THEF July 2025 Issue No. 26

QUARTER 2

JULY 2025

THEF THRIVE Triangle Healthcare Executives' Forum of North Carolina

JOIN THEF BECOME AN ACTIVE MEMBER OF THE TRIANGLE HEALTHCARE EXECUTIVES FORUM

About Us Goals Triangle Healthcare Executives Deliver programs that bring local Forum of North Carolina (THEF) is a value to ACHE members assigned nonprofit membership association to our Chapter service region and an independent chapter of the Increase communication among American College of Healthcare healthcare management Executives (ACHE), a professional professionals society representing over 48,000 Advance members toward Fellow, members worldwide. THEF serves ACHE certification over 600 ACHE members who live Foster the development and and work in the 41 North Carolina implementation of best practices counties from the Raleigh-Durham in healthcare management area north to the Virginia border, Practice good financial east to the Outer Banks, and stewardship southeast to Jacksonville.

Our Vision The Triangle Healthcare Executives’ Forum will be the preeminent professional membership association for advancing healthcare leaders in the region.

Our Mission The mission is to facilitate professional development for healthcare leaders in the region and prepare them to shape local, regional, and national healthcare management practices.

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THEF THRIVE

8 Congrats to our newest FACHE fellows!

9 Member Spotlight: Kishan Shah

24 Upcoming Events

4 Message from the President 5 Message from the Regent 6 Chapter Performance Metrics & Welcome to New THEF Members 26 National News 28 Sponsorship 29 Stay Connected!

30 New Website is Live!

10 - 23 Chapter Event Synopses A Recap of THEF Events in Q2

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Feeling Inspired?

THEF THRIVE

Drive change.

Reach out if you’re interested in volunteering on one of the committees that keeps THEF moving forward. https://thefnc.org/Committees

MATT GITZINGER, PRESIDENT, THEF

Pursue Fellowship.

FACHE,

Begin your journey toward the FACHE credential and learn more here: https://thefnc.org/Advance_to_Fellow

Mentor others.

Dear Colleagues, As summer sets in and the pace of the year shifts just slightly, it’s a fitting time to pause and reflect on the growth, energy, and momentum we’re seeing across our chapter. This has been a season marked by meaningful conversations, proud recognition, and the steady leadership our field needs now more than ever.

We began with a thoughtful virtual panel on maximizing the impact of Advanced Practice Providers (APPs), featuring APP leaders from Advocate Health, Stanford Health, University of Pittsburgh Medical Center (UPMC), and SullivanCotter. Their insights— grounded in experience and delivered with real candor—shed light on the opportunities and challenges we face in ensuring APPs are fully integrated into our care delivery models and leadership teams.

The annual Summer Soirée has become one of our most anticipated traditions—and for me, it also marked a turning point in my career. We started this event six years ago to celebrate those who have earned the prestigious Fellow of the American College of Healthcare Executives (FACHE) credential. This recognition represents a deep commitment to lifelong learning, leadership, and service.

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At this year’s event, we heard from a panel of accomplished leaders who shared their own journeys and insights as catalysts for change in our industry.

Our Mentoring Program continues to thrive, with participants building the kinds of relationships that foster growth on both sides. As one leader wisely put it, “You are never too important to be a mentor, and never too experienced to need one.”

ACHE’s position is clear: those of us in leadership positions have a professional duty to guide, encourage, and support emerging leaders. Why? Because mentoring doesn’t just help mentees—it helps the mentor, the organization, and ultimately the patients we serve.

Mentoring ensures we’re not just building a workforce—we’re building a legacy.

And speaking of mentors who are building a legacy, Tom Hughes was presented the Senior Careerist Award by our own Regent for ACHE, Vi-Anne Antrum. Tom has left a lasting imprint on THEF and healthcare in our region. His leadership has been steady, impactful, and generous—exactly the kind of legacy that inspires others to lead with purpose and humility.

Support the next generation of leaders by reaching out to: mentorship@thefnc.org

I’m also pleased to share that THEF has once again received the Award of Chapter Distinction and the Award for Sustained Performance from ACHE. These recognitions reflect the dedication of our volunteers, members, and partners, and speak to the strength of this community we’ve built together.

While uncertainty continues to shape the healthcare landscape, whether through funding changes, workforce strain, or evolving patient needs, our purpose remains steady. The way we show up today as calm, compassionate, and courageous leaders will shape the direction of tomorrow. This summer, let’s continue to grow into that responsibility and support one another along the way.

