Regent's Message: "Better with Less"

Kevin A. Roberts, FACHE

Regent's Message Summer 2010

I recently attended the annual meeting of the American Hospital Association (AHA) in Washington, DC.  As you may know, this organization represents hospitals across America in the world of policy and politics.  They are highly cross-pollinated and in communication with ACHE. This helps to secure two strong pillars of healthcare:  advocacy (AHA) and advancement (ACHE).

When I attend a conference I try to take back as many new or improved ideas as possible. The best quote I heard at this particular conference was from Richard J. Umbdenstock, FACHE, and AHA President. During his keynote address, he emphasized that in the new world of health care reform we must all be prepared to do "better with less." This is a dramatic improvement on the term "more with less." The "more with less" concept simply implies that you work harder to achieve better results, though with less resources. The "better with less" idea challenges us as current and future healthcare leaders to use all the technologies and intellectual resources at our disposal to give America a better return on their healthcare spending.

Thought this is a somewhat daunting task, we have newer and more reliable tools at our disposal to meet this challenge than ever before. The quality revolution in healthcare has shown that unnecessary variation is both dangerous and incredibly expensive. Therefore, as we identify (usually in association with out physician colleagues) the waste in the system, we can truly do better for less! Health information technology (HIT) is also beginning to show some promise, especially as health systems apply computerized provider order entry (CPOE). Studies are showing that once this is integrated with evidence-based triggers and alerts, that there are less errors and more consistent care (I thought I remain optimistic and confident in HIT transforming healthcare over time, I am also quite aware of the challenges to change management, time consumption, etc.).

The fundamental reality is that with the percent of gross domestic product for healthcare continuing to increase, we MUST achieve savings on operations while improving quality. I, for one, am just happy to know that if we work together and use these and other tools at our disposal, we will succeed. If we faced this challenge without reliable tactics it would be truly discouraging. So, I plan to spend the rest of my career making sure that we deliver better care, for less.


Kevin A. Roberts, FACHE
President and CEO, Castle Medical Center
Regent, Hawaii/Pacific

"From Roots to Wings" with Dr. Thomas Atchison

Gertie Francoise

 Earn 6 Category I ACHE Credits but seating is limited so sign up early!

                          SEATS STILL AVAILABLE!   SIGN UP NOW!

     The Hawaii-Pacific Chapter of ACHE is sponsoring an opportunity to earn 6 Category I ACHE credits to local participants in Hawaii.  This is an excellent opportunity for chapter members to enhance their professional growth without the hassle of airplane reservations, expensive hotel costs or several lost work days.   However, seating is limited to the first 40 participants, so it is important for members to sign up early to ensure their reservation.   Mark your calendars and sign up early!

        Wednesday, September 29, 2010 -- 8:00 AM  to 5:00 PM 

     Mr. Thomas A. Atchison, Ed.D,  will present "From Roots to Wings - The Twelve Variables that Sustain Organization Success" at the Kaneohe Marine Corps Base Officers' Club.  Participant cost for Hawaii Pacific Chapter of ACHE Members is $275; cost for non-members of Hawaii-Pacific Chapter of ACHE is $300; and the student member cost is $200.  Cancellations must have been in writing and received no later than September 2, 2010 for full credit or refund, less a $50 processing fee.  No refunds for cancellations were permitted after September 2, 2010.  Your registration includes breakfast, lunch, nonalcoholic beverage and an afternoon snack.  Dr. Atchison is an excellent presenter and comments from past participants in his seminars have been overwhelmingly positive.  For more information, please contact



ACHE Chairman in Hawaii

Gertie Francoise

Mark Your Calendars!

The Hawaii-Pacific Chapter of ACHE Board is offering the opportunity to hear from the current Chairman of the American College of Healthcare Executives (AHCE) in Hawaii on October 20, 2010. Chapter members and guests should mark their calendars to be sure not to miss this opportunity to participate in this exciting Hawaii Chapter event.

           Wednesday, October 20, 2010 -- 7:00 AM to 8:30 AM

Mr. Christopher D. Van Gorder, FACHE, is President and Chief Executive Officer of Scripps Health in San Diego, California. He is board certified in healthcare management and serves as the 2010-2011 Chairman of ACHE. Mr. Van Gorder will speak at the annual meeting of the Hawaii-Pacific Chapter of ACHE from 7:00 AM to 8:30 AM and at the Healthcare Association of Hawaii Annual Meeting from 1:30 PM to 3:00 PM. Mr. Van Gorder has an extensive background in healthcare administration and also serves as a commissioner of the California Emergency Services Commission, as well as serving his second term as a commissioner for the United States National commission for UNESCO. In addition, Mr. Van Gorder is a clinical professor in health administration at the University of Southern California where he also serves on the Healthcare Administration Advisory Board of the university's School of Policy, Planning and Development. Look for more information on Mr. Van Gorder's presentation topic, place and registration procedures. Be sure your email is current with ACHE to get future updates for this program.


"Managing Your Career in Turbulent Times"

Gertie Francoise

Come join your fellow ACHE chapter members!

