Kansas Association of Health Care Executives
From the Desk of the KAHCE President
Judy Corzine, FACHE
Spring was the time of my last newsletter article. In it, I indicated that I was getting
prepared to attend ACHE’s Congress in Chicago which was March 26 through 29. Congress was a
great opportunity to get a better understanding of the educational
capabilities of KAHCE and the vision for the future. One of the highlights for me was having lunch
with the 7 students who we sponsored so they could attend the event. You will see reports of their experience at
the KAHCE event elsewhere I our newsletter.
KAHCE also has the ability to put on great educational
events. The Patient Centered Care in
Modern Times event was on April 26.
I really enjoyed how the presenters represented both the large and small
healthcare organizations and provided guidance that could benefit any size
facility. The KCLPC (Kansas City Local
Program) event on May 5 had great attendance and unique
perspectives on the differences in workforce members. I had never thought about the fact that baby
boomers probably want private offices but that GenX would like the fellowship
of cubicles or just open office spaces.
Summer has come early this year and from an administrative
perspective, and work on member retention and recruitment has arrive with it. ACHE is once again offering special programs
to encourage members to renew their membership.
My hope is, however, that you are getting great value from your
membership and don’t need special reminders to renew. If there are changes that KAHCE could implement to make the organization more beneficial to you, please let me know. I hope you all participated in the ACHE
survey that was distributed in May, as that is another way we gain insight for
opportunities for improvement.
Fall will be here before we know it with our annual meeting
on September 5 and another great educational session that
day. We also participate in the KHA Annual Convention and Trade Show. Our booth is number 328. Stop by, say hello and register to win a tablet!
Judy Corzine, MBA, FACHE, FHIMSS, CHCIO
2018 KAHCE President
Administrative Director and CIO
Stormont Vail Health
Message from Your ACHE Regent - Spring 2018
**This message from your ACHE Regent was originally emailed to all KAHCE members.**
Greetings from Your Kansas Regent!
Attending the ACHE Congress in Chicago this year was full of great experiences. As a member of the newly elected Regents, I attended an orientation session on Friday, March 23 and the Council of Regents and our District Four meeting on Saturday, March 24. The highlight was the Convocation Ceremony on Sunday, March 25 when new FACHE members were presented with their pins and new Regents and Governors were introduced. It was a great ceremony! Congratulations to our new Kansas FACHE members: Regan E. Baron, RN, FACHE; David Cohen, FACHE; Kimberly Hlobik, FACHE; Michael L. Jensen, FACHE; Brenda Mills, FACHE; Darren S. Odum, FACHE; and Carrie L. Saia, RN, FACHE.
Attending a stellar educational program held at the Wichita Marriott on April 26 was a great way to get started on my first year as Regent. The Education Committee under the leadership of Trenton Stringer did a fantastic job of lining up excellent speakers for four panels which offered a total of 6 ACHE Face-to-Face credits under the title, “Patient-Centered Care in Modern Times.” Many thanks to these knowledgeable panelists for taking the time to prepare for this event despite their very busy roles in their respective organizations. We had a good turnout, and the Q & A discussions reflected the high engagement of our attendees. Thanks to the efforts of Robert E. “Bob” Bregant Jr., FACHE and our Sponsorship Committee there were excellent financial support for this event from several Kansas companies. I would like to personally thank title sponsors, Murray Company and KaMMCO; event sponsors, Bukaty Companies and Cox Business; and networking sponsor, STL Communications. If you missed this event, you can check out the flyer to review the topics and speakers. We are always open to the feedback from both attendees and those members who did not attend to help us in planning future programs here in Kansas.
The day before our spring program in Wichita, I had the opportunity for a Higher Education Network visit to Wichita State University. I appreciate my host, Associate Professor Deborah Lehner, MHA, FACHE for inviting me to speak to her Healthcare Administration class on Aligning Healthcare Human Resource Policies with Quality Standards. It was also a great opportunity to share my personal experiences as a healthcare executive and the value of membership in ACHE in advancing my career.
