Hawaii - Pacific Chapter of ACHE

Fall 2016 Issue

Message from your ACHE Regent, Fall 2016

Jen Chahanovich, FACHE

I wanted to thank all the members and guests that attended our annual breakfast on July 27th.  Our guest speaker was George Greene, President & CEO of the Healthcare Association of Hawai‘i.  George gave an excellent overview of the 2016 State Legislative Session and ended with trends, challenges and opportunities that we face going forward.
 

Aloha Chapter Members–

I wanted to thank all the members and guests that attended our annual breakfast on July 27th.  Our guest speaker was George Greene, President & CEO of the Healthcare Association of Hawai‘i.  George gave an excellent overview of the 2016 State Legislative Session and ended with trends, challenges and opportunities that we face going forward.


George Greene, President, CEO HAH at the 2016 Breakfast

If you were unable to attend the breakfast and would like a copy of George’s presentation - let me know and I can forward you a copy.  Additional resources for Health Reform Topics can be found on the ACHE website – a few of the topics are listed below:

  • Delivering Accountable Care
  • Coping with Financial Challenges of Lowered Reimbursement
  • Meeting Clinical Staffing Demands
  • Building Medical Staff Relationships
  • Improving Quality and Patient Centered Care
  • Increasing Access to Care in Your Community
  • You can find these links and more at ACHE.org

Finally at our annual breakfast - two of our chapter members received the Regent Healthcare Executive Award.  The criteria for the Regent award are:

  • A member of the ACHE
  • Demonstration of leadership ability
  • Demonstration of innovation and creative management
  • Executive capability in developing his or her organization and promoting its growth and stature in the community
  • Participation in local, state, or provincial hospital and health association activities
  • Participate in civic/community activities and projects
  • Demonstration of participation in ACHE activities and interest in assisting ACHE in achieving its objectives

Both of our awardees exceeded the criteria - congratulations to Kathy Raethal, FACHE from Castle Medical Center and to Selma Yamamoto from the Queen’s Health Systems for their outstanding commitment to the health care profession.



Selma Yamamoto (Left) receives her Regent Award, Jen Chahanovich (Right)

Thank you again for supporting our local Chapter.  I am available for questions about the chapter or ACHE – please feel free to contact me on my cell or e-mail.

Jen H. Chahanovich, FACHE
President & CEO
Wilcox Medical Center
Office:  808-245-1122
Cell:      808-524-6644
Jen.chahanovich@wilcoxhealth.org

Message from the Chapter President, Fall 2016

Art Gladstone, FACHE

It is hard to believe that it is time to sit down to write the President’s message for the fall newsletter as it seems like I just wrote the summer one!  How time does fly.  It certainly has been a busy time during the summer months with our usual high paced environments coupled with the number of tropical storms and hurricanes that have threatened our state, all certainly adding to our busyness. 

Aloha,

It is hard to believe that it is time to sit down to write the President’s message for the fall newsletter as it seems like I just wrote the summer one!  How time does fly.  It certainly has been a busy time during the summer months with our usual high paced environments coupled with the number of tropical storms and hurricanes that have threatened our state, all certainly adding to our busyness.  I trust that you all were able to manage through the impacts that the storms did have on our islands.  I also hope too that you were able to enjoy the summer whether travelling or just enjoying some R&R.

While summer has come and gone, the ACHE Chapter and Board continues their dedication and commitment to the organization and to you our members.  On July 27, 2016 we held our annual ACHE Membership breakfast at the Hawai‘i Prince Hotel.  Our event always precedes the Annual Meeting of the Healthcare Association of Hawai‘I, which too was held at the Hawai‘i Prince and so we were fortunate this year to host as our guest speaker Mr. George Greene, President and Chief Executive Officer of the Healthcare Association of Hawai‘i (HAH).  The breakfast was very well attended by ACHE members, with some great networking opportunities amongst colleagues and the presentation of Regent awards by Jen Chahanovich.  Our speaker, Mr. Greene, then provided several highlights of the past legislative session along with the status of the bills that were both supported and opposed by the Healthcare Association.  The presentation was followed by a question and answer session and it was quite evident, based upon the number of great questions, that we have a very engaged membership who are interested in the legislative process.  I believe we all walked away from the presentation with a deeper appreciation of how complex the legislative process can be, as well as, a gratefulness for the Healthcare Association and for all of the time and work effort that they put in to ensure that we as an industry are well represented in this legislative process.  We all appreciate Mr. Greene’s time and presentation and for his recognition of the value of our ACHE organization.  A special thank-you to the team that pulled this great event together!

