San Diego Organization of Healthcare LeadersSeptember 2019
President's Message
Dear Colleagues,
As I near the end of my presidency, I am reflecting on the activities
and events of the past nine months in our local community, on a national level,
and abroad. The year has so far been marked by multiple significant
earthquakes, gun violence, political turmoil, a devastating hurricane, a disease
outbreak, and several major global protests. In a way, it doesn’t seem any
different from past years, but each event creates new conversations, awakens dormant
minds, and generates fresh ideas. Like many other organizations, SOHL leverages
the current climate for educational purposes and develops programming in step
with or just ahead of the hot topics. Our annual conference serves as a stellar
example of such effort. For 10 consecutive years, SOHL has been bringing
locally and nationally acclaimed speakers right to your door as part of the
fall conference. This year is no exception. The planning committee has been
working diligently on securing experts in the fields of crisis and emergency
management to engage you in insightful conversations. I am excited to introduce
to you the 11th annual conference, “Emergencies in Healthcare,” which will be held on October 25 at the Scripps Schaetzel
Center in La Jolla. The speakers will bring various perspectives from the war
zones, border health and safety, local emergencies, traumatic events, and
disaster management, to name a few. A morning keynote will feature Robin Davis,
MPA, CEM, CHPCP, Director of Disaster Management for Memorial Hermann Health
System in Houston, TX. Mr. Davis oversees disaster preparation, response and
recovery for the 15-hospital system. He has coordinated responses for H1N1
virus, Ebola, Super Bowl 51, and Hurricane Harvey. Be sure to visit our website
for additional information and a complete list of the day’s panelists.
Don’t miss an opportunity to register as seating is limited. SOHL will
once again offer 4.5 ACHE face-to-face education credits.
While the end of October is just around the corner, SOHL is working on
offering several other exciting and engaging local events that I encourage you
to attend. Check out the calendar on http://sohl.ache.org/
for more details and to register.
Remember, as a SOHL member you have access to all ACHE has to offer.
Don’t delay and take advantage of the webinars, educational materials, and
networking opportunities that are available to you on the national level.
Once again, thank you for your engagement and support!
Dasha Dahdouh, MPH
SOHL Chapter President
SOHL Programs: Quarterly Updates
June 25, 2019 - Leading a Culture of Patient Safety:
Over 55
participants were in attendance and pledged to support the American College of Healthcare Executives (ACHE) Leading for
Safety initiative at
SOHL’s Leading a Culture of Patient Safety Program. Christopher D. Howard,
President and CEO of Sharp HealthCare, provided opening remarks, and Aaron
Byzak, Chief External Affairs Officer of Tri-City Medical Center, and Jerry
Kolins, Medical Director of Palomar Health Laboratories, followed with a
presentation on patient safety reform in assisted living, how professionals
raised in different cultures affect patient safety, and the pros and cons of
respecting authority.
A special thank
you to Sharp HealthCare for sponsoring SOHL and hosting the program at their
facility. Presenters and SOHL members in attendance are pictured below.


July 28, 2019 – Live Well San Diego 5k and Kids 1-Mile Fun Run:
The “SOHL Heroes”
Team joined thousands in the Live Well San Diego 5k and Kids 1-Mile Fun Run at the County Administration Center
Waterfront Park. The event brought thousands of San Diegans together in
support of a healthy, safe, and thriving San Diego County.
A special thank you to the SOHL Heroes Team for donating
or attending the event: Moyosore Buari, Amanda O’Neal Brummitt, Brett Brummitt,
Carol Cannizzo, Jeff Jimenez, Angela Fang, James Beers, and Nora Bota.


July 30, 2019 – Illegal and Unethical Practices in Addiction Care:
SOHL held the Illegal
and Unethical Practices in Addiction Care in partnership with its sponsor,
Hazelden Betty Ford Foundation. Over 20 participants were in attendance to hear
from Bob Poznanovich, VP of Business Development for Hazelden Betty Ford. Attendees
participated in an open discussion about ethical practices and consumer
protection in addition treatment.
A special thank
you to the SOHL sponsors, Hazelden Betty Ford Foundation for providing the
presentation and AMN Healthcare for providing the facility. Attendees are
pictured below.


