Hawaii - Pacific Chapter of ACHE

Vol. 4

Messages from Chapter Leadership

Message from your ACHE Regent

Jen Chahanovich, FACHE

As we end 2017 and begin 2018 – I wanted to remind all chapter members of a benefit from the ACHE – the Tuition Waiver Assistance Program.

Happy Holidays to all!

As we end 2017 and begin 2018, I wanted to remind all chapter members of a benefit from the ACHE - the Tuition Waiver Assistance Program.



To reduce the barriers to ACHE educational programming for ACHE members experiencing economic hardship, ACHE has established the Tuition Waiver Assistance Program. ACHE makes available a limited number of tuition waivers to ACHE Members and Fellows whose organizations lack the resources to fund their tuition for education programs. Members and Fellows in career transition are also 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 Seminars
  • Online Tutorial (preparation for the Board of Governors Exam)
  • ACHE Board of Governors Exam Review Course

All requests are due no earlier than 16 weeks and no later than eight weeks before the program date, except for ACHE self-study courses, which have quarterly application deadlines. Incomplete applications and applications received after the deadline will not be considered. Recipients will be notified of the waiver review panel's decision not less than six weeks before the program date. For ACHE self-study courses, applicants will be notified three weeks after the quarterly application deadline. For additional information, visit ache.org/Tuitionwaiver.

If you have questions – please feel free to call me anytime.

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 -

This year has gone by so fast and the chapter has accomplished so much! Many Hawaii-Pacific chapter members took advantage of our social mixers and networking gatherings. We were able to provide several ACHE Qualified Education credits and Face-to-Face credits to help our members advance toward ACHE Fellow. Congratulations to the 17 members who either received (or re-certified) this prestigious credential during the calendar year.

Mahalo to all those of the Hawaii-Pacific Chapter members who attended events and a big mahalo to our  Board of Directors and Committee Chairs for their time, service and support. I am grateful and appreciative!

It has been an absolute honor to serve as president. I look forward to supporting Micah Ewing, our incoming 2018 president, over the next calendar year. I remain committed to our board leadership and our goal of continuing to grow and strengthen our chapter.

One last note for the year that I am sure will carry forward into 2018. Hawai'i and the entire U.S. are continuing to see major changes in our healthcare landscape. Staying connected through ACHE is a solid and consistent way to stay on top of changes and network with other healthcare leaders facing similar challenges. I commend all of our Hawaii-Pacific members' commitment to continued professional education!

Please have a safe and happy holiday season. I look forward to seeing everyone at chapter events next year! If I can be of any assistance or help in any way, please feel free to contact me.



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

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


Articles of Interest

Ask an Exec!

Contributed by Sally Belles, MBA-HCM, RDN, CDE
Opportunities for women leaders in healthcare are on the rise and we wanted to hear from our local women executives about their unique path to leadership.  We asked Sheila Beckham, CEO of Waikiki Health to share her story.

Women leaders in healthcare are on the rise thanks to ever increasing opportunities and the recognition of the importance of building a diverse leadership team.  The makeup of diverse leadership in healthcare includes women in C-suite positions. These women function in all sectors of the healthcare system.  They lead change, drive quality improvement in the delivery of healthcare, expand community outreach, and serve as role models for would-be women leaders.  

We wanted to hear from our local women executives and their unique path to leadership and asked Sheila Beckham, CEO of Waikiki Health to share her story.

Shiela Beckham, Chief Executive Officer, Waikiki Health

Q.  Describe for us your unique path to leadership.

A.  Though my background is clinical, I have always been in management positions.  My first job at 23 years of age as a Clinical Nutritionist, involved supervising diet aides.  My next job was as Director of Nutrition for Waianae Coast Comprehensive Health Center, where I began with a staff of 5 and grew the programs and departments to include 63 staff in the areas of research, chronic disease management, health education, medical nutrition therapy(MNT), Native Hawaiian healing, and preventive health.  When the CEO position opened at Waikiki Health, I accepted an offer to apply because of my experience at a federally qualified community health center (FQHC).