Wishing you a season of reflection, renewal, and connection. We’ll see you in the Fall, with an abundance of education, networking, and Csuite roundtable opportunities.

See you out there, Matt

THEF THRIVE

I would like to highlight the significant achievement of surpassing the $1 million goal set

by Delvecchio Finley, FACHE, and William Santulli, FACHE, for the Healthcare Leaders of Tomorrow campaign. This milestone demonstrates our collective commitment to nurturing the next generation of healthcare leaders and ensuring a brighter future for our industry.

VI-ANNE ANTRUM, DNP, RN, FACHE REGENT FOR NORTH CAROLINA

Dear Wonderful Colleagues, I am thrilled to share the resounding success of the recent ACHE Congress held in Houston, where we welcomed over 7,100 attendees. This remarkable gathering provided a platform for healthcare professionals to exchange ideas, learn from each other, and forge new connections! The enthusiasm and dedication displayed by everyone present were truly inspiring.

I’m also incredibly proud of the momentum across our North Carolina chapters. Our chapters have been booming with events this summer! ACHE of the Triad held a Summer Symposium on June 27. THEF hosted a spectacular Summer Soirée, and ACHE of Greater Charlotte has been hard at work on their programming lineup alongside our Sandhills chapter. I’m so grateful for the opportunities provided by our North Carolina chapters!

Let us take a moment to honor the hard work and dedication of our nurses and hospital staff. Their unwavering commitment to patient care is the backbone of our healthcare system.

In May, we recognized the vital roles that mothers and mental health play in our lives and communities and acknowledged the powerful role women play in leadership in our organizations and at home! We also honored Memorial Day by remembering the brave men and women who made the ultimate sacrifice in service to our country. Their courage and dedication to protecting our freedoms are deeply appreciated.

Lastly, I encourage everyone to take some well-deserved time off during the summer months to refresh and recharge. It is essential for our well-being and effectiveness as healthcare leaders to take care of ourselves so that we can continue to care for others. In that spirit, I honor each of you for the tremendous work you do each day.

In service to you, Vi

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ACHE measures chapter performance annually based on four key performance criteria: net membership growth, education and networking performance, advancement of eligible members, and member satisfaction. We are working towards achieving the 2025 standard performance metrics.

Advancement of Eligible Members

Education & Networking Performance

Member Satisfaction

2025 Standard: 15.1 indexed attendee hours

2025 Standard: 4.1

2025 Standard: 16

2025 Standard: 7.2

Current Status: not yet assessed

Current Status: 2

Current Status: -7.4

Current Status: 8.5

Net Membership Growth

Here's how you can contribute to meeting our chapter performance goals while investing in your own professional development: Participate in chapter programming

Complete the Chapter Member Needs Survey in May

Earn your FACHE credential

Join ACHE or reinstate your membership

WELCOME NEW THEF MEMBERS! The following individuals joined ACHE or transitioned into the THEF Chapter this quarter.

We are happy to have you, and look forward to connecting at an upcoming chapter event!

Brett Moran Kaitlynn Remy Heidi Ambrose Christina Bowen Amy Yancy Mangum Tiffany Wilson Stephanie Naylor-Lillard Leigh Goller Jessica Teague Victoria Banks Ashlee Steeley Meghan Smith Jacob Holcomb Kate Svenson Sydney Billimack Dana Clifton Wenhuan Jiang Lori Srivastava

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Tiffany Mose Waqiah Ellis Heather Marstiller Michelle Carroll Bill Readdy Neal Seigler Andrew Core Mariana Rolinsky Ayat Soufan Carmel Hannah Christinna Haire Britney Bessarab Rafael Benitez Samano Sharon Perryman Keri Noeske Allen Stephens Vonte Hedgebeth Brooke McLaughlin

Arthur Roussillon Madison Warren Wade Bemmels Karen Holden Amy Johnson Cannae Mathews Darby Walser Melissa Fike Lauren Gregory Chukwudi Ubah Sheila Kelty Diane Sauro Melissa Fitzpatrick Patrick Fontaine Andrew Featherston Michael Lavender Jonathan Young

JOIN US TODAY...

AND START TAKING ADVANTAGE OF ALL ACHE HAS TO OFFER!

Have you renewed your membership for 2025?

