Hawaii - Pacific Chapter of ACHE

Vol. 3

Messages from Chapter Leadership

Message from your ACHE Regent

Jen Chahanovich, FACHE

I wanted to report about several successful events from the last few months.

Aloha Chapter Members– I wanted to thank all the members and guests that attended our annual breakfast on July 18. Our guest speaker was Hilton Raethel – the new President & CEO of the Healthcare Association of Hawai‘i.

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

• A member of 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 Major Angel L. Vargas, FACHE from the Air Force and Chuck Tanner, FACHE from Guam. Thank you both for your outstanding commitment to the healthcare profession.

Thank you again for supporting our local chapter – please feel free to contact me on my cell or email if you have questions.

Jen H. Chahanovich, FACHE
Regent for Hawaii/Pacific
Wilcox Medical Center
President & CEO
Office:  (808) 245-1122
Cell:     (808) 524-6644



Message from the Chapter President

Nick Hughey RN, MBA, FACHE

Healthcare administration is a dynamic and ever changing set of skills and acumen.  ACHE and our chapter provide incredible education and networking opportunities.

Aloha Hawai'i-Pacific Chapter Members -

I am so honored to be serving with such a distinguished and committed board of directors, committee chairs and an amazing chapter! I also feel so blessed to be able to call Hawaii home. The Hawaii-Pacific Chapter has members from all areas of healthcare and we are so fortunate to have a large military contingent supporting our chapter working aside our community healthcare leaders as we ensure that educational and opportunities are provided for our members!  

As I mentioned in the last newsletter, the nation continues to see changes in the healthcare landscape and a benefit of staying connected through ACHE is a solid and consistent way to stay on top of changes and connect with other healthcare leaders facing the challenges.

Mahalo to all those of the Hawaii-Pacific Chapter members who attended the Honolulu ACHE cluster in September. The chapter supported members with 10 partial scholarships! The chapter also partnered to host the annual healthcare leadership conference November 2-3 at Royal Hawaiian Hotel. This was a great conference, and I always love the opportunity to network with our chapter members!

As always, I want to thank all of our members for their commitment to strong quality healthcare leadership in Hawaii. If I can be of any assistance or help in any way, please feel free to contact me.


Nicholas Hughey, RN, MBA, FACHE
President for Hawai‘i-Pacific Chapter of ACHE

Waianae Coast Comprehensive Health Center
 Chief Operating Officer
 Office: (808) 697-3516  
 Fax:    (808) 697-3687


Recent Events

2017 Hawai'i Cluster

Delma Guervara

The ACHE Communications Committee interviewed a few of this year’s scholarship recipients who attended this year's educational cluster event.

The ACHE Hawai‘i-Pacific Chapter hosted its 2017 education cluster from September 11-14. During this 4-day event participants had a unique opportunity to gain valuable knowledge on a variety of healthcare subjects, including seminars on “Increasing Health Care Leadership Performance” and “The Force Behind Strategy.”

The event was held at the Hyatt Regency in Downtown Waikiki.

The ACHE Communications Committee interviewed a few of this year’s scholarship recipients who attended this event.

Jerome Flores, who is currently serving as Chief Financial Officer/Chief Operating Officer for Kahuku Medical Center, contributed the following:

Q: Why do you believe it is important to attend the ACHE Hawai‘i Cluster?

A: The old adage "you get what you give" never rings more true than for those who have assumed the position of management. The employer/employee relationship has become increasingly popular in the workplace and is a relationship that is built on trust, mutual respect, and a genuine interest in helping to develop skills in one another. The Hawai‘i Cluster provides its attendees the opportunity to learn about what other organizations are doing, have done, or are going to do. In addition, the ability to network with peers is extremely beneficial as we find the “unique” issues we deal with on our own campuses are actually experienced to varying degrees at others. It is a great time to gain different perspectives with the same individuals who are in the same fight as us.

Q: Why you personally chose to attend this year? / Did you see value in attending this year?

A: There are many benefits involved in attending this year’s Hawai‘i Cluster, these include:  First, developing your leadership skills – the experience helped my ability to motivate, inspire, and encourage others which will in turn help you become a better manager and team member.  Second, understand and appreciate cultural differences – this is true particularly if your staff is from a different country.  As leaders, we often get embroiled in our own day to day tasks, and we forget to notice multiculturalism in the workplace and its ability to affect performance in employees with non-English speaking backgrounds.  Being a manager to these employees means you will gain an appreciation for a culture you might not have otherwise been privy to.  Lastly, improve your communication skills – the experience will force you to find ways to communicate more effectively with junior professionals and employees from different departments who might not yet understand terms.

