Washington State Healthcare Executives Forum


President's Message

by Kimbra Wells Metz, MHA, FACHE

As spring brings new beginnings, my term as WSHEF President ends; it has been an honor and privilege to serve as your President over the last year.

During this 2013-2014 board year, WSHEF held numinous events such as: Women in Leadership, and Affordable Care Act in WA panels in partnership with the University of Washington MHA program, the Future of Healthcare in Washington, Capstone presentations, the annual Washington ACHE breakfast in conjunction with the Washington State Hospital Association annual meeting, a Fellow’s only event on the Future of Healthcare, multiple “Meet and Mingle” networking events and a Fellow Advancement learning session. I hope you could participate in at least one of these events and we look forward to any feedback or suggestions you have.  

I want to thank our Regent, Stephen Zieniewicz, who has provided outstanding leadership and support over the last year. There is no doubt he will continue to lead efforts in growing ACHE’s Washington membership and provide support to the WSHEF board as we pursue our annual strategic goals.   

Additionally, there are a number of board members I would also like to recognize for their diligent service.

Mary Ann Keogh Hoss, was immediate past president and led WSHEF as president for two years prior to that. She was instrumental in getting the first strategic plan established, obtaining management services support for the chapter, and has helped coordinate the Futures Conference this year. She has completed her term on the board and we are thankful her for dedication and service. 

Rachanee Curry has served as both a board member and Interim President Elect. She has co-chaired the program committee and worked diligently to bring forth quality education programs. She has completed her term on the board and we are thankful for her generous support and leadership over the years. 

Barbara Anspach, served as our Secretary and supported the coordination of the Futures Conference last year. She also led WSHEF’s rebranding. She has completed her term on the WSHEF board and we appreciate her service.

Continuing board members are: Sandra Slater-Duncan (Co-Communications Chair), Gregg Davidson (Co-Diversity Chair), Jim Cannon (Treasurer), Mark Shellmyer (Co-Membership Chair), Steve Saxe (Co-Membership Chair), Jacqui Sinatra (Co-Programs Chair), Bill Reid (Communications Committee: Web-site), Major Michael Henry (Military Representative, Membership Committee), and Scott Bond (WSHA Representative)

I would also like to recognize our two inaugural student affiliate board members: Ashley King (University of Washington), and Samuel Wheller (Washington State University). They were integral to our ability to connect and integrate our future healthcare leaders within their respective programs and engaged them in WSHEF chapter activities. They focused on membership, mentorship, and diversity committee activities. 

There are many committee members who diligently contribute to the efforts of accomplishing our annual goals. I want to thank all of them for their volunteerism and hard work. I would like to recognize LT Clark Hartley for his leadership as last year’s newsletter editor. This will be his final newsletter. It will be difficult to replace him in this very important role.

On a final note… Please join me in welcoming our new President Andrea Turner, and the following new board members: Lori Nomura (Secretary, Co-Diversity Chair), Carol N. Velasquez (Member at Large), and Karin Larson-Pollock (President-Elect)

Thank you for a great 2013…I am certain 2014 will prove to be an exciting year!



WSHEF President


Photo: WSHEF January 2014 Board Retreat at Kestral Winery - Picture from left to right: Lori Nomura, Kimbra Wells Metz, Mary Ann Keogh Hoss, Jacqui Sinatra, Rachanee Curry, Mark Shellmyer, Andrea Turner, Samuel Wheller, Major Michael Henry, and Gregg Davidson (not pictured: Sandra Slater-Duncan, Jim Cannon, Steve Saxe, Bill Reid, Ashley King, Scott Bond, and our Regent Stephen Zieniewicz) 


Health Care that Works for Americans

On March 23, 2010, President Obama signed the Affordable Care Act into law, putting in place comprehensive reforms that improve access to affordable health coverage for everyone and protect consumers from abusive insurance company practices.

Here are the key facts about the Affordable Care Act:

Stronger Consumer Rights and Protections: In the past, insurance companies could take advantage of you. They could deny coverage to children who had asthma or were born with a heart defect, put a lifetime cap on the amount of care they would pay for, or cancel your coverage when you got sick just by finding an accidental mistake in your paperwork. The Affordable Care Act creates a new Patient’s Bill of Rights that protects you from these and other abusive practices.