REINSTATE NOW! JOIN

REINSTATE

RENEW

Join now to become eligible for members-only programs and discounted pricing at both the local and national levels. Click here to join.

Perhaps your membership has lapsed, and you've been meaning to reinstate it. Don't miss out on another year! Click here to access your pre-populated reinstatement application.

ACHE membership renewal is open. Timely renewal ensures your ACHE membership and THEF chapter affiliation remain intact with no lapse in membership. Click here to login to your ACHE profile and renew.

Benefits include a wide range of career resources, networking opportunities, access to mentorship, educational events, and much more!

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FELLOWSHIP ADVANCEMENT New Fellows LT Marie Noel Piekam, FACHE

Paul J. Marini, FACHE

New Bern, NC

Chapel Hill, NC

Recertified Fellows THEF congratulates our FACHEs who successfully recertified their Fellow credential with ACHE this past quarter. To recertify, Fellows must (1) complete 36 continuing education credits (12 of which must be ACHE-approved face-to-face), complete 2 Healthcare-related volunteer service activities, and complete 2 Community-related volunteer service activities, OR (2) retake and pass the Board of Governors Exam.

BG Keith W. Gallagher, LFACHE

Thomas F. Jenkins, Jr., FACHE

Shilpa P. Shelton, FACHE

Susan K. Gilmore, FACHE

Marlon Julius, FACHE

Carey Taylor, FACHE

Shirley S. Harkey, DHA, FACHE(R)

Adrienne P. Lloyd, FACHE

Clyde L. Thomas, II, FACHE

Joanna V. Herath, FACHE

David H. Long, Jr., FACHE

Travis Thompson, FACHE

Debra T. Hernandez, RN, FACHE(R)

Ana-Elis Perry, FACHE

Karen M. Volmar, JD, FACHE

How to become an ACHE Fellow Meet the eligibility requirements Submit your advancement application. Upon approval, you will have two (2) years in which you must take and pass the Board of Governors Exam When you become board-certified in healthcare management as an ACHE Fellow, you'll stand out from the crowd as a professional. Take a step toward elevating your professional status today and learn about the requirements to sit for the BOG Exam and the resources available to help you prepare.

Contact the THEF Fellowship Advancement Committee at advancement@thefnc.org for support.

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THEF THRIVE

Kishan Shah Strategic Services Associate, Duke Health Integrated Practice What inspired your career in the healthcare industry, and what is your current role?

My interest in healthcare began in 8th grade after a negative experience my grandfather had as a patient. I initially pursued a clinical path but discovered healthcare administration in college, where I saw the potential to make a broader impact. A grad school internship in ambulatory care led me to an Administrative Fellowship at Duke Health Integrated Practice (DHIP). As a Strategic Services Associate at DHIP, I work on projects that enhance ambulatory operations and expand access to high-quality care.

Why did you decide to join THEF? I first joined ACHE during grad school, where I got involved with the Central Florida chapter, volunteering on committees and serving in leadership roles on the student board. Those experiences were incredibly formative. They helped me build a network and learn from peers and leaders in ways I never expected. It became a core part of my graduate school journey.

When I moved to North Carolina for my Administrative Fellowship, I didn’t get involved in THEF right away.

However, over time, I realized something was missing: the sense of community, exposure to different perspectives, and the opportunity to connect with leaders across organizations and sectors.

That realization led me to join THEF and volunteer on a committee. Since then, I’ve had the opportunity to help plan events and meet so many incredible members. THEF and ACHE’s commitment to lifelong learning has been a huge value-add. I’m always impressed by how much I take away, not just from the events themselves, but from the conversations and connections that come with them.

What advice would you give to younger members who are earlier in their careers?

One of the most valuable lessons I’ve learned early in my career is the importance of pausing to reflect, not just on what you do, but why you do it.

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You don’t need to have every detail figured out, but having a clear sense of purpose can guide your decisions and keep you aligned with what truly matters.

What accomplishment from work are you most proud of?

Over the past few years, the accomplishment I’m most proud of isn’t tied to a single project or metric—it’s the personal and professional growth I’ve experienced. I’ve developed the confidence to lead initiatives, navigate complex challenges, and contribute meaningfully even in uncertain or ambiguous situations. That growth occurred faster than I expected, and it’s been incredibly rewarding to see how much more comfortable I’ve become with the nuances and unpredictability that often come with working in healthcare.

Learning to embrace ambiguity rather than resist it has helped me become a more adaptive, thoughtful, and effective contributor.

