ISSUE 1 WINTER 2009 VOLUME 1 CULTURAL AND PERSONAL COMPETENCE ............... 1 U.S. GETS A 'D' AS MARCH OF DIMES RELEASES PREMATURE BIRTH REPORT CARD ……………..2 Ohio River Valley NAHSE President’s Message It is my pleasure to bring to you the very first edition of the Ohio River Valley Newsletter of the National Association of Health Services Executives (NAHSE). In efforts to increase our communication and awareness among our Membership and constituents, we are excited about the prospects and potential of this important publication. Our journey to this point has endured a great deal. Thanks to Dr. Karen Bankston, we were triumphant in resurrecting our chapter and taking it to new heights. Subsequently, we are presented with new challenges. I have attempted to detail some of our challenges in my interview within this inaugural edition of the ORV NAHSE newsletter. However, I am quite certain our Membership will overcome these obstacles and be the better for it. Healthcare is such a critical industry, especially with all that is occurring on the National scene. The ORV Chapter of NAHSE hopes to bring you unbiased and unmitigated com- mentary on issues affecting Healthcare Leaders. This publication is a manifestation of our deliberate effort to promote the importance and impact of NAHSE on both the local and national forefronts. Special thanks goes to Yonathan Kebede, Treasurer of our illustrious chapter and member of the Marketing Committee. Through tireless efforts of Yonathan and others, we were successful in the proliferation this initial publication. Within this text, there will be articles of substance outlined for the reader to share. Moreover and as we continue to evolve our periodical, we are confident that the mission of NASHE and the specific tenets of our Chapter will be clearly delineated. We value and appreciate your continued support. In addition, we encourage you to visit our website (www.orvnahse.com ) for upcoming events, socials, and general infor- mation. Please enjoy and share this quarterly publication with your respective colleagues and friends in healthcare. My personal best, Gyasi C. Chisley President, Ohio River Valley Chapter National Association of Health Services Executives Gyasi Chisley, PMP, FACHE The University Hospital
Transcript
ISSUE 1 WINTER 2009 VOLUME 1 CULTURAL AND PERSONAL
COMPETENCE ............... 1
U.S. GETS A 'D' AS MARCH OF DIMES RELEASES PREMATURE BIRTH REPORT CARD ……………..2
Ohio River Valley NAHSE President’s Message It is my pleasure to bring to you the very first edition of the Ohio River Valley Newsletter of the National Association of Health Services Executives (NAHSE). In efforts to increase our communication and awareness among our Membership and constituents, we are excited about the prospects and potential of this important publication. Our journey to this point has endured a great deal. Thanks to Dr. Karen Bankston, we were triumphant in resurrecting our chapter and taking it to new heights. Subsequently, we are presented with new challenges. I have attempted to detail some of our challenges in my interview within this inaugural edition of the ORV NAHSE newsletter. However, I am quite certain our Membership will overcome these obstacles and be the better for it.
Healthcare is such a critical industry, especially with all that is occurring on the National scene. The ORV Chapter of NAHSE hopes to bring you unbiased and unmitigated com-mentary on issues affecting Healthcare Leaders. This publication is a manifestation of our deliberate effort to promote the importance and impact of NAHSE on both the local and national forefronts. Special thanks goes to Yonathan Kebede, Treasurer of our illustrious chapter and member of the Marketing Committee. Through tireless efforts of Yonathan and others, we were successful in the proliferation this initial publication. Within this text, there will be articles of substance outlined for the reader to share. Moreover and as we continue to evolve our periodical, we are confident that the mission of NASHE and the specific tenets of our Chapter will be clearly delineated. We value and appreciate your continued support. In addition, we encourage you to visit our website (www.orvnahse.com) for upcoming events, socials, and general infor-mation. Please enjoy and share this quarterly publication with your respective colleagues and friends in healthcare. My personal best,
Gyasi C. Chisley President, Ohio River Valley Chapter National Association of Health Services Executives
influencing their specific wants and needs? Yes, race relig-ion and ethnic background are obvious factors but, they only scratch the sur-face. There are
probably a million other factors or experi-ences in our lives that help define who we are as individuals and how we respond to clinical care and those who would deliver it to us. Remember how your mom used to fluff your pillow or rub your back to help you get to sleep? Remember the ritual she went through to get you to take your medicine whenever you were sick? Remember how safe and special that made you feel? Well, that’s how our patients want to feel……. safe and special. (Continue on page 2…)
What’s all this fuss about delivering culturally competent and personalized care? What do these terms mean anyway? We don’t treat people any differently on my unit. We treat everybody the same. And that’s good! Isn’t it?
