LDP Visits UW Health

Article by Kathleen Olewinski, FACHE, 2017-2018 LDP Chair

The 2017-2018 Leadership Development Program (LDP) Cohort wrapped up their 2018 Site Visits with a day at UW Health including The American Center, Yahara Clinic, and University Hospitals & Clinics.

The group started their day at The American Center with a light breakfast and a round table discussion with senior leaders, including John Sheehan, MA, FACHE, President UW Health at The American Center and Senior Vice President; and Vicki Hill, MS, MBA, FACHE, Vice President Clinical Operations. Dave Knight, Sports Performance Program Manager, then led a discussion and facility tour.

Yahara Clinic was the next stop, which featured a facility tour, and a presentation and discussion with senior leaders including Teresa Neely, SVP, RN, BSN, MHA, Chief Ambulatory Officer & Chief Nursing Officer, Ambulatory; Karil Walther, RN, BSN, DNP, Interim VP, UW Health Primary Care Clinics; and Kay Porter, MBA, Director, Primary Care.

University Hospital and Clinics  was next on the agenda, highlighted by a discussion with Dr. Alan Kaplan, MD, FACHE, MMM, CPE, FACPE, Chief Executive Officer, who also shared valuable insights and a three-part series of articles on “Climbing the Ladder to CEO” published in The Physician Executive.  Next, the group had a health and wellness focused discussion with Megan Waltz, RD, FACHE, Director of Culinary and Nutrition, and wrapped up the site visit with a Med Flight Tour. 

The site visit was co-hosted by Vonda R. Shaw, MS, MPH, FACHE, Manager – Preventive Cardiology and Heart Station, University of Wisconsin Hospital and Clinics; and Alicia Rizzo, MHA, UW Health Clinic Operations Manager, Northeast Family Medical Center.  Both invited their Leadership Development Program (LDP) mentees, Savannah May and Kaohli Yang from Future Healthcare Executives (FHE) at the University of Wisconsin-Milwaukee, to join the full day site visit.

The LDP cohort ended the day with an End-of-Year Social and Wrap-Up at Erin’s Snug Irish Pub and Restaurant in Madison.


Introducing the ACHE-Wisconsin Chapter 2018-19 Leadership Development Program Cohort IX

The American College of Healthcare Executives – Wisconsin Chapter is delighted to welcome the new 2018-19 Leadership Development Program Cohort IX.  The group consists of: Nicole Aloia, UW Health; Luke Belter, Children’s Hospital of Wisconsin; Benjamin Brenna, Cumberland Healthcare; Aaron Budd, SSM Health; Rachel Cabelka, Aurora Health Care; Tracy Keenen, Integrated Medical Partners; Carl Selvick, Fort HealthCare; and Brian Michalski, Clement J Zablocki VA Medical Center.

A kick off meeting was held at the Wisconsin Hospital Association Advocacy Day held in Madison on Wednesday, March 21, 2018.  The group had a chance to get to know each other as well as hear from Eric Borgerding, President/CEO of WHA and Kari Hofer, WHA’s new vice president of advocacy.  The group then merged into the WHA Advocacy Day agenda including legislative visits at the Capitol.  Special thanks to CEOs who took members to the Capitol with them:  Ryan Neville, FACHE, ACHE-WI President-Elect and CEO, Memorial Medical Center; Mary Beth White-Jacobs, FACHE, RN, President & CEO, Black River Memorial Hospital; John Russell, President/CEO, Columbus Community Hospital; and Sandy Anderson, President of St. Clare Hospital.

David Olson, FACHE, Installed as ACHE Chair

WHA Newsletter, March 30, 2018

David A. Olson, FACHE, chief strategy officer, Froedtert Health, Milwaukee, has assumed the office of chairman of the American College of Healthcare Executives. Olson was installed March 24 at the Council of Regents Meeting preceding ACHE’s 61st Congress on Healthcare Leadership.

Olson received the gavel from ACHE’s outgoing Chairman, Charles D. “Chuck” Stokes, FACHE, president/CEO, Memorial Hermann Health System, Houston. As chairman, Olson will serve the second part of a three-year term in ACHE’s consecutive chairmanship offices: Chairman-Elect, Chairman and Immediate Past Chairman.

Board certified in health care management as an ACHE Fellow, Olson served on the ACHE Board of Governors as governor from 2014 to 2017, and as the ACHE regent for Wisconsin from 2004 to 2007. In 2001, Olson was awarded ACHE’s Robert S. Hudgens Memorial Award for Young Healthcare Executive of the Year. In addition to his service to ACHE, Olson served on the Wisconsin Hospital Association board of directors from 2003 to 2013, and in 2010 he served as the organization’s chair.