Do you have any content recommendations for our members?

The “Journal of Healthcare Management,” which is part of your ACHE membership, is a valuable resource for learning industry best practices, current events, and healthcare management-related research.

“Becker’s Hospital Review” – a daily newsletter with the top headlines in the healthcare industry.

“The Daily” podcast by The New York Times – a 30minute podcast that I can listen to on the way to/from work, that allows me to stay up to date on current events and news around the world. They do a great job of presenting the facts of issues in a way that is easy to digest, which has been especially important for me.

THEF THRIVE

Q2 2025

CHAPTER EVENT SYNOPSES

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THEF THRIVE

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MAY MEMBER HAPPY HOUR HI-WIRE BREWING IN DURHAM, NC

IMAGE: https://guide.in.ua/29131452

We look forward to seeing at the next Member Happy Hour on August 13th!

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THEF THRIVE

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29th Annual HESA/THEF Dinner Recap: Shaping the Future of Healthcare Policy

The UNC Healthcare Executive Student Association (HESA) and Triangle Healthcare Executives' Forum of NC (THEF) hosted the 29th Annual HESA/THEF Dinner in April. With over 95 members, students, and healthcare professionals present, we had an inspiring evening learning more about the political landscape of healthcare policy at both the state and national levels.

Jeffrey Sims, Associate Chair for Alumni and External Relations for UNC Gillings Health Policy and Management, moderated the panel, which included the following healthcare policy experts and industry leaders: Doug Heron, VP of Advocacy, Communications, and Policy, North Carolina Healthcare Association (NCHA) Christine Craig, Vice President, Government Affairs, WakeMed Health Allison Parker-Lagoo, Director, APCO Leah Burns Pfister, Vice President, System Affiliations and Integration, UNC Health

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THEF THRIVE As healthcare organizations navigate an increasingly politicized landscape, public trust in medical professionals remains strong. However, policy compromises are essential to ensuring sustainable solutions that improve population health, expand access to care, and address workforce challenges.

This year’s panel explored critical healthcare policy topics, including value-based care, consumer-driven healthcare models, and workforce sustainability.

Attendees gained insights into the evolving North Carolina healthcare budget, which faces challenges as it responds to federal policy changes that may involve potential cuts to healthcare funding.

Key policy concerns include Medicaid expansion, which could be impacted by federal funding reductions.

A clause in North Carolina’s Medicaid expansion bill states that if federal support is withdrawn, the expansion will cease, leaving many community members uninsured and healthcare facilities financially strained. The Healthcare Access and Stabilization Program (HASP) currently helps hospitals offset lower Medicaid reimbursement rates. However, funding shifts could threaten the impact of this program.

Additionally, federal Medicaid spending reductions may introduce work requirements for beneficiaries, shifting enforcement responsibilities to states.

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CHAPTER EVENT SYNOPSIS While some view this as a cost-saving measure, others warn of unintended consequences for vulnerable populations.

In an era of heightened polarization, traditional lobbying efforts are proving less effective, making grassroots advocacy more crucial than ever. Panelists encouraged constituents to engage with their representatives, join aligned organizations, and actively participate in shaping healthcare policy decisions.

In summary, the 29th Annual HESA/THEF Dinner provided attendees with valuable insights into the evolving healthcare policy landscape. The discussions highlighted key policy challenges, including Medicaid expansion, funding shifts, and the growing impact of federal and state healthcare decisions. As healthcare organizations continue to navigate these complexities, staying informed and engaged remains essential. This event fostered meaningful conversations and offered perspectives that will shape ongoing discussions about the future of healthcare in North Carolina and beyond.

Special thanks to our student leaders, Sophie Rojas and Andrea Macedo, and the planning committee for contributing to the success of this event. Additional gratitude goes to our sponsors for ensuring that the event remains affordable for our THEF and HESA members.

THEF THRIVE

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THEF THRIVE

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Thank You to our Corporate Sponsors!

Platinum

Gold

Constellation Quality Health NCHA Monarch

Advance Community Health United Healthcare Community Plan

Silver

Bronze

Ratio Health Solutions MindsparQ Proficient Health

Qualify Health

Interested in Sponsoring the 30th Annual HESA/THEF Dinner?

