Washington State Healthcare Executives Forum

Holiday Edition 2013

President's Message

by Kimbra Wells Metz, MHA, FACHE

It is hard to believe we are rounding out the year and kicking off 2014.  The Washington State Healthcare Executive Forum Board of Directors would like to wish you a happy, healthy and prosperous New Year.

This last quarter has been busy and we continue to plan events for the coming year.  In November we held panel discussion on implementation of the ACA in Washington, which was well attended and followed with time for networking.  Although adoption of the ACA is no easy undertaking, it is clear that Washington is one of the leading States nationally in adopting the ACA.  We would like to thank the panelists for their support of this event and the University of Washington, MHA program for leading the planning effort.

Our next “meet and mingle” networking event will be held in Seattle on January 14th.  Keep an eye out for our invitation and please register, as there is limited space available.   This is a great opportunity to connect and network with other healthcare leaders. Please check our website for updates on events you may be interested in participating in. 

Calling all Fellows- In Q1 2014 we will have a Fellows only event and will send the details shortly.  We hope you will join us for that event and others we have planned in the coming year.

Our newsletter this quarter focuses on – the importance of "Leading by Example" and QM "Partnership for Patients".

We hope you will find it informative, and please have a safe and happy holiday season.



Kimbra Wells Metz, MHA, FACHE

WSHEF President


Lead by Example: Know the Qualities of a Good Leader

Becoming a leader requires that you understand the roles and responsibilities of leadership and that you practice the qualities of a good leader until you begin to emerge as a leader in your personal and professional life.

You are always free to choose and have the ability to choose, to take command and to assume a leadership role in your life through several different leadership styles. In fact, your life is the result of the choices and decisions you have made up until this moment. Leaders are those who make better choices and decisions than others more often than not, and choose to lead by example.

The good news about leaders is that they are made, not born. Leaders are largely self-made as the result of continuously working on themselves over the years. No one starts off as a leader, but you can aspire to leadership by learning the qualities of a good leader and how they think and feel, and then by emulating them until you become one yourself.

Position Power

There are three major forms of leadership styles in our society today. The first is position power. Position power refers to the powers of rewarding and punishing that go with a particular title or role.

If you are made operations manager or vice president of development, you have the power to hire and fire people, to raise their pay or leave it where it is. You have the power to hand out privileges or punishment and to alter the terms and conditions of employment to make them more or less agreeable. But whoever has your title has those powers. They are conferred upon you by the title itself. They go with the position.

Expert Power

The second type of power is expert power. Expert power arises when you are very good at what you do and as a result, people defer to your opinion and your judgment. Experts in critical areas for the survival or growth of organizations have tremendous power, even though they may have no staff at all. Their decisions and their judgment carry a tremendous weight.

One of the most important decisions you make during the course of your working life is to develop expert power in what you do. By becoming exceptional in your area of expertise, you develop power out of all proportion to your position or title. The most respected and valued people in any organization are those who have developed the ability to make the most valuable and most consistent contributions to the business. By being excellent at what you do, you set up a force field of energy that attracts power and respect to you.

Ascribed Power

The third form of power in organizations is called ascribed power. This is power that is conferred upon you by other people because they like you, trust you, believe in you and want you to have more influence and authority.

Ascribed power is a combination of being very good at what you do, being likable, being results-oriented and being perceived as the kind of person who can be the most helpful to others in achieving their individual goals.

The effective leader always begins with the “needs” of the situation. The effective leader always asks, “What does this situation most require of me? What am I most uniquely capable of contributing to this organization? Of all the things that I can bring to this organization, what are the one or two things that I and only I can do that will make a difference?”

Have a Vision, Make a Difference and Lead by Example

The most common characteristic of leadership, throughout the ages, is that leaders have “vision.” Leaders can see the big picture. Leaders can project forward three to five years and imagine clearly where they want to take the organization and what it will look like when they get there.