Waikiki Health

Q.  Tell us of an individual who influenced you the most and why. 

A.  My parents influenced me to treat everyone as equals; to always be honest; to admit to mistakes; to be open to new and innovative ideas; and that all work is valuable. 

Q.  Who or what influenced your leadership style?

A.  Again my parents who allowed my siblings and I to participate in family decision-making and lively debate.  They approached things openly and at times with humor.

Q.   What unique characteristics and strengths played a role in your professional development?

A.  As the oldest of 3 sibling, I assumed a leadership role even when my parents did not ask it of me.  I was frequently the sports team captain; held official offices in school; and naturally became a leader among my friends.

Q.  Early leadership lessons for you?

A.   I initially attempted to be friends with all employees and though I believe relationships at work are important to achieve success, I learned the hard way that one must establish and maintain certain boundaries to effectively lead, guide, discipline, and mentor.

Q.  Describe a specific or unique challenge which occurred early in your leadership journey.

A.   The primary challenge that I faced was being a manager at 23 years of age when some members of my staff were a generation older.  I learned that it was important to respect experience, age, different perspectives, and generational differences.

Q.  Which types of professional development activities did you find of value and why?

A.  Though I continued to attend CME in the clinical arena, I gained the most from the UCLA Health Career Executive Program and as a Weinberg Fellow about leading an FQHC.

Q.   Are there any habits, practices or activities you established to further cultivate your leadership style?

A.  I feel strongly that spending a little time each day to talk with employees strengthens the bond we all have in our agency.  Listening to their ideas, questions, and concerns helps us to formulate a better workplace.  We are also fortunate to have our board of directors who are consumers of our health care.  It further leads to success of our overall operation.

Q.   What advice would you give to those looking to advance in the area of health care administration and leadership?

A.  I believe it is important to experience the day to day activities which you are called to lead before you can step in to lead. Academic training is the foundation while experience at any level within an organization provides opportunities for success in future leadership roles.

Q.  What are some things you've done in terms of the organizational culture that is Waikiki Health?

A.  We have an annual all-staff day which consists of meetings and fitness or bonding activities.  We have a robust employee wellness program for individuals and teams.  We offer tuition assistance, have committees composed of staff and leadership.  We have used the DISC assessment tool across the center and employed it in depth with leadership.  We also hold a 6 month management leadership program.

Sheila, thank you for sharing your leadership journey and insights with us. 

PwC Health Research Institute Predicts Industry Trends for 2018

Emiline LaWall, Communications Committee

PricewaterhouseCoopers (PWC) has some phenomenal resources for healthcare leaders looking to set strategic goals for their organization over the next calendar year.


PricewaterhouseCoopers (PWC) has some phenomenal resources for healthcare leaders looking to set strategic goals for their organization over the next calendar year.

PricewaterhouseCoopers (PwC) is a multinational professional services network that supports executive leaders by synthesizing research, policy, and subject-matter expertise to identify industry trends. PwC has resources available for professionals in a multitude of industries, including: banking, media, hospitality, real-estate, and technology (among others).  They also offer several niche health-care resources including information on Health Industries, Health Services, and Pharmaceutical Sciences. The PwC Health Research Institute recently published a report outlining the “Top Health Industry Issues of 2018.” This is the twelfth annual report published by the organization, and it can be found in full here.


The PwC identified several focus areas for healthcare leaders to consider in 2018, highlighted above (source: PwC Health Resesarch Institute).

Resilience in the New Year

One overarching theme is resilience during a state of perpetual policy change. The PwC predicts healthcare reform will occur via iterative changes at the state and congressional level, rather than comprehensive national reform.  The implication of this is that healthcare organizations, payers and providers will “no longer have one high-profile reform to effort to monitor, but dozens.” (Isgur et al, 2015).  

Outside of healthcare reform, PwC cited extreme weather events from 2017 that are sure to shape strategies in 2018. Organizations are encouraged to identify contingency plans for natural disasters by identifying “lessons-learned” from still-recovering sites like Puerto Rico, Texas, Florida, and California. As leaders, we must identify ways to continue to provide patient care, even in trying circumstances. In a separate article, author Tayla Holman discussed how telehealth was used as a way to provide services to residents who were impacted by Hurricanes Harvey and Irma (2017). More details on how this was implemented at Nemours Children’s Health System can be found here (Sunter, 2017).    