As we move into the fall months there are lots of opportunities for our members.  We have another social mixer coming up on October 4th.  This event is meant to encourage networking amongst our members in an informal setting and to talk story.  Please plan to attend and RSVP soon.  Additionally our conference, in partnership with the American Organization of Nurse Executives (AONE) is coming up November 9th and 10th.  The conference, Leadership in Action, Partnering for Success is sure to be a great one with many excellent speakers lined up over the two days.  We are very happy to partner with the AONE in providing this conference as this demonstrates a commitment from both of our professional organizations to our members and to our community of health care leaders.  I truly hope that you all take advantage of this great educational opportunity.  Please find more information on the conference and the social throughout this newsletter and also more information can found at our Chapter’s Website at http://hawaii.achechapter.org/

Finally, I would like to once again acknowledge our hard working and committed board and committee members.  Our chapter is active!  This is not only evidenced through the many events that are highlighted but also in what we have seen in the membership activity.  We have had 31 new members join ACHE so far this year, we have had 5 Fellows recertify, and we have had 5 members become new Fellows.  Congratulations to you all!  This truly is fantastic and noteworthy…. all while at the same time keeping an eye on those numerous tropical storms and hurricanes surrounding our island state!

I look forward to seeing you all in the upcoming months.

Art

Original Articles by ACHE Members

Physician Partnerships in the Age of Healthcare Transformation

Dale Glenn, MD

Perhaps never before has the need for successful partnership between administration and physicians been more important than during the great age of healthcare transformation. Since 1910, when the Flexner report was published, government regulation of healthcare has expanded exponentially.  Physicians who traditionally spent nearly all their time caring for patients now need to give equal weight to satisfying compliance requirements, meaningful use, PQRS, preauthorizations, quality metrics, HCC coding, patient experience, and a plethora of other metrics coming soon to a computer near you.

Perhaps never before has the need for successful partnership between administration and physicians been more important than during the great age of healthcare transformation. Since 1910, when the Flexner report was published, government regulation of healthcare has expanded exponentially.  Physicians who traditionally spent nearly all their time caring for patients now need to give equal weight to satisfying compliance requirements, meaningful use, PQRS, preauthorizations, quality metrics, HCC coding, patient experience, and a plethora of other metrics coming soon to a computer near you.

To succeed we must find common ground.  In addition to my clinical practice, I have been involved in various leadership roles while installing an EMR for multiple hospitals,  establishing a population health program, setting up the Hawaii Health Partners Accountable Care Organization (ACO), serving as chief of my department, and on the Hawaii Pacific Health Board of Directors.  I have had the opportunity to gain perspective from both clinical and administrative sides of the fence.  Nevertheless, because I still find reading an Xray to be easier than reading a budget, I have learned first hand that partnership is critical to transforming healthcare.  Hopefully the following suggestions will assist you to build successful physician-administrative partnerships.

1.  Its about the patient.  While physicians may have their own agendas, for the most part people who choose medicine do so in order to be a benefit to society.  Assume good intentions. You should be clear on what your shared mission is, and how your partnership will help achieve it.  The formula relationship, task, relationship is also beneficial in establishing trust.

2.  Have an effective change management model.  Whether you use Kotter, have recently read Dan Heath’s Switch, or my personal favorite, the Knoster Model, you will see change is a process, not an event.  Change is far more emotional than it is intellectual.  Individuals adapt differently to change, and so does culture.  Rolling workflow changes out "big bang" will be met with resistance from the late adopters and curmudgeons unless you demonstrate success using pilots among known early adopters.  These pilots can then be used to convince thought leaders that the change is not only practical, but bearable.  So before burning any platforms, have your firefighting gear in place.

3.  Doctors respond well to clinical data.  Medical school is all about anatomy, physiology and biochemistry with a little psychology to round it out (though bedside manner is making a serious comeback).  Any opportunity to show that a process truly improves the health of patients will be met with less resistance.  For instance HCC coding isn’t about medicare reimbursement, it is about identifying the sicker patients within a practice so we can get them get better resources.  Meaningful use, done correctly, helps patients communicate with their doctor and understand their diseases better.  These statements are only useful if supported by data.  So do your internet searches and be prepared to show the positive impact of your proposal on patient care.

4.  Seek to understand then to be understood.  Whether you are approaching one physician or many, effective rounding and communication begins with "what can I do to make your job easier?"  After you have sincerely understood and can articulate the challenges facing your clinicians, your own proposals will be much better recieved.  Physicians don’t have to feel like they are in control, but they do have to feel like their opinions count.