105 million Americans no longer have lifetime dollar limits on their coverage. More than 17.6 million children with pre-existing conditions can no longer be denied coverage.

More Affordable Coverage: The law helps you by bringing down health care costs and making sure your health care dollars are spent wisely. Insurance companies will now be accountable to their customers for how they are spending premium dollars, and how much they are raising rates. Plus, the new law will help lower costs through new tax credits and new marketplaces where insurers will have to compete for your business.

Private insurers that provide coverage for nearly 174 million Americans must now justify double-digit premium increases, and nearly 76 million Americans are covered by insurers that are now required to spend at least 80% of premium dollars on health care. 360,000 small businesses received a tax credit in 2011 to help them pay for health insurance for an estimated 2 million workers.

Better Access to Care: 54 million Americans now can receive a free preventive service, such as cancer screenings, through their private insurance plan. 3.1 million young adults have coverage on a parent’s plan through age 26. More than 50,000 Americans with pre-existing conditions have gained coverage through the new Pre-Existing Condition Insurance Plan.

Stronger Medicare:  Nearly 50 million older Americans and Americans with disabilities rely on Medicare each year, and the new health care law makes Medicare stronger by adding new benefits, fighting fraud, and improving care for patients. The life of the Medicare Trust Fund will be extended to at least 2024 as a result of reducing waste, fraud, and abuse, and slowing cost growth in Medicare. And, over the next ten years, the law will save the average person in Medicare $4,200. People with Medicare who have the prescription drug costs that hit the so-called donut hole will save an average of over $16,000.

3.6 million people received a 50% discount—worth an average of $604 each—on brand name prescription drugs after hitting the Medicare donut hole in 2011. More than 32.5 million seniors received one or more free preventive services. The average person with Medicare will save about $4,200 from 2011 to 2021. Those with high prescription costs will save up to $16,000.

For more information, visit www.whitehouse.gov/healthreform

A comprehensive, concise summary of the Affordable Care Act is provided by the Kaiser Family Foundation. http://kaiserfamilyfoundation.files.wordpress.com/2011/04/8061-021.pdf




Affordable Care Act: While Marketplace Enrollment Ended, Medicaid Enrollment Continues

The Affordable Care Act (ACA) has already provided coverage to millions of Americans. More than 7.1 million Americans signed up for coverage through the Marketplaces, 3 million additional young adults were covered under their parents’ insurance and millions more will have access through Medicaid. A new report shows that more people are gaining coverage through Medicaid and the Children’s Health Insurance Program (CHIP) as a result of the health law. The analysis, produced by the Health and Human Services Department shows enrollment in Medicaid and CHIP in February was at least 3 million people higher than it was, on average, between July and September. That does not include March, which saw an enormous spike in Marketplace enrollment and traffic to HealthCare.gov.

While this is great progress, states where governors or legislatures refuse to implement the Medicaid expansion provisions of the law will leave 5.7 million Americans uninsured. States that have expanded Medicaid, such as Kentucky and New York, have seen particularly dramatic declines in their uninsured populations. Just take Kentucky, according to the Louisville Courier-Journal, Kentucky has seen a 40 percent drop in its rate of uninsured since October 1.

Medicaid Enrollment Continues Year Round

While open enrollment for the Marketplaces closed on March 31st, Medicaid coverage enrollment continues year round. That means we are going to continue, working with partners, to sign people up for Medicaid. We have made improvements to our systems and we are ramping up the tactics and tools that are working to reach uninsured Americans. We have learned that Medicaid expansion had a positive impact in getting people covered, as enrollment growth in states that expanded Medicaid was over 5 times higher than in other states (8.3 percent versus 1.6 percent).

One effective strategy for reaching people to get them signed up is through creative partnerships with hospitals and other service providers. For example, in many places hospitals make preliminary eligibility determinations and use a single, streamlined application for coverage. One other effective effort underway in five states uses supplemental nutritional assistance program (SNAP) income data information to identify individuals who are likely eligible for Medicaid and CHIP.  