 We also received comments from Diane Hale, Chief Nursing Officer at Kahuku Medical Center:

Q: What was a major highlight or favorite topic from the cluster?

A: One of this year’s highlights included a presentation by Michael Frisina, PhD, “Behavior Smarts; Increasing Healthcare Leadership Performance Session”.  I found this presentation particularly interesting and appreciated the formula that was presented, where Event + Response = Outcome.  We [as managers and leaders] each control the outcome. 

If you haven’t attended the Hawai‘i Cluster in the past, look out for this amazing on island opportunity to get Face-to-Face Education credits in the year 2020.

ACHE 2017 Chapter Leaders Conference

Micah Ewing, FACHE, President-Elect

The 2017 ACHE Chapter Leaders Conference was held September 18-19 in Chicago and I was fortunate to be able to attend this event with Jen Chahanovich, our Regent.  

The 2017 ACHE Chapter Leaders Conference was held September 18-19 in Chicago and I was fortunate to be able to attend this event with Jen Chahanovich, our Regent.  

The two-day event is meant to provide incoming presidents valuable on-boarding information and to align incoming presidents and Regents with the current mission, strategy and goals of the national ACHE organization as well as the global challenges in our healthcare industry.  

Left to Right: Michele Sutton, CEO of North Oaks HS, Micah Ewing,
Marty Cahill, CEO of Samaritan Lebanon, and Jen Chahanovich, CEO of Wilcox Memorial


Not only was it a great opportunity to network with other chapter presidents and regents, it was a tremendous opportunity to share ideas and gain insight from other chapter leaders regarding the similar challenges and goals that we have. We are fortunate to have the opportunity to have access to the shared ideas and ways we can continue to grow as a chapter. Here are some highlights:

  • ACHE has spent significant effort on upgrading and refreshing ACHE website functionality and databases, making functionality friendly to mobile devices, and upgrading chapter websites; good things are ahead.
  • Strategies on Event Management and creative ways to provide Face-to-Face credit hours for our chapter
  • Physician Executive Membership and Involvement. John Henson, MD, FACHE of the Georgia chapter presented on how to involve physician leaders in concert with the importance of global healthcare physician partnership.
  • Strategy alignment with ACHE and global healthcare initiatives. 

As your incoming president, I look forward to integrating these ideas and lessons learned into our chapter. 

- Micah 


Original Articles By ACHE Members

Postgraduate Fellowship Opportunities

Denise Della

An ACHE Postgraduate Fellowship can bring in new talent with fresh ideas and can also serve as an organizational development strategy, providing the organization with a low-risk opportunity to evaluate the work of a potential staff member.

For the past three months, Denise Della, ACHE Hawai’i - Pacific Chapter Student Representative, has been benefitting from the mentorship and guidance of Nick Hughey, ACHE Hawai’i Chapter President and Chief Operating Officer of the Waianae Coast Comprehensive Health Center. Using an ACHE Postgraduate Fellowship format, Denise has been working at the Waianae Coast Comprehensive Health Center as a Clinical Operations Project Analyst. Denise works closely with Nick to enhance the quality, efficiency, and economic value for the Waianae Coast Comprehensive Health Center by providing operational analysis and decision support. 



Words from Denise Della about her experience:

“This postgraduate fellowship has been an invaluable professional experience after completing my Master’s degree in Healthcare Administration. This fellowship has given me the opportunity to apply my academic knowledge acquired from graduate school to the real world of healthcare administration. Nick has been a wonderful mentor who has given me an opportunity to work independently on several projects while teaching me more about healthcare administration and leadership along the way.

I highly encourage students and early careerists to attend our ACHE networking events. These events have been valuable to my development as a rising healthcare leader. I am excited to continue working with Nick and the Waianae Coast Comprehensive Health Center.”

Starting a Postgraduate Fellowship
Are you an organization interested in starting an ACHE Postgraduate Fellowship in the Hawai’i Guam Chapter?
In addition to the professional fulfillment that comes from contributing to the development of future healthcare leaders, an ACHE Postgraduate Fellowship can bring in new talent with fresh ideas and can also serve as an organizational development strategy, providing the organization with a low-risk opportunity to evaluate the work of a potential staff member. ACHE provides a plethora of resources and tools needed to design a postgraduate fellowship.

