HLNDVoice VOLUME XI, NUMBER 1 EARLY SPRING 2015 A Publication of The Healthcare Leadership Network In This Issue Letter from the President...…………………..……2 NJ LPC Update………………………………………...2 What’s in the Way?..........................................3 Event Wrap-up………..……………...……………..…4 Local News……..………….....………………………...5 Student Essay Contest……..………………………..6 Mark Your Calendars! March, 2015 Tuesday, March 24, 2015 Breakfast with the Regent 7:00am-9:30 am The Union League, 140 South Broad Street, Philadelphia, PA 19102 Speaker: Joanne Grossi, Regional Director of the U.S. Department of Health and Human Services for Region III Regent Award Presentations: Early Career Healthcare Executive: Emily Burrell, RD,MBA, FACHE, Associate Administrator, Practice Administration, Nemours Children’s Health System Senior Level Healthcare Executive: Joseph W. Devise, FACHE, President and CEO, Kennedy Health System ACHE Qualified Education Credits: 1.0 hours of ACHE Qualified Education credit will be offered for attendance at this event. Click here to register on-line. Click here for downloadable flyer (.pdf). April, 2015 Saturday, April 11, 2015 HLNDV Fellow Advancement Review Course Led by: Paula M. Zalucki, FACHE, Deloitte Consulting 7:30am- :00pm Thomas Jefferson University, Bluemle Life Sciences Building, Room 105, 233 South 10th Street, Philadelphia, PA 19107 Fee: $125.00 - This includes continental breakfast, box lunch, refreshments & course materials Click here to register on-line. Click here for downloadable flyer (.pdf). Visit HLNDV.org for more information. DIVERSITY/INCLUSION COMMITTEE: SURVEY RESULTS By Shawn Parekh, PharmD, MHA, BCPS (left) and Coy Smith, ND, RN, MSN, FACHE, CPHQ (right) The Healthcare Leadership Network of Delaware Valley (HLNDV) embraces diversity within the healthcare management field and recognizes that priority as both an ethical and business imperative. HLNDV values diversity and initiatives that promote diversity because they can improve the quality of the organization’s workforce. HLNDV also values and actively promotes diversity in its leaders and members because diverse participation can serve as a catalyst for improved decision making, increased productivity, and a competitive advantage. Further, HLNDV works to foster an inclusive environment that recognizes the contributions and supports the advancement of all, regardless of race, ethnicity, national origin, gender, religion, age, marital status, sexual orientation, gender identity or disability because an inclusive environment can enhance the quality of healthcare, improve hospital/ community relations, and positively affect the health status of society. This priority is reflected in the chapter's various activities and initiatives. We conducted a survey to better understand our member’s perspective on diversity and how HLNDV can help in enhancing diversity in the healthcare field. A total of 44 of our members responded to the survey. “membership is interested in a diverse, qualified workforce…” The membership survey results revealed that the membership was interested in the recruitment and retention of a diverse, qualified workforce and create networking events led by the Diversity and Inclusion Committee. Diversity throughout healthcare leadership in general was a recurring theme. Additionally members expressed a broad perspective on what issues could encompass diversity and to highlight the many different avenues that it entails. As a result of our analysis, the committee will organize a networking event in 2015 that includes leaders from other healthcare and business organizations who support the culture of inclusion and diversity. Other areas of interest included diversity’s impact on decision making, diversity and governance, and the development of diversity and proficiency assessment tools. During the 2015 Spring Institute, scheduled for may 6, 2015, the committee will organize an educational panel entitled: “Equity of Care.” Another aspect of diversity and inclusion is the whole area of disparities in health care and the importance of cultural competence in health care providers. The panel will be awarded 1.5 category I credits. The Spring Institute offers 6.0 category I hours. Page 2 HLNDVoice Early Spring 2015 HEALTH FROM LETTER CARE CHEAT THE PRES SH EET, IDENT BACK TO THE BASICS Dear HLNDV members, I hope you all had a great start to 2015 and are holding up despite the weather. HLNDV continues to be extremely busy as we just completed a very successful C-Suite Roundtable Discussion event. I wanted you to be aware of some exciting upcoming events. For those of you who can attend, ACHE holds its annual Congress in Chicago the week of