Contact HESA’s VP of Business Development Holly Harris at hharris1@unc.edu

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THEF THRIVE

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THEF SPRING MEETING Improving the Health Status of Your Community During the 2024 THEF Spring Meeting on April 24, a distinguished panel of healthcare leaders came together to explore how healthcare organizations are actively working to improve the health of the communities they serve. The panel, titled "Improving the Health Status of Your Community," highlighted the increasing importance of population health in organizational strategy, especially in light of healthcare reform and regulatory changes.

The discussion centered on how healthcare systems are integrating community health into their operations, leadership roles, and strategic planning.

Panelists shared real-world examples of initiatives aimed at addressing prevalent health issues, such as chronic disease, behavioral health, and social determinants like transportation and access to care.

They also discussed how their organizations measure the impact of these efforts and the importance of collaboration with local leaders and physicians.

The session underscored that a proactive, population-based approach to health is not only ethically sound but also essential for long-term sustainability and improved outcomes.

Moderated by Howard Whitfield, Chief Operating Officer of UNC Health Wayne and the panel included the following healthcare industry leaders: • Mary Blackburn, COO, Hugh Chatham Health • Wes Gray, Pitt County Health Director • Dr. Lisa Jordan, System Director of Health Equity and Quality Improvement, UNC Health

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THEF THRIVE

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Partnerships for Success: Public Health and Health System Collaboration The second panel focused on the evolving relationship between public health and healthcare systems, especially in the face of global health challenges. Panelists explored how collaboration, technology, and policy can work together to improve disease prevention, health equity, and care delivery.

Each speaker brought a unique perspective— from clinical innovation and hospital leadership to public health administration and community engagement. The conversation addressed the need for stronger partnerships, better disease surveillance, and more effective public health strategies to meet the needs of aging populations and underserved communities. The panel emphasized that breaking down silos between public health and health systems is essential for long-term success.

The illustrious panel was moderated by Lisa Shock, Chief Clinical Officer of Matter Health and the panel included the following healthcare leaders: • Lee Isley, CEO, UNC Health Nash • KaSheta Jackson, VP of Community Health, ECU Health • Tracey Simmons-Kornegay, Director, Duplin County Health Department

Thank you to our featured sponsor for contributing to the success of this event!

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THEF THRIVE

At this year’s Summer Soirée, we hosted a keynote panel featuring visionary leaders who have been shaping the future of healthcare through innovation, strategic foresight, and a commitment to inclusivity.

Khaylah Epps, Founder & CEO at Oma Health Alex Maiersperger, Global Healthcare Product Marketing Lead at SAS Tricia Garland, VP of Diversified Business Strategy, Planning & Performance at Blue Cross and Blue Shield of North Carolina

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Together, these speakers had exemplified the bold thinking and dedicated action needed to build a smarter, more equitable healthcare system. They brought a refreshing, non-traditional perspective on the future of healthcare, grounded in innovation, bold strategy, and real-world insight. From global healthcare trends to simplifying and reimagining affordability, this was a unique chance to hear directly from leaders who were challenging the status quo and inspiring smarter solutions across our industry.

THEF THRIVE

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Congratulations to all THEF members who became FACHE credentialed this year!

Special recognition to all our Mentorship Program Mentors and Mentees!

We were thrilled to celebrate the achievements and leadership within our healthcare community. A huge congratulations to the seven new American College of Healthcare Executives Fellows who earned their FACHE credential between July 2024 and June 2025.

Bertrand Beard, FACHE Kevin Corbin, FACHE Benjamin Doi, FACHE Marie Noel Piekam, FACHE Leisa Powell, FACHE Nina Ziemba, FACHE Paul Marini, FACHE

Mentor & Mentee(s) Angela Mayo & Kate Naper Brendan Melay & Jack Miller Cory Olivera & Autumn Dixon Dennis Campbell & Shoko Kashiwagi Emily Greene & Elizabeth Nixon Jack Miller & Youngone Kim Jennifer Woody & Kristina Eilbacher Jessica McGee & Lynroia Norwood Kevin Corbin & Riddhi Desai Latisha Williams & Tammy Whitley Collie Lee Isley & Isabelle Murphy Leslie Hopkins & Emily Holland Louis Thomas & Cory Olivera Matt Gitzinger & Erica Li, Shaista Sayeed Nina Ziemba & Andrea Macedo, Kathleen Ferrell Paul Marini & Aislin Salerno, Holly Harris Savannah Stallings & Mia Lopez-Calvo Susan Gueiss & Lauren Couri Swati Bhardwaj & Tajauna Carter Victor Reiss & Josh O'Neill Bruinsma

Your commitment to service and dedication to advancing healthcare leadership are truly inspiring!