Leaders have the ability to articulate this vision in such a way that everyone around them can see and understand where they are going. The leader is the person who has the ability to articulate an exciting vision of a compelling future that everyone wants to be a part of.

Perhaps the most compelling vision that you can articulate for the people around you is the decision and determination to “be the best” at whatever you do.

One of the most important qualities of a good leader is for you to lead by example, to be a role model, to be the kind of person that everyone else looks up to and wants to be like. One of the characteristics of leaders is that they carry themselves at all times, even when no one is watching, as if everyone was watching.

—Adapted from “Lead by Example: Know the Qualities of a Good Leader” by Brian Tracy International, www.briantracy.com


What is Partnership for Patients (P4P)?

The Partnership for Patients (P4P) is a national initiative sponsored by the Department of Health and Human Services to reduce harm and improve care in health care facilities. The Partnership has two aims:

  • Prevent further patient injury and illness - By the end of 2013, preventable hospital-acquired conditions would decrease by 40 percent compared to 2010 levels. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over three years.
  • Help patients heal without complication – Improve continuity and effectiveness of care during transition from one care setting to another, decreasing readmissions within 30 days of discharge by 20 percent compared to 2010 levels.

How will progress toward meeting the aims be measured?

HHS leadership has identified 10 key indicators to be measured; nine preventable hospital-acquired conditions:

  • surgical site infections
  • venous thromboembolism
  • ventilator-associated pneumonia
  • obstetrical adverse events
  • central line-associated bloodstream infections
  • catheter-associated urinary tract infections
  • adverse drug events
  • falls
  • pressure ulcers
  • readmissions

What can providers do to meet the aims?

Providers across the MHS can work to meet the aims of the Partnership by adopting and implementing the harm-specific implementation guides, and urging their colleagues to do the same. Additionally, providers are encouraged to support the Services in measuring progress, engage patients and work as a team, be transparent; and above all, remember the goal is to make care safer for our patients.

Where can I get more information about the Partnership for Patients? For more information, go to http://www.wsha.org/partnershipforpatients.cfm.  

Initiative Spotlight: Kitsap County Cross Continuum Care Transitions Project (KC4TP)

Qualis Health is proud of the work community coalitions throughout Idaho and Washington are doing to improve the safety of care transitions and reduce hospital readmissions.

One of these coalitions has recently been in the national spotlight. Have you seen the online video that highlights the role of skilled nursing facilities in the Kitsap County Cross Continuum Care Transitions Project (KC4TP)? The KC4TP has also had the distinction of presenting their work at local and national conferences, as part of the Institute for Healthcare Improvement's State Action on Avoidable Rehospitalizations (STAAR) initiative.

As part of the KC4TP, skilled nursing facilities work collaboratively with the hospital to provide “warm handovers” so key information regarding each patient is available at the time of transition. They have also compiled a listing of the various local skilled nursing facilities' capabilities, to facilitate smoother SNF referrals.

Your community coalition might consider implementing either of those two strategies, or having representatives across the care continuum all take a training session together.

Members of the KC4TP have:

  1. Undergone Teach Back training to improve communication with patients and
  2. Implemented components of the INTERACT program.

For more information, please contact Qualis Health and/or the Washington Health Care Association.

Prep to Present to the C-Suite or the Board

Presenting to a group of executives or your organization’s board of trustees doesn’t have to be terrifying. Follow these tips to impress even the most intimidating top-level execs:

  • Stay focused. Don’t attempt to wow executives by covering every great idea you have. Answer specific requests succinctly but thoroughly. Concentrate on a few key takeaways and nothing more. If you are asked to present on something specific, do that.
  • Expect interruptions. Powerful people are busy and may be pulled out of the discussion as urgent issues pop up. Prepare material for just half the time you are allotted. If you are scheduled 30 minutes, create a 15-minute presentation that you know backwards and forwards. That way you cover key points should interruptions eat up some of your time. If you are lucky enough to experience few or no interruptions, use the rest of the time for Q&A and to clarify any confusion.
  • Plan for every response. You need to be able to answer every question and respond to every comment quickly and accurately. Study and rehearse to ensure that you present a confident and knowledgeable image.