 Resources & Tools to Start: http://www.ache.org/PostGrad/Fellowship/FellowshipResources.aspx


ACHE Postgraduate Fellowships
Stuart A. Wesbury, Jr. Postgraduate Fellowship was established in 1991 to further postgraduate education in healthcare and professional society management. This one-year fellowship program will provide an opportunity for the fellow to work in all major ACHE divisions, including Communications and Marketing, Executive Office, Finance & Administration, Health Administration Press, Management Information Systems, Member Services, Professional Development and Regional Services.


Eligible candidates must have earned a graduate degree in healthcare or association management within one year of the beginning of the fellowship. Organizations may post fellowship opportunities at any time. Candidates can view open positions here. ACHE also sponsers the Wesbury Postgraduate Fellowship every year. Applications for this prestigious opportunity open in September 2018. Click here for the latest information.

Learn more about other Postgraduate Fellowships across the country: https://www.ache.org/PostGrad/directory.aspx

Diversity and Inclusion: "An Adventure"

Barbara Ornellas, RN, MSA, FACHE | Diversity Committee

Our Diversity Committee provides a brief history and "call to action" for increased diversity and inclusion among our healthcare organizations.



What comes to mind when we hear the word “adventure”? Do the descriptors include: fun, expedition, outing, challenging, exploration, mission, safari, hunt or voyage? What is so intriguing about an adventure? One word: “unknown”. There are always some “unknown” twists and turns accompanying an adventure. This is true of the adventure and journey we embrace as “Diversity and Inclusion.” 



Diversity and inclusion have been defined in many ways. Although there are common threads in the characterization of these concepts, the professional background, workplace environment, cultural climate of an organization or delivery of services (e.g. health care) guide the definitions.



“Affirmative Action” and “Equal Employment Opportunity” are familiar concepts. Affirmative action focused on the number of women and minorities in the labor market. Title VII of the Civil Rights Act of 1964 and Section 501 of the Rehabilitation Act of 1973 mandated that “all federal personnel decisions be made free of discrimination on the basis of race, color, religion, sex, national origin, reprisal or disability.”[1] The Equal Employment Opportunity Act of 1972 covers “applicants to and employees of most private employers, state and local governments, educational institutions, employment agencies and labor organizations”.[2]


Organizational Engagement

The American Nurses Association (ANA) released a position statement on Cultural Diversity in Nursing Practice in 1991. In this statement, ANA defined Cultural diversity as “the differences between people based on a shared ideology and valued set of beliefs, norms, customs and meaning evidenced in a way of life.”[3] Nurses were encouraged to understand the interaction of multiple cultures in nurse-patient encounters including the setting in which these encounters take place.

In The American Medical Association (AMA) Code of Medical Ethics, several of the principles of medical ethics appear to parallel cultural diversity.[4]  In addressing disparities in health care, AMA encourages physicians to evaluate their practices regarding “race, gender identity, sexual orientation, sociodemographic factors, or other nonclinical factors do not affect clinical judgment”.[5]

The Agency for Healthcare Research and Quality (AHRQ) has identified priority populations and areas in the Healthcare Research and Quality Act of 1999.  These include “racial and ethnic minority groups, low-income groups, women, children, older adults, individuals with special health care needs (including individuals with disabilities, chronic care or end-of-life care), rural areas (including frontier areas) and inner-city areas”.[6] AHRQ notes that “cultural competence requires organizations and their personnel to value diversity, assess themselves, manage the dynamics of difference, acquire and institutionalize cultural knowledge and adapt to diversity and the cultural contexts of individuals and communities served.”[7]

The American College of Healthcare Executives (ACHE) “works to foster an inclusive environment that recognizes the contributions and supports the advancement of all, regardless of race, ethnicity, national origin, gender, religion, age, marital status, sexual orientation, gender identity or disability because an inclusive environment can enhance the quality of health, improve hospital / community relations, and positively affect the health status of society.”[8]

The Institute for Diversity in Health Management was created in 1994 through the unified efforts of the American College of Healthcare Executives, National Association of Health Services Executives and American Hospital Association (AHA). The Institute’s mission is to “increase the number of minorities in health services administration to better reflect the increasingly diverse communities they serve, and to improve opportunities for professionals already in the health care field”.[9]

The Joint Commission published “Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care – A Roadmap for Hospitals”[10] in 2010. The organization created Standards found in the accreditation requirements of the Hospital Manual.  Review shows that the majority of these standards are current requirements for accreditation.