As of the end of February, almost half a million individuals have been determined eligible for Medicaid or CHIP as a result of this targeted effort, and more States are exploring similar strategies. Finally, all States are working to implement provisions of the Affordable Care Act which will make it much simpler and easier for individuals to apply for Medicaid coverage than prior to the law’s passage.

More States are Expanding Medicaid

Twenty-six States and the District of Columbia have expanded their Medicaid programs to cover low-income adults, providing access to millions of Americans who previously had no source of affordable health insurance. Earlier this week, on April 1, Michigan began enrolling individuals, expanding Medicaid eligibility to 470,000 people. The week before that, New Hampshire signed the Medicaid expansion into law, providing 50,000 people access to Medicaid coverage starting this July.

The arc of progress takes time. Since Medicaid was created in 1965, Medicaid has served a critical role in providing health coverage to certain low-income Americans. The ACA has moved beyond helping women and children, people with disabilities, and seniors, to expanding eligibility to all low-income people so that hard-working Americans who don’t have access to health care from their jobs don’t have to live in fear of getting sick. In the days and weeks to come, we will make sure we explain to the public the consequences of refusing to expand Medicaid and we will translate our learnings from the best practices of Medicaid enrollment to our year round effort to help more Americans access health care everyday.


Source: Tara McGuinness. www.whitehouse.gov

Initiative Spotlight: Implementing the Affordable Care Act: Washington’s Approach

Washington Health Benefit Exchange

Medicaid Expansion. The application processing time through September 30, 2013 was up to 45 days. Beginning October 1, 2013 the processing time was reduced to between 30-60 minutes.  

Washington Health Benefit Exchange ("Exchange") created as a public-private partnership in 2011. The Governor appoints 11 member bipartisan board with exchange benefits beginning operations in 2012.

Exchange Key Elements: Individuals >138% of FPL and small groups (2-50), tax credits available for individuals 138%-400% of FPL,  cost sharing reductions available for <250% FPL,  qualified health plan" (QHP) offerings approved by Office of Insurance Commissioner amd certified by the Exchange Board, Apples-to-apples comparisons for consumers, one stop shop, and navigators and call center assistance.   

The Exchange will:

  • Set standards for Qualified Health Plans (QHPs)
  • Certify participating plans

QHPs must:

  • Provide “Essential Health Benefits” (EHBs)
  • Ensure sufficient choice of providers
  • Be accountable for performance on clinical quality measures and patient satisfaction
  • Implement a quality improvement strategy
  • Provide accurate and standardized consumer information
  • Be a private health insurance plan

OPEN ENROLLMENT: October 1, 2013 to March 31, 2014.

CHANGING LIFE CIRCUMSTANCES & different Medicaid eligibility levels for children, parents & pregnant women result in: 1. Mixed coverage from different plans, 2. Disruption, 3. Unnecessary duplication of tests and treatment, 4. Increased administrative expense, 5. Decreased incentive for health plans/providers to invest in care activities, 6. DAdministrative difficulties managing benefits while m3easuring quality.

Survey of primary care physicians in WA state show that:

~ 90% of PCPs provide care for some patients covered by Medicaid

~ 80% of PCPs accepting new patients

Reports available include:

Characteristics and distribution of current primary care physicians

  1. http://www.ofm.wa.gov/healthcare/deliverysystem/2011_PCP_survey_frequency_report.pdf

Availability of Primary Care Physicians to Serve the Medicaid Expansion

  1. http://www.ofm.wa.gov/researchbriefs/2012/brief065.pdf

Washington State Primary Care Nurse Practitioner Survey

  1. http://www.ofm.wa.gov/healthcare/deliverysystem/2012_NP_survey_frequency_report.pdf

COST: In Washington State, personal health care expenditures have grown from $3.8 billion in 1980 (7.3% GDP) to $45.4 billion in 2009 (13.6% GDP).  Nationally, 30% of expenditures attributed to wasteful spending, poor care delivery, excess administrative costs, unnecessarily high prices and fraud. 85% of Washington’s uninsured adults will have access to coverage under the ACA. Assuring quality care that is affordable requires fundamental change in how health care is delivered.  Extending access without such changes will not be financially sustainable.  