August 14, 2019 – SOHL Executive Program Kick-Off Event:
Chris
Van Gorder, President and CEO of Scripps Health, kicked-off the 2019 SOHL
Executive Program with a presentation on Effecting Change through Front-Line
Leadership. This year’s SOHL Executive Program consists of approximately
25 participants who are eager to learn from C-level healthcare professionals in
San Diego County on a variety of topics (e.g., leadership, public health,
healthcare management, informatics, policy, and organizational efficiency). The
program prepares the next generation of senior executives who will guide their
organization and significantly impact the future of healthcare.
A
special thank you to SOHL’s sponsor, Scripps Health, for providing the
presentation and hosting the event at their facility. Pictured below is the
2019 SOHL Executive Program Cohort with guest speaker, Chris Van Gorder, and
Executive Program Co-Chairs, Andrea Gonzalez and Celerina Cornett.

August
28, 2019 – Bridging the Healthcare Gap: Improving the Quality and Diversity of
Patient-Centered Care:
SOHL members heard
from various speakers, including Dr. Ross Colt, PACE Medical Director, Carla
Holland, Director of the Small Business Development Center, and Virna Little,
COO of Concert Health, on healthcare matters to increase the delivery and
quality of patient-centered care.
A special thank you
to Kelly Price Noble and SOHL sponsor, University of Phoenix, for organizing the
event.
September
10, 2019 – CEO Rounds – CAPT Spencer T. Schoen, First Medical Battalion Camp
Pendleton:
Over 40
participants joined SOHL for CAPT Spencer T. Schoen’s discussion of his
role as Commander of the First Medical Battalion and how that relates to a CEO
of a civilian organization. The participants were guided through a tour of
the Shock Trauma Platoon and Forward Resuscitative Surgery Support.
A special thank you
to Mark Campbell for his assistance and coordination, along with Jared Vogt, to
provide this unique opportunity to the SOHL members. Pictures from the event
are included below.