The American Hospital Association launched “#123forEquity Pledge Campaign to Eliminate Health Care Disparities”[11] in 2015.


Diversity and Inclusion: An Ongoing Adventure

The journey of Diversity and Inclusion is an ongoing adventure. Concepts, definitions, methodology for incorporation into practice  and utilization of social media are forging new pathways. A diverse population of patients currently exists: those well-versed in disease processes and being involved in their care, those following culture especially with respect to interpersonal communication with healthcare providers which includes not asking questions and patients who are unable to formulate questions perhaps from fear. poor understanding of either disease processes or health care systems. Cultural and religious beliefs are a component of this complexity. Unique challenges for health care providers and delivery systems are continuously created. Another component is the  diversity in our health care providers including their own cultures, beliefs, interpersonal communication styles and backgrounds.


It is believed that in health care organizations, our focus should always be to first meet the biopsychosocial needs of our patients. Health care delivery systems are built for our patients and continue on an ever-changing, always challenging,  continuously evolving adventure we refer to as “Diversity and Inclusion”.



[1] U.S. Equal Employment Opportunity Commission https://www.eeoc.gov/federal/directives/md715.cfm

2  Equal Employment Opportunity is the Law.pdf https://www.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf

3  American Nurses Association Retired Position Statement: Cultural Diversity in Nursing Practice (1991)

4  AMA Code of Medical Ethics – AMA Principles of medical ethics https://www.ama-assn.org/delivering-care/ama-principles-medical-ethics

5  AMA:  Disparities in Health Care https://www.ama-assn.org/delivering-care/disparities-health-care

6 Agency for Healthcare Research:  Division of Priority Populations https://www.ahrq.gov/topics/priority-populations/index.html

7  Agency for Healthcare Research and Quality: What is Cultural and Linguistic Competence? https://www.ahrq.gov/professionals/systems/primary-care/cultural-competence-mco/cultcompdef.html

8  ACHE: Statement on Diversity http://www.ache.org/policy/diversity.cfm

9  Institute for Diversity in Health Management http://www.diversityconnection.org/diversityconnection/about-us/About-the-Institute.jsp

10The Joint Commission: Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL: The Joint Commission, 2010

11American Hospital Association:  #123for Equity Campaign to Eliminate Health Care Disparities http://www.equityofcare.org/



Calendar of Events

The Upcoming Calendar of Events for ACHE, Hawai’i-Pacific Chapter.

November 2017 November    
Su M Tu W Th F Sa 11/05/17 (Sun) Daylight Savings Other  
      1 2 3 4 11/02/17 (Thu) ACHE/AONE Hawaii Event Chapter Event
5 6 7 8 9 10 11 11/03/17 (Fri) ACHE/AONE Hawaii Event Chapter Event
12 13 14 15 16 17 18 11/11/17 (Sat) Veterans Day Holiday
19 20 21 22 23 24 25 11/17/17 (Fri) ACHCA Fall Forum ACHE Special Program
26 27 28 29 30     11/18/17 (Sat) NAHSE Conference ACHE Special Program
              11/19/17 (Sun) NAHSE Conference ACHE Special Program
11/23/17 (Thu) Thanksgiving Holiday


December 2017 December    
Su M Tu W Th F Sa 12/01/17 (Fri) ACHE COO Seminar ACHE Special Program
          1 2 12/02/17 (Sat) Emotional Intelligence ACHE Special Program
3 4 5 6 7 8 9 12/14/17 (Thu) Baldrige Fellow Application Other  
10 11 12 13 14 15 16 12/24/17 (Sun) Christmas Eve Holiday
17 18 19 20 21 22 23 12/25/17 (Mon) Christmas Day Holiday
24 25 26 27 28 29 30 12/31/17 (Sun) New Year's Eve Holiday


January 2018 January    
Su M Tu W Th F Sa 01/01/18 (Mon) New Year's Day Holiday
  1 2 3 4 5 6 01/08/18 (Mon) Internship Applications Due Other  
7 8 9 10 11 12 13 01/11/18 (Thu) ASHRM Webinar Other  
14 15 16 17 18 19 20 01/15/18 (Mon) Martin Luther King Jr. Day Holiday
21 22 23 24 25 26 27
28 29 30 31      