If possible, meet with a group of colleagues and ask them to drive you with challenging questions so that you can prepare for anything that could potentially come your way.

—Adapted from “5 Ways to Wow Execs—Don’t Get Mad, Get Even More Prepared,” Nancy Duarte, www.linkedin.com.

Thomas C. Dolan Executive Diversity Program Scholars

Thomas C. Dolan Executive Diversity Program Scholars Selected

Six scholars have been selected for the inaugural Thomas C. Dolan Executive Diversity Program from a pool of 85 applicants. The year-long program will help further prepare these mid- and senior-level careerists to advance to higher leadership roles. Scholars will benefit from specialized curriculum opportunities addressing barriers in career attainment and developing executive presence, one-on-one interaction with a specially selected mentor and participation in formal leadership education and career assessments. The scholars and their respective organizations are:

  • Leslie Burnside, system director, network development & physician relations, UNC Health Care, Chapel Hill, N.C.
  • Jaquetta B. Clemons, DrPH, system director, community health/benefit, CHRISTUS Health System, Irving, Texas
  • Heriberto “Eddie” Cruz, vice president, operations, Access Community Health Network, Chicago
  • Gayathri S. Jith, FACHE, senior vice president, strategy and operations, Valley Presbyterian Hospital,Van Nuys, Calif.
  • Jan Manary, RN, Captain, Nurse Corps, U.S. Navy, Reserve Component, Arlington, Va.
  • Patrick Ramirez, administrative director, UCSF Medical Center, San Francisco

“This is an impressive group of healthcare executives to compose our inaugural cohort,” says ACHE President and CEO Deborah J. Bowen, FACHE, CAE. “We are confident these scholars will not only benefit from the program offerings but will make strong contributions to healthcare as they advance in their careers.”

The Thomas C. Dolan Executive Diversity Program was established by the Foundation of the American College of Healthcare Executives to honor Dolan, who served as president and CEO of ACHE from 1991-2013, for his long-standing service to the profession of healthcare leadership and to further his strong commitment to achieving greater diversity among senior healthcare leaders. Scholars will receive tuition to attend ACHE’s most notable educational offerings, including the 2014 Senior Executive Program or Executive Program and ACHE’s 2014 Congress on Healthcare Leadership. Enhanced self-awareness, critical leadership skills and an expanded network of leaders will prepare scholars for their future roles.

“ACHE is pleased there has been tremendous interest in and support for the Thomas C. Dolan Executive Diversity program,” says Bowen. “We are thrilled to be able to expand our support to diversify the leadership ranks in healthcare, and we are enormously grateful to the community of ACHE leaders that supports this program and made this possible.”

For more information about the selected scholars and the Executive Diversity Program, visit ache.org/ExecutiveDiversity.


Your Career & Development - JOB BANKS

If you are a member of ACHE you have access to a robust, national job bank. It can be found at:

ACHE Job Bank

We are pleased to provide a link to the WA Healthcare News Job Bank. This is an excellent source of information about positions in our local geographic area. The available position list has also been extended recently to contain some positions in other parts of the country. 

WA Healthcare News Job Bank


ACHE: Become Board Certified in Healthcare Management

Becoming Board Certified and advancing to Fellow is an important career step. Learn more about the advancement to Fellow process at ACHE’s website. http://www.ache.org

ACHE provides many resources to help you make this transition. You can find them at the ACHE Credentialing website.

ACHE Credentialing website.


UW Executive MHA and Medical Management Programs

UW Executive MHA and Medical Management Programs
For your professional development!

The University of Washington’s Graduate Programs in Health Services Administration offers healthcare professionals two options for increasing their management and leadership skills: the Executive Master of Health Administration Program (MHA), and the Certificate Program in Medical Management (CPMM).