September 19-20, 2019 - California Health IT Summit:
Join
top executives, physicians, practice management, and IT decision makers from
North America’s leading provider organizations and physician practices in Los
Angeles, CA for a two- day executive Health IT Summit. Speakers will discuss a
wide range of issues, topics, and latest strategies, including data security,
population health, data analytics, accountable care, telemedicine, and more.
This exclusive, high-level program is a great opportunity to stay ahead of the
challenges we all face and to network with other healthcare leaders and
colleagues. Learn more and see the full agenda.
Register today!
September 26, 2019 – CareerEDGE & You: Mapping Your Career
for Success:
Have
you ever completed a gap analysis between the skills and expertise you offer
and what the healthcare marketplace needs? CareerEDGE is an exclusive ACHE
member benefit designed to help you identify the gaps you need to hone your
skill set and help you advance as a healthcare leader. We invite you to join
SOHL and our two featured speakers, Rachel Gregoire from the ACHE Career
Resource Center and Melinda Hudson from our own SOHL Board, as we share best practices
for maximizing your use of this free career management tool to build your
competitive edge, click here for more information.
Register today!
September 28, 2019 – Graduate Student Council Student Member
Happy Hour:
The Graduate Student Council is hosting a SOHL Student
Member Happy Hour on Saturday, September 28, 2019, at 5:00
PM at Stone Brewing World Bistro & Gardens – Liberty Station, 2816
Historic Decatur Rd, San Diego, CA 92106. At
this event, attendees will be provided with a list of internship opportunities
throughout San Diego County. This will be a great opportunity to converse with
other graduate students who are currently completing their internship and to
hear all the exciting skills and projects they are working on and share
experiences.
Register today!
Other Upcoming Events:
October 25, 2019:
SOHL Annual Conference (Face to Face Credits available)
November 2019: Operations
Management and Efficiency (Face to Face Credits may be available)
SOHL Program Questions: Please contact SOHL Program Co-Chairs, Nora Bota at norambota@gmail.com and Jared Vogt at jvogt@rchsd.org for further details and questions
about SOHL Programs.
Welcome Our Newest Members of SOHL!
Please join us in welcoming the
following new members, who have joined SOHL since June 2019 (listed in
alphabetical order by last name):
- Olusola Adeyemo, Corpsman, Naval Hospital
- Sara Arriaza, Sales Manager Healthcare Systems, US
West, Mentice Inc.
- Lawrence Ayers, San Diego State University
- Ailorra Rizzelle Brunin, Surface Warfare Officer, US
Navy
- Aubrianna Butler
- Ashley Button
- Lindsay Conway, Managing Director, Advisory Board
- Miguel Cubano, Fellow, American College of Surgeon
- Hera Dore, Director of Acute Critical Care, Sharp
Healthcare
- Lexus Drakeford, Human Services Specialist, Health
and Human Services Agency
- Wendy Ehrig, MEICAL , US Navy
- Ryan Fearn-Gomez, District Manager, Clinical
Operations Improvement, Palomar Health
- Teresa Alexandra Gonzalez, CSU-Chico
- Charles Gunter, Patient Relations Coordinator,
Scripps Memorial Hospital
- Karen Kanan, Covenant Retirement Communities
- Larrissia Koulavongsa, Command Senior Enlisted
Leader, Navy Environmental & Preventive Medicine/Unit FIVE
- Brian LaMacchia, Business Manager of Interventional
& Heart Services, Stanford Children's Health
- Erika Lopatynsky, UCSD
- Anita Majabo Baker, UC San Diego Health
- Erik Mantsch, Impact Manager, RQI Partners
- Gregory Mayers, Consultant, KPIF Administration,
Kaiser Permanente
- Herbie Medalla, , US Navy
- Gaurav Mishra, Director of Psychiatry, San Ysidro
Health
- Lissette Moreno, Program Manager, UC San Diego Health
- Devin Morrison, Executive Officer, Naval Medical
Center San Diego
- Matthew Nelson,
- Rachel Newman, Department of Defense
- Sarah Norwood
- Cindy Paget, Director Human Resources , Palomar
Health
- Johnathan Restrepo, Chief Petty Officer, US Navy
- Angela Rosenblatt, System Director of
Pharmacy/Clinical Services, Scripps Health
- Shahbaz Salehi, Director, DHR
- Edgar San Luis, Associate Director of Health
Services, NHC Hawaii
- Elisa Stewart, Lead Coach, Engagehealthy, Inc.
- Ankoor Tailor, Senior Consultant, ECG Management
Consultants
- Jesse Thomas, MSC Officer, US Navy
- Sammy Totah, COO, Kaiser Permanente
- Vi Song Tring, Department Head, Military Health
Clinic, Naval Medical Center San Diego
- Ashley Waddell
- Timothy Weber, Navy Medicine West
- Antoine White, Substance Abuse Control Officer, US
Navy
- Connie Wong, Director of Managed Care, Palomar Health
FACHE® Recertification: It's Never Too Late to Begin Planning
Earning the distinction of board certification
in healthcare management as an ACHE Fellow is a great career accomplishment.
Whether you are one of the many members set to recertify this year or within
the next three years, you can get a head start now to maintain this prestigious
credential.
To ensure that all Fellows maintain the
integrity of the ACHE credentialing program, Fellows are required to recertify
every three years. To continue demonstrating your professionalism, ethical
decision making, competence, leadership and commitment to lifelong learning,
please be sure to recertify your FACHE credential by Dec. 31.