I am also happy to report that I have re-instated the Regents Advisory Council (RAC) for each year of my 3-year term of office. The RAC is like a consulting group for discussion of specific topics related to the Regent’s duty to serve as a chapter advocate and a liaison with ACHE. Effective June 1, 2018 through May 31, 2019, there will be 12-14 members serving on the Kansas RAC, including both KAHCE members as well as two non-members who are healthcare executives. My plan is to have healthcare providers from urban and rural facilities, healthcare education faculty and healthcare sponsor companies represented on the RAC. The goals of the Kansas RAC are to address building membership, to support advancement to FACHE and to facilitate relevant continuing education of healthcare leaders. I will report topics we discuss and any recommendations made in future Regent letters.
Finally, congratulations to the ongoing success of our Bi-state Kansas City Local Program Council, the only ACHE-sanctioned and chartered LPC shared by two state chapters, Kansas and Missouri. The recent program sponsored by KAHCE was held at the University of Kansas Research Building in Fairway, KS on May 3, 2018. The report from Justine Karungi, FACHE, KCLPC co-chair, was that this event was well-attended and the panel members were exceptionally knowledgeable in presenting on the topic, “Leading a Successful Multigenerational Workforce.” It is great to hear that there are many engaged members of the KCLPC group working collaboratively to achieve the goal of bringing quality face-to-face education programs to the Kansas City area.
Please let me know if I can provide any assistance or support by contacting me via email at Kansas Regent. Thank you for all you do as leaders for the improving the healthcare of Kansans!
Patricia Sanders-Hall, FACHE
Regent for Kansas
Sponsorship Highlight - KaMMCO
Return on Investment for Health
Information Exchange Participation
What is the return on investment (ROI) for
participating in a health information exchange (HIE)? As the Executive Director of one of the most
successful HIEs in the nation, I am often asked this question, and there are
several ways to define ROI.
Simply stated, ROI measures the benefit
(or return) an investment will generate in relation to the cost of the
investment. So, if it costs X to participate in the HIE, what is the financial
return to the facility?
While the ROI calculation for some is
framed in strictly financial performance terms, for others it can mean
increased productivity and efficiency, minimal disruption to workflow, and
improvements in care. Inherently, the HIE ROI is puzzling because the answer is
different for each organization. So, why should a healthcare organization pay
to provide clinical data to an HIE?
This is the “chicken or the egg”
question of which comes first. In order for an HIE to have a significant ROI
for its members, a certain level of participation by healthcare providers has
to occur. One doctor or hospital participating singularly in an HIE does not create
much HIE ROI value. However, when all of the healthcare providers in a
community, region, or state participate in a HIE, the ROI is noticeably
The ROI is different for hospitals. For
a PPS hospital with diagnosis related groupings (MS-DRGs), the additional information
provided by the HIE may significantly increase the hospital’s case mix index
A recent hospital study revealed patients
receiving care at a small hospital visited 10 other healthcare facilities in
the calendar year reviewed. Analysis of the hospital’s problem list (after
de-duplication) indicated only 25% of the total problems found in the HIE were
present in the hospital EHR and billing. This finding significantly impacts
the hospital’s bottom line. Overall the inclusion of the HIE data resulted in a
227% increase in potential ICD-10 codes over what was available in the
hospital’s EHR, with an average CMI increase of .44 and an annual increase in
MS-DRG payments of $90,000.
If this same hospital also participated
in some form of alternative payment model (APM) the ROI example could be even
greater. In most APMs, patient risk scores and the associated payments are
based on the complexity of a patient’s health conditions. Each patient is
assigned a risk score. This score is based on the problem list for the patient
that is included in the billing submitted to the payer. If the problem list is
incomplete and reflects only 25% of the total problems patients have been
diagnosed with, then the hospital may receive a significantly lower level of
Finally, the ROI for patients cannot be
evaluated through the same financial performance lens the provider community
applies. If the available HIE data saves a patient’s life, either by informing
care or preventing a medical error, it may be impossible to calculate ROI, even
though the benefit returned has immense value. This is the core patient safety
imperative delivered by HIEs across the nation.
KHIN recognizes this obligation to
patients, and takes it a step further by offering a free personal health record
to all Kansas patients through myKSHealtheRecords. The personal health record
is connected to the HIE which allows patients to have simple and secure access
to all of their health information in one location. In addition, there is ROI
for patients in the value of time and money saved when eliminating duplicative
testing and the re-creation of patient history for providers.