Calendar of Educational Events

Upcoming Calendar of Edcuational Events


November 2017 November    
Su M Tu W Th F Sa 11/01/17 (Wed) San Diego Cluster 2017 ACHE Education Event
      1 2 3 4 11/02/17 (Thu) Healthcare Leadership Conference Chapter Education Event
5 6 7 8 9 10 11 11/03/17 (Fri) Healthcare Leadership Conference Chapter Education Event
12 13 14 15 16 17 18 11/08/17 (Wed) Beyond the Affordible Care Act - Webinar Other  
19 20 21 22 23 24 25 11/11/17 (Sat) Veterans Day Holiday
26 27 28 29 30     11/23/17 (Thu) Thanksgiving Holiday
December 2017 December    
Su M Tu W Th F Sa 12/04/17 (Mon) Orlando Cluster ACHE Education Event
          1 2 12/05/17 (Tue) Orlando Cluster ACHE Education Event
3 4 5 6 7 8 9 12/06/17 (Wed) Orlando Cluster ACHE Education Event
10 11 12 13 14 15 16 12/07/17 (Thu) Orlando Cluster ACHE Education Event
17 18 19 20 21 22 23 12/24/17 (Sun) Christmas Eve Holiday
24 25 26 27 28 29 30 12/25/17 (Mon) Christmas Day Holiday
31             12/31/17 (Sun) New Year's Eve Holiday


January 2018 January    
Su M Tu W Th F Sa 01/01/18 (Mon) New Year's Day Holiday
  1 2 3 4 5 6 01/08/18 (Mon) Naples Cluster ACHE Education Event
7 8 9 10 11 12 13 01/09/18 (Tue) Naples Cluster ACHE Education Event
14 15 16 17 18 19 20 01/10/18 (Wed) Naples Cluster ACHE Education Event
21 22 23 24 25 26 27 01/11/18 (Thu) Naples Cluster ACHE Education Event
28 29 30 31       01/15/18 (Mon) Martin Luther King Jr. Day Holiday
              01/29/30 (Wed) Snowbird Cluster ACHE Education Event
01/30/30 (Thu) Snowbird Cluster ACHE Education Event
01/31/30 (Fri) Snowbird Cluster ACHE Education Event












News from the Education Committee

Josh Carpenter, Education Chair

Aloha Hawai’i-Pacific Chapter!

We are already proactively planning events for 2018. Please let us know if you have any events or suggestions!

Advancement to Fellow Local Study Options:

A key part of our Chapter Mission is to not only grow active members, but also to support the advancement to Fellow as well. Bottom line: we are here to support you! 

To meet this end, in 2016, our chapter purchased three sets of the Board of Governors (BOG) Exam Study set as found on the ache.org website (a $240 value). We currently have them staged at Wilcox Medical Center (Kauai), Queens Medical Center (Oahu) and Hawaii Pacific Health (Oahu). Recently, we received a donation set available for us at Kaiser Medical Center! To sign-out for usage, you simply have to be a current member of ACHE, a member in our Hawai'i-Pacific Chapter, and be eligible (or near eligible) to test for the BOG Exam. Simply send me an email and I will connect you with the right POC. Direct POC information will be posted on our website soon! 

NOTE: If any other member wishes to donate or share their books with ACHE Hawai’i-Pacific members, please contact me anytime. 

Advance to Fellow/Recertification Reminders:

Education Requirements are 36 credit hours (12 Face-to-Face & 24 Qualified Education Credits), every three years if recertifying.

Below are some direct ACHE links to make your advancement to fellow a whole lot easier:

•Steps to Advance (New Fellows): https://www.ache.org/mbership/credentialing/steps.cfm

•Steps to Recertifying (Current Fellows): For complete recertification requirements, please visit: https://www.ache.org/apps/recertification.cfm

BOG Reference Material: https://www.ache.org/mbership/credentialing/EXAM/referencemanual.cfm

BOG Study Set ($240 per 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

As always, the education committee seeks energetic, detail-oriented individuals to help create, coordinate and/or volunteer at events. If interested, let us know!

With regards,

Josh Carpenter
Chair, Education Committee

Phone: (808) 220-2078

Charlene Rueben, Capt, USAF, MSC
Co-Chair, Education Committee

Membership Report: New Fellows, Members, and Recertified Fellows

Micah Ewing, FACHE

As we enter the exciting and busy holiday season, on behalf of the membership committee, I want to thank all of you for your support to our chapter, feedback, and attendance at our social events.  Our membership continues to grow with 15 new members over the past 3 month period.