Interested in pursuing board certification? Learn more about the application process and requirements online at https://www.ache.org/FACHE/. You may also contact our Advancement Committee to learn more about THEF member resources.

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We were honored to present the ACHE Regent Award to Tom Hughes in recognition of his outstanding leadership and countless contributions to our chapter!

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THEF THRIVE

Thank You to our featured sponsors for contributing to the success of this event!

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THEF THRIVE

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Utilization of the APP Workforce in the Current Healthcare Environment As healthcare systems evolve, the strategic integration and leadership of Advanced Practice Providers (APPs) has become essential to improving care delivery, workforce engagement, and operational efficiency. A recent virtual THEF panel discussion explored how organizations are leveraging APP leadership structures to address challenges and unlock value across their systems.

One of the most pressing challenges organizations face is high APP turnover, up to 20% in some cases. This has been linked to a lack of leadership clarity and professional fulfillment. Surveys revealed that APPs who reported to dedicated APP leaders were significantly more satisfied and less likely to leave. In response, many organizations have implemented formal APP leadership structures, which have demonstrated measurable returns. For example, one organization reported a 400% increase in professional work reviews over five years, resulting in improved patient access and team productivity.

Their guidance helps determine appropriate patient assignments and supports the development of policies that reflect the full capabilities of the APP workforce.

This leadership also contributes to broader team optimization. By evaluating workflows, APP leaders help redistribute tasks, ensuring that each team member operates efficiently. This cascading effect lifts the entire care team, improving engagement and performance across the board.

A key success factor highlighted by panelists was the importance of physician executive sponsorship. Having a respected physician leader advocate for APPs, especially in peer conversations and strategic discussions, has been a game-changer. These champions help remove internal barriers, support scopeof-practice decisions, and ensure APPs are seen as integral to the organization’s clinical leadership.

Equally important is the full integration of APP leaders into executive structures. Titles alone are not enough, true inclusion means having a seat at the table and To be effective, APP leadership must complement, not being empowered to influence decisions. Many duplicate, existing structures. APP leaders bring unique organizations are now aligning APP leaders under clinical and regulatory expertise that supports physician executives or COOs, creating parallel or departments such as compliance, HR, finance, and integrated leadership models that reflect the evolving legal. Their involvement ensures that APPs are deployed role of APPs. appropriately, avoiding costly misalignments like hiring APPs for roles better suited to other professionals such To ensure long-term success, organizations must clearly as nurse navigators or educators. define the scope, competencies, and strategic goals of APP leadership roles. This includes avoiding personIn addition to appropriate deployment, APP leaders help dependent models and instead building sustainable define role clarity across the care team. This ensures structures based on leadership capabilities, not just that physicians, APPs, nurses, and support staff all work clinical excellence. at the top of their licenses. The result is improved efficiency, reduced burnout, and enhanced patient care. Measuring impact is also critical. Scorecards and Beyond role clarity, APP leaders are instrumental in metrics that track outcomes such as turnover, educating teams on the nuances of APP training and productivity, access, and engagement help maintain scope of practice, which vary by state and specialty. visibility and justify continued investment.

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THEF THRIVE

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Utilization of the APP Workforce in the Current Healthcare Environment During the COVID-19 pandemic, organizations with strong APP leadership were able to pivot quickly, redeploying APPs to telehealth and critical care roles. In contrast, others struggled due to a lack of structure and foresight.

Panelists emphasized that APP leaders must evolve from being seen solely as clinicians to being recognized as healthcare executives. This shift requires fluency in organizational strategy, financial metrics, and systemwide thinking. When APP leaders are empowered in this way, it elevates not only their role but the entire APP workforce.

Despite this progress, barriers remain. Cultural resistance, outdated compensation models, restrictive bylaws, and historical misconceptions continue to hinder APP optimization. Overcoming these challenges requires intentional review, expert guidance, and open dialogue. Having a knowledgeable APP leader at the table helps uncover root causes, shift mindsets, and drive meaningful change.

For new APP leaders, the first 30 to 90 days are especially critical. Priorities should include building relationships, understanding organizational metrics, and creating visibility into APP contributions. Many APPs lack access to their own productivity data or insight into their business impact. Leaders must bridge this gap by surfacing key metrics and aligning APP performance with organizational goals.