Visit My ACHE to check your recertification status, including the current number of
continuing education credit hours you have earned so far.
Postgraduate Fellowships: Creating Future Leaders
Postgraduate
fellowships contribute to the development of future leaders and provide
tangible benefits to sponsoring organizations and the profession. The Directory of
Postgraduate Administrative Fellowships gives sponsoring organizations the tools
needed to develop a fellowship, including detailed resources on logistics,
compensation and benefits, recruiting, onboarding and assessing candidates.
Organizations that post opportunities in the directory increase their
visibility for students seeking postgraduate administrative fellowships on a
national level.
Whether you are an
organization creating a fellowship, a student seeking a postgraduate
administrative fellowship, or an organization ready to post or update a current
listing, you'll find a variety of resources available at ache.org/PostGrad.
Community Forums Enhance Members’ Experience
ACHE members with affiliated interests can
communicate, collaborate and advance through participation in one of four
community groups. These groups include the Asian Healthcare Leaders Forum, the LGBT Forum, the Healthcare Consultants Forum and the Physician Executives Forum. Members can explore one forum or more for
missions and benefits that align with their professional backgrounds and
commitment to diversity and inclusion. Inform members in your area of these
communities, and encourage them to join the ones that best meet their professional
needs and goals.
Join for an annual fee of $100 each, in addition
to your ACHE membership dues. All benefits are accessible online and include a
quarterly newsletter, an exclusive LinkedIn Group and special designation in
ACHE’s online Member Directory.
Healthcare Consultants Forum Member Directory: Connecting Executives to Consultants
The Healthcare Consultants Forum
Member Directory offers
a robust search functionality to help you identify a consultant who meets your
needs. And if you are a consultant looking to gain visibility with decision makers,
consider joining the Healthcare Consultants Forum. The forum also offers resources tailored
to a healthcare consultant’s specific career development needs.
Local Prep Course Offered for the BOG Exam
A
new chapter-led review course is available to help ACHE Members prepare for the
Board of Governors Examination. The course, titled "BOG Exam Prep: Brought to You by ACHE and
Your Local Chapter," includes a thorough content review of
the 10 knowledge areas addressed in the Exam, practice test questions and
test-taking strategies. Participants may earn up to 12 hours of ACHE
Face-to-Face Education credit when they complete the course. Members can contact
their local chapter regarding an offering of the course in their area.
The course is also available as an ACHE Choice
program. Contact Katherine M. Stack, FACHE, manager, program development,
Department of Professional Development, at (312) 424-9304 or kstack@ache.org for more information.
ACHE Joins a Partnership Focused on Improving Diagnostic Quality and Safety
Did
you know that inaccurate or delayed diagnoses are responsible for roughly
80,000 deaths per year in the U.S.? ACHE recognizes the importance of
supporting improvements in diagnostic quality and safety in medicine, which is
why we have joined the Coalition to Improve Diagnosis. The coalition is a
collaboration of more than 50 leading healthcare organizations convened and led
by the Society to Improve Diagnosis in Medicine.
For more information
about the Coalition to Improve Diagnosis, visit improvediagnosis.org/cid/. For more
information about ACHE’s leading for safety efforts, visit ache.org/Safety
Planning for the Continuation of Your Career
Whether you’re starting a new position or planning for
retirement, building a comprehensive approach is critical to achieving your
goals. To help you drive long-term success in a new role, ACHE’s Onboarding
Resources is a great place to begin. If
you are nearing the end of your career, our Encore
Career Resources will help you make
sound intellectual, psychological and financial considerations. No matter where
you are in your career, we remain devoted to your success. For more on
these and additional tools, visit ache.org/CareerResources.
U.S. Medical Students Choosing Primary Care Specialties in an Eight-Year Decline
Despite
hospital systems and health officials citing the need for more primary care
doctors, graduates of U.S. medical schools are becoming less likely to choose a
specialization in this field.
According
to the 2019 National Resident Matching Program—the nonprofit group that determines
where medical students will study in their chosen specialties after graduation—the
percentage of primary care positions filled by fourth-year medical students was
the lowest on record. The 2019 report shows that of the 8,116 internal medicine
positions offered, only 41.5% were filled. Family medicine and pediatrics reflected
a similar trend. In fact, according to an analysis of historical Match data,
the percentage of U.S.-trained physicians matched into primary care positions
has declined since 2011.
Meanwhile,
recent data from the American Association of Colleges of Osteopathic Medicine
shows that medical colleges granting MD degrees graduate nearly three-quarters of
U.S. students moving on to become doctors. The rest