Both programs are designed for those who want to meet the need for skilled leaders in the ever-changing healthcare delivery system. Physicians, nurses, other experienced clinical practitioners, and health service managers enter these programs to become more effective leaders and meet the increasingly challenging expectations of the patients and families, stakeholders, and communities they serve.

The Executive MHA Program has a 24-month format that combines three-day intensive on-site meetings with teleconferencing, independent assignments and team projects. Applications for admission have an annual deadline of April 30. For details, visit: http://www.uwexecutivemha.org.  

The CPMM is a four-course program that takes place once a week from 5:30 p.m. to 8:30 p.m. It begins with the autumn quarter, and ends the following autumn. Courses can be taken on a single-course enrollment basis, and include:

Medical Practice Quality Measurement and Management (autumn)

Strategic Management of Health Care Organizations (winter)

Leadership and Change Management (spring)

Health Services Financial Management (autumn)

Course credits may be applied toward the Executive MHA program.

For details, visit: http://www.pce.uw.edu/certificates/medical-management.html

To ask questions about either program, contact the program coordinator at mhap@u.washington.edu or 206-543-8778.


2013-2014 Officers and Board Members

WSHEF Officers:

  • Kimbra Wells Metz, FACHE, President
  • Andrea Zavos Turner, FACHE, President-Elect
  • Mary Ann Keogh Hoss, PhD, FACHE, immediate Past President
  • Barbara Anspach, FACHE, Secretary
  • Jim Cannon, FACHE, Treasurer
  • Term of Office: April 1, 2013 – March 31, 2014

 WSHEF Board Members:

  • Scott Bond
  • Bill Reid, FACHE
  • Sandra Slater-Duncan, FACHE
  • Rachanee Anne Curry, FACHE
  • Gregg Davidson, FACHE
  • Mark Shellmyer, FACHE
  • Steven Saxe, FACHE
  • Jacqui Sinatra

 ACHE Regent (District 5)

  • Steve Zieniewicz, FACHE

MILITARY Representative

         Term ongoing 


      University of Washington

         Term ends 2014 

      Washington State University

         Term ends 2014 

Get Involved! WSHEF Board and Committees

Get Involved!
WSHEF needs your help and expertise!

We want you to get the most out of being a member of our organization – how can you get involved?

Attend educational sessions and bring a colleague; promote ACHE and WSHEF membership in your organization

Provide a venue for an event

Volunteer and join a committee; suggest programming ideas.

Together we can develop relationships with other healthcare professionals, enhance our educational offerings, and address critical healthcare issues on local, state, and national levels.

The WSHEF Board has worked very hard to provide cutting edge educational sessions for all interested healthcare professionals in the region. Over the past two years there has been a notable increase in total participation. This is due in great part to the willingness of WSHEF members to donate their time and expertise. We have high expectations that this participation will continue to grow. However, without your help, we won't be able to achieve those goals. Each of you has a wealth of knowledge and expertise in your respective healthcare field. Please consider joining us in providing a venue to promote interaction and communication among healthcare professionals; foster professional development and educational forums; and address critical healthcare issues on local, state, and national levels.

WSHEF Officers and  Committee Chairs:

On April 1, 2013 our new Board, Officers, Committee Chairs and Committee members began their term of office. If you are interested in serving on a committee, please check our WSHEF website later this month for the names of our new committee contacts. WSHEF Website


Effective January 1, 2008, all ACHE members located within the chapter's assigned geographic territory are automatically members of the chapter as a benefit of being an ACHE member. Only ACHE members are eligible to hold membership in the chapter.
If you are not a current ACHE member, we encourage you to join by visiting the ACHE website. Nonmembers are welcome to attend chapter events. If you would like to be added to the chapter's nonmember mailing list to be notified of future programs and events, please send an email to info@wshef.ache.org.

WSHEF Vision & Values

To be the premier professional society connecting leaders in Washington State to learn, share, and transform health care.