Panelists also stressed the importance of data-driven advocacy. Scorecards that track key performance indicators not only justify the existence of APP leadership structures but also protect them during times of crisis. For example, during the pandemic, organizations with strong APP leadership were able to pivot quickly and maintain continuity of care.

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Ultimately, APP leaders must be seen not just as clinical experts, but as strategic healthcare executives. By speaking the language of strategy, finance, and operations, they elevate both their own roles and the broader APP workforce, ensuring that APPs are recognized as essential contributors to organizational success.

The integration of APP leadership is no longer optional; it’s a strategic imperative. By aligning leadership with purpose, organizations can enhance workforce satisfaction, optimize care delivery, and realize a strong return on investment. As one panelist noted, “All boats are rising together,” underscoring the transformative impact of elevating APPs through thoughtful, collaborative leadership.

This virtual panel was moderated by Britney Broyhill, Chief Advanced Practice Executive, Advocate HealthNC/GA Division, and the panel included the following healthcare leaders: Clair Kuriakose, VP, Chief Advanced Practice Officer, Stanford Health Ben Reynolds, Chief Advanced Practice Officer, UPMC Joel Villegas, Consulting Manager, SullivanCotter

JULY 2025

THEF THRIVE

UPCOMING Q3 EVENTS 1 AUGUST HAPPY HOUR August 13, 2025 5:30 - 7:30 PM EDT Actalent Office - Raleigh 4300 Edwards Mill Road Raleigh, NC 27612

2 2025 RURAL HEALTH SYMPOSIUM

August 21 st - 22 nd , 2025 9:00 AM - 4:00 PM EDT Eastern AHEC 2600 W Arlington Blvd.

Greenville, NC 27834

3

ANNUAL FALL SUMMIT October 17, 2025 Friday Center 100 Friday Center Dr. Chapel Hill, NC 27517

Click here to visit our Events page for upcoming opportunities.

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QUARTER 2

SAVE THE DATE

10.17.25 From Capitol to Community: Navigating Federal Disruption in Local Healthcare

Get ready for powerful conversations at the intersection of policy and practice. You don’t want to miss this!

October 17th | The Friday Center | Chapel Hill, NC July 2025 Quarter 2 | Page 25

NATIONAL NEWS Joint Commission cuts standards by 50% in sweeping overhaul

Nearly 55% of physicians feel valued by their organization

How Health Care Remade the U.S. Economy

Joint commission now examines just 774 standards during accreditation.

This has been framed as a effort to reduce regulatory burden, uphold trust and help organizations achieve the highest level of safety and quality.

Does this mean 45% of physicians do not feel valued? Physicians and other health professionals are reporting a growing sense that they are valued by their organizations.

Healthcare represents about ⅓ of all employment growth in the US, according to the U.S. Bureau of Labor Statistics (BLS).

This redesign is called, Accreditation 360: Then New Standard. This redefines CMS conditions of participation. Additionally, this change also brings with it 14 critical categories.

Some of the redacted regulatory requirements include redundant language. For example, All U.S. Hospitals are smoke free but we see language about how to regulate smoking.

Additionally the committee responsible for these changes looked at value add when considering the burden of enforcing the regulations.

“If there might be some utility but the effort was so disproportionate that the juice wasn’t worth the squeeze, we got rid of it,” Jonathan Perlin, MD, PhD, president and CEO of The Joint Commission Enterprise.

These findings are a result of more than 18,000 responses, from 43 states and more than 100 health systems. these findings were part of the Organizational Biopsy, a tool developed by the American Medical Association (AMA), designed to examine; Organizational Culture, Practice Efficiency, Self-Care, and Retention.

For the last 3 years physicians have reported positive gains on feeling valued. In 2022, 46.3% of physicians reported feeling valued and in the subsequent years it has grown to 50.4% and 54.5% in subsequent years.

This findings were stratified by gender.

Women physicians reported feeling valued at 51.6%, under the average.

Men however over reported feeling valued at a rate of 58.2%

Physician subspecialties had nearly a Accreditation 360: Then New Standard 6% variation between the top and and it’s manual will become effective bottom. Hospital medicine was lowest Jan. 1. With it comes a stronger focus at 50.6%, and family medicine felt most on data and encourages performance valued at 56.4% metrics to be compared between systems.