State Health Care Innovation Planning "SHCIP":  

State Innovation Models: Grant program of Center for Medicare and Medicaid Innovation (CMMI) to identify and spread health practices that result in better health and better care at lower cost.

Washington received a $1 million planning grant to fund collaborative development of a 5-year innovation plan.


For information about the Medicaid expansion:

For information about the Health Benefit Exchange:

To contact the HCA concerning the Medicaid expansion:


Source:Daniel Lessler, MD, MHA, FACP, Chief Medical Officer, Seattle Children's Hospital 


Seattle Children’s Hospital Grand Rounds – Implementing the Affordable Care Act: Washington’s Approach. http://www.hca.wa.gov/hcr/me/Documents/082913_Seattle_Children%27s_Grand_Rounds.pdf. August 29, 2013

Health Care Reform in Washington State

Washington Healthplanfinder:

One of the factors in the new law is that almost everyone will be required to have health insurance by January 1, 2014. If you get your health insurance through your employer, your coverage probably will not change.

In Washington, everyone who still needs to get health insurance can use a new web portal, Washington Healthplanfinder — our state’s version of an “exchange” or “marketplace.” On October 1, 2013, it will be open for Washingtonians to shop for and enroll in quality, affordable health care plans.

It’s also where, if you are a Washington citizen with low income, you can apply for Medicaid. Or, you can see if you qualify for subsidized health care plans. If so, your new coverage under the Affordable Care Act will begin on January 1, 2014.  (Beginning October 1, for new applicants for children, pregnant women and family medical Medicaid/Apple Health programs, coverage will begin on the first day of the month in which the application was submitted.)

Medicaid Expansion and Apple Health

The Affordable Care Act raised the income limit on eligibility for Medicaid. It also simplified how you qualify and how you apply. 

By the way, we are changing the name of Medicaid to Apple Health.

You should be eligible for Medicaid/Apple Health if:

  • you are a U.S. citizen or a documented immigrant living in Washington who has been in the U.S. for at least five years,
  • you’re not incarcerated,
  • and your annual income is at or below 138 percent of the federal poverty level.

If you’re single and your income is $15,856 or less, you should qualify. Different amounts are designated for different-sized families. (See chart.)

When you apply, you will need to know your monthly household income. You don’t need any other financial information. You will also need the Social Security number and date of birth for each household member. If you are not a U.S. citizen, you’ll need your immigration information.  


Washington State’s Health Insurance Exchange Progress

The federal Affordable Care Act allows each state to establish a health insurance exchange (exchange) to assist individuals and small businesses with obtaining health insurance. The 2011 Washington State Legislature decided Washington State will operate its own exchange.

Over the next year, the state’s Health Care Authority, the Joint Legislative Select Committee on Health Care Reform, and the state legislature, as well as the newly created exchange governing board will explore, recommend, and make key decisions on how the exchange will operate in Washington State. These decisions will impact hospitals and health systems. Preliminary estimates suggest as many as 400,000 people may obtain their health insurance through Washington’s exchange. This summary provides an update of the current activities and outlines the implementation process.

Background: Enacted in April 2011, Senate Bill 5445 creates a health insurance exchange and an independent governing board to oversee its implementation in Washington State. The governing board begins functioning on March 15, 2012. The state’s Health Care Authority is the agency tasked with leading and staffing (through grant funding) the interim work prior to the exchange board’s implementation.

Many details are still emerging, but according to the legislation, the exchange board’s functions are limited to applying for federal grants, establishing informational technology infrastructure, and creating internal operations of the exchange. Key policy decisions, such as whether to implement the federal Basic Health Option or merge the small and individual commercial insurance markets are outside the scope of the board and remain in the legislature’s jurisdiction. Some legislators are interested in making key decisions for the exchange during the 2012 legislative session.