To advance Washington state ACHE members' healthcare professional excellence through interaction and communication and fostering professional

As members of our Chapter, we are committed to:

We advocate and emulate high ethical conduct in all we do.

Lifelong Learning
We recognize lifelong learning is essential to our ability to innovate and continually improve ourselves, our organizations and our profession.

We lead through example and mentoring, and recognize caring must be a
cornerstone of our professional interactions.

We advocate inclusion and embrace the differences of those with whom we work
and the communities we serve.

We recognize service to our communities is an integral part of who we are as
healthcare professionals.

We take initiative to build partnerships in advancing professional
development within and outside of our healthcare community.


Our Goals
Service Excellence                                                                                                                    



ACHE Tuition Waiver Assistance Program

Apply for a Tuition Waiver

To reduce the barriers to ACHE educational programming for ACHE members experiencing economic hardship, ACHE has established the Tuition Waiver Assistance Program.

ACHE makes available a limited number of tuition waivers to ACHE Members and Fellows whose organizations lack the resources to fund their tuition for education programs. Members and Fellows in career transition are also encouraged to apply. Tuition waivers are based on financial need and are available for the following ACHE education programs:

  • Congress on Healthcare Leadership
  • Cluster Seminars
  • Self-Study Programs
  • Online Education Programs
  • Online Tutorial (Board of Governors Exam preparation)
  • ACHE Board of Governors Exam Review Course

All requests are due no less than eight weeks before the program date, except for ACHE self-study courses; see quarterly application deadlines on the FAQ page of the tuition waiver application. Incomplete applications and applications received after the deadline will not be considered. Recipients will be notified of the waiver review panel's decision not less than six weeks before the program date. For ACHE self-study courses, applicants will be notified three weeks after the quarterly application deadline.

If you have questions about the program, please contact Teri Somrak, associate director, Division of Professional Development, at (312) 424-9354 or tsomrak@ache.org. For more information, visit ache.org/TuitionWaiver.

ACHE Call for Nominations for Regent-at-Large

The ACHE Board of Governors is calling for applications to serve as Regent-at-Large in Districts 2, 3, 4 and 5 beginning in March 2015. ACHE Fellows are eligible for Regent-at-Large vacancies within their district. 

  • District 5 consists of Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington and Wyoming.

The goal of the Board of Governors in appointing Regents-at-Large is for the Council of Regents to mirror the diversity of ACHE Members and Fellows. To that end, the Board seeks applicants who are female or persons of color as these groups are underrepresented on the Council of Regents. The responsibilities of the Regent-at-Large, including suggested knowledge, skills and experience, are included in the position description posted at ache.org/RegentAtLarge. Appointments will be made by the Board of Governors in November 2014. Candidates should not directly contact members of the Board of Governors to request letters of support.

Fellows from Districts 2, 3, 4 and 5 may apply to serve by sending a letter (see specifications below) via U.S. mail postmarked between January 1 and July 15 to Thom D. Freyer, FACHE, CAE, American College of Healthcare Executives, 1 N. Franklin St., Suite 1700, Chicago, IL 60606-3529. Materials can also be sent via email to tfreyer@ache.org or faxed to (312) 424-2836. All candidates will be listed in the Member Center of ache.org under the heading “Regent-at-Large Declared Candidates.” Any candidate not listed by July 31 should contact Thom D. Freyer, FACHE, CAE, immediately. If prospective candidates have any questions about the application process, they should contact Thom Freyer.

Application specifications: To be considered, applications must include:

  • A statement, in the form of a letter, by the candidate that addresses his or her qualifications for the position, including the characteristics identified by the Board of Governors that are noted above and
  • A professional resume of education and work experience

Candidates may include up to two letters of support for their candidacy. Letters of support may not be solicited from current members of the ACHE Board of Governors.

DELIVERY of WSHEF Newsletter (Disclaimer)

Ensure delivery of Chapter E-newsletter (Disclaimer)

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