American College of Healthcare Executives
Hawaii/Pacific Regent's Message, Spring 2010
In This Issue

Message from the Regent - 2010
Hawaii Congressional Candidates Speak On Healthcare Reform
Make Listening a Key Component of Your Leadership Strategy
Ensure delivery of Chapter E-newsletter (Disclaimer)

Chapter Officers

Kevin Roberts, FACHE

Jay Duquette

Stan Berry, FACHE
Christi Keliipio

LTC Ellen Daly, USA

Earl Greenia, PhD, FACHE

Gertie Francoise

Coral Andrews, RN

Maria Kostylo
Message from the Regent - 2010

Hawaii/Pacific Regent's Message, 2010
Aloha Hawaii-Pacific Chapter members,
I've often wondered, even after 30 years in the healthcare field, "when and what were the good ol' days like?” Was it way back in the 1970s before DRGs and managed care and RACs? Was it even before that when new therapies were being discovered like antibiotics, antisepsis, and open heart surgery? It is natural as human beings to long for something in the past. But I suggest that, as Carly Simon said, "These are the good ole days!" (Of course she sang that song about 30 years ago, so you could argue that those were the good ole days, but that defeats my point!)
Why is TODAY the good ole days of healthcare? Well, if you look at some of the signals, you'd think I'm crazy! Considering the rising cost of healthcare, the number of uninsured, the unbelievable burden of regulation, it might seem a little bleak. But, consider these facts too. We are riding the wave of unprecedented quality and safety improvements. Through projects like core measures, IHI 5 Million Lives Campaign, national patient safety goals, surgical care improvement program, we are saving more lives than ever before. Our current technology leaves the processes of the past in oblivion. I remember (yes I've been around that long) when a heart attack was catastrophic almost every time. Before thrombolytics and stenting you either died on the spot or suffered for weeks on drips and ventilators only to hope for survival. And then, you were on high powered antiarrhythmics, needed an AICD or both, and were still likely to suffer lifelong heart failure. Not to mention amazing advances in cancer treatment and minimally invasive surgery. And, what about genomics? We barely know what promise that holds for the future! 
Yes, it is a privilege to be a healthcare leader in the 21st century. I just hope that we keep up the momentum so that we hand off even better quality and safety to our successors in the future. Yes, these ARE the good ole days!

Kevin A. Roberts, FACHE
Regent, Hawaii-Pacific

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