The AMA Health System Program suggests solutions such as reducing the use of phrases such as “providers” More information at Becker’s Hospital in place of “physicians.” Additional Review solutions include professional development, and improved communication.

Listen here AMA News Wire July 2025 Quarter 2 | Page 26

Health-related work grows despite the national financial position. In 2000, 9% of the total workforce was represented by health-related work, today it is 13%. BLS released a report in the fall of 2024 which predicted a, slowed, 0.4% increase annually in the next decade.

This was not considered in the context of recent legislation.

Wage growth in health care has outpaced the average across all industries at +60%, compared to +34%.

This has been attributed to growth in scope for those that are not educated through medical school. Future health professionals also continue to experience limited opportunity to attend medical school, represented by limited slots.

Growing wages may also be a response to increased access, thus more demand. Additionally, Utilization rates are steadily growing as a response to the chronic disease process.

Globalization has driven down the cost of consumer electronics, textiles, and groceries.

Despite the status quo, growth may not be as stable in the post pandemic era.

Recent legislation, health care efficiencies, and looming structural unemployment may drive down demand for labor.

Read more here New York Times

Credits Creative Directors

Contributing Writers

Christian Bergevin, UNC Health Dolapo Busuyi, ECU Health Holly Harris, UNC Chapel Hill Isabelle Murphy, UNC Chapel Hill Babar Iqbal, UNC Chapel Hill Matt Gitzinger, FACHE, UNC Health Alliance Vi-Anne Antrum, FACHE, Cone Health Kishan Shah, Duke Health Christian Bergevin, UNC Health Dolapo Busuyi, ECU Health Holly Harris, UNC Chapel Hill

President President-Elect Immediate Past President Treasurer Secretary

Matt Gitzinger, FACHE, UNC Health Alliance Trent Beach, FACHE, UNC Health Tom Hughes, FACHE, WakeMed Health & Hospitals Paul Marini, UNC Orthopedics Nina Ziemba, FACHE, UnitedHealth Group

President Advisory Council

Tom Hughes, FACHE, WakeMed Health & Hospitals Ana-Elis Perry, FACHE, UNC Health Katie Troxler, FACHE, Duke Health Swati Bhardwaj, FACHE, Southern Atlantic Healthcare Alliance Emily Greene, FACHE, Duke Health

2025 Committee Chairs

Ashley Mahan, UNC Health Paul Marini, UNC Orthopedics Margarita Khosh, Commerce Bank Jessica McGee, FACHE, UNC Health Susan Gueiss, FACHE, Duke Health Integrated Practice Savannah Stallings, Duke Health Kishan Shah, Duke Health Euniqua Bullock, Duke Hospital Timothy Stapleton, HonorBridge Jennifer Woody, UNC Health Brian Cocks, Baxter International Inc. David Long, FACHE, ECU Health

THEF THRIVE www.thefnc.org

July 2025 Quarter 2 | Page 27

Thank you to our THEF Sponsors GOLD

SILVER

Become a THEF Sponsor!

Click Here for more Information on becoming a 2025 Sponsor!

Sponsors play a critical role in facilitating the professional development for healthcare leaders in the region.

For additional information contact sponsorship@thefnc.org 2025 Sponsorship Chair: Brian Cocks July 2025 Quarter 2 | Page 28

ENGAGE WITH THEF ON SOCIAL MEDIA Follow THEF on social media platforms and tag us in your ACHE/THEF related posts.

Be sure to visit us frequently on the THEF website for event details and program updates!

FOLLOW OUR LINKEDIN PAGE

Stay Connected!

Are you planning on attending an upcoming THEF event?

Have you attended another industry-related event that your THEF colleagues should know about?

If you've answered yes to either, we want to hear from you!

Feel free to send short write-ups and/or photos to communications@thefnc.org

July 2025 Quarter 2 | Page 29

CHECK OUT OUR NEW WEBSITE!

We’re proud to debut our revamped website, designed to be your dynamic hub for leadership, networking, and growth. Whether you're advancing your career or driving impact in your community, this digital space brings THEF’s mission to life!

With over 700 members across 41 counties, THEF is a force for change, and now it's easier than ever to connect and engage.

Explore the new experience at https://thefnc.org Thank you to our THEF Board of Directors and the Communications Committee for their contributions to this transition!

July 2025 Quarter 2 | Page 30

JULY 2025

THEF THRIVE

QUARTER 2