Hawai'i-Pacific Chapter
A quarterly e-newsletter for the Hawai'i Pacific Chapter of ACHE Vol. 4
In This Issue
Messages from Chapter Leadership
Message from your ACHE Regent
Message from the Chapter President
Articles of Interest
Ask an Exec!
PwC Health Research Institute Predicts Industry Trends for 2018
Calendars and Recent Events
2017 Hawai'i Healthcare Leadership Conference
Calendar of Events
Calendar of Educational Events
News & Committee Updates
News from the Education Committee
News from the Guam Committee
Updates for Students
Membership Report: New Fellows, Members, and Recertified Fellows
ACHE Resources
ACHE National News
Career Corner
Ensure delivery of Chapter E-newsletter (Disclaimer)
Many thanks to our Sponsors!
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Which event would you be most excited to attend in 2018?
Social Mixers
Face-to-Face Educational Events
Qualified Education Opportunities
Panel Presentations

Jen Chahanovich, FACHE

Nick Hughey, FACHE

Micah Ewing

Chuck Tanner, FACHE

Suzie So-Miyahira

Nancy Hana


Josh Carpenter | Education

Emiline LaWall | Communications

Bobbie Ornellas, FACHE | Diversity

Tamara Pappas | Membership

Gidget Ruscetta, FACHE | Director

Angel Vargas, FACHE | Director

Denise Della

Art Gladstone, FACHE


ACHE Resources
ACHE National News

Call for Proposals: Management Innovations Poster Session

ACHE is inviting authors to submit narratives of their posters for consideration for the 34th annual Management Innovations Poster Session to be held at ACHE's 2018 Congress on Healthcare Leadership. We are interested in innovations addressing issues affecting your organization that might be helpful to others, including improving quality or efficiency; improving patient or physician satisfaction; implementation of electronic medical records; using new technology; and similar topics. All accepted applicants are expected to be available to discuss their posters on Monday, March 26, 2018, between 7–8 a.m. and posters will remain on display at Congress from March 26–28, 2018.

Please visit ache.org/CongressPosterSession for the full selection criteria and submission instructions. Submissions will be accepted through Jan. 16, 2018

Register Now for the 2018 Congress on Healthcare Leadership

Registration is open for ACHE's 2018 Congress on Healthcare Leadership, to be held March 26–29, 2018, at the Hyatt Regency Chicago. The annual Congress on Healthcare Leadership brings you the best in professional development, opportunities to network with and learn from peers, and the latest information to enhance your career and address your organization's challenges in innovative ways.

Convene at the 2018 Congress and benefit from countless opportunities to learn, grow and "be part of something bigger." Join the conversation with #ACHECongress in all of your social media posts. Visit ache.org/Congress and register now.

Students: Advance Your Career Using ACHE's Postgraduate Fellowship Directory

Once you've earned a master's degree in a healthcare management program, a postgraduate fellowship may be the competitive edge you'll need to move forward in your career. ACHE's Postgraduate Fellowship Directory is up-to-date, free and easy to use. View listings for hundreds of opportunities around the United States at ache.org/Postgrad.

Healthcare Newsbriefs

Individual Insurance Enrollment Rate Under ACA Continues to Drag

The pace of people signing up for individual insurance under Obamacare slowed significantly during the fourth week of 2018 enrollment, Reuters reports. Nearly 37 percent fewer people signed up for the healthcare plans during week four compared to the previous week. The U.S. Department of Health and Human Services said that 504,181 people signed up for 2018 Obamacare individual insurance in the 39 states that use the federal government website HealthCare.gov for the week ended Nov. 25, down from 798,829 people in the previous week. New consumer sign-ups fell to 152,243 from 220,323 in the previous week. Despite the slowdown, enrollment is up from last year.

"Sign-up Pace Much Slower in Week 4 of 2018 Obamacare Enrollment"
Reuters, Nov. 29, 2017

Providers Look to Expand Telemedicine Services Overseas

Fueled by surging demand among patients and providers, telemedicine is spreading rapidly throughout the healthcare system, according to the 2017 Foley Telemedicine and Digital Health Survey. Hospitals, specialty clinics and other healthcare organizations have overcome past hesitations, and are now embracing telemedicine's potential to provide quality services and generate revenue regardless of geography. In fact, more than half of the respondents surveyed by Foley & Lardner LLP said they offer or are interested in offering international telemedicine. Those who are interested appear to be moving fast: More than 80 percent said they plan to implement international telemedicine within three years.

"2017 Telemedicine and Digital Health Surveys"
Foley & Lardner LLP, Nov. 8, 2017

Physician Employment By Hospitals Increases Medicare Costs

A 49 percent increase in physician employment by hospitals caused Medicare costs for four healthcare services to rise $3.1 billion between 2012 and 2015, according to a new study released by the Physicians Advocacy Institute. The analysis shows that for four cardiology, orthopedic, and gastroenterology services—colonoscopy, arthrocentesis, echocardiogram and diagnostic cardiac catheterization—Medicare paid $2.7 billion more for services performed in hospital outpatient settings, with beneficiaries facing $411 million more in financial responsibility for these services than they would have if they were performed in independent physicians' offices. "This study underscores the fact that independent physicians continue to provide patients with affordable, quality care every day," said Kelly Kenney, executive vice president/CEO, PAI.

States, Insurers Collaborate to Prevent Bare Counties

Although the Affordable Care Act marketplaces were beginning to stabilize in 2017, policy uncertainty led many insurers to re-evaluate participation for 2018. Researchers discovered insurers and states could prevent bare counties by cooperating in areas such as regulations and premium pricing. Specifically, the study found states could use regulatory measures to ensure insurer participation. Four measures the states used included clarifying means for meeting regulatory standards; allowing flexibility in plan offerings and reviews of premiums; sharing data on claims history; and allowing plans to assume no reimbursement for cost-sharing reduction payments when filing their rates. Though these measures were successful, the study also revealed a strong consensus among both state regulators and insurers that these stopgap measures are unsustainable without long-term federal action.

Corlette, S.; Hoadley, J.; Hoppe, O.; Lucia, K.;and Palanker, D.
"Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018"
Robert Wood Johnson Foundation, November 2017

Study: Patient Satisfaction Associated With Clinician Denial of Some Requests

Clinician denial of some types of requests was associated with worse patient satisfaction with the clinician, but not for others, when compared with fulfillment of the requests, according to a recent JAMA Internal Medicine study. The researchers examined satisfaction scores related to several common requests—referral, pain medication, antibiotic, other new medication, laboratory test, radiology test, or other test. Compared with fulfillment of the respective request type, clinician denials of requests for referral, pain medication, other new medication, and laboratory test were associated with worse satisfaction scores. "In an era of patient satisfaction-driven compensation, the findings suggest the need to train clinicians to deal effectively with requests, potentially enhancing patient and clinician experiences," the study concluded.

Fenton, J.; Jerant, A.; Kravitz, R.; et al.
"Association of Clinician Denial of Patient Requests With Patient Satisfaction"
JAMA Internal Medicine, Nov. 27, 2017

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