of uncontrolled/under-managed Membership access to a wealth of chronicprovides conditions.

3 years reform

information that helps me stay current with healthcare issues. It also gives me an opportunity to network and meetHow other professionals with a similar career tracks. long have you been a member of ACHE?

Member Since 2007 How long have you been a member ACHE of ACHE?

What advice can you give to Early Careerists or those Since 2001. considering membership?

3 years.

StayWhy active in chapter events and utilize the islocal being a member important to you? mentor/mentee program. Whether you are early in your career or in a senior position, ACHE membership I like to share information on how to do our work more can be rewarding.

Bhavesh Patel, MBA

Why is being a member important to you?

Membership provides access to a wealth of information that helps me stay current with healthcare issues. It also gives me an opportunity to network and meet other professionals with similar career tracks.

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

Stay active in local chapter events and utilize the mentor/mentee program. Whether you are early in your career or in a senior position, ACHE membership can be rewarding.

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

I worked as a software engineer before getting my MBA in Healthcare Administration.

effectively with members around the country and I enjoy the opportunity to share a Tell collective us one thingopinion that mostwith people don’texecutives know about on pressing healthcare issues. other you.

I worked as a software What adviceengineer can before yougetting givemyearly MBA in Healthcare Administration.

considering membership?

careerists or those

A few things: Be Nimble – Healthcare is always changing. Also, Stay Healthy.

Living your business by maintaining your health is so important.

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

My BBA in Finance from Texas Christian University was paid for entirely through a very generous music scholarship. I still love all kinds of music (except yodeling, but is that really music?)

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

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

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EVENT ENCORE Medical Staff Relations Event Summary submitted by Christine Hammons

On Thursday, June 17, 2010, Medical City Dallas hosted the Medical Staff Relations educational event for the North Texas ACHE chapter. The event was organized by Ms. Lynn Pappas, FACHE, Ms. Beverly Dawson, FACHE, and Mr. Eric Boon, and attended by 67 members of the organization.

John Landino, Vice President of Tenet Healthcare Corporation and Dr. Mihaela Perijoc of Inpatient Physician Associates presented their perspectives on how hospital leadership can strengthen their physician relations in an effort to provide the highest quality of care to the patients. Moderated by Mike Williams, FACHE, the event provided insight from both perspectives as to how communication between the two entities can be beneficial to everyone, particularly with recent healthcare reform policies.

Harry Kirshman, Mike Williams, and Michael Waters

The guest speakers were in agreement that hospitals and health systems must actively engage and encourage the participation of their physicians to achieve the new quality requirements of healthcare reform. Without the full support of the medical staff, quality metrics may not be met for either the hospitals or the physicians. Communication between all parties will become more critical in the future.

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

Early Careerist Networking at Sambuca’s submitted by Megan Harkey

An Early Careerist networking event was held on July 8, 2010 at Sambuca. The event was hosted by Josh Floren, Senior Vice President of Medical Services at Parkland Health & Hospital System, and was very well received.

The evening facilitated a great amount of interaction and discussion amongst the Early Careerists. ACHE of North Texas would like to extend our appreciation to the host, Mr. Floren, as well as the members who participated. For more information on future events, please visit us at northtexas. ache.org or send us an email at info@ northtexas.ache.org.

James Fly and Genesa May

Harry Anderson and Kathryn Parsons

John Self and Greg Otis

Samia Zia and Annette Palm

Josh Floren and Felicia McLaren

CALENDAR

August 11 Breakfast with the CEO Britt Berrett, PhD, FACHE President/CEO, Texas Health Presbyterian Dallas Hospital and Executive VP of Texas Health Resources Time: 7:30 – 9:00am Location: THR Presbyterian Dallas

8200 Walnut Hill Lane

Dallas, TX 75231 Cost: Free to members August 19 Cat I Education The Executive’s Role in IT Decisions September 2 After Hours Networking September 16 Cat I Education Talent Management for Bench Strength October 5 Breakfast with the CEO Trevor Fetter, President and CEO Tenet Healthcare Corporation October 7 Early Careerist Networking Event Hosted by: Winjie Tang Miao

President of Texas Health Harris

Methodist Hospital Azle October 13 CEO Breakfast Christopher Durovich, President and CEO of Children’s Medical Center October 21 Cat I Education Service Line Development

Have a question about a program or event?

Email us at: info@northtexas.ache.org or watch your inbox for our frequent event guide updates

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.