KHIN is a physician-led health information network offering a suite of
health information technology tools to help Kansas healthcare and healthcare
professionals CONNECT. ANALYZE. TRANSFORM. Visit www.khinonline.org or call
877.520.5446 to learn more.
Laura McCrary, Ed.D
Executive Director, Kansas Health Information Network
Senior Vice President, KAMMCO
Sponsored Students Reflect on ACHE 2018 Congress
My time at the 2018 ACHE Congress was unlike any other experience.
I have never attended a conference of such scale before, and I was amazed to
see so many people from across the country who share one passion. In addition to the student focused sessions,
I was able to attend several lectures about modern healthcare, potential
changes, and the uncertain future. I found these sessions to be very valuable
in demonstrating the flexibility needed as a healthcare leader. Additionally, I
gained helpful information about fellowships, ACHE resources, and the
challenges of healthcare. I hope this knowledge will assist my growth as a
student and as a future healthcare leader. – Pooneh Nazaran
I enjoyed all of the sessions I attended, but three sessions stand
out in particular. First, was a presentation about Physician Integration and
Alignment given by the CEO of UW Health. This session was of particular
interest to me since I will begin an Administrative Fellowship at UW Health
this summer. I found the presentation to very insightful into strategies to
successfully align physicians and increase physician engagement. Another outstanding
session was titled “Leadership Development for Developing Leaders.” This
session was given by an Administrative Fellow preceptor at Barnes Jewish
Hospital. Finally, the last session I attended at Congress was titled,
“Changing the DNA of Healthcare in the Age of AI.” I found the focus on
innovation, consumerism, and telemedicine in this presentation to be very
inspiring and futuristic. – Sarah McKittrick
As a student attendee, much of our curriculum focused on
preparation for entering the workforce and learning from executives about their
career paths. I appreciated the balance between sessions focused on advice for
students and sessions focused on current healthcare issues. We had the
opportunity to learn from successful executives at various stages in their
careers, and I was impressed by the level of honesty and candidness displayed
by these individuals. They truly cared about educating future leaders and were
open to sharing both their successes and mistakes. – Ariel Shifter
Many of the student track seminars focused on career advice and
how to develop as leaders. Some of the best advice came from leaders who told
their own stories of success or failure. One of my favorite speakers discussed,
“Four Rules to Never Lose Sight of in Your Career.” The first one was, know
your why; make yourself memorable; get comfortable with being uncomfortable;
and the 80/20 rule, which includes saying yes 80% of the time. – Gabrielle
Throughout my first experience at Congress, I enjoyed continuous opportunities
for networking and further education. The first session I attended was for new
congress attendees, and offered a speed networking activity, which was one of
the most valuable experiences I took away from Congress. I met students, top
executives, and military members, which helped introduce me to the diversity
within the American College of Healthcare Executives. – Grace Sirois
One of the best
lessons I learned was during a session titled “Tools for the Next Generation of
Leaders: Lessons from the First 10 Years” presented by Laurie K. Baedke and
Natalie D. Lamberton Their quote “networking is a lifestyle, not an action; a
relationship, not an event" resonated with me. Networking is connecting
with people about many shared ideas and beliefs. I networked with people and
gained a connection with someone who can benefit the start of my career. – Alicia
The few days in Chicago really helped open my eyes to
possibilities around the country in the healthcare field and how important it
is to put yourself out there. There is no doubt in my mind that I will be
returning to Congress next year and look forward to furthering my education
with the sessions and conversations there. I can’t thank you enough for the
scholarship and support from KAHCE. Without
it, I never would have had this experience or opportunity to grow, learn, and
strive for higher success as a student and future healthcare professional! – Katerina
Student/Early Careerist Spotlight
Ariel Shifter and Catherine Barrett
Hello! I’m Ariel Shifter, your Student Chair with KAHCE. I’m a
student at the University of Kansas in the Master of Health Services
Administration program. I work with Catherine Barrett, the Early Careerist
Chair, to help introduce students to ACHE and develop a relationship with the
organization that will continue throughout their career.
Why should I be involved in ACHE as a student?