Physician Leaders Accept Appointments to ACHE-WI Board

The ACHE-WI Board of Directors is pleased to announce that Paul Horvath, MD, FACEP and Paul Bekx, MD, MBA have both accepted appointments to the Board of Directors. Dr. Horvath and Dr. Bekx will bring a physician leadership perspective to the Board along with valuable insight and perspectives. Dr. Horvath currently serves as the Regional Chair of Emergency Medicine at Mayo Clinic Health System in Eau Claire. Dr. Horvath has been a member of ACHE since 2015 and is a 2016 graduate of the Wisconsin Chapter’s Leadership Development Program. Read Dr. Horvath’s bio here. Dr. Bekx currently serves as the Medical Director for the Wisconsin Department of Corrections in the Bureau of Health Services. Dr. Bekx looks forward to bringing diversity, different perspectives and insight to the Board. Read Dr. Bekx’s bio here.

Nearly 1,000 Hospital Advocates Attend WHA’s Advocacy Day

Nearly 1,000 people filled an exhibit hall at Madison’s Monona Terrace March 21 to attend WHA’s 2018 Advocacy Day and hear keynote addresses from Lieutenant Governor Rebecca Kleefisch and Mara Liasson, correspondent for NPR and contributor to Fox News Channel. Over half of the attendees also ventured up to the state capitol in Madison to meet with their state senator and representative on issues impacting Wisconsin’s hospitals, including Medicaid reimbursement and a proposal to implement a government fee schedule in Wisconsin’s worker’s compensation program.

Bob Van Meeteren, WHA Board chair and president/CEO of Reedsburg Area Medical Center, welcomed attendees to Advocacy Day. “Every year that I’ve attended Advocacy Day, I am so impressed by the number of people who gather for this event and the passion you all have for your community hospitals, and this year is no different,” said Van Meeteren.

To kick off Advocacy Day, Van Meeteren introduced a video message from Gov. Scott Walker, recorded in advance at the Governor’s residence in Madison. In his remarks, Walker thanked everyone in attendance for contributing to Wisconsin’s achievement as the best state in the country for high-quality health care.

“On behalf of our citizens, I want to say thank you! We are so proud that our health care systems in Wisconsin are ranked number one in the nation for quality. That is so important to individuals and families all over the state, as our health is a top priority. It is also a great recruiting tool for top talent and new employers to the state,” said Walker.

The Governor told the crowd he is “proud to have such a great working relationship with WHA staff and members,” and highlighted several accomplishments achieved by working together.

“We’ve made major investments in Medicaid to keep our systems strong and to care for those in need. We even added more through the Disproportionate Share Hospital (DSH) program,” said Walker, referring to the last budget he signed into law, which increased Wisconsin’s DSH program by $25 million in state funds. The Governor went on to talk about additional investments in the state’s health care workforce, medical education campus expansion, eliminating the waiting period for children’s long-term care services and recent legislation—signed into law at Tomah Memorial Hospital—to create a reinsurance program in Wisconsin to help stabilize the individual health insurance market.

“Together, we will continue to reinforce Wisconsin’s reputation as a national leader in health care. Thank you for your service to your system, your community and to our state.”

CIOs Rank Most Overhyped IT Innovations

When it comes to emerging technologies, not every innovation will make their mark on healthcare in the long run. For instance, CIO members of the College of Healthcare Information Management Executives ranked blockchain technology as the most “overhyped” IT trend in a recent CHIME study, Healthcare IT News reports. Although blockchain technology aims to improve data integrity and advance data security, 48.2 percent of CIOs fail to see its transformative potential. Other “overhyped” trends, according to the survey, include:

  • Cloud computing (23.2 percent)
  • Machine learning (7.1 percent)
  • Natural language processing (7.1 percent)

Instead, many healthcare organizations are focusing on trends that can make a tangible, positive impact. According to 50 percent of the CIOs surveyed, these promising innovations include Fast Healthcare Interoperability Resources and application programming interfaces. Additionally, 14 percent of CIOs said their organization has launched a dedicated IT innovation center and 25 percent said their health system has formed a partnership focused on innovation with a healthcare IT startup.

—Adapted from “FHIR transformative, blockchain overhyped, CIOs say,” by Mike Miliard, Healthcare IT News, Jan. 19, 2018.


6 Key Healthcare Trends to Watch in 2018

At the start of 2018, the healthcare industry is on the cusp of more significant change, according to a recent Health Affairs Blog post. Highlighted below are six trends to be on the lookout for.

