From the President's Desk

2011 is shaping up nicely! We have many to thank for that.

Our new board members bring a wealth of experience in supporting healthcare from multiple vantage points. Thanks go out to: Grace Wakulchik, Al Matyas, Chris Masone, Dan Barr, FACHEKim Williams, Jeff Kovacs, and Richard Adams, FACHE. All have agreed to support not only our Board interactions and educational offerings, but also our committee work through leadership of specific efforts.

Like our outgoing Regent, our Regent-elect is someone who has been a strong supporter of healthcare leadership and excellence in care. Thank you, Jan Murphy, FACHE, for your willingness to serve in this very active role on our behalf.

Our Program Committee, perhaps the most intense of our committees, is pulling together a strong schedule for the balance of the year. We very much appreciate the leadership of Tony Warmuth, FACHE, for these efforts.

I personally am quite grateful to our President-elect, Mike Scocos. He has been willing to step to the plate for me on conference calls for which I have a schedule conflict, assuring that HEANO will not miss important information from ACHE.

Thanks to all who support lifelong learning though our chapter, whether by presenting, attending, or sponsoring events.

Regent's Corner

Kevin J. Miller, FACHE

This is my last communication to you in my role as Regent and I would be remiss if I didn’t take this opportunity to thank you for allowing me the privilege to represent you, as your Regent, for the last three years.

I gained so much more than I gave during this experience. Through this office, I have met many new friends and colleagues. I have been so impressed by the membership of ACHE and its local chapters. You are an unparalleled group. You’re intelligent, hard-working, committed and professional.

The leadership of the chapters never fail to give everything they have to optimize this association for the benefit of its members. And, they do so without thought of personal recognition or thanks.

As I’ve met the student members, I am confident in the fact that our legacy will be honored by these young people who have so much to offer and are so value-driven.

More immediately, I am leaving the office as Regent knowing that I am handing the reins over to an individual for whom I have had the utmost respect, personally and professionally, for many years. Janice G. Murphy, FACHE, President of Fairview Hospital and Lakewood Hospital in Cleveland, is everything you would want in a leader and Regent, and more. I have no doubt that she will serve you exceptionally well.

In closing, please allow me, once again, to simply say thank you.

HIPAA & HITECH and the Impact on Organizations

Rosanne Kelley

It was recently published in many healthcare news outlets that the first civil fines have been levied by the Department of Health and Human Services (HHS). Cignet Health, a Maryland healthcare network, was fined a $4.3 million civil penalty for violating the HIPAA Privacy Rule. The case involved 41 patients where Cignet failed to act on a request for medical records. Not only was Cignet charged regarding the patient records, it was cited for failing to cooperate with the government, even after being served a federal subpoena. According to FierceHealthcare, $3 million of the fine was imposed for “willful neglect” (R. Seeger, Office of Civil Rights). To make matters even worse, when Cignet finally responded to the request, they delivered more than 4,000 patient records, which violated a second HIPAA regulation that states only the minimum necessary data to achieve the intended purpose of the use or disclosure is to be released.

One would assume that any provider would be keenly aware of HIPAA regulations and the potential financial and punitive impact it could have on an organization. Dina Overland, contributor to FierceHealthPayer, stated in a February 24, 2011 article that HHS is sending a very clear message that if organizations are in violation of HIPAA privacy or security laws, then they are going to be fined substantially.

This resurgence of emphasis on HIPAA compliance is fueled by the passage of the $787 billion American Recovery and Reinvestment Act of 2009 (ARRA). More than $19 billion is earmarked for a portion of the bill called the Health Information Technology for Economic and Clinical Health (HITECH) Act. There are financial rewards for compliance, but a greater importance is placed on ensuring the privacy and security of Protected Health Information (PHI). Organizations are adding the phrase “meaningful use” to their lexicons and information technology departments are working furiously to implement the proper processes and safeguards dictated by the government.