Becoming a Student Associate of ACHE allows you to interact with healthcare
leaders in your region and beyond who are excited to share their experiences
with students. The local chapter hosts a variety of networking and educational
events across the state, often at a reduced cost for students. KAHCE members
are welcoming and encouraging, especially to new students as they begin their
careers in healthcare administration. ACHE provides resources for members at
all stages of their careers, supporting you as you transition from a student to
an early careerist, and beyond. If you have any questions or would like to get involved,
please feel free to contact me at firstname.lastname@example.org.
Hello! I'm Catherine Barrett, your Early Careerist Chair with KAHCE. I'm
about to transition into a new position with Saint Luke's Health System
in the Kansas City area. My focus is on making sure that early careerists
have access to valuable and meaningful services from our ACHE chapter.
What is an early
careerist? ACHE defines an early careerist as any
non-student working in healthcare who is under the age of 40.
As an early careerist, why should I be involved in ACHE? ACHE offers
great educational and networking events throughout the state. Our chapter
leadership puts a great deal of effort into bringing these opportunities to
different parts of Kansas to maximize accessibility.
Another great thing about the Kansas chapter is how willing our leadership is
to hear about what would be meaningful to early careerists. Whether
that's specific educational topics, opportunities to mentor or be mentored, or
targeted networking events, they want to work with us toward mutually valuable
What opportunities are
there to be involved? You can always been involved by
attending KAHCE events. We offer larger spring and fall educational
events, send out this quarterly newsletter, and host a number of smaller
lectures and panels throughout the year.
You can also volunteer your time as a member of a committee to support the
ADVANCEMENT – Provide support for members advancing to Fellow and
AWARDS/SCHOLARSHIPS – Recognize member contributions to the goals of
ACHE and KAHCE and to the field of healthcare leadership.
COMMUNICATION – Provide current, relevant and timely ACHE and KAHCE
news, announcements and information.
EDUCATION – Provide value-added educational programs which offer
EQUITY & DIVERSITY – Provide data, programming, information and
other activities which support and promote the ACHE diversity program.
EXECUTIVE/GOVERNANCE – Provide executive team oversight for the
operations and financial management of the chapter.
FINANCE/AUDIT – Provide ongoing responsible fiscal oversight and
management for chapter income and expenses and to financially support KAHCE
BI-STATE KANSAS CITY LOCAL PROGRAM COUNCIL – Provide value-added
educational programs and networking opportunities in the Kansas City metro
MEMBERSHIP – Increase membership and engagement.
MENTORING – Provide mentoring opportunities for students, new grad and
early careerists and to offer leadership coaching opportunities for
mid-careerists and new C-suite execs.
MILITARY/V.A. – Reinforce and expand membership and engagement of
military/V.A. healthcare leaders.
NOMINATING – Provide slate of officers and directors for the coming
SPONSORSHIP – Increase corporate sponsorships to offset chapter expenses
and to partially fund scholarships and gifts.
STUDENTS/EARLY CAREERISTS – Support engagement of students and early
How do I get involved?
Reach out! You can always contact me (email@example.com)
to connect you with a specific committee or opportunity. If you don't
know what you'd like to be involved with, I'm happy to help you find your
niche! You can also contact President Judy Corzine (firstname.lastname@example.org).
Ariel Shifter | MHSA Candidate
Assistant - Health Policy and Management
University of Kansas
email@example.com, or Susan Cunningham (firstname.lastname@example.org).
Advancing in ACHE - Part 2
Marion A. Thompson FACHE
This is the second of a four-part series, sharing
information found on the American College of Healthcare Executives' website
at http://www.ache.org/FACHE. The purpose of this series is to provide guidance to those considering
membership and encouragement to those chapter members who have not yet
advanced their membership. Details will be provided using the Frequently Asked
are the advantages of becoming board certified in healthcare management and
earning the FACHE credential?
Earning the distinction
of board certification in healthcare management as a Fellow of the American
College of Healthcare Executives
(FACHE) signifies your expertise, experience and commitment to continuing
education and professional development. Just as members of the medical staff
are board certified, having the FACHE credential by your name indicates a level
of achievement in the profession.
are the major requirements that I must meet to earn the FACHE credential?