Since no state or federal funding was provided to set up an exchange, the Washington State Health Care Authority applied and received two federal planning grants. The latest grant provides $22 million to:

  • Develop options and recommendations on policy decisions necessary to implement the exchange;
  • Hold Joint Legislative Select Committee on Health Care Reform Implementation (Joint Select Committee) stakeholder meetings statewide;
  • Build a detailed and comprehensive exchange operations plan; and
  • Develop new and update current information technology systems.

Appointment of the Exchange BoardThe exchange legislation, Senate Bill 5445, directs the Democratic and Republican caucuses of both the Senate and House of Representatives to appoint five nominees to serve on the exchange governing board (a total of 20 nominations). The legislation directs the Governor to appoint eight members (two from each caucus list) to serve on the board, as well as to appoint a nonvoting chair, who may only vote to break a tie. The Office of the Insurance Commissioner and the Health Care Authority also have nonvoting seats on the board.

At least four of the 20 caucus nominees must represent the following:

  • employee benefit specialist;
  • health economist or actuary;
  • health consumer advocate;
  • a representative of small businesses; 

The remaining nominees must demonstrate experience in at least one of the following areas: individual health care coverage, small employer health care coverage, health benefits plan administration, health care finance and economics, actuarial science, or administering a public or private health care delivery system.

Technical Advisory Committee The exchange legislation also creates a Technical Advisory Committee (TAC) to help identify and evaluate policy and operational decisions for the exchange in the time period after the legislation’s enactment, but prior to board’s enactment. The TAC’s creation allows the health care industry and other stakeholders to inform the development process. The TAC will also serve to educate the Joint Select Committee’s work to explore policy decisions needed to be made by the legislature for the exchange.

The Health Care Authority approached the Washington State Hospital Association to appoint a hospital/health system administrator to the TAC. WSHA selected Lisa Brandenburg, MBA, MPH, Senior Vice President and Chief Administrative Officer of Seattle Children’s to represent hospitals and health systems. WSHA will continue to be heavily involved in the work moving forward.

The Washington State Hospitals Association will convene a hospital and health system working group to inform Lisa Brandenburg, our TAC representative, of our positions on key issues moving forward. WSHA will staff this working group and provide its members timely information for discussion and development of a hospital and health system position.

Work Program for the TACOver the next year, the TAC will evaluate and develop options and recommendations on key policy issues, including (timeframes outlined):

  • Federal Basic Health option (June-August 2011);
  • Criteria for qualified health plans (July-September 2011);
  • Preventing adverse selection (July-September 2011);
  • Administrative ease within the exchange (July-November 2011);
  • Integration with Medicaid (July-December 2011);
  • Risk leveling, including future of the Washington State Health Insurance Pool (the high-risk pool for the individual market) (August-November 2011);
  • Federally-defined essential health benefits and relation to state-mandated benefits (August-December 2011);
  • Exchange financing (September-December 2011); and
  • Outreach and education plan (including Navigator function) (September 2011-May
  • 2012). 

Joint Legislative Select Committee on Health Care Reform Implementation

As stated previously, many of the key decisions for the exchange need legislative approval. The exchange legislation directs the Health Care Authority to collaborate with the Joint Select Committee. The Joint Select Committee is comprised of ten legislators (six Democrats and four Republicans) who work to understand and prepare for the changes necessary to implement health care reform in Washington State.

Beginning on July 26, the Joint Select Committee will resume its public meetings until the 2012 legislative session. The Joint Legislative Committee informs stakeholders of what may be on the agenda during the 2012 legislative session for health care reform.

For more information, please contact Chelene Whiteaker, Director, Advocacy and Policy, at chelenew@wsha.org or 206-216-2545.


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

Ready to Advance to Fellow?

Why Board Certification - You want to go to board certified physicians for your care, so why not go to an organization with board certified healthcare executives. Earning the distinction of board certification as a Fellow of the American College of Healthcare Executives demonstrates your competence, dedication and commitment to lifelong learning. Visit ache.org/FACHE to learn more about Fellow requirements and apply online.