5.  Invest in effective physician leaders.  Physicians respond best to physicians. Invest in training, conferences, reading, journal clubs, to identify and develop physicians with a proclivity toward leadership.  Those with good people skills who have the respect of their peers are especially effective.  Protect their administrative time: there is no such thing as "part time clinical" because patient care issues can erupt any time day or night.

Effective physician partnerships are the key to success in this healthcare environment.  With a common mission and carefully established trust, your organization will be able to ride the waves of change to a better experience for your staff, your patients, and your full time administrators.

Collaborative Partnerships - ACHE, AONE, and HSCN

Cynthia Gaddy RN, BSN, MBA

In a time of major healthcare transformation, it is more critical than ever before that we as healthcare leaders work together to stay ahead of the curve.

Both American College of Healthcare Executives (ACHE) and American Organization of Nurse Executives (AONE) strive to promote advocacy, professional development, research, and health care policy changes in Hawaii.  Often many of our members cross over both organizations.  The question has become if our goals are often the same how can we work together in our efforts?  In a time of major healthcare transformation, it is more critical than ever before that we as healthcare leaders work together to stay ahead of the curve.  Changes in government regulations, requirements, and policies can feel overwhelming.  Preparing to take on these challenges will take the best mentors, educators, technicians, innovators, and industry leaders. Everyone has a role in improving healthcare in our community.


      

The good news is this is what we have in our organizations combined.  Over the last year we have united ACHE, AONE, and the Hawaii State Center for Nursing in a collaborative partnership to provide scholarships, educational credits, and a venue to network within a 2-day conference to be held in November.  We will together support the next generation of leaders with scholarships to further education and discuss support of academic progression.  Sessions will be held on how to influence legislation and to review Hawaii’s shared value of health. Dynamic talks will be held on diversity in leadership and implications of culture on healthcare.  The outcome from this wonderful opportunity has been a partnership that can help to move healthcare in Hawaii to new levels.  It will be exciting to see the forward progress of both organizations as we continue to educate, collaborate, and advocate side by side over the next year.

Chapter Events

Leadership in Action - Partnering for Success: The 2016 AONE Hawai'i Conference

Micah Ewing, MBA

When Richard and I discussed a theme for this quarter's newsletter, I certainly wanted to focus on perhaps our most important and beneficial event which defines our chapter and the great work we are doing:  the 2016 Annual AONE Conference.  We felt it appropriate to match the theme of  that conference, which is "Leadership in Action:  Partnering for Success." 

 

When Richard and I discussed a theme for this quarter's newsletter, we agreed to focus on perhaps our most important and beneficial event which defines our chapter and the great work we are doing with our partnership with the AONE and HSCN:  The 2016 Annual AONE Conference.  We felt it appropriate for the theme of our Fall Newsletter to match the theme of  this conference, which is "Leadership in Action:  Partnering for Success." 

It is with this frenetic pace and complexity in our industry that I feel it is all the more important that we focus on leadership and 'partnering for success'. This partnership has many facets--whether it's between physician and organizational leadership, communities, institutions, departments, or even our own family members.    

Indeed, this is my plea for you to register and attend this conference--come partner with us and take advantage of this opportunity.  Last year's conference was truly amazing and boasted hundreds of attendees, dozens of vendors, a decorated cast of speakers, incredible food, and an evening social event that presents a tremendous networking opportunity for healthcare leaders.


The 2015 AONE Conference in the Main Ballroom of the Royal Hawaiian

And, we expect this year to be even better!  A few highlights of this year's conference:

  • ACHE members receive 4.0 face-to-face and 7.25 QEC credits towards your FACHE credential!
  • An elite array of speakers discussing a variety of leadership topics:
  • Julie Kennedy Oehlert, CAO, UCSD - Culture:  Implications in Health Care
  • Cole Edmonson, CNO, Texas Health Dallas - Disruptive Innovation..
  • Daniel Zismer, PhD - Clinical Service Line Strategies..
  • Jonathan H. Burroughs, MD, CEO - How we can Succeed in Health Care Transformation
  • Hall of Fame Speaker Leann Thiemann, LPN - Self Care for Health Care..
  • Patty Harvey, SVP, Kaiser Permanente - Interdependent Leadership & Diversity
  • Michael Frisinia, PhD, CEO - Creating an Engaged and Committed Workforce 
  • Royal Hawaiian Hotel, overlooking the lawn and beach.
  • Evening social--amazing food and drinks at sunset

ACHE members have been extended the AONE member rate of only $395 for the 2 days.

 We look forward to seeing you there! Please RSVP now at:  http://www.aonehawaii.org/save-the-date 


OPPORTUNITY FOR FREE ADMISSION

If the cost is a concern, please consider applying for one of our scholarships to reimburse you the full cost of the conference.  We have extended the deadline for application, so take advantage of free admission and apply! Please click on the link at the bottom of our website:  http://hawaii.achechapter.org/ or email Hawaii@achemail.net for more information! 

Calendars

Calendar of Events for Fall 2016

Richard Giardina, FACHE

The Fall 2016 Calendar of Events for ACHE, Hawaii Chapter.

September 2016 September    
Su M Tu W Th F Sa 09/05/16 (Mon) Labor Day Holiday
        1 2 3 09/23/16 (Fri) AONE Scholarship Deadline Other  
4 5 6 7 8 9 10 09/23/16 (Fri) Fall Newsletter Other Chapter Event
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30  
             
October 2016 October    
Su M Tu W Th F Sa 10/04/16 (Tue) Fall Social Mixer, Hasr Bistro;  6-8PM Other Chapter Event
            1 10/10/16 (Mon) Columbus Day Holiday
2 3 4 5 6 7 8 10/24/16 (Mon) United Nations Day Holiday
9 10 11 12 13 14 15 10/31/16 (Mon) Halloween Holiday
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31          
November 2016 November    
Su M Tu W Th F Sa 11/06/16 (Sun) Daylight Saving (move clocks back 1 hour) Other  
    1 2 3 4 5 11/09/16 (Wed) ACHE/AONE Hawaii Event Chapter Education Event
6 7 8 9 10 11 12 11/10/16 (Thu) ACHE/AONE Hawaii Event Chapter Education Event
13 14 15 16 17 18 19 11/11/16 (Fri) Veterans Day Holiday
20 21 22 23 24 25 26 11/24/16 (Thu) Thanksgiving Holiday
27 28 29 30      
             
December 2016 December    
Su M Tu W Th F Sa 12/16/16 (Fri) ACHE Winter Newsletter Other Chapter Event
        1 2 3 12/24/16 (Sat) Christmas Eve Holiday
4 5 6 7 8 9 10 12/25/16 (Sun) Christmas Day Holiday
11 12 13 14 15 16 17 12/31/16 (Sat) New Year's Eve Holiday
18 19 20 21 22 23 24
25 26 27 28 29 30 31
             

Education Calendar for Fall 2016

Richard Giardina, FACHE

Fall 2016 Education Calendar. Take advantage of numerous educational opportunities!

EVENTS THIS QUARTER:

Chapter education events, webinars, and cluster events! Use this calendar to plan out your educational and credentialing opportunities. Cluster events are highlighted in blue and chapter education events in red.  

Click on events for more details.

 

September 2016 September    
Su M Tu W Th F Sa 09/05/16 (Mon) Labor Day Holiday
        1 2 3 09/28/15 (Mon) San Diego Cluster (4 Day) ACHE Education Event
4 5 6 7 8 9 10 09/29/15 (Tue) San Diego Cluster (4 Day) ACHE Education Event
11 12 13 14 15 16 17 09/30/15 (Wed) San Diego Cluster (4 Day) ACHE Education Event
18 19 20 21 22 23 24 San Diego Cluster (4 Day) ACHE Education Event
25 26 27 28 29 30  
             
October 2016 October    
Su M Tu W Th F Sa 10/10/16 (Mon) Columbus Day Holiday
            1 10/13/16 (Thu) Election 2016:  Implications… ACHE Education Event
2 3 4 5 6 7 8 10/24/16 (Mon) San Diego Cluster 2016 ACHE Education Event
9 10 11 12 13 14 15 10/25/16 (Tue) San Diego Cluster 2016 ACHE Education Event
16 17 18 19 20 21 22 10/26/16 (Wed) San Diego Cluster 2016 ACHE Education Event
23 24 25 26 27 28 29 10/27/16 (Thu) San Diego Cluster 2016 ACHE Education Event
30 31           10/24/16 (Mon) United Nations Day Holiday
10/31/16 (Mon) Halloween Holiday
November 2016 November    
Su M Tu W Th F Sa 11/06/16 (Sun) Daylight Saving (move clocks back 1 hour) Other  
    1 2 3 4 5 11/07/16 (Mon) Atlanta Cluster 2016 ACHE Education Event
6 7 8 9 10 11 12 11/08/16 (Tue) Atlanta Cluster 2016 ACHE Education Event
13 14 15 16 17 18 19 11/09/16 (Wed) ACHE/AONE Hawaii Event Chapter Education Event
20 21 22 23 24 25 26 11/10/16 (Thu) ACHE/AONE Hawaii Event Chapter Education Event
27 28 29 30       11/09/16 (Wed) Atlanta Cluster 2016 ACHE Education Event
              11/10/16 (Thu) Atlanta Cluster 2016 ACHE Education Event
11/11/16 (Fri) Veterans Day Holiday
11/24/16 (Thu) Thanksgiving Holiday
December 2016 December    
Su M Tu W Th F Sa 12/05/16 (Mon) Orlando Cluster ACHE Education Event
        1 2 3 12/06/16 (Tue) Orlando Cluster ACHE Education Event
4 5 6 7 8 9 10 12/07/16 (Wed) Orlando Cluster ACHE Education Event
11 12 13 14 15 16 17 12/08/16 (Thu) Orlando Cluster ACHE Education Event
18 19 20 21 22 23 24 12/24/16 (Sat) Christmas Eve Holiday
25 26 27 28 29 30 31 12/25/16 (Sun) Christmas Day Holiday
              12/31/16 (Sat) New Year's Eve Holiday

News & Committee Updates

News from the Education Committee

Maj Angel Vargas, FACHE

On November 9-10, we will be holding a joint conference with the American College of Nursing Executives.  Our Chapter is sponsoring three distinct panel/speaking events with dynamic speakers all across the Healthcare Leadership and Management spectrum.  Some of our dynamic panelists/speakers, include Dr. Jonathan Burroughs (Burroughs Healthcare Consulting Network), Dr. Michael Frisina (The Frisina Group & Center for Influential Leadership) and Ms. Patti Harvey (Kaiser Permanente & Care Management Institute).

Aloha Team Hawai’i Pacific. It has been a busy year for our Chapter and it is only getting better.

On November 9-10, we will be holding a joint conference with the American College of Nursing Executives.  Our Chapter is sponsoring three distinct panel/speaking events with dynamic speakers all across the Healthcare Leadership and Management spectrum.  Some of our dynamic panelists/speakers, include Dr. Jonathan Burroughs (Burroughs Healthcare Consulting Network), Dr. Michael Frisina (The Frisina Group & Center for Influential Leadership) and Ms. Patti Harvey (Kaiser Permanente & Care Management Institute).

Good news!  Our continuing education credits have been formally approved! There will be up to 4.0 Face-to-Face Education Credits and 7.25 Qualified Education Credits at this year’s event.  This is a great value for the $395.

In addition, our Education Committee is dedicated to help you achieve your academic and professional development goals.  As mentioned in our last newsletter , we have secured three ACHE Board of Governors Exam (BOG) Study Sets available for checkout (a $240 value). There are staged at three (3) locations: two on Oahu and one on Kauai. To sign-out for usage, you simply have to be a current member of ACHE, an active member in our Hawai'i-Pacific Chapter, and be eligible (or near eligible) to test for the BOG Exam. If qualified, please send an email  to achehawaiieducation@gmail.com.  If you are interested in organizing or being a part of a BOG exam study group here on island, please let us know.

Next, below are some direct ACHE links to make your advancement to fellow a whole lot easier:
• Steps to Advance:
https://www.ache.org/mbership/credentialing/steps.cfm
• BOG Reference Material:
https://www.ache.org/mbership/credentialing/EXAM/referencemanual.cfm
• BOG Study Set:
https://www.ache.org/publications/product.aspx?pc=2198S
• BOG ACHE Review Course (19 Face-to-Face Credits/$1475): https://www.ache.org/mbership/credentialing/EXAM/exam-review-course.cfm 

Finally, the Education Committee continues to seek out energetic, detail-oriented individuals to help create, coordinate and/or volunteer at events. If interested in joining our team, contact me any time. 

Thank you again for all your support, engagement and desire for growth within the Healthcare Industry. 


Major Angel L. Vargas, MBA, MHA, FACHE
Email:
achehawaiieducation@gmail.com
Cell: (219) 808-7355

Membership: New Fellows, Members, and Recertified Fellows

Nick Hughey, RN, MBA

The Hawaii-Pacific Chapter continues to have a strong  year with  continued membership growth.

 

The Hawaii-Pacific Chapter continues to have a strong year with  continued membership growth.

The Hawaii-Pacific Chapter's efforts in hosting events and  providing educational programs toward credentialing are definitely making a  difference. I am always available to present if you or your organization ever wants information on ACHE and benefits of membership. If individuals are interested, I can certainly make time to follow up and discuss and provide information as well. Thank you to everyone that is planning to attend and helping coordinate our Fall information session and social mixer on October 4 at Hasr Bistro from 6-8:30 PM. I encourage all members to attend. This is a tremendous networking opportunity and great way to hear about all of the great work our chapter and members are  doing throughout Hawaii and Guam.

Below is a list of members who have joined ACHE, the Members who have passed the Board of Governors Exam and the Fellows who have advanced or recertified.

June
  Sally Belles, Kapolei
  SFC Jeremy A. Lochabay, Honolulu
  Bruce D. Mitchell, Honolulu
  LTC Laura D. Nugent, Honolulu
  Lisa Ann S. Shiroma, Hilo

July
  Stephanie M. Burkhart, Kailua
  COL Michael W. Cruz, MD, Tamuning
  LCDR Jacob Quail, Agana Heights
  SGM Larry Reyes, Honolulu
  Capt Nicole G. Stanley, Honolulu
  COL Deydre Teyhen, PhD, Wahiawa

August
  Capt Michael Estacion, JBPHH
  Bryan C. Patterson, Lihue

September
  Carrie Hermosura, Kilauea
  Capt Emily K. Jarding, Honolulu
  Cherie Martyn, Honolulu
  Robyn M. Polinar, Kapolei

News from the Guam Program Council

Chuck Tanner, FACHE, President, GLPC ACHE

This year’s election session is in full swing with a record number of candidates running. The streets are full of campaign signage and it seems every weekend is an event.

Hafa Adai from Guam!

I find it hard to believe that summer is over and soon the shopping aisles will be full of Christmas and the sounds of the holidays will fill our ears.  Before the festivities begin however we have an election to conduct.  This year’s election session is in full swing with a record number of candidates running. The streets are full of campaign signage and it seems every weekend is an event.  Elections are a “full contact” sport here on our island. An advantage of our small size is our personal contact with our representatives. It is actually uncommon not to see a Senator or even the Governor at our local events. The access we have to our elected officials should be envied by our stateside brothers. Of course we watch from afar the national election and attempt to speculate how the change of administration will affect our island. Soon we will know!

Since our last newsletter we have seen a change of command at US Naval Hospital and welcome now Captain Dan Cornwell to the helm. To show that the world is a small place, Captain Dan was my classmate; Baylor Bears Class of 1995. It is good to reunite with him though both of us have grayed a little since then. As of this writing the military is completing Valiant Shield 16 so Guam is being visited by numerous sailors, airmen and marines.  Welcome to Guam!

This summer was extremely busy for the leadership of the GLPC and the calendar did not allow for the membership to get together. We look forward however to coming events this fall and if we can keep everyone on island we will find a good time slot to do that. If not, maybe we can just do a social hour given the holiday spirit.

On the legislative side, beyond the election, there are several healthcare related bills in the works. As mentioned last time, Bill 277-33 called on the Guam Economic Development Authority to launch a Request for Information so prospective contractors could provide information on how to transition the operation of the hospital to a public-private partnership. The end date for submission has come and gone and the final report from GEDA is due the end of September. It will be interesting to see what this request returns. For more information on this and other bills check out the legislative website at http://www.guamlegislature.com/index.htm .

In closing and keeping with our collaborative and educational mission we are happy to share items of interest in healthcare with our members. To affect this, we have an email group of Guam members and if members have an event they would like to share, you may send me the information and I will pass it on. This service is also available for our Hawaii friends too. Just send me an email and I will add you to the list. (For privacy, I send information BCC)

Until next time,


Si Yuus Maase
Chuck Tanner, FACHE
Chucktanner88@gmail.com
President, GLPC ACHE

 

Fall 2016 Financial Report

Selma Yamamoto

We are entering Fall 2016 in strong financial standing.

We are entering Fall 2016 in strong financial standing.  Mahalo to all of our sponsors who support our chapter.  The Hawaii Pacific Chapter has a current balance of $54,189.53 and the Guam account has a balance of $374 as of 9/7/16.

ACHE National News - Fall 2016

Richard Giardina, FACHE

ACHE National News for Fall 2016.

 

ACHE Wants Your Input on Our Strategic Plan
ACHE annually examines its strategic plan with a continuing focus on meeting the evolving needs of its membership and of the healthcare management field. Each year, proposed refinements to the strategic plan are reviewed and discussed at the Board of Governors meeting that takes place in June, with final revisions presented and approved in November.

If you would like to provide your feedback, please take a moment to review the draft 2017–2019 Strategic Plan (PDF) and send us your thoughts, comments and ideas for improvement.