Cyber-Security breaches in 2017 are considered to be “non-natural” disaster that is also shaping the healthcare industry. According to the PwC report, more than 140 million people had personal information exposed to hackers. The major vulnerability for most organizations is biomedical devices. According a recent Global State of Information Security Survey (GSISS), only 64% of responding healthcare organizations have “conducted a risk assessment of their [biomedical] devices—only 55% of those organizations have put security controls in place” (Bresnick, 2017). This risk is expected to grow exponentially, especially as employees and patients increasingly use personal mobile devices to access electronic personal health information, or ePHI (Snell, 2017).   

Increased Focus on Social Determinants

            With regard to patient care, one overarching theme emerged in the PwC report: increased focus on understanding social determinants of health. Leaders are encouraged to identify novel strategies to address the non-clinical factors that impact an individual’s health care utilization patterns. These patient social factors (e.g., education, income, and housing) may be a key aspect of moving care more upstream to primary care settings, rather than the more costly alternative of ED admissions. However, these challenges have been difficult to address because social information is often not collected in the electronic health record, subsequently often goes un-reported to health care executives. According to PwC, 78% of executives lack robust information on the social needs of their patients (Berg et al, 2017).

            These social determinants may also be instrumental in addressing the opioid crisis in the United States. There were over 64,000 overdose deaths that involved a prescription opioid in the United States in 2016, and numbers for 2017 are anticipated to be even higher (CDC, 2017). Understanding population- and community-level statistics around social determinants pertaining to addiction and overdose may foster cross-organizational strategies for reducing opioid dependence and overdose.

            There are several methods available to collecting this data on social determinants, such as having patients generate and submit information through personal devices, extracting information from other public health sectors (e.g., census data), or changing provider workflows to collect this information more regularly. The larger challenge will be synthesizing and standardizing this data to make it actionable. The PwC predicts that Artificial Intelligence (AI) will increasingly be used to supplement various analytic tasks, including data aggregation and predictive analytics.

Other Resources for the New Year:

2018 promises to be an exciting year with burgeoning technology and perpetual policy change. Thankfully, our industry has a reputation for creative problem solving, adaptive learning, and an earnest desire to look out for our patients’ best interests.

Looking for additional resources to help navigate the new year? Here are a few more organizations who have anticipated industry trends of 2018:

-          American Healthcare Association: 2018 Environmental Scan

-          Healthcare Executive Group: Top 10 Challenges for 2018

-          Managed Health care Executives: Health IT Trends Forecast



1.     Berg et al (2017).  Top health industry issues of 2018: A year for resilience amid uncertainty. PricewaterhouseCoopers (PwC) Publishing. Retrieved December 9th, 2017 from: https://www.pwc.com/us/en/health-industries/assets/pwc-health-research-institute-top-health-industry-issues-of-2018-report.pdf

2.     Bresnick, J (2017). PwC: Artificial Intelligence, IoT, Population Health Top 2018 Trends. HealthITAnalytics. Retrieved December 09, 2017 from: https://healthitanalytics.com/news/pwc-artificial-intelligence-iot-population-health-top-2018-trends

3.     Centers for Disease Control and Prevention (CDC) Provisional Counts of Drug Overdose Deaths, as of 8/6/2017. Retrieved December 7, 2017 from: https://www.cdc.gov/nchs/data/health_policy/monthly-drug-overdose-death-estimates.pdf

4.     Holman, T (2017). 2017 Hurricanes show importance of telehealth in a disaster. Retrieved December 09, 2017 from: http://searchhealthit.techtarget.com/podcast/2017-hurricanes-show-importance-of-telehealth-in-a-disaster

5.     Isugar, B., Tsouderos, T., Gaffney, A., Ranville, J., & Bailey, C. (2017).  Health reform 3.0: Thriving in a permanent state of policy disruption. Retrieved December 09, 2017 from: https://www.pwc.com/us/en/health-industries/health-research-institute/publications/assets/us-hri-health-reform-3.0.pdf

6.     Snell, E. (2017)., Top Tips for Mobile Device Security, Keeping ePHI Secure. HealthIT Security.  Retrieved December 09, 2017 from: https://healthitsecurity.com/news/top-tips-for-mobile-device-security-keeping-ephi-secure.