March 16th and we will follow that up with our annual Breakfast With the Regent event on March 24th at the Union League. We will be hosting an inperson one day seminar on Preparing for the Board of Governor’s Exam on Saturday April 11th. And our Annual Spring Institute will be held on May 6th. Special Congratulations go out to Emily Burrell, RD, MBA, FACHE the winner of our Early Career Healthcare Executive Award and to Joseph W. Devine, FACHE, President and CEO of the Kennedy Health System as our Senior-level Healthcare Executive. Kudos to both and many thanks to the Awards committee for all their work. We are very excited that our newly formed Diversity committee and South Jersey Local Programming Council. Both are off to strong starts and look forward to great educational and networking programming from their efforts. In 2014 HLNDV held over 28 different events for membership and unfortunately I can’t highlight all the great programs we offer here. Our 2014 Annual Report will be out soon and I encourage you to look at that to learn about all that we do. I’m confident the excitement will get you to consider joining us at our events and even volunteering. We are also in the process of improving our social media platform- so stay tuned for that. As always, kudos to all our volunteer committee and board members for their dedication and time commitment and to all our Sponsors who support our programming for membership. Spring is just around the corner. I hope to see you at our events. As always, I’d love to hear from you about how to make the Chapter better and to meet your needs. Regards, Ned Ned Lafer, MD, MBA, FACHE, FACPE, CPE, CPPS, Six Sigma Black Belt President, HLNDV Medical Director, Healthcare Management Health Partners Plans [email protected] SOUTHERN NEW JERSEY LOCAL PROGRAM COUNCIL UPDATE By Rob Goldberg (pictured, left) and Lillian Carson (not pictured) In an effort to provide greater access in Southern New Jersey for existing HLNDV members as well as attract new members, HLNDV is starting a local affiliate chapter. The Southern New Jersey Local Program Council (SJ LPC) will seek to engage the local health care community through various networking and continuing education activities. The SJ LPC will collaborate with HLNDV’s Events and Education Committee throughout the year. To anchor our efforts, the SJ LPC will collaborate with Partner Healthcare Organizations (PHO) including Virtua Health and Cooper University Healthcare. These relationships will serve to promote the LPC, provide educational events to the PHO’s employee base, and broaden healthcare professional engagement. Other local relationships may be developed to support ACHE and HLNDV objectives alike. The SJ LPC annual calendar is still being developed at this time. Stay tuned for more announcements around its development. The SJ LPC is being led by HLNDV members Robert Goldberg and Lillian Carson. Page 3 HLNDVoice Early Spring 2015 WHAT ’S IN THE WAY? W ORKING WITH RESISTANCE, A CASE STUDY By Carey Gallagher, Associate, CFAR and Co-Chair, Events and Education Committee No one wants to think their workforce just doesn’t care. But what happens when it looks like that’s the case? Situation #1 An academic medical center wants to reduce readmissions – when patients are readmitted to the hospital with the same ailment within 30 days of being discharged. Background Reducing readmissions is a priority for patient care that has become increasingly important due to the financial penalties imposed for readmissions within 30 days. Hospital leadership knew that patients often went to the ER within a few days after discharge from the hospital if they were experiencing problems. Assessment Research showed that having nurses make follow-up phone calls one to two days after discharge lowers readmissions. The executive sponsors knew that a few units were already making these calls. No one had a perfect solution, but there were some areas that were working. For example, one unit had developed a standard script. Another had assigned an administrative assistant to follow up with low-risk patients, maximizing use of clinicians’ time. Leadership teamed up with frontline staff, knitted together various pieces, and formed a cohesive plan with elements they wouldn’t have thought of without staff input. Recommendation They piloted the revised plan on units with the most readmissions. The nurses were given the go-ahead to spend time doing something that would not only decrease readmissions, but directly helped patients. Did You Know That You Can Post Positions on the HLNDV Job Board Contact the Career Development Committee at [email protected] for more information. New postings