Please direct your email response to Megan Silverman, Strategic Project Manager, ACHE, at msilverman@ache.org. The deadline for comments is Oct. 21, 2016.

 

Save Time and Money with ACHE Self-Study Program
Earn ACHE Qualified Education credits by completing a course through ACHE's Self-Study Program. Self-Study courses are portable and ready for you anytime—at home, in the office, and more. Topics include finance, human resources, leadership and management. Each course is worth six hours of ACHE Qualified Education credit. Take advantage of ACHE's special offer: Purchase one self-study course and receive a second course at 50 percent off. Review a list of available courses and corresponding Health Administration Press books and place an order.

 

ACHE Offers Tuition Waiver Assistance for Education Programs

To increase the availability of ACHE educational programming for Members experiencing economic hardship, ACHE has established the Tuition Waiver Assistance Program.

ACHE makes available a limited number of tuition waivers to Members and Fellows whose organizations lack the resources to fund their tuition for education programs. Those in career transition also are encouraged to apply. Tuition waivers are based on financial need and are available for the following ACHE education programs:

Congress on Healthcare Leadership

Cluster Seminars

Self-Study Programs

Online Education Programs

Online Tutorial (Board of Governors Exam preparation)

ACHE Board of Governors Exam Review Course

All requests are due at least eight weeks before the program date, except for ACHE self-study courses; see quarterly application deadlines on the FAQ page of the tuition waiver application for complete information. Incomplete applications and those received after the deadline will not be considered. Recipients will be notified of the waiver review panel's decision at least six weeks before the program date. For ACHE self-study courses, applicants will be notified three weeks after the quarterly application deadline.

If you have questions about the program, please contact Teri Somrak, associate director, Division of Professional Development, at (312) 424-9354 or tsomrak@ache.org. For more information, visit ache.org/Tuitionwaiver.

 

Healthcare Newsbriefs

Nearly Half of U.S. Physicians Plan to Accelerate Their Retirement Plans
Struggling to keep up with a changing healthcare field has caused morale among physicians to hit a low point, according to the results of a biennial survey commissioned by the Physicians Foundation. The report, titled 2016 Survey of America's Physicians: Practice Patterns and Perspectives, includes responses from more than 17,000 physicians. Based on the results of the survey, 48 percent of respondents plan to cut back on hours, retire, take a non-clinical job, switch to "concierge" medicine or take other steps to limit patient access—marking an increase from roughly 44 percent in 2014. The decrease could translate to a reduction in force of tens of thousands of physicians.

Deba, N.
"Survey of Over 17,000 Physicians Finds Shifting Practice Patterns Limit Patient Access to Care"
CooperKatz & Co. for the Physicians Foundation, Sept. 21, 2016

Anthem-Cigna, Aetna-Humana Mergers Could Limit Patient Access to Care
In 2015, Anthem announced plans to acquire Cigna, and Aetna announced plans to acquire Humana, to little opposition from state regulators. Two new analyses released Wednesday by the American Medical Association suggest the insurance mergers may exceed federal antitrust guidelines and cause harm across numerous markets. In fact, the analyses reveal the Anthem-Cigna merger would reduce competition in 121 metropolitan areas across 14 states and the Aetna-Humana merger would reduce competition in 57 metropolitan areas across 15 states. According to AMA President Andrew W. Gurman, MD, the mergers would also "threaten healthcare access, quality and affordability."

Smith, T.
“New Analyses Support Blocking Pending Insurance Mergers"
AMA Wire, Sept. 21, 2016

EpiPen Spending Soars Among Elderly Patients and Medicare Beneficiaries
The number of prescriptions written for Medicare patients rose 164 percent between 2007 and 2014, from 80,000 users to more than 211,000, according to a new report. During that same time, the cost of EpiPens rose, translating to a total program spending increase of nearly 1,100 percent. During the seven-year period studied, average out-of-pocket spending for Medicare beneficiaries with drug coverage nearly doubled per EpiPen, from $30 to $56. The study, conducted by the Kaiser Family Foundation, comes amid House Committee on Oversight and Government Reform hearings over EpiPen price increases.