7.     Sunter, S. (n.d.). Telemedicine pediatrics is focus of new telehealth provider offering. Retrieved December 09, 2017, from http://searchhealthit.techtarget.com/podcast/Telemedicine-pediatrics-is-focus-of-new-telehealth-provider-offering  


Calendars and Recent Events

2017 Hawai'i Healthcare Leadership Conference

Our local chapter recently provided continuing education credits during the 2017 Healthcare Leadership Conference, which was held at the Royal Hawaiian Hotel November 2nd-3rd.

On November 2nd-3rd, the Hawai'i-Pacific Chapter of ACHE participated in the 2017 Healthcare Leadership Conference, which was held at the beautiful Royal Hawaiian Hotel in Waikiki.

This conference is the result of immensely successful partnership with the local chapter of the American Organization of Nursing Executives (AONE). It provided a phenomenal opportunity for Hawai'i members of both organizations to receive in-person education credits without the costly travel expense. This is the third year in a row that this event has been available to Hawai'i Pacific Members.

Each year, ACHE members are able to register for the conference at a discounted "membership" rate (discounted student rates are also available). A new offering this year was a single-day registration option, which offered increased flexibility for attendees.

For members who attended the full 2-day event, a total of 8.0 Qualified Education Credits (QECs) and 1.5 Face-to-Face credits were available. The Face-to-Face credit offering was a panel titled "Diversity in Leadership: Leadership Perspective" (pictured below).  

The panel was facilitated by our chapter regent, Jen Chahanovich. The panel participants included Richard Cordova (FACHE), Gary Kajiwara (FACHE, FACHCA, FAAMA), and Arthur Ushijima (MA).

Attendees were also offered seminars on the importance of self-care (featuring speakers Donna Hartly, Alison Inoye, and Gayle Hilgendorff) and team-building (featuring speaker Ka'ala Souza).

Several members of ACHE served as key coordinators for the event. Special thanks to Suzie So-Miyahara, Micah Ewing, and other representatives from our local education, membership, and communication committees who helped coordinate the silent auction, participated in the review of conference poster submissions, and aided with overall event planning.

Several members of the Hawai'i-Pacific Board leadership showed their support and attended in the conference.

We would like to thank you for a successful conference and we look forward to seeing you next year!

Calendar of Events

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

January 2018
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 Application Deadline
7 8 9 10 11 12 13
01/11/18 (Thu) ASHRM Webinar Webinar
14 15 16 17 18 19 20
01/15/18 (Mon) Martin Luther King Jr. Day Holiday
21 22 23 24 25 26 27
01/16/18 (Tue) Congress Call for Proposals Application Deadline
28 29 30 31      
01/19/18 (Fri) AcademyHealth Fellowship Application Deadline

February 2018
Su M Tu W Th F Sa
02/02/18 (Fri) Groundhog Day Holiday
        1 2 3
02/09/18 (Fri) Pathways to Physician Diversity National Summit
4 5 6 7 8 9 10
02/10/18 (Sat) Pathways to Physician Diversity National Summit
11 12 13 14 15 16 17
02/14/18 (Wed) Valentines Day Holiday
18 19 20 21 22 23 24
02/19/18 (Mon) President's Day Holiday
25 26 27 28      


March 2018
Su M Tu W Th F Sa
03/17/18 (Sat) St. Patrick's Day Holiday
        1 2 3
03/11/18 (Sun) Daylight Savings Holiday
4 5 6 7 8 9 10
03/26/18 (Mon) 2018 Congress ACHE Special Program
11 12 13 14 15 16 17
03/27/18 (Tue) 2018 Congress ACHE Special Program
18 19 20 21 22 23 24
03/28/18 (Wed) 2018 Congress ACHE Special Program
25 26 27 28 29 30 31
03/29/18 (Thu) 2018 Congress ACHE Special Program