Advancement Information Session - Do you want to learn more about the value of board certification and the steps to completion? Then come to the Advancement Information Session sponsored by the Washington State Healthcare Executive Forum. There are two ways to participate. In-person at or at your desk through a webinar. These sessions will be held twice annually. Our last session was on April 16, 2014. For more information about future information sessions you can contact, Steve Saxe at smsaxe@comcast.net or Mark Shellmyer at mark.shellmyer@multicare.org.

Exam Fee Waiver - Ready to sign up for the exam? Submit your completed Fellow application along with the $250 application fee by June 30 and the $200 fee to take the Board of Governors Examination in Healthcare Management will be waived pending approval of your application. All follow-up materials (such as references) must be submitted by August 31 for the waiver to be valid.

Study Group - So you have decided to take the exam and have started to prepare. ACHE has helpful resources online and provides a preparation course. But how about joining a study group of fellow WSHEF members to help the preparation and motivation. Jacqui Sinatra will be coordinating a study group of other members working to prepare for the exam. You may contact Jacqui directly at jsinatra@highlinemedical.org or 206-988-5755.  



Become a Mentor

Teaser here

Why Consider Becoming a Mentor or Mentee?

What Is Mentoring?

Mentoring involves a more experienced individual, the mentor, providing guidance to a mentee. One thing mentoring should not be about is obtaining a first or next job. A mentoring partnership involves developing trust, investing feelings and energy and sometimes taking risks by challenging a partner’s self-image. If a mentor feels valued only for the connections he possesses or the doors she can open the relationship probably will never develop.

Why Consider Becoming a Mentor?

A mentor is an individual, usually older, always more experienced, who helps and guides another individual’s development. There are many reasons for becoming a mentor including learning about yourself, becoming energized through a fresh personal or professional perspective and deriving satisfaction for furthering another’s career development. The return on mentoring efforts may also include growing an organization’s management talent and fine-tuning your leadership skills in a one-on-one situation.

Why Consider Becoming a Mentee

Mentee is the name given to the person who receives guidance from the mentor. That guidance may take many forms. For example, a mentee may want to work on building self-confidence, developing professional and winning behaviors or sharpening critical thinking skills and knowledge. People can become mentees at almost any age. A young manager can receive valuable guidance from experienced mid-career executives, while the mid-careerist may benefit from a mentor who is at the C-suite level. Senior executives ready to move up from a small or mid-size organization may benefit from the counsel of a CEO or COO whose career already includes leading larger, more complex firms.

Interested in Learning More?

Q & A about becoming a mentor

Q & A about becoming a mentee

More information about ACHE mentoring program

General Information About Mentoring

    Leadership in Mentoring contains columns for mentors and mentees from Healthcare Executive magazine.

"The Art of Mentoring: Lead, Follow, and Get Out of the Way" audio seminar describes four steps of mentoring and ways organizations can start a mentoring program, as well as tips and techniques for mentors and mentees.

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, 2014 our new Board, Officers, Committee Chairs and Committee members will begin 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.

Washington State -- Health Care Reform Resources

Washington State Health Care Reform

Federal Health Care Reform

Other Health Care Reform

National Health Care Reform Laws

Secretary Sebelius Letter to Insurance Commissioners

P.L. 111-148  - Patient Protection and Affordable Care Act (H.R. 3590) - The enrolled bill was presented to the President on March 22, 2010. The President signed the bill on March 23, 2010 and it became Public Law 111-148.

Governor Gregoire's Executive order  - The executive order was signed on April 1, 2010.

P.L. 111-152  - Health Care and Education Reconciliation Act of 2010 (H.R. 4872) - The enrolled bill was presented to and signed by the President on March 30, 2010, and became Public Law 111-152.

Consolidated version of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. The document was prepared by the House Office of the Legislative Counsel and is not considered an "official" version of the law. The actual laws, not the consolidated version, should be used if you need to cite any sections.


For additional information, please visit: http://www.hca.wa.gov/hcr/Pages/resources.aspx 

DELIVERY of WSHEF Newsletter (Disclaimer)

Ensure delivery of Chapter E-newsletter (Disclaimer)

To ensure delivery of your chapter newsletter, please add info@wshef.ache.org to your email address book or Safe Sender List. If you are still having problems receiving our communications, see our white-listing page for more details: