Kansas Association of Health Care Executives

July 2018

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!

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 impacted.

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 (CMI).

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 reimbursement.

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 Morales

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 Bingham

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 Woods

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 ashifter@kumc.edu. 
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 engagement. 
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 chapter's work:    
ADVANCEMENT – Provide support for members advancing to Fellow and re-certifying.  
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 in-state venues. 
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 programmatic goals.  
BI-STATE KANSAS CITY LOCAL PROGRAM COUNCIL – Provide value-added educational programs and networking opportunities in the Kansas City metro area. 
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 year. 
SPONSORSHIP – Increase corporate sponsorships to offset chapter expenses and to partially fund scholarships and gifts. STUDENTS/EARLY CAREERISTS – Support engagement of students and early careerists. 
How do I get involved? Reach out! You can always contact me (catherinembarrett@gmail.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 (jcorzine@stormontvail.org). Ariel Shifter | MHSA Candidate Graduate Research Assistant - Health Policy and Management University of Kansas Medical Center ashifter@kumc.edu, or Susan Cunningham (scunningham@kha-net.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 Questions format.

What 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.

What 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 civic involvement.

What 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 is required.
  • 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 second Fellow.
  • $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.