The Hawaii-Pacific Chapter of ACHE is presenting another professional enhancement opportunity for local members and guests on November 9, 2010 with a presentation by the District 5 Regent-at-Large, Mr. John G. Faubion, MBA, FACHE. Mr. Faubion has been an active healthcare professional in the Los Angeles area for more than 30 years both as an operations manager and a senior consultant. In 1992, he established Faubion Associates, an executive search firm specialising in the healthcare industry. His presentation topic, "Managing Your Career in Turbulent Times" is right on target in today's ever-changing healthcare environment filled with multiple and varied challenges for all ares of the healthcare administration field. For reservations to this event, members and guests may contact Mr. Stan Berry at or 808-348-7561. ACHE affilliates pay $20 and guests pay $25, which also includes breakfast and validated parking at the Hawaii Prince Hotel in Honolulu. Send checks payable to ACHE Hawaii Pacific, c/o HAH, 388 Ward Avenue, Suite 400, Honolulu, Hawaii 96824. Fees can be paid at the door but attendance is limited to the first 40 participants.

100-Bed Private Hospital in Guam's Future

LtCol Kara Gormont

The Joint Guam Program Office has identified a significant hospital bed shortage on Guam. For the past two years, the Guam Healthcare and Hospital Development Foundation has engaged in research and fostered collaborations in the mainland, Japan and the Philippines for the development of a privately financed, privately owned and privately managed hospital in Guam. Property for the project is now subject to a land Purchase Agreement with the sale expected to close on or before November 5, 2010. They have worked to gather data on critically short medical specialties to include those services in the hospital design/build. The demand for services is great and is evident by the number of patients that out-migrate from Guam to hospitals in Manila, Honolulu, Los Angeles and San Francisco. One thing that Guam has going in its favor for physician recruitment is that Guam is designated by the United States Public Health as a "Physician Shortage Area" and also as a "Medically Underserved Area." These designations are helpful in that physicians that choose to work in Guam can apply for a student loan repayment. The average medical school graduate has $200,000 in student loans when they complete school. This program allows up to 25% of their debt to be forgiven for each year they work on Guam. There is now a development team in place for this project which includes a developer, investors that have pledged $75 Million for the project, an architect, investment banking firm and DCK Guam which is a large DOD contractor on Guam and Hawaii with over $1.6 Billion in hospital construction management and construction experience. The design will include physician offices within the hospital complex and the ability to expand up to an additional 100 extra beds.  POC is Peter R. Sgro, Jr., President & Chairman, Guam Healthcare & Hospital Development foundation, Suite 102, 116 Chalan Santo Papa, Agana, Guam 96910 (Telephone: (671) 477-4772 or email:

Hawaii Gubernatorial Candidate Forum

John Kawamoto

Pictured left to right are Kevin Roberts, Coral Andrews, Neil Abercrombie, Stan Berry, Mufi Hannemann and George Greene

The Healthcare Association of Hawaii (HAH) and the Hawaii-Pacific Chapter of the American College of Healthcare Executives (ACHE) jointly sponsored a gubernatorial candidate forum on August 25, 2010. The event featured former Congressman Neil Abercrombie and former Honolulu Mayor Mufi Hannemann. Lt. Governor James "Duke" Aiona was invited but declined to participate.

Members of HAH and ACHE were invited to the event which was held at the Manoa Grand Ballroom of the Japanese Cultural Center. The forum was designed to afford members of HAH and ACHE an opportunity to find out how the candidates stand on healthcare issues.  Each candidate gave an overview of their views on healthcare, then responded to five questions that were provided in advance. The questions addressed such issues as strengthening Hawaii's healthcare infrastructure, developing public/private partnerships and generating adequate funding for Medicaid. The candidates also responded to questions from the audience.

New Chapter Treasurer

Gertie Francoise

Hawaii-Pacific Chapter of ACHE bids Aloha to LTC Ellen Daly

Fond wishes of Aloha and Mahalo go out to LTC Ellen Daly who has served as Treasurer for the Hawaii-Pacific Chapter of ACHE during the past year. LTC Daly was a dynamic addtion to the Chapter Board and is largely responsible for spearheading the upcoming ACHE seminar featuring Tom Atchison which will be held later this month (September) at the Kaneohe Marine Corps Base Hawaii. (The seminar offers local ACHE members the opportunity to earn 6 Category I credit hours without the need to travel to the mainland.)  Her enthusiasm, ready smile and general "can do" work ethic added greatly to the success of many of this year's chapter events. No doubt her enthusiastic skills will be welcomed by all those who are fortunate to work with her in her next new adventures. Mr. Lance Segawa has graciously answered the call to fill the position of Chapter Treasurer left open with the departure of LTC Daly. 

Other Pacific ACHE Chapter Contacts

Gertie Francoise
Hawaii-Pacific Chapter of ACHE members in Guam and Okinawa are alive and well!


At a recent Department of Defense, TRICARE Management Activity conference on Customer Service and Communication, I discovered a fellow ACHE member who let me know that ACHE is alive and well in Okinawa! Since Okinawa is in the Pacific, I thought it appropriate to include brief contact information for those ACHE members in Okinawa interested in participating in local ACHE Chapter events. LCDR Lonnie S. Hosea, the Officer in Charge at Branch Medical Clinics Camp Hansen and Camp Schwab US Naval Hospital Okinawa would be a good starting point to find out about local ACHE Chapter activities going on in Okinawa. Contact him at


Hafa Adai!  Hawaii-Pacific Chapter of ACHE members residing in Guam also have an opportunity to network with other ACHE members residing in Guam. The Guam ACHE Local Program Council President is LtCol Kara A. Gormont, USAF, MSC. She can be reached at or call 671-366-3230 for information about upcoming ACHE activities in Guam and to get involved!



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