Well, when it comes to clinical care, most of the time, that notion would seem to be a pretty fair place to start. But, there is a grow-ing body of evidence in medical journals every-day that points to more and more cases of people with diverse backgrounds responding differently to drugs, therapies and treatments than the majority population. And, when it comes to cultural or personal care, patient responses become even more diverse depend-ing on who they are and where they come from. Yes, maybe our patients don’t want to be treated the same after all. Maybe they want to be treated better. So, how do we do that?
Well, with regard to cultural or personal con-siderations, we can start by treating all pa-tients as individuals with a variety of factors
Cultural and Personal Competence Larry James
Announcements
Please welcome the following new members:
Lyndsey Nissley Cincinnati Children’s Hospital
Janelle Richardson Cincinnati Children’s Hospital
Yonathan Kebede
Premier Health Partners
Congratulation to Anita Brentley on receiving the Amerigroup Community Care, 2008 Healthy Hero Award Congratulation to Terresa Adams on receiving the 2008 Jefferson Award for her commitment to community service.
NAHSE's purpose is to ensure greater participa-
tion of minority groups in the health field. Its
basic objective is to develop and maintain a strong
viable national body to more effectively have in-
put in the national health care delivery system. It
has provided a vehicle for Blacks to effectively
participate in the design, direction and delivery of
(Continued from page 1…) Now, that is something we all can recognize and ap-preciate. And, that is what cultural competence and personalized care really is when you boil it all down…..the art of making all folks feel safe and spe-cial. The tricky part is figuring out exactly what makes each individual feel that way, not to mention, finding the time and energy to make it happen for all of them. Oh, but when we can for any one of them, the end result is magical indeed. And now, it’s time for the traditional marketing dis-claimer. The content of this article is advocating that we compromise our standards for clinical care in any way just to meet the patients’ desire for clinical or non
-clinical customization. We are not, and probably should not strive to be, eve-ryone’s mother. But, what this article does suggest is that we all be willing to consider the special needs of the individual patient and strive to meet those needs that fall within our clinical standards and can be man-aged reasonably. Maybe we can be a close relative or friend instead.
Cultural and Personal Competence
Photos from ORV Holiday gathering event
Page 3 Ohio River Valley NAHSE
All jokes aside, cultural competence and personalized care are rapidly becoming and will continue to be very important weapons for hospitals to use in estab-lishing and maintaining a competitive edge in the healthcare industry. In fact, it is highly probable that, at the very least, cultural competence will become yet another standard for all hospitals to meet consis-tently in order to be accredited or certified. So, does-n’t it make sense to make it a habit now to strive to serve the individual both clinically and personally? Because, after all, your patients may not know how you make them feel better but, they sure will know how you make them feel. And in the end, that is of-ten one of the biggest reasons they will choose your hospital over some other facility the next time they are in need. Are you culturally competent enough?
The United States is failing hundreds of thousands of its youngest citizens on the day they are born, according to the March of Dimes. In the first of what will be an annual Pre-mature Birth Report Card, the nation re-ceived a "D" and not a single state earned an "A," when the March of Dimes com-pared actual preterm birth rates to the
national Healthy People 2010 objective. The only state to earn a "B" was Vermont. Eight others earned a "C," 23 states earned a "D," and 18 states plus Puerto Rico and the District of Columbia got fail-ing grades of "F," according to the Report Card.
"It is unacceptable that our nation is fail-
ing so many preterm babies," said Dr. Jennifer L. Howse, president of the March of Dimes. "We are determined to find and implement solutions to prevent preterm birth, based on research, best clinical practices and improved education for moms." November 12 was the nation's 6th Annual Prematurity Awareness Day, a time when the March of Dimes mobilized volunteers and parents to draw attention to prema-ture birth (birth before 37 weeks gesta-tion), which affects more than 530,000 babies each year in the United States. Premature birth is the leading cause of newborn death and a major cause of life-long disability. In addition to providing state rankings, the
Report Card analyzes several contributing fac-tors and prevention opportunities, including rates of late preterm birth, smoking, and unin-sured women of childbearing age. The pur-pose is to raise public awareness of the grow-ing crisis of preterm birth so elected and ap-pointed officials will commit more resources to address this problem and policymakers will support development of strategies that bene-fit mothers and babies. The Report Card also is supported by the American Academy of Pediatrics, the Associa-tion of Women's Health Obstetric and Neona-tal Nurses, the National Business Group on Health, the American Benefits Council and dozens of other business and maternal and infant health organizations. The Report Card also calls for: * Expanded federal support for prematurity-related research to uncover the causes of premature birth and lead not only to strategies for prevention, but also improved care and outcomes for preterm infants. * Hospital leaders to voluntarily review all Cesarean-section births and inductions of labor that occur be-fore 39 weeks gestation, in an effort to re-verse America's rising preterm birth rate. The review should ensure that all c-sections and inductions meet established professional guidelines. (continue on page 9…)
U.S. Gets A 'D' As March Of Dimes Releases Premature Birth
Report Card
Upcoming Events
“The nation
received a
"D" and not
a single state
earned an
"A,"…”
Page 4 Ohio River Valley NAHSE
January 15
ORV NAHSE first Newsletter will be sent to members. Don’t forget to submit your articles for the next edition!