This expansion of the regulations behooves companies to develop standard operating procedures which cover the standards for all portable electronic devices in its possession including smart phones, laptops, thumb drives, etc. All of these devices must be encrypted or securely disposed of if they are not capable of being modified.

Do not limit an examination of HIPAA to within the walls of an organization or division -- query vendors and business associates. Mandate proof of compliance from all. Enter into the proper agreements or seek relationships with more proactive vendors and customers. Think about anyone who has reason to enter your facility and quesion if exposure to patient information can occur. This may include construction workers, shadow students, or inspectors. Anyone with the potential to view protected health information (PHI) must have a business agreement in place or sign an affidavit that he/she will abide by HIPAA regulations while in the facility.

A hospital in California was found to be routinely storing patient records in a broken locker outside of the hospital. Another hospital was fined because employees accessed celebrity medical record files. An employee at a facility in Long Beach memorized personal patient information and used them to set up fake cell phone accounts. While these examples run the gamut, the majority of privacy breaches are easily preventable. The investment in ensuring that a healthcare institution is compliant is well worth it considering the magnitude of fines that have been levied.


HITECH Answers. Independent EHR resources and solutions. January 2011

Overland, Dina. Take HIPAA seriously—or pay the penalty. FierceHealthPayer. February 24, 2011.

Yin, Sandra. Feds impose first civil fine ever in HIPAA case. FierceHealthcare. Daily News for Healthcare Executives.

Are You an Early Careerist???

Nancy M. Tinsley, RN, MBA, FACHE

Announcing the HEANO Early Careerists Program

The Early Careerist Program is designed to create a forum of emerging strategic leaders that collaborate and are committed to creating a sustainable professional reputation and regional growth.

It is intended for healthcare professionals who are early in their careers (approx 0-8 years), members of HEANO, and those who display the interest and desire to become more involved in leadership, regional collaboration and growth.  

The Early Careerist programs will explore strategies and concepts of leadership through user participation, educational activities, articles, links, profiles, discussions and collaborative projects. 

The specific program goals are to: develop future leaders and commit to those with a genuine desire for increasing involvement in leadership activities; increase professional satisfaction by including emerging leaders in networking and leadership development activities and; increase the regional presence and retention of healthcare professionals.

Early careerists that actively participate will benefit by furthering their development of leadership skills, build networks and resources and be involved in improving healthcare delivery in their community.  

Those interested in joining the early careerist program can locate the membership application on the website or by clicking here. Applications should be completed and sent to A member of the Early Careerist Committee will contact you regarding your application status.

To maintain Early Careerist status members need to participate in a HEANO initiative and attend 50% of the HEANO programming events.

Don’t miss out -- The Early Careerist program will be introduced at the March 24 program event. 

Coming soon:  Early Careerist Networking Event as the pre-event to the April 28 program event.

Members on the Move/Facilities Update

Cleveland Clinic has been selected as an ENERGY STAR Partner of the Year. Along these same lines, Cleveland Clinic has just earned its eighth ENERGY STAR award from our building portfolio.

Additionally, John L. D'Angelo, Senior Director for Facilities, Cleveland Clinic, has been selected as the Chairman of US DOE’s Hospital Energy Alliance. Cleveland Clinic represents about 27% of the hospital market share in the country and works with members to expedite the scale adoption of advanced building technologies and best practices needed for continuous energy performance improvement. As part of this role, John is also the Project Team Leader for a joint industry/manufacturer/DOE Lab effort to improve the quality and usability of High Efficiency Lighting for Healthcare. He will be speaking on this at LightFair on May 18.
University Hospitals Transplant Institute Establishes Education and Evaluation Center in Akron. Read full press release here.
Lodi Community Hospital has been recognized for excellence in patient satisfaction in the Emergency Department. The Hospital received it's fifth consecutive Summit Award from Press-Ganey, the largest satisfaction monitoring company in the healthcare industry.

Lodi Community Hospital is only one of three hospital-based EDs in the country to receive this award.  Press-Ganey services about 2,500 of the 5,000+ hospitals in the US.

To celebrate the award, the Hospital spent about $1,100 to produce a music video in honor of the success.  The video can be viewed on the Hospital's website:
Greg Palmer, FACHE
New certifications for Greg Palmer: CHFP (Certified Healthcare Financial Professional, HFMA), CPHQ (Certified Professional in Healthcare Quality), NEA-BC (Nurse Executive Advanced - Board Certified)

Local Healthcare News

Kayla Cousineau


The University Hospitals' Ahuja Medical Center, a 53-acre, $298 million facility located in Beachwood, opened its doors to patients and the community on March 1, 2011.

Fairview Hospital recently announced plans for a $76 million renovation to modernize the facility. The renovation includes a 125,000 square-foot addition that will include private patient rooms and 52-bed emergency department.

In November Summa opened its new state-of-the-art facility in Medina. The Summa Health Center at Lake Medina offers a range of medical specialties and testing and treatment options.


Lake Health and Lakeland Community College are partnering with Kent State University to develop and enhance educational opportunities for nurses in the region.

View News-Herald article


Mobile MIM, created by Beachwood-based MIM Software Inc., is a new app that allows physicians to clearly view medical images (CT, MRI, and nuclear imaging) on an Apple iPhone or iPad.


Summa Akron City & St. Thomas Hospitals were awarded Magnet status in January from the American Nursing Credentialing Center for nursing excellence.

University Hospitals Case Medical Center has received Magnet re-designation for 2010-14.  

Other Region News

A slow flu season is reaching its peak around Ohio according to the Ohio Department of Health.

St. Vincent Charity Medical Center is preparing to invest and build a stronger and more formal fundraising infrastructure to support the hospital.

The City of Cleveland and four local healthcare institutions are collaborating to make Cleveland more healthy. Leaders from the City, Cleveland Clinic, University Hospitals-Case Medical Center, MetroHealth and the Sisters of Charity Hospital System are calling it “Healthy Cleveland.”

As part of their initiative to strengthen their services offered in Akron, Akron General recently announced plans for the development of a Neuroscience Institute.

Several Windows of Opportunity Close, but Options Remain

Tanya K. Hahn

Creative options can be used to finance construction, acquisition, renovation, or refinances in 2011. Click here to read the full article.

What Should Be in Your Obligated Group?

John Randolph

This article explains how to evaluate which properties should, and shouldn’t, be part of the collateral for a debt issuance. Full text here.

Think Beyond the Financial Aspect of a Conflict of Interest

William M. Courson, President, Lancaster Pollard Investment Advisory Group,

An article for hospital trustees managing foundations and other investments. Click here for complete text.

Break Out of a Rut and Move Ahead

Opportunities abound for people who want to move ahead at work. Are you taking advantage of them? If you are tired of staying in the same place while others around you advance, make these strategies a part of your success plan:

  • Aim higher. Exceed expectations: Dress for the role you want, not the one you have. Do more than your job description requires.
  • Act instead of watching. Move off the sidelines when you see a colleague struggling or you see a way to do something better.
  • Put the organization first. Gain new perspective by thinking always about the organization’s best interests. Forget about your pay grade. You can have a professional demeanor and still be willing to roll up your sleeves and do whatever must be done.
  • Focus on priorities. Each day, list five must-do items that link directly to your performance objectives. Share your accomplishments with your boss at least once each quarter.


Survey Staff to Curb Conflict

Call it spring fever: Sometimes, for no apparent reason, everyone on the team is grumpy and grouchy, ready to erupt at the slightest provocation. If the mood does not pass, the problem might be more than the weather. List possible sources of conflict and hand the list out to staffers. Ask them to mark the three most important items on the list they think are contributing to the problem. Include these items and any others that seem likely:

* Values
* Perceptions
* Knowledge
* Assumptions
* Expectations
* Different backgrounds
* Willingness and ability to deal with conflict

Once you have an understanding of the source of conflict on your team, you can make plans to address those sources and restore your team’s equilibrium.

Adapted from Communication Briefings, March 2011; (800) 791-8699;

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