Calendar of Educational Events

Upcoming Calendar of Educational Events

January 2018
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
01/24/18 (Wed) Exceptional Leadership ACHE Online Seminar

01/29/18 (Mon) Snowbird Cluster ACHE Education Event

01/30/18 (Tue) Snowbird Cluster ACHE Education Event

01/31/18 (Wed) Snowbird Cluster ACHE Education Event

February 2018
Su M Tu W Th F Sa
02/02/18 (Fri) Groundhog Day Holiday
        1 2 3
02/07/18 (Wed) A Review of Health Law ACHE Online Seminar
4 5 6 7 8 9 10
02/12/18 (Mon) Phoenix Cluster ACHE Education Event
11 12 13 14 15 16 17
02/13/18 (Tue) Phoenix Cluster ACHE Education Event
18 19 20 21 22 23 24
02/14/18 (Wed) Phoenix Cluster ACHE Education Event
25 26 27 28      
02/15/18 (Thu) Phoenix Cluster ACHE Education Event
02/19/18 (Mon) President's Day Holiday

02/21/18 (Wed) Physician Alignment ACHE Online Seminar

March 2018
Su M Tu W Th F Sa
03/11/18 (Sun) Daylight Savings Holiday
        1 2 3
03/14/18 (Wed) Big Data and Analytics ACHE Online Seminar
4 5 6 7 8 9 10
03/17/18 (Sat) St. Patrick's Day Holiday
11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31


News & Committee Updates

News from the Education Committee

Charlene Ruben, Education Committee Co-Chair


Aloha Hawai’i-Pacific Chapter!

Thank you all who attend the ACHE/AONE Hawaii Event in November! Members that signed in should now be able to view there face-to-face credits online. All sign in sheets have been turned in and updated to ACHE.

ACHE Congress is quickly approaching, the event will be at the Hyatt Regency Chicago 26-29 March 2018. A minimum of 12 face-to-face credits will be available to members.

Please save the date for the Healthcare Financial Management Association (HFMA) Conference, which will be held April 19-20, 2018. A total of 3 face-to-face credits will be available, and topics are currently being finalized. Stay tuned for additional information.

If you have any recommendations for future events, please reach out to one of our education committee co-chairs! Contact information is provided at the bottom of this article.

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:

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,

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


Josh Carpenter
Chair, Education Committee

Email: josh.carpenter@trane.com
Phone: (808) 220-2078

News from the Guam Committee

Chuck Tanner, FACHE

Guam Representative Chuck Tanner reflects on the accomplishments of 2017 and encourages members to take on leaderhsip roles within ACHE in the New Year. 

Hafa Adai, Happy Holidays and Merry Christmas from Guam!

I love this time of the year, though a small part of me misses the snow! My son, who lives in San Antonio, recently sent me pictures of my grandchildren frolicking in the snow. Snow in San Antonio, wow!

With the New Year closing in I cannot help but reflect on what was accomplished in 2017 and look forward to new or continuing challenges as the New Year emerges. In that reflection I noted that in 2017 I passed the 25 year mark in my membership with the ACHE. 

For me, in 2018, I look toward passing the leadership of the Guam LPC to someone else. I have applied for Lifetime FACHE status and look toward retirement. So, in the beginning of 2018, we will move toward transitioning. If you are interested in assuming a leadership role on Guam, start the “thinking” process now, and early next year we will start identifying nominees!

It is my experience that professional affiliation is paramount if you want to succeed. The friendships you make and the collegial discussions are (for me) the largest benefit of membership. Secondary to these personal relationships is staying abreast of the current successful methodologies to improve our healthcare system. The educational aspect of affiliation cannot be underestimated. As I read the many venues afforded by the ACHE, something would “click” and I get ideas of how to apply the educational concepts into the operations of my current employment. It also gives confidence in what you are attempting to do is the state of the art in our profession and that others, in offices and cubicles around the country, are also pursuing similar practices. So, from a personal aspect, it is self rewarding. 