Appleby, J., and Carey, M.
“It's Not Just For Kids: Medicare EpiPen Spending Up 1,100 Percent”
Kaiser Health News, Sept. 21, 2016

CDC and Florida Officials Allocate Additional Funds, Resources to Fight Zika
In response to the ongoing spread of Zika virus, the Centers for Disease Control and Prevention has spent $2.5 million on laboratory resources for several states, including Florida, the Miami Herald reports. Gov. Rick Scott—who has repeatedly criticized the federal government for failing to provide adequate resources to combat Zika—visited the Wynwood neighborhood of Miami this week and announced he ordered more equipment and staff for the effort as well. The Florida Department of Health is also doing its part by reviewing its Zika testing procedures to speed up results, State Surgeon General Celeste Philip, MD, told the Herald.

Chang, D.
"Zika Testing Gets a Boost With More Lab Supplies and Staffing”
Miami Herald, Sept. 20, 2016

U.S. Adoption of Value-Based Care Rated 'Moderate' in New Report
The Economist's Intelligence Unit and Medtronic reviewed literature, research, international advisory panel recommendations and conducted interviews with industry experts to determine how 25 different countries are progressing toward value-based care. According to the resulting report, the United States falls in the middle of the pack. The U.S. scored moderately in three categories—enabling policy and institutions for value in healthcare; integrated and patient-focused care; and outcomes-based payment approach—and earned high marks for measuring outcomes and costs. The country's performance puts it on par with Australia and Japan, though all three nations excelled in different categories. Sweden was ranked highly aligned to value-based care overall, followed by the United Kingdom.

Rappleye, E.
“U.S. Has Made Moderate Progress in Value-Based Care Compared to 25 Countries”
Becker's Hospital Review, Sept. 21, 2016

Adults Age 50 and Older Fail to Engage in Physical Activities
Roughly 31 million adults aged 50 years or older are physically inactive, meaning they engage in no physical activity beyond what was required for work, according to a new study. That translates to about one in four adults in the United States. Leading such a sedentary lifestyle can contribute to serious health consequences and impact a person's length and quality of life, according to Kathleen B. Watson, PhD, of the National Center for Chronic Disease Prevention and Health Promotion's Division of Nutrition, Physical Activity, and Obesity. The study was based on data from the 2014 Behavioral Risk Factor Surveillance System, with included responses from 276,919 people.

MacReady, N.
“More Than 1 in 4 Adults Get No Regular Exercise, Study Shows”
Medscape Medical News,Sept. 15, 2016

 

 

 

 

 

 

Career and Leadership

Career Corner

Richard Giardina, RN, MPH, CIC, FACHE
We are happy to provide a link to the new Career Edge link to the ACHE career development resources. We hope that you will find this helpful in the development of your career at any level. 

Career Development Resources

ACHE's Healthcare Executive Resource Center has compiled the following resources to assist you with your healthcare management career development:


Remember that ACHE provides 3 primary resources to assist with Career Development:

  1. Introducing CareerEDGE™  (available as a complimentary benefit to ACHE members). 'CareerEdge' is a resource available to assist in this planning process. Check it out!
  2. The ACHE Job Center is a database of employment opportunities and positions in healthcare.
  3. The Career Resource Center.

If you have any questions, please contact one of the board members or send an email to our chapter email account: hawaii@achemail.net

Mahalo.

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Many thanks to our Sponsors!


            



           

 

          

 

 

                       


    

                                     

                                    

   

 

   

  

                                              

 

Collaborative Partnerships

In a time of major healthcare transformation, it is more critical than ever before that we as healthcare leaders work together to stay ahead of the curve.

 

Cynthia Gaddy RN, BSN, MBA

Both American College of Healthcare Executives (ACHE) and American Organization of Nurse Executives (AONE) strive to promote advocacy, professional development, research, and health care policy changes in Hawaii. Often many of our members cross over both organizations. The question has become if our goals are often the same how can we work together in our efforts? In a time of major healthcare transformation, it is more critical than ever before that we as healthcare leaders work together to stay ahead of the curve. Changes in government regulations, requirements, and policies can feel overwhelming. Preparing to take on these challenges will take the best mentors, educators, technicians, innovators, and industry leaders. Everyone has a role in improving healthcare in our community. The good news is this is what we have in our organizations combined. Over the last year we have united ACHE, AONE, and the Hawaii State Center for Nursing in a collaborative partnership to provide scholarships, educational credits, and a venue to network within a 2-day conference to be held in November. We will together support the next generation of leaders with scholarships to further education and discuss support of academic progression. Sessions will be held on how to influence legislation and to review Hawaii’s shared value of health. Dynamic talks will be held on diversity in leadership and implications of culture on healthcare. The outcome from this wonderful opportunity has been a partnership that can help to move healthcare in Hawaii to new levels. It will be exciting to see the forward progress of both organizations as we continue to educate, collaborate, and advocate side by side over the next year.