graduate from osteopathic schools that grant DO degrees. The five medical
schools with the highest percentage of graduates choosing primary care are all
osteopathic institutions, according to a 2019 U.S.
News & World Report survey.
Physicians
trained at foreign institutions, including both U.S. and non-U.S. citizens, accept
unfilled primary care residency positions as well. In the 2019 match, 68.9% of
foreign-trained physicians went into internal medicine, family medicine and
pediatrics.
Despite
osteopathic graduates and foreign-trained doctors taking up primary care spots,
a primary care physician shortage is still expected. In April 2019, the
Association of American Medical Colleges predicted
a shortage of between 21,100 and 55,200 primary care physicians by 2032.
Why
the decline? One reason may be as simple as higher income. According to a
recently published Medscape
survey of physicians, the annual salaries of internal medicine
practitioners average $243,000—a little over half of what orthopedic physicians
bring home. Family medicine and pediatrics reportedly earn even less.
Another
deterrent to choosing within the primary care field may be the time primary
care physicians spend on paperwork and completing electronic medical records.
According to the Medscape data, in 2012, 53 percent of physicians completed
approximately 1 to 4 hours of administrative tasks per week. The 2019 report
shows that the numbers have risen to 74 percent and about 10 hours per week.
Tellingly,
only 62% of internal medicine doctors in the survey said they would choose to
go into their specialty again; the lowest percentage on record for all
physician specialties surveyed.
—Adapted from "American Medical Students Less Likely To Choose
To Become Primary Care Doctors,"
by Victoria Knight,Kaiser Health News,
July 3, 2019.
Improved Communication Leads to Higher Patient Outcomes, Lower Readmission Rates
Aside
from top-quality providers and the latest technology, what do the most successful
hospitals have that others do not? The answer is clear and effective
communication across all levels and areas of care. Effective communication is
central to the patient experience and important for both short- and long-term
episodes of care, but it is particularly critical at key transition points in
care, most notably at discharge.
Collaborative
communication across the care team is just as vital as direct communication
with patients. In leading patient experience surveys the question “How well did
hospital staff work together as a team?” is highly correlated with overall
patient satisfaction. That correlation makes perfect sense. When patients
receive clear, consistent information from every caregiver, they are more
confident about what to both during a hospital stay and after discharge.
Communication
in a hospital or other care setting is more challenging than in virtually any
other industry. This complexity traces to a number of industry-specific issues,
including a high number of unique transactions during and across care episodes;
traditionally siloed work processes related to diagnosis and treatment; and
longstanding hierarchical barriers among care teams. Clear, open communication
builds trust, reduces confusion and increases patients’ confidence, which
contributes directly to better outcomes and reduced readmission rates.
Following
are three overarching strategies to help organizations change the way frontline
staff think about communication:
1. Create a culture of communication
first. To improve interactions, staff members have to
understand what effective communication looks and feels like at all levels of
the organization. Leaders must demonstrate best practices and reinforce
communication as a priority every time they interact with staff and patients,
through strategies such as organization-wide town hall meetings, attendance at
individual departmental meetings and regular rounds at the frontline.
2. Make it easier to
communicate internally. If an organization’s culture is one
that encourages open, transparent communication, then providers will feel free
to question and investigate discrepancies and gaps in information. While the
latest comprehensive electronic health records facilitate information exchange,
they don’t replace effective interpersonal communication, either among the care
team or with patients and families.
3. Fully embrace a
customer-centric mindset. With focused training and mentoring
from managers, healthcare professionals can develop the communication skills
that improve interactions with one another and with patients. An investment in
improved communication practices and competencies is an essential part of
improving not only patient experience, but also patient outcomes.
Ample
research establishes that effective communication is essential to attaining
better health outcomes. To be sure, changing both the culture of communication
and the specific practices and tools used on the ground entails a significant
organization-wide commitment, but the results will be well worth the effort.
—Adapted from "How Better
Communication can Improve Patient Outcomes and Lower Readmission Rates,"
by Burl Stamp, Healthcare Business &
Technology, Feb. 26, 2019.
Special Thanks to Our Platinum and Gold Sponsors
The generosity of SOHL's Platinum and Gold Sponsors make all that we do possible! Special thanks to the following organizations (listed in alphabetical order):

