Summer THEF Educational Meeting, August 18th

The Healthcare Organization's Role in Formulating Public Policy

1.5 Free Category I Credits offered                                                                                            Tuesday,  August 18th

Hello Fellow THEF Members and Friends,
Please mark you calendars for the next program/meeting of the Triad Healthcare Executive Forum as follows:

Tuesday, August 18, 2009
5:30 to 6:00 pm - Networking and Refreshments
6:00 to 7:30 p.m.  - Program (*see below)
7:30 - Short Business Meeting
Wesley Long Community Hospital - Education Center
Registration Fee for Non-ACHE Affiliates Only:  $15 (at door)

*Panel Discussion - "The Healthcare Organization's Role in Formulating Public Policy"

Featuring a distinguished panel that will include:

Lanier M. Cansler, Secretary of the NC Department of Health and Human Services
R. Timothy Rice, FACHE, President and CEO of the Moses Cone Health System
Maureen Demarest Murray, Esq., Partner with Smith Moore Leatherwood LLP
Moderator:  Linwood Jones, General Counsel, North Carolina Hospital Association

This program has been developed and is presented locally by the Triad Healthcare Executive Forum.  The American College of Healthcare Executives has awarded 1.5 Category I (ACHE education) credit hours to this program.

Please see the attached for more information and directions.



Message from the Regent - Summer 2009

by Fred T. Brown, Jr., FACHE

I am not sure how many of your remember the Three Stooges who made comedy films in the forties and fifties. Moe, Larry and Curly could find many ways to mess up about anything they tried to do. I still find them occasionally on cable and still think they are very funny but you would not want to give them an important job. Unfortunately our Administration and Congress  reminds me of The Stooges as they seek to find so many ways to reform health care. If it were not so serious it would be almost funny.

It seems to me that most of the initiatives are directed at “payment reform” rather than true reform of the health care system. I have not read the entire 1132 pages of the bill (just like most of congress) but there does not seem to be much focus on the role and responsibility of the individual for their own health. There is not much about prevention, managing chronic disease and quality improvement. There is much about who gets taxed, about a public option and covering 40 million people with non existent  primary care physicians and extenders.

I am mostly a hospital person by background and experience but know that hospitals and all other components of the system want to be more effective, deliver higher quality and cover all of the population. An electronic medical record is a great thing but many organizations can not afford this technology. Why not pay hospitals for better prevention services, low readmissions rates, efficiency and good outcomes. In other words, reward quality and punish poor quality.

You and I need to get engaged. If you have not called or written your congressman expressing your views, you should. (a written note or letter is better than email). Two of the North Carolina Chapters are holding forums to discuss the healthcare executive’s role in public policy development. I encourage you to attend these, act and most importantly lead.

Who else has better perspective than ACHE members? It is our duty and responsibility as leaders to make our ideas known. Not only does our future professional lives depend on this but the very health of our family, friends and community.

Don’t allow the best health care system in the world to become second rate. Our Country deserves better.

Fred T. Brown, Jr., MPH, FACHE
Regent for North Carolina


BOG Exam - Advancement Seminar Offered

by Christine Sternjacob

Fundamentals of Healthcare Management: Saturday 19, 2009

Are you preparing for your Board of Governors Exam?

We will be offering a BOG- Advancement Prep Seminar in the Triad for those of you who are preparing for the exam this year.  Paula Zalucki, FACHE will be returning this year to hold a Fundamentals of Healthcare Management  Course for those people ready to sit for the 6 hour exam.  She is a subject matter expert and has held seminars at several Chapters across the Nation of the past few years. 

This course will be an 8 hours and is designed to help determine your knowledge levels and allow you to focus your areas of study accordingly.  The cost of registration includes breakfast, lunch, and your course materials.  Please see the below announcement for registration information.  This course has been opened up to our sister chapters in the region as well.  Please help spread the word and inform your colleagues they are preparing for this exam.

Keep in mind that ACHE is offering a $200 discount if you send if apply for examination early!              Check the ACHE website for more details 

BOG Exam_Sept19_2009.doc


THEF Made History In May

The Triad Healthcare Executive Forum (THEF) made history on May 19 when it presented its very first Category I approved educational program.  THEF members in attendance were eligible to receive 1.5 Category I Education Credit from the American College of Healthcare Executives (ACHE) for no fee to the affiliate.  The program was titled “The Healthcare Executive’s Role in IT Decisions,” and it was presented in a panel discussion format.  As part of its effort to deliver more ACHE services and benefits through its chapters, the College has developed 31 different panel discussion templates that each chapter may use when developing a program for its members.  Up to 1.5 Category I credits may be awarded at each approved chapter program, and up to 6.0 Category I credits may be awarded though these panel discussion programs per year.