January 22
General meeting @ Lincoln Heights Health Center 2nd Floor Conf Rm. 1401 Steffen Avenue Cincinnati, OH 45215
February 26
General meeting @ Lincoln Heights Health Center 2nd Floor Conf Rm. 1401 Steffen Avenue Cincinnati, OH 45215
Thanks again for your time. In order for our Membership to really understand your approach and background, this inter-view will consist of 3 components: inquiring about several personal attributes, discussing your healthcare perspective, and finally, reviewing NAHSE business and your platform for
2009.
Personal 1. You have a really unique name. Does it have a certain
meaning? GCC – Yes, it means wonderful and noble child in Swahili.
2. Where did you grow up? What schools did you at-
tend? What brought you to Cincinnati? GCC - I was born and raised in Milwaukee, WI, where my parents still reside, but I have lived in many different cities, which has helped shape my perspective (New York, Miami, FL, Chicago, and Atlanta to name a few). I am a proud product of the Milwaukee Public School system. Subsequently, I graduated from Morehouse College and the University of Michigan for undergrad and graduate schools, respectively. My wife and I were looking to find some stability and put a halt to my hectic travel sched-ule. A recruiter informed me about the position at the Health Alliance and the rest, as they say, is history.
3. Do you have any hobbies?
GCC - I do. I am a voracious reader, particularly enjoying biographies and historical ac-counts. I am also an old movie buff and really enjoy all different genres of music (you should see my IPOD). However, given my time is so limited, I really, truly enjoy just hanging with my Family.
4. Favorite Book?
GCC - Hands down. Sun Tzu – The Art of War. Best book I have ever read/referenced. Consequently, I’m currently reading American Lion by Jon Meacham; a fasci-nating biography on Andrew Jackson.
5. Person you most admire?
GCC - Without a doubt. My wife. While there are so many historical figures, present/past mentors and leaders in my presence, and ordinary folks that are doing the right thing that I truly admire, my wife is not of this planet. She keeps me grounded, cares for our daughter, and completely manages our household. She has guided our family in decency and love. She is exceptional in every way, shape, and form. And by the way, she is 20 times smarter than I will ever be….
6. Do you have any pet peeves?
GCC - I do. Excuses. Excuses are tools of the incompetent. I have a disdain for long, unnec-essary meetings. And I hate witnessing failed potential and along those same lines, I de-spise the word, “can’t”.
Healthcare Perspective 1. How many years have you been in Healthcare?
GCC – This is my 14th year in this profession. I absolutely love healthcare administration, particularly operations. However, my career has run the gamut from consulting to finance to support services management, all within the healthcare profession.
2. What made you want to pursue a career in healthcare administration?
Gyasi C. Chisely, PMP, FACHE
Page 5
GCC - I initially matriculated into undergrad as a Psychology/Biology-Pre Med major with hopes of pursuing a career as an OB/GYN or a psychiatrist. I had a mentor from my hometown that had a profound effect on my life who happened to be an OB. On the flip side, I began to really enjoy a couple of Econ/Finance courses that I started taking Junior year as electives that enhanced my interest in business, so much so, that I thought I should minor in it the following year. Instead, I made a caustic pivot and began researching ca-reers that integrated healthcare concepts with business. For all intent and purposes, the world became my anchor at that instant. There were so many opportunities that were presented in my research. Then, in the summer months during my Junior and Senior year, I found out about a new program that was being introduced called the Institute for Diversity in Healthcare Manage-ment sponsored (at that time) by the American Hospital Association and American College of Healthcare Executives. The Institute matches minority students to an established healthcare facility – not necessarily a hospital – and finds preceptors for the students as well for the purposes to expose young African Americans to our Field. Unfortunately, the inaugural program was only offered to Grad school students at the time. So long story short, I begged and pleaded my case and was eventually granted access to the program. I was matched in one of the most precarious cities (Omaha, NE), but in one of the most well respected health sys-tems and administrators in our profession (University of NE Health System with the COO, Cory Shaw). It was my first real interface with healthcare administration and I have been hooked ever since. And by the way, the woman that I begged and pleaded to let me in the program was Neysa Dillon Brown, a prominent member of NAHSE and ironically the immediate past Conference Chair in Atlanta, GA. She was the first person to begin to inform me about NAHSE. I met so many interesting individuals in the Field at all levels. Subsequently, I returned to College for my senior year knowing exactly what I wanted to do and be-gan applying to Grad school programs.