added regularly! Situation #2 Follow-up calls initially increased, however, after two weeks, the volume of calls dropped. If the plan was clearly in the best interest of the patients whom the nurses had seen and cared for days earlier, why didn’t readmissions drop? What was going on? Background Sometimes resistance can feel like running head first into a brick wall, but that impact is full of potential energy. If you view change resistance to an initiative like a kind of jiu jitsu, the energy within the opposition can be flipped to support it. The pushback can be hard to understand at first but often, when you peel back the layers, there’s helpful information embedded in it. The team discovered that when a nurse would call recently discharged patients, she would find one of three things: the patients were fine; they were having serious symptoms and needed to go to the emergency room; or they were having some mild difficulties. The nurses knew exactly what to do in the first and second case, but in the third case, which was most common, they didn’t have anything to offer. The nurses felt stuck because they didn’t know how to help. The nurses weren’t disengaged; they needed more ways to connect their patients to what they needed. The follow-up calls decreased because nurses were frustrated that they were unable to help many patients with mild symptoms and such calls seemed useless. Solution The team set up a more direct way for nurses to make follow-up appointments with the patient’s doctor or send them to a nearby clinic. The word got out that there was something new to help the mild cases. The resisting nurses changed course and call volumes started going up on key units. Readmission rates dropped on the most challenging units. By listening to workers at the front lines, understanding the sources of their resistance as the change, and working with that resistance, a better solution was developed. Page 4 HLNDVoice Early Spring 2015 FALL EVENT WRAP -UP December 12, 2014: Annual Holiday Breakfast Approximately 60 people arrived bright and early in the morning to help celebrate the holidays at the 5th Annual HLNDV Holiday Breakfast. More than 80 books were collected for Philadelphia READS, the nonprofit organization selected for the event. Click here to see all the photos from the event. January 19, 2015: Martin Luther King, Jr. Day of Service Once again this year, in honor and celebration of Dr. Martin Luther King Jr., a team of volunteers from HLNDV gathered in Philadelphia to give back in service to the community. A total of 15 members spent the morning of January 19th at Philabundance, which annually provides emergency food and access to services to 75,000 people each week in the Delaware Valley and Southern New Jersey. After receiving a warehouse orientation, the team became part of a 35-person assembly line that sorted various donated food items into 30-pound boxes. When all was said and done, the day of service was a great success. Thanks to the key contributions of the HLNDV team, the group sorted 11,016 pounds of food for distribution. January 22, 2015: C-Suite Roundtable: Integrating the Continuum of Care The annual C-Suite Roundtable – Integrating the Continuum of Care was held January 22, 2015 at the Top of the Tower, Philadelphia. The evening began with the opportunity for colleague networking followed by a buffet dinner. Malachi O’Connor (Vice President and Principal, CFAR) monitored a panel of three local health system C-Suite administrators. Each administrator began by presenting a case study on issues with the transition of care. University of Penn Health System CMIO and VP Dr. William Hanson discussed the challenges of developing a usable emergency department discharge summary in the hands of the patient and back to the family physician through a compatible EMR. Einstein Medical Center Montgomery CNO Anna Marie Papa discussed the difficulties of patient handoffs and coordinating the care team within a hospital – “it’s not my patient.” She described challenges of different scheduling systems and EMRs within the health system. Cooper University Hospital SVP Ambulatory Services Barbara Smith shared two case studies of how making the effort to coordinate post hospital care can result in better health for the patients and decreased “frequent flyer” visits. All three panelists agreed on the challenges to align EMRs among all providers (e.g., physicians, hospitals, and post acute transitional care). Dr. Hanson favored including family members in team rounds. He also emphasized the need for medical students to be more rounded in the entire continuum of health care. In summary, while there has been improvement