THEF’s May program had an excellent panel of three expert executives with respect to information technology:  Dave Garrett, Senior Vice President & CIO, Novant Health; Darrell R. Deaton, FACHE, Vice President of Planning and Information, High Point Regional Health System; and Rex A. Street, Senior Vice President & CFO, Alamance Regional Medical Center.  The program’s moderator was John P. Hoyt, FACHE, Vice President, Healthcare Organizational Services, Healthcare Information and Management Systems Society (HIMSS). 

Mr. Hoyt began the program with a PowerPoint presentation on “Healthcare IT Trends and Glimmers.”  He first explained that HIMSS is the professional society for healthcare IT leaders that does much research in the field to examine trends, solutions, and best practices.  He focused his presentation on the trends regarding the utilization of PACS, Bar Coding, EMR, and CPOE.  Mr. Hoyt revealed the results of the latest HIMSS hospital EMR adoption survey, describing the 7 stages of EMR adoption where hospitals fall, noting that 94% of all hospitals still fall in Stage 3 or below.  He then provided his “glimmers” on the topics of RFID, interoperability of standards, deriving ROI from clinical systems, Stark relaxation, and benchmarking IT in healthcare.

Following Mr. Hoyt’s remarks, each panelist provided a brief description of the IT program at their respective institutions.  They then responded to questions such as how IT decisions are made at their hospitals, who are the key stakeholders, how does one keep from looking dumb in the eyes of vendors, and how do you know if your CIO is “too tight” with vendors.  Several questions were also asked by the audience.  The interchange between the panelists, moderator, and audience was excellent.

There were 33 THEF affiliates and friends in attendance.  The results of the post-session survey were very positive.  On a scale of 1 to 5 (poor to excellent), the 25 responders’ ratings averaged from 4.2 to 4.9 on each of the 12 questions, with most questions getting a score of 4.7 to 4.9.  The 1.5 Category I credits were much appreciated.  All in all, it was a very interesting, informative, and worthwhile evening.

2009-2010 THEF Scholarship Winners

by Pam Sinclair

THEF would like to announce the winners of it's 2009 Scholarship Award.  This award is granted to students who are pursuing an advanced degree in healthcare administration, and who meet the THEF requirements of academic excellence, likelihood for future success and to meet a demand in the field.  This year we shared the award between 3 winners who were all exceptional candidates.

The winners are:

Kristy Holt, Moses Cone Health System

Kathy Morrison, Women's Hospital / Moses Cone Health System

Tracey Grayzer, Alamance Regional Medical Center

Congratulations to the winners!

They will be invited to our annual THEF meeting at Grandover in November to be recognized.

Spring Quarter ePoll Results

by Christine Sternjacob

How has the economic downturn affected your organization?

87.5%  Reduced capital expenditures                                                                                            12.5%  Reduced ancillary staffing


National News - Summer 2009

ACHE Regent Elections
The 2009-2010 Council of Regents election process is under way, with 22 jurisdictions open for election:

Air Force    
   Northern & Central
District of Columbia 
New Mexico
New York--Metropolitan
South Dakota
Veterans Affairs
West Virginia

Chapter officials whose territories are located in any of the 22 jurisdictions open for election this year should encourage their members to run for Regent. Serving as a Regent is a unique opportunity to exercise leadership abilities, share innovative ideas and act on behalf of ACHE affiliates.

All Fellows who wish to run for election must submit either a letter of intent to ACHE via certified mail postmarked by September 4, 2009, or an electronic letter of intent to Certified mail is preferred. The letter of intent must include a current business title, business address and telephone number and be sent to the attention of:

Jennifer L. Connelly
Regent Elections Coordinator
American College of Healthcare Executives
One North Franklin Street, Suite 1700
Chicago, IL 60606-3529

If you submit your letter of intent electronically and you haven't received confirmation of its receipt by September 7, 2009, contact Jennifer L. Connelly at (312) 424-9328 or
Go to the Affiliates Only Area of to learn more about these upcoming elections.

Board of Governors Examination Review Course
To help prepare applicants for the Exam, ACHE will offer the Board of Governors Examination Review Course on October 26–28 in Atlanta. Passing the Exam is one step on the path to earning the distinction of board certification as a Fellow of the American College of Healthcare Executives (FACHE). The Exam consists of approximately 230 questions testing 10 core knowledge areas. This review course provides information on all 10 areas, as well as testing strategies, sample questions and a better understanding of the examination’s content, structure and scoring. To register, go to or contact our Customer Service Center at (312) 424-9400. For more information about becoming a Fellow, contact our Customer Service Center or go to

Best Practices for Applying Social Media in Healthcare
Healthcare organizations are using social media such as Facebook, LinkedIn, Twitter, YouTube and blogs to increase customer satisfaction, devise new recruitment models and build new communities. Find out how you can use these tools to enhance the patient-care experience and widen the reach of your healthcare services. Attend “Best Practices for Applying Social Media in Healthcare,” Wednesday, November 4, 2009.