As we enter the exciting and busy holiday season, on behalf of the membership committee, I want to thank all of you for your support to our chapter, feedback, and attendance at our social events.  Our membership continues to grow with 15 new members over the past 3 month period.  We will continue to strive in offering meaningful content and events to support the leadership growth and credentialing needs of our membership.  

Congratulations to our New Members!


Lee Colburn, Maui
James C. Lin, MD, Honolulu
Cassandra Savell, Kihei  


Maj Isaac M. Bonney, Honolulu
Capt Christopher R. Cote, Guam
HM Samantha Sanchez, Honolulu
Tammy Gramberg-Chun, Maui
Kanani K. Moon, Honolulu


LTJG Jonathan H. Tablada, Guam
Dayle N. Hirayama, Honolulu
Rachelle B. Gallegos, Honolulu
Joanna Powell, Honolulu
Brandi K. Hori-Moises, Kauai
Theodore T. Chang, DO

Trisha M. Burgeson, Honolulu
David R. Pettijohn, Hilo
Aaron Predum, Honolulu
Capt Marlene Sanchez, JBPHH
Congratulations to our New Fellows!


MAJ Charles J. Wyatt, FACHE - TAMC


Micah B. Ewing, FACHE - Honolulu

Congratulations to our Recertified Fellows!


LTC Gordon F. West, FACHE - Tripler AMC


Col Kevin M. Franke, FACHE - Honolulu


Laura B. Bonilla, FACHE - Honolulu
CAPT P. Paul Toland, Jr., FACHE - Honolulu
T. Jason Telfer, FACHE - Honolulu

-Micah Ewing, FACHE

Membership Chair and President-Elect,

Hawaii-Pacific Chapter of ACHE

News from the Guam Committee

Chuck Tanner, FACHE

Updates from our representatives in Guam.

Hafa Adai from Guam!

In the last article we discussed the start of the “Junto” meetings and yes we are continuing those.  Attendance dropped off a bit but the quality of conversation remains high! It is nice to have a relaxed conversation with friends over a cup of coffee!  We meet every other Wednesday at 5:30 PM at Figaro Coffee shop in Tamuning. All are welcome to join in the conversation!

Exciting things continue to happen on the healthcare front. Congratulations to Team US Naval Hospital on the launch of their mobile clinic. The clinic, which is stationed just outside the NEX on “Big Navy”, is a very convenient walk in facility for eligible beneficiaries. I am proud to say that I was their first customer! I had a minor eye infection which was perfect for the purpose of the outreach clinic. The process was flawless and I left a very happy camper! So Kudos to Captain Cornwell and team Navy! Also, KUDOS to the TODU Guam Foundation on the continuing success of their Mobile Outreach Clinic.

On the legislative front we have our Medicaid Expansion Bill and our ABLE bill up this session. The Medicaid Expansion bill is the culmination of a couple years work and, if passed, will get Guam a seat at the table with the Feds to participate in the Affordable Care Act or whatever comes out of the new administration. The ABLE act is a nice piece of legislation that mirrors the Federal Act giving disabled people access to a tax exempt savings program similar to a 529 plan. By the printing of this article we should know if we were successful in passing these two pieces of legislation. These and other bills are available on the 34th Guam Legislature website.

Veterans' health also seems to be improving with the addition of new staff at the CBOC. Guam has suffered from shortages of providers for some time causing delays in treatment. It is good news therefore that new providers have arrived and we will start to work off the backlog! In addition to the new hires we had the opportunity to meet with the CEO from TRIWEST. TRIWEST is the network contractor for the CHOICE program. They are expanding their network to improve access to our Guam Veterans. Another good and long awaited venture!

Looking ahead I believe there are some opportunities to engage with our Navy members a bit more. In the past we had strong representation and so I believe we just need to breathe life back into that. With some legislation that streamlines volunteerism in our military community that will come out next month, this may be the catalyst to reinvigorate some programs to get increased involvement! Well, that is the goal.  Also, it is probably time to work on the leadership of our little program chapter here. One challenge with small numbers is to find people that can add “one more item” to already busy schedules. So a bit of tree shaking and scheduling an election is on the calendar too!