in the integration of care across the continuum, many challenges remain. Page 5 HLNDVoice Early Spring 2015 LOCAL NEWS Less Invasive Heart Catheter Procedure Faces Tricky Balancing Act from Government Philadelphia Inquirer reports that to maintain Medicare coverage for the procedure, hospital heart teams have to perform at least 20 transcatheter aortic valve replacements a year, or 40 in two years, in order to stay sharp. Cancer Patients Rarely Demand Unnecessary Tests and Treatments, According to Penn Medicine Study Health Canal reports that physicians often blame patient demands for contributing to high medical costs, however, a new study involving more than 5,000 patient-clinician visits indicates that cancer patients rarely push for unnecessary tests and treatments from their health care providers. Pottstown Memorial Joins Jefferson Neuroscience Network The Pottstown Patch reports that PMMC now offers patients access to the resources of Jefferson’s comprehensive stroke center, including community education programs, leading edge clinical trials, and advanced protocols for the detection and treatment of stroke and other neuroscience disorders. Crozer-Keystone Reaches New Deal with 170 Taylor Hospital Nurses Philadelphia Business Journal reports that the health system continues to negotiate terms for a new contract with the nursing staff at Crozer-Chester Medical Center in Upland, Pa., who have been working under the terms of a contract that expired last June. For-profit Health Chains Gaining Ground in Pennsylvania Pittsburgh Post-Gazette reports that Johnstown has come up with a no-mess, no-lawsuit solution to tax-exempt properties: Just wait for a for-profit health chain to come along and buy the city’s major nonprofit hospital. Overnight, an institution that had generated no property taxes should soon be paying up to $1.5 million a year. Jefferson Brings Center for Integrative Medicine to Villanova Main Line Suburban Life article ends with comment by Jefferson CEO Dr. Steven Klasko: “We want to bring Jefferson care to the community so people can get the absolute top care on the Main Line…The great news is we’re looking at a lot of ways to expand the Jefferson-Main Line Health partnership.” Epic Change for Lehigh Valley Health Network and St. Luke's The Morning Call reports about Lehigh Valley Health Network’s and St. Luke’s University Health Network’s migration to an electronic medical record system called Epic. Wolf Begins Dismantling of Corbett’s Healthy PA Plan Philadelphia Business Journal reports that Wolf directed the state Department of Human Services to send a letter to the federal government withdrawing Pennsylvania's previously approved health care package from further federal consideration. 'Superbug' Infects Eight Patients at Phila. Hospital Philadelphia Inquirer reports that a Philadelphia hospital was struck last year by an outbreak of drug-resistant bacteria associated with the use of a special kind of hard-toclean endoscope. Hospitals Strive to Put Spin on Women's Health Philadelphia Inquirer reports that in South Jersey, Virtua and Cooper University Health Care primary-care centers are going toe to toe to attract female patients. Exclusive: Maryland Firm Acquires Local Urgent Care Center Operator Philadelphia Business Journal reports that ExpressCare Urgent Care Centers of Maryland has acquired CareSTAT Urgent Care Centers, which operates urgent care centers in Abington, Folsom, Havertown and Springfield. Rite Aid Opening 15 In-store Health Clinics in Philadelphia Region Philadelphia Business Journal reports that Rite Aid's clinics will be staffed by nurse practitioners, physician assistants and medical assistants and provide basic primary care services like treating minor illnesses or providing health screenings. Holy Redeemer Joins Health Care Partnership The Intelligencer reports that Holy Redeemer has become the first health care system to sign an agreement with Tandigm Health, a partnership between Independence Blue Cross and physician network operator DaVita HealthCare Partners. Penn State Hershey Health System Grows Strategically The Central Penn Business Journal reports about Penn State Hershey Health System’s efforts to expand its footprint across Pennsylvania. Page 6 HLNDVoice Early Spring 2015 WELCOME NEW MEMBERS, CONGRATULATIONS NEW FELLOWS (AS OF 2/16/15) New Members December, 2014 Arabinda K. Choudhary, MD Danielle DiPersia Patricia Giuffrida, RN Victor Jackson Amit Kapoor, MD Steven Kirkpatrick Lilia Kulmaczewski Dinak Nair Jennifer Puzziferro, RN Michael J. Sher Matthew Swaback Beverly Wilson January Lois E. Annand, RN Christine Babenko Kelly Beach Neil Bulich, PharmD Donna M. Burris