Now, you can be a member and enjoy the friendships and education, but if you really want to move forward and expand your profession you should consider an active role in the ACHE. In my early career I was a “quiet” member. I would go to conferences, read, and pretty much stay in the background. Later in my career, I took a more active role. Assuming a leadership role greatly expanded my scope and abilities. As I gained confidence in the profession I found that I could stand and interact with “the greats” in our profession. Next thing I knew, I was one of those “go to” people in my community and my advice and perspective were valued. 

Practicing health care administration on a small Pacific island, seemingly far from mainstream has unique challenges. However, in many ways, it is similar to a practice in small town Texas or Illinois. The continuing link was membership in the ACHE. 


Chuck and his beloved dog "Puppy" wish everyone a happy holiday from Guam.

In closing, as this may well be my last contribution to the newsletter, I want to wish all of you the best of success in your career. I am very thankful for this career and in hindsight would not have selected a different path. I hope you have the same and better experience that I enjoyed! God bless and the best of New Years to you.



Updates for Students

Denise Della, MPH MHA

Winter break is the perfect time to start searching for summer internships.

The holiday season is here. Congratulations to our student members for making it through another semester! Be sure to relax and take a break from the busyness of school and work. 

That said, don't forget that winter break is also a perfect time to start searching for summer internships! ACHE has a directory available to its members year-round. I have compiled a list of local/national internships and post-graduate fellowship for our student members.

Here are some wonderful internship and fellowships to explore:

Undergraduate Student Internships

        Hawaii Pacific Health Careers Summer Internship

Post-Graduate Fellowships

        Kaiser Permanete Administrate Fellowship, CA

        MD Anderson Cancer Center, Houston, TX

        Multicare Health System, Tacoma, WA

        Northwell Health, Great Neck, NY

        Sharp HealthCare, San Diego, CA

        University of Pittsburgh Medical Center, Pittsburgh, PA

        Yakima Valley Farm Worker’s Clinic, Yakima, WA

After you have identified applications you are interested in, don't forget to visit ACHE's career resource center for help with resume-building or interview prep.

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.  It has been a pleasure being your Membership Chair.  This year alone, we have seen over 64 members join our chapter--either by joining ACHE for the first time, renewing an expired membership, or transferring from other locations into our Chapter. 

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.  It has been a pleasure being your Membership Chair. This year alone, we have seen over 64 members join our chapter--either by joining ACHE for the first time, renewing an expired membership, or transferring from other locations into our Chapter. Thirty-seven of these members are first-time ACHE members. 

Congratulations to our New Members!


Anthony Marelli, Honolulu
Trisha M. Burgeson, Honolulu
David R. Pettijohn, Hilo
Aaron Predum, Honolulu
Capt Marlene Sanchez, JBPHH


David G. Brown, PsyD
Sarah H. Darby, Kapaa


Denise Della, Kapolei
Nicole Pap, Honolulu

Congratulations to our New Fellows!


MAJ Casey McKenna, FACHE


Congratulations to our Recertified Fellows!


T. Jason Telfer, FACHE - Honolulu


COL Andrew Barr, MD, FACHE
Robert Diaz, FACHE
Lance K. Segawa, FACHE


Art W. Gladstone, RN, FACHE
Stephany N. Vaioleti, FACHE


We had a great time organizing 4 membership-specific events and happy to bring valuable networking opportunities to our membership--the Spring Mixer, the Fall Mixer, Annual New Member Breakfast, and our Annual Chapter Breakfast. I look forward to building upon this momentum and seeking out new opportunities to provide value to our members in the coming year.  


ACHE Resources

ACHE National News

ACHE National News Press Release from November 2017.

Call for Proposals: Management Innovations Poster Session

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

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

Register Now for the 2018 Congress on Healthcare Leadership

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

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

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

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

Healthcare Newsbriefs

Individual Insurance Enrollment Rate Under ACA Continues to Drag

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

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

Providers Look to Expand Telemedicine Services Overseas

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

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

Physician Employment By Hospitals Increases Medicare Costs

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

States, Insurers Collaborate to Prevent Bare Counties

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

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

Study: Patient Satisfaction Associated With Clinician Denial of Some Requests

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

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

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:

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



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