In closing, it is hard to believe that 2017 has moved so quickly. You can tell the year is about done as Home Depot has Christmas items on display. Really! So, time to drag out and untangle the Christmas lights, pray for good weather and start getting ready to close out 2017 and prepare for 2018!



ACHE National News

ACHE National News Press Release from October 2017.

AHA/HRET Creates Fund to Help Hospital Employees Impacted by Storm

ACHE's thoughts are with those who have been affected by the hurricanes. The devastation in Puerto Rico left in the wake of Hurricanes Irma and Maria is unimaginable. The American Hospital Association and the Health Research & Educational Trust have established the Care Fund for Puerto Rico Hospital Employees. All administrative services are being provided in kind so that 100 percent of donations will be used to assist hospital employees identified by members of the Puerto Rico Hospital Association. Please consider making a donation to the Care Fund for Puerto Rico Hospital Employees, and to other hurricane relief funds, by clicking here.

Students and Host Sites: Register for the 2018 IFD Summer Enrichment Program

ACHE and the American Hospital Association's Institute for Diversity in Health Management are pleased to announce that registration is now open for IFD's 2018 Summer Enrichment Program at diversityconnection.org/SEP.

The Summer Enrichment Program is designed to grow and strengthen the pipeline of healthcare leaders from underrepresented groups. The SEP places diverse graduate students pursuing advanced degrees in healthcare administration or a related field in 10-week, paid internships at healthcare organizations across the country. Starting in February, IFD staff will work with organizations to match SEP students with host sites. The internships typically run June through August. Healthcare organizations that register to become a host site gain access to the healthcare leaders of tomorrow—former SEP interns are now CEOs and administrators of hospitals and healthcare organizations nationwide.

As a healthcare field, we can accelerate our efforts to diversify our workforce, leadership teams and governing boards—contributing to improved patient care for all. Help strengthen inclusion in healthcare organizations—learn more and register today.

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 Sessionto 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/CongressPosterSessionfor the full selection criteria and submission instructions. Submissions will be accepted through Jan. 16, 2018.

Join NAHSE in October for a Conference on Creating Healthier Communities Throughout America

The National Association of Health Services Executives will host its 32nd Annual Educational Conference, "Creating a Healthy America Together: Serving our Communities," Oct. 17–20, 2017, at the Grand Hyatt San Antonio. The conference will include a host of events such as an early/mid-careerist professional development forum; an entrepreneurship forum; senior executives forums; a women's forum; physician leader development sessions; health and wellness activities; a golf tournament; and more. Attendees will walk away with innovative ideas to create healthier communities throughout America. NAHSE also will elect its leadership for the next two years. Read the conference brochure hereand register today.   

Call for Proposals: Forum on Advances in Healthcare Management Research

ACHE invites authors to submit proposals to present their research at the 11th annual Forum on Advances in Healthcare Management Research. This session will take place during ACHE's 2019 Congress on Healthcare Leadership, March 4–7, 2019.

The lead presenter of the selected proposal (or designate) will receive a complimentary registration to Congress.

Submit your up-to-400-word abstract by July 2, 2018. For more information on the selection criteria and submission instructions, please visit ache.org/Congress/ForumRFP.cfm.         

Apply Now for the Baldrige Executive Fellows Program

Applications are currently being accepted for the 2018–2019 Baldrige Executive Fellows Program. The one-year, nationally ranked leadership development program provides rising senior executives with a broader perspective on how to achieve performance excellence in their organizations, stimulate innovation, and build the knowledge and capabilities necessary for organizational sustainability. Baldrige Fellows learn from each other and from winners of the Malcolm Baldrige National Quality Award through personal visits to these organizations and their senior executives.

For more information or to apply, visit the National Institute of Standards and Technologysite, email dawn.bailey@nist.govor call (301) 975-2361.

Healthcare Newsbriefs

CHIP to Expire After Congress Misses Deadline to Reauthorize

The Children's Health Insurance Program is set to expire at the end of the month after the House of Representatives and the Senate failed to take up the vote this week to reauthorize the program, The Hill reports. CHIP helps states provide inexpensive health insurance to children in lower-income families. Research from the Medicaid and CHIP Payment and Access Commission suggest three states and the District of Columbia will run out of CHIP funding by December. A different study by Kaiser Family Foundation estimates 10 states will run out of funds by the end of 2017. The House Energy and Commerce Committee may attempt to reauthorize CHIP by combining CHIP funding with money for community health centers.