Lauren Collins Rosemary Dunn Margaret Lynch Josie McQuay Mazhar Rishi, MD Shonalie Roberts Maureen Sacchetti David Showalter, PharmD Yasser Soliman, MD Mary Turner George N. Vivacqua III Mariyama von Thenen February Joycelyn Bennett Lauren Budesa Charles E. Garrity Jr. Karen Kemmerer, RN Alex Khariton Sandra Larson, RN Louis A. Meilink Jr. Marjorie Milliken David J. Schmidt Sachit Verma, MD Rajiv Vyas, MD Recertified Fellows December, 2014 Victor D. Amey, FACHE Carolyn M. Ballard Freeman, FACHE Col Andrew T. Cole, FACHE Elizabeth S. Helsel, FACHE Daniel W. Pfeffer, FACHE Francine Poel, FACHE Jeff Ryan, FACHE Shari E. VanderGast, JD, FACHE Allison P. Wilson-Maher, FACHE January Joanne Carrocino, FACHE Nancy J. Cherone, FACHE Richard J. Funnell, FACHE John W. Graham, FACHE Craig E. Holm, FACHE Ronald W. Johnson, FACHE Steven R. King, FACHE Brian Machado, FACHE J. Mark McLoone, FACHE Deanna L. Rigby, FACHE February Helen H. Case, FACHE New Fellows December, 2014 Robert W. Bartosz, FACHE Debra L. Laumer, FACHE James J. Paradis, FACHE January James E. Baca, FACHE February Chiragi K. Shah, FACHE ARE YOU A STUDENT IN HEALTH CARE MANAGEMENT...OR DO YOU KNOW OF ONE? Submitted by Mark Benner and Emily Burrell, on behalf of the HLNDV Academic Relations Committee HLNDV announces its 3rd annual student essay contest, supported by the I. Donald Snook Memorial Scholarship fund. Each year this contest is held to connect the chapter with local academic programs and to recognize high caliber local healthcare management students. The contest is open to member and non-member students in a healthcare management related degree program. Past winners have represented Drexel University, Eastern University, and DeSales University. We will reward students for thoughtful, progressive and distinguished essays about Population Health. This year’s question is: What is population health? How is it different from current healthcare models? What are healthcare care providers going to have to do differently to succeed in delivering population health care? Each entry must be at least 750 and no more than 1,000 words, and be submitted no later than Monday April 6th. Entry categories will be separate for graduate and undergraduate students. There will be one undergraduate and one graduate winner. Each winner will receive the following prizes, supported by the I. Donald Snook Memorial Scholarship Fund: $500 dollars to use for education related expenses 1 year student ACHE membership paid 1 year of free attendance at HLNDV programs Essays will be judged based on use of critical thinking in application of relevant healthcare management concepts and theories to the main topic. Consideration will be given to each essay’s professional writing, structure, and coherence, including appropriate use of citations and attribution as needed. The entries will be judged by local health care executives. The winner will be announced in early May 2015, and awards will be presented at the June HLNDV Annual Meeting. Please visit http://hlndv.org/x168.xml for contest entry details. Page 7 HLNDVoice Early Spring 2015 BOARD OF DIRECTORS President Ned Lafer, MD, MBA, FACHE, CPE, FACPE Medical Director, Health Management Health Partners Plans [email protected] Past-President Christine Winn, FACHE Executive Director - Adult Health Institute and Hospital Based Services Cooper Medical Center [email protected] President-Elect Doug Hughes, FACHE Vice President, Administration Paoli Hospital [email protected] Past President Emeritus Gail Malcolm, FACHE, LFHIMSS Marketing Manager, Siemens Healthcare [email protected] Secretary Ellen Nassberg, FACHE Human Resources and Executive Search Consulting Services [email protected] Co-Chairs, Career Development Committee Brian Sweeney, FACHE Vice President for Clinical and Support Services Thomas Jefferson University Hospitals [email protected] Chiragi Shah Health System Specialist Department of Veterans Affairs Veterans Engineering resource Center [email protected] Co-Chairs, Communications Committee Donna Stinson, FACHE Administrative Director, Operations Bayhealth Medical Center, Oncology Service Line [email protected] Morris Fansler, FACHE Director, Strategic Marketing and Research Main Line Health System [email protected] Co-Chairs, Corporate Sponsor Committee Meredith Inniger Consultant, Health Strategies & Consultants [email protected] Treasurer Allison Wilson-Maher, FACHE Senior Vice President - Healthcare Jones Lang LaSalle [email protected] Andrew Goldfrach Administrator, Penn Institute for Rehab Medicine Good Shepherd Penn Partners [email protected] Co-Chairs, Academic Relations Committee Lauren Glowienka Manager, Surgical/Invasive Services