Matthew Holt, author of The Health Care Blog and co-founder of the Health 2.0 Conference, will be the keynote speaker and moderator for the program.
Funded in part by the Fund for Innovation in Healthcare Leadership, this program will be held in conjunction with ACHE’s San Antonio Cluster. You can register for additional cluster seminars or participate solely in this program to learn how social media can benefit your organization.

For more information and to register, visit or call ACHE’s Customer Service Center at 312/424-9400.

Job Listings Wanted for ACHE’s Job Bank
ACHE’s Job Bank contains more than 1,000 healthcare management listings at any given time with new jobs posted daily. ACHE is seeking to expand the Job Bank to include more positions for early careerists, who are actively seeking new opportunities.

Advertise your open healthcare management positions in ACHE’s Job Bank to target the most qualified candidates—from early careerists to senior-level executives. ACHE looks to you to post open positions to help ensure the Job Bank continues to be a vibrant resource for ACHE affiliates.

Jobs are posted free of charge and are only accessible to ACHE affiliates. To post positions, visit For more information, contact Maxine Ellison at (312) 424-9446.



ACHE Hits The Social Networking Scene!

Join the ACHE Official Group on LinkedIn

LinkedIn is a social networking tool to help affiliates exchange information, build contacts and share ideas. Join the ACHE Official Group on LinkedIn today to make new business contacts with other ACHE affiliates and enhance your current relationships with a growing online network of leaders in the healthcare field. This group is exclusively for ACHE affiliates.

To join the ACHE Official Group on LinkedIn, you must have a profile. To create a profile, visit Once you have completed your profile, you are ready to join your colleagues around the country.

Click here to get started now.

Recognize Prejudgments That Can Cloud Your Decisions

Mistakes in our judgments and decisions often have their roots in past events whose lessons we now unconsciously apply to current decisions that have similar aspects. Experts call these traces of the past “prejudgments.” Spotting them in our thinking and working past them are key steps in making effective decisions.

  • Risks and opportunities. Once you’ve made a mistake by, say, hiring an energetic but totally inexperienced job applicant, you tend to weigh experience heavily in hiring decisions. Look at the specific job—is experience really that important here? Might communication abilities be more important?
  • Options. If your organization has always replaced departed employees immediately, using temps to delay hiring expenditures might not seem an option. In cost-conscious times, you may need to widen the range of choices.
  • Objectives and criteria. Perhaps it is an unwritten law that your department’s budget shouldn’t grow by more than a certain amount each year. Suppose now that you need more money for a new technology that will boost your productivity. Gather the facts and test your assumption.
  • Abilities. We’re often over- or under-confident about our staff members’ abilities based on what’s been accomplished in the past. However, abilities that aren’t regularly used can weaken. Talk in detail to employees before assuming they will succeed or fail at an assignment.
  • Failure and success. Over time the fact of success or failure is remembered, but the details are forgotten. Before weighing options, programs or people solely on the basis of past results, look again at degrees of failure or success. Was that program barely a success, with significant weaknesses in key areas? Was that training firm’s failure to improve your technicians’ skills at least partly due to a budget that was too low?

Adapted from Communication Solutions, April 2009,

Turn Arguments into Positive Encounters

When employees argue, don’t simply say “Stop it.” If there’s an important work issue at stake, such as how to complete a task, use the argument to clarify options. Guide your arguing employees toward agreement on a few basic principles:

  • There is a conflict, and it matters. A good argument calls for a commitment to present your side and hear the other side. An employee who doesn’t care shouldn’t  waste others’ time by pretending to have something to say.
  • Focus on issues, not individuals. Joe may have faults, but you still grant him the ability to have a good idea, and he grants the same to you. If one of Joe’s ideas is impractical or too expensive, it is not because Joe is always impractical or does not know how to handle money.
  • Agree to manage emotions. This does not mean denying your emotions; that is another way to say you don’t really care. Instead, the key is to agree to control your emotions: Allowing the other person to speak without interruption, not using abusive language or screaming to make your points and so on.
  • Work toward a solution or resolution. Both parties should agree that the argument is not an end in itself. You are making this effort to find a solution to a problem or resolve a dispute. Commit to seeing the process through.

Adapted from Communications Solutions, April 2009,

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