Insurance Market Stability, With Some Exceptions

The healthcare reform strategy of Republicans going forward will likely be to focus on the states, granting them waivers to experiment with insurance programs and expand Medicaid coverage. That said, healthcare leaders are viewing 2018 as a year of greater insurance market stability. On the other hand, bad debt continues to climb, which means some healthcare leaders still face major financial threats.

Renewed Focus on Value-Based Care

CMS will likely continue to ramp up the Medicare Access and CHIP Reauthorization Act of 2015 that incents clinicians to take risks with alternative payment models. Private sector actions also appear to be expanding and accelerating the value-based payment movement, disrupting the status quo.

Continued Rise of Consumerism

To ultimately succeed, health leaders realize that they need to, above all else, excel at attracting and engaging patients, families, caregivers, and consumers. More and more, providers will work with patients, families and caregivers to develop approaches to more actively manage their health and healthcare.

Embracing Standardization and Waste Reduction

Healthcare leaders have a larger and more urgent financial imperative to identify and isolate wasteful practices, cost outliers and the root causes for inefficiencies. These efforts will rely heavily on having accurate and actionable data and analytics.

Increased Drug Market Competition

Congress and the FDA will continue to explore new initiatives designed to unleash more competition that can moderate drug price trends. Efforts could include developing more generics where competition is lacking, streamlining the generic drug approval process, eliminating loopholes that prevent the introduction of competitor drugs and promoting biosimilars.

Data Warehouse Growth and Strides in Interoperability

While providers wait for new interoperability provisions, they continue to build data warehouse systems, enhance data analytics, and train their workforce on IT-related competencies.

—Adapted from “What To Watch In Health Care In 2018: Six Key Trends,” by Susan DeVore, Health Affairs Blog, Jan. 29, 2018.

ACHE Call for Nominations for the 2019 Slate

ACHE’s 2018–2019 Nominating Committee is calling for applications for service beginning in 2019. All members are encouraged to participate in the nominating process. ACHE Fellows are eligible for any of the Governor and Chairman-Elect vacancies and are eligible for the Nominating Committee vacancies within their district. Open positions on the slate include:

  • Nominating Committee Member, District 2 (two-year term ending in 2021)
  • Nominating Committee Member, District 3 (two-year term ending in 2021)
  • Nominating Committee Member, District 6 (two-year term ending in 2021)
  • Four Governors (three-year terms ending in 2022)
  • Chairman-Elect

Please refer to the following district designations for the open positions:

  • District 2: District of Columbia, Florida, Georgia, Maryland, North Carolina, Puerto Rico, South Carolina, Virginia, West Virginia
  • District 3: Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin
  • District 6: Air Force, Army, Navy, Veterans Affairs

Candidates for Chairman-Elect and Governor should submit an application to serve that includes a copy of their resume and up to 10 letters of support. For details, please review the Candidate Guidelines, including guidance from the Board of Governors to the Nominating Committee regarding the personal competencies of Chairman-Elect and Governor candidates and the composition of the Board of Governors.

Candidates for the Nominating Committee should only submit a letter of self-nomination and a copy of their resume.

All correspondence should be addressed to Edward H. Lamb, chairman, Nominating Committee, c/o Julie Nolan, and the applications to serve and self-nominations must be submitted electronically to jnolan@ache.org and received by July 15, 2018.

The first meeting of ACHE’s 2018–2019 Nominating Committee will be held on March 27, during the 2018 Congress on Healthcare Leadership in Chicago. The committee will be in open session at 2:45 p.m. During the meeting, an orientation session will be conducted for potential candidates, giving them the opportunity to ask questions regarding the nominating process. Immediately following the orientation, an open forum will be provided for ACHE members to present and discuss their views of ACHE leadership needs.

Following the July 15 submission deadline, the committee will meet to determine which candidates for Chairman-Elect and Governor will be interviewed. All candidates will be notified in writing of the committee’s decision by Sept. 30, and candidates for Chairman-Elect and Governor will be interviewed in person on Oct. 25.

To review the Candidate Guidelines, visit ache.org/CandidateGuidelines. If you have any questions, please contact Julie Nolan at (312) 424-9367 or jnolan@ache.org.

Board of Governors Exam Fee Waiver Campaign: March 1–June 30

The Board of Governors Exam fee waiver promotion for ACHE Members to save $200 when they submit their Fellow application will take place between March 1 and June 30, 2018.

Eligible members must submit their completed Fellow application, $250 application fee and meet all requirements—including the three years of ACHE membership tenure and five years of executive-level healthcare management experience—by June 30 in order to receive approval to take the Board of Governors Exam. Pending application approval, ACHE will waive the $200 Board of Governors Exam fee.