Main Line Health [email protected] Co-Chairs, Member Services Committee Sachit Verma, M.D., RDMS, RVT, CRCP Office of Research Administration Thomas Jefferson University [email protected] Emily Burrell Associate Administrator, Nemours/Main Line Health Pediatric Program Bryn Mawr Hospital [email protected] Co-Chairs, Education and Events Committee Jessica Slack Associate Vice President Strategic Development P. Agnes [email protected] Carey Gallagher Associate CFAR [email protected] Shawn Parekh Health System Director - Pharmacy Services Abington Health [email protected] Student Representative Yusuf Godil MBA Candidate - Health Sector Management Temple University Co-Chairs, Diversity Committee Faith Needleman, MSN, RN Associate Performance Improvement Manager Temple University Hospital [email protected] Coy Smith, ND, RN, MSN, NEA-BC, FACHE, CPHQ, Chief Nurse Executive Philadelphia Veterans Administration Medical Center [email protected] ACHE Regent Representation ACHE Regent – SE Pennsylvania Kevin McGovern, FACHE Vice President, Operations St. Luke’s University Health Network ACHE Regent - Delaware Louisa Phillips, RN, FACHE Administrative Director of Operations, Cardiovascular Service Line Bayhealth Medical Center [email protected] Dan Messina, PhD, FACHE Senior Vice President and COO CentraState Healthcare System [email protected] Directors at Large Delaware, LPC Chris Fraser, FACHE, MBA Director of Operations Westside Family Healthcare [email protected] New Jersey LPC Robert S. Goldberg Director, Strategic Analytics Strategic Analytics [email protected] Lillian Carson AVP Surgical Services Virtua [email protected] Volunteer Coordinator Suzanne Comer Experience Catalyst, Corporate Experience Design Holy Redeemer Health System [email protected] Ad Hoc John Kiernan Managing Director Management Pathways [email protected] Page 8 HLNDVoice Early Spring 2015 SPONSORS We would like to thank the following organizations for their support as Annual Sponsors during 2014-2015. Through their generous support we are able to host a variety of educational, career development and networking programs throughout the year. Please contact any of our following sponsors to get more information on their products and services. Platinum Sponsor Local Contact: Daniel Evenchen, [email protected] Provider of imaging and lab diagnostics, therapy and healthcare information technology solutions Gold Sponsors Local Contact: Robert Hill, [email protected] The nation’s leading health care strategy firm. Local Contact: Mark Newman, [email protected] We work with clients developing strategy, streamlining operations, and implementing technology to deliver business value. Local Contact: Joe Crandall, [email protected] Clinical technology and business management consultants for hospitals, health systems and physician organizations Local Contact: Karen K. Kirby, RN [email protected] A national firm specializing in nursing executive retained search, interim management and coaching/ consulting services. Local Contact: Allison Wilson-Maher, [email protected] Real estate and financial services advisors to the healthcare industry Local Contact: Jessica Biber [email protected] to be the unmatched leader in improving quality and reducing the cost of healthcare for patients in the communities we serve. Local Contact: Paul Northen, [email protected] Delivers healthcare support service solutions to over 1,000 hospitals and healthcare systems throughout North America. Local contact Sarita Choy [email protected] om Reduce cost. Improve quality. Provide value. Improve performance and efficiency. Silver Sponsors Local Contact: Glenn Felgoise [email protected] We create sustainable structures that reflect the times, but can be viewed as timeless. Local Contact: James Wooten [email protected] Strategic planning, business development, drive-time, demographic and patient origin analysis. Local Contact: Marc Beaver Beaver [email protected] Interim management staffing for the health care industry Local Contact: Dan Grauman [email protected] Consulting services in strategic, business, financial and facilities planning Local Contact: Audrey Jackson [email protected] Through audit, financial advisory, tax and consulting , our 57,000 professionals help solve client problems. Local Contact: Jay Hornung [email protected] We offer comprehensive services for your complete facility success. Local contact:Jim Haulihan [email protected] We promote healing, and provide hope for each patient we serve. Local Contact: Hary MoisidisHary_moisidis@teamh ealth.com One of the nation's largest providers of hospital-based clinical outsourcing
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