The credentialing system
is multifaceted and involves academic preparation, healthcare management
experience, ACHE tenure, passing the Board of Governors Examination in
Healthcare Management, continuing education, references, and community and
are the requirements to submit a Fellow application?
Fellow candidates must
meet all of the following requirements prior to applying and sitting for the
Board of Governors Exam:
- Current Member with three (3) years' tenure
as an ACHE Member, Faculty Associate, or International Associate. Student
membership does not count toward tenure.
- Master's degree (or other
post-baccalaureate degree). A copy of your diploma or final conferred transcript
- Currently hold an executive healthcare
management position with a minimum of five (5) years of executive healthcare
management experience. A copy of your job description, organizational chart and
resume is required.
- Demonstrate 36 hours of healthcare-related
continuing education within the last three (3) years of submitting an
application (12 hours must be ACHE Face-to-Face education).
- Two (2) examples of community/civic
activities AND two (2) examples of healthcare-related activities within the
last three (3) years of submitting an application.
- Two (2) references: One (1) Fellow
reference (must be a structured interview), the second reference may be from a
senior-level executive (VP or higher) in your organization, OR it may be from a
$250 Application Fee (non-refundable).
The next article in the
series will continue to address those questions pertaining to advancing from
member to fellow status. Learn
more now at http://www.ache.org/FACHE.
4 Steps to Establishing Your Leadership Philosophy
Many leaders have a list of aspirational adjectives—inspiring, benevolent, collaborative—to guide them but little idea of how to exemplify those traits in practice consistently. Thinking about leadership in vague terms can lead to confusion not only for you, but for your employees as well.
The best way to prevent this confusion is to write a personal statement or “leadership philosophy” that includes how you think, act, react and work with others, according to Ed Ruggero, business writer and leadership teacher. These statements frequently include the following four parts:
1. Personal beliefs about leadership. Start by writing your beliefs about the role of leadership and general leadership principles, such as "leaders serve others" or "discipline is the bridge between goals and accomplishment".
2. What your team can expect from you. Acknowledging that leadership is a two-way street will surprise and impress many employees. In the second section of your personal statement, outline your personal credos and aspects of your leadership that you are working to continuously improve.
3. What you expect of your team. Consider how you would answer questions from employees such as “Is it OK to present you with a problem for which I have no proposed solution?” and “How long should I wrestle with a challenge before seeking help?” Most importantly, create an expectation around how employees should communicate their disagreements with you.
4. What attracts negative attention. Listing your pet peeves may not dramatically improve organizational performance, but it can help reduce day-to-day stress.
Creating and disseminating your leadership philosophy "engages people in an ongoing conversation about how we can be a better team," Ruggero explains. If you start to deviate from your commitments, the personal statement also enables peers or employees to help you correct your course.
—Adapted from “4 Questions Every Great Leader Should Be Able to Answer,” by Leigh Buchanana, Inc., April 12, 2018.
Enhance Your Decision-Making Skills: 3 Tips
Good decision making requires a sense of prediction—how different choices change the likelihood of different outcomes—and a sense of judgment—how desirable each of those outcomes is—according to a Harvard Business Review article by Walter Frick. Highlighted below are three ways to improve your ability to predict the effects of your choices and assess their desirability.
1. Avoid overconfidence. Consider the fact that you may be more confident about each step of your decision-making process than you ought to be, and that’s OK. If you embrace being less certain, however you may be more likely to revisit the logic of your decision and prepare for dramatically different outcomes than your expected one.
2. Analyze how frequently predicted outcomes occur. Numerous studies demonstrate that the best starting point for predictions is to ask “How often does that typically happen?” Get away from the specifics of your particular decision or individual case, and look at the base rate and outcomes of similar cases first.
3. Learn about probability. Research suggests basic training in probability makes people more effective forecasters and helps them avoid certain cognitive biases. Brushing up on probability theory may help you better express uncertainty and think numerically about the question “How often does this usually happen?”
“Great decision makers don’t follow these rules only when facing a particularly difficult choice; they return to them all the time,” Frick writes. “They recognize that even seemingly easy decisions can be hard—and that they probably know less than they think.”
—Adapted from “3 Ways to Improve Your Decision Making,” by Walter Frick, Harvard Business Review, Jan. 22, 2018.