AMN Healthcare is the leader and innovator in healthcare workforce solutions and staffing services to healthcare facilities nationwide. With insights and expertise, AMN Healthcare helps providers optimize their workforce to successfully reduce complexity, increase efficiency and improve patient outcomes
https://www.amnhealthcare.com/

Canon Solutions America offers solutions that enable healthcare professionals to be more efficient and profitable while enhancing the quality of patient care. We help streamline admissions and discharge processes, support HIPAA compliance, and integrate patient information with EHR systems. Our solutions are designed to help clinical staff share information quickly and securely.
https://csa.canon.com/

Catalyst, a Haskell Company, is a healthcare consultancy devoted to bringing customer-driven healthcare solutions to provider organizations across the country. Catalyst deploys innovative strategic, operational, and facility planning solutions that enable healthcare organizations to optimize the patient care experience while improving access and reducing costs.
https://catalysthc.com/

The Hospital Association of San Diego and Imperial Counties (HASD&IC) is a non-profit organization representing 38 hospitals and integrated health systems in the two-county region. Our mission is to advance the organization, management, and effective delivery of affordable, medically necessary, quality health care services for the San Diego and Imperial County communities.
www.hasdic.org

Kaiser Permanente is a leading health care provider and not-for-profit health plan, serving over 11.3 million members in eight states and the District of Columbia. Dedicated to care innovations, clinical research, health education, and the support of community health, Kaiser Permanente’s focus is on total health.
www.kaiserpermanente.org

Founded in 1924, Scripps Health is a nonprofit health system in San Diego. Scripps treats more than 700,000 patients annually through the dedication of 3,000 affiliated physicians and more than 15,000 employees throughout five hospital campuses, 25-plus outpatient centers, and hundreds of affiliated medical offices throughout the region.
https://www.scripps.org/

Sharp HealthCare is a nonprofit health system that includes four acute-care hospitals, three specialty hospitals, three affiliated medical groups, and a spectrum of other facilities and services. Sharp has 2,900 affiliated physicians and more than 18,000 employees across its care sites.
https://www.sharp.com/

Sodexo is the worldwide leader in quality of life services. Every day, we strive to improve the quality of life of 100 million people. We develop, manage, and deliver a unique array of on-site services, benefits, and rewards service, and personal and home services.
https://www.sodexousa.com/

UC San Diego Health has cared for the community for 50+ years, while researching new treatments and training tomorrow’s doctors. Our physicians and scientists have made important contributions to numerous fields. Our specialty care in cancer, cardiology, and surgery consistently ranks among the nation’s best by U.S. News & World Report.
https://health.ucsd.edu/

The University of Phoenix is the first of its kind created for—and by—working adults. Our flexible programs are available online and on campus, with a curriculum influenced by real industry expectations and taught by instructors who have actual experience in the health care world.
https://www.phoenix.edu/

The University of St. Augustine for Health Sciences (USAHS) is a graduate institution that offers degree programs in physical therapy, occupational therapy, nursing, and health sciences, as well as continuing education programs. Founded in 1979, USAHS has campuses in Florida, California, and Texas.
https://www.usa.edu/
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