Carter, B.
Congress Misses Deadline to Reauthorize Childrens' Health Care Program"
The Hill, Oct. 1, 2017


Hurricane in Puerto Rico Could Cause Drug Shortages

Puerto Rico is a major hub for pharmaceutical manufacturing, so the destruction caused by Hurricane Maria could lead to drug shortages, The Washington Post reports. To prevent a drug shortage crisis, officials from the Food and Drug Administration and other federal organizations have been working with drug manufacturers to assess damage to local drugmaking plants, track disruptions in manufacturing and distribution for 40 high-priority drugs, and temporarily shift production of some pharmaceuticals to the mainland. Officials are working to balance the need for drug manufacturing with the needs of those affected by the storm. "We don't want to prioritize a manufacturing facility over a critical need for the local population unless it's absolutely urgent for public health," said FDA Commissioner Scott Gottlieb, MD.

McGinley, L.
FDA, industry step up efforts to avert drug shortages after Puerto Rico hurricane"
The Washington Post, Sept. 29, 2017


Cybercrime Costs Healthcare Organizations an Average of Nearly $12.5M

Successful cybersecurity breaches per company each year has risen more than 27 percent, from an average of 102 to 130, according to a new Accenture report. The average annualized cost of cybercrime varies by industry segment. On average, breaches and cyberattacks cost healthcare companies $12.47 million each year. The Accenture report places healthcare at No. 5 on its list of industries with the highest cost of cybercrime. Among all the organizations Accenture studied, information loss represents the largest cost component, representing 43 percent in 2017. "It is this threat landscape that demands organizations reexamine their investment priorities to keep pace with these more sophisticated and highly motivated attacks," the authors wrote.

Cost of Cyber Crime Study 2017: Insights on the Security Investments That Make a Difference"
Accenture, Sept. 26, 2017


Study: Millennials Become Nurses at Twice the Rate of Baby Boomers

For years, workforce analysts and employers have worried that not enough people would become registered nurses to replace the retiring baby boomer nurses, creating a national shortage of nurses. New research from Montana State University, however, suggests the crisis may be mostly averted. The study revealed the average millennial has been nearly twice as likely to become an RN as an average baby boomer. Study author Peter Buerhaus, PhD, RN, FAAN, says, "... the millennial generation is well on its way to replacing the baby boomers and supplying an additional one million RNs between now and 2030."

Cantrell, A.
MSU Economist, Colleagues: Millennials Almost Twice as Likely to Be RNs as Baby Boomers Were"
Montana State University, Oct. 2, 2017


Care Quality Improvement Efforts Drive Data Governance Initiatives

Many hospitals are struggling to implement data governance processes or are facing hurdles that impede the initiatives' effectiveness, according to a study by business intelligence solutions developer Dimensional Insight. In fact, 56 percent of the CIOs and chief medical information officers surveyed said they had incomplete or non-existent enterprise-wide governance processes in place, or they were unaware of what their organizations have implemented. For those who plan to or have already adopted a data governance plan, the most significant drivers of adoption include improving care quality (60 percent), regulatory compliance (45 percent) and patient safety (41 percent).

Boyer, B.
Dimensional Insight Dives into the Data Governance Challenges Plaguing U.S. Hospitals"
Dimensional Insight, Sept. 27, 2017


Career Corner

We are happy to connect you with valuable ACHE career development resources. We hope that you will find this helpful in the development of your career at any level. 

Gain an Edge in Your Career!

Are you taking advantage of your complimentary access to ACHE's CareerEDGE®? More than 2,800 of your fellow ACHE members have registered for this unique and interactive tool designed to support you in planning and managing your career. In addition to CareerEDGE for ACHE Members, CareerEDGE SE offers ACHE Student Associates guidance to get a strong start to their career. Both versions of CareerEDGE include free assessments and a comprehensive framework that makes it easy for you to map a plan for your career.

CareerEDGE tools and resources guide you through the key components of creating a career plan such as developing a vision for your career and discovering the workplace factors that you find valuable and energizing. If you're considering a career transition, exercises in CareerEDGE can also help you evaluate how strong a potential employer's offerings align with the workplace factors most important to you. Whether you're looking for a new opportunity or simply want to be the best in your current role, CareerEDGE is the tool for you!

ACHE's Career Resource Center is devoted to your career success and committed to supporting you in developing a competitive edge in the healthcare job market. Visit ACHE's CareerEDGE webpage to login and explore CareerEDGE today.

Career Development Resources

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


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