3. In those years in healthcare, what is one thing that you would like to see changed in the industry? In
other words, what is the one thing that you would address if you could? GCC - That’s an important and intriguing question. If you don’t mind, I would like to expound on 2 chal-lenges that I foresee. Firstly, I have thoroughly researched the ostensible disparities in access to health-care. I initially wrote my grad school thesis on it, and have subsequently, been invited to present some of my research to various groups. Now by no stretch of the imagination am I an expert on the topic. However, I have developed a considerable passion in the area and amassed some significant research from several sources and individuals. In my estimation (which I won’t bore you with in this discussion), there are so many glaring opportunities to address the obvious disparities. It sometimes baffles me that we are not doing more to execute some of those opportunities…such as the expansion of the CHIP. It would certainly save time, resources, and money if we made a couple of easy amendments to our public policy mandates relating the healthcare insurance on both the state and federal levels. In addition, we always have the opportunity to affect change at our own institutions by becoming more culturally competent and understanding some of the barriers to access (like transportation and pervasive stigmas). Secondarily, I am somewhat concerned about the pipeline of young healthcare administrators. In speaking to various programs, some of the most prominent programs are witnessing slight declines in enroll-ment. However, this may begin to change as there have been reports in the Wall St. Journal that healthcare is a profession that is virtually “recession proof”, which is a statement that I do not entirely agree with. In addition, due to latest trends in healthcare, we are starting to see the young talent shy away from the tradi-tional hospitals because the diversity and flexibility that of the degrees like an MHA or MBA brings. I have attempted to mentor as many individuals as possible to merely expose them to the healthcare field. This aspect has probably been the most rewarding component of my career that I hope and plan to continue.
4. Describe your management philosophy.
GCC - I consider healthcare my ministry. It gives me the wonderful opportunity to display sharp business acumen, while to proliferating my passion to do what’s right. It gives me the opportunity to meet and touch so many lives. With that said, I am a change agent and I have let that passion guide me in all that I do throughout my ca-reer. I firmly believe that any organization and leader can excel and affect change if they are able to craft
Spotlight on a member
Gyasi Chisley Interview Continued…
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Spotlight on a member
Gyasi Chisley Interview Continued…
the approach in 3 areas: Focus on the fundamentals, be transparent on your challenges, and try to transcend. The fundamentals, in my mind, consist of the 5 C’s: Competence, compassion, concern, creativity, and most of all, communication. The transparency of the challenges is critical as well. I am an advocate of collabora-tion. Oftentimes, it will produce the best approaches to issues and problems. I urge individuals to share their opinions and viewpoints, even if they are different from mine. In fact, I welcome it. It gives me comprehension on my charge, streamlines my passion, and helps me understand varying perspectives. However, if one is coy about what the organization is facing, it makes it tough for the rest of the organization (those that do the most work) to buy into the vision. In addition, given my background, I am a strong proponent of efficiency tactics, hardwiring methodologies and systems. I don’t believe in merely meeting to meet, or talking just to talk or reiterating my resume before qualifying a statement. I do my best to mitigate impulsiveness, but value working collectively and definitively toward a common objective. I truly believe that the best ideas will surface and the support will follow. Again, if one is transparent about these expectations at the onset, the organization will be the better for it. Finally, I truly abide by the notion to force yourself and your organization to be better. Comfortability is syn-onymous with complacency. In fact, comfort is where complacency begins. When you and your organization feels challenged and discomforted, then true change can occur.
5. What are some of the challenges you face at University Hospital?
GCC - Thanks for the question. First, let me say, I have the wonderful pleasure to work and affect change where my wife, mother, and I have all been patients. In addition, my daughter was born and spent some time in the NICU at UH…so I am confident that not many administrators can say that about their hospitals or com-ment on the love and respect for what we are able to achieve on a daily basis that permeates every time I walk through the door. We are facing many of the same challenges as most organizations within the Tri State and around the coun-try. In these tough economic times, we are consistently faced with the classic balance between cost and qual-ity. With rising technology cost and workforce development/salary increases, we are continuing to strategize and being creative on how we deliver the best care to our patients. In addition, for the second time in my ca-reer, we are seeing declining inpatient volumes and a shift to more of an outpatient model because of the eco-nomic downturn (instead of the culprit being managed care like the ‘90’s). However, we are truly trying to transcend at UH. We have made the conscious and profound choice to invest in our future. The journey has been eye-opening and inspiring. As I mentioned before, we sometimes compli-cate the change process. The one truism that has been proven, time after time, is that culture always trumps strategy. In the past, our culture has presented some problems and barriers, but we are fantastically fortunate to have a Leader, in our CEO, that is not satisfied with status quo. She has a great vision for the hospital and we have made tremendous strides in patient and physician satisfaction since her appointment in April. We’ve got a great management team and we understand, under CEO’s leadership, that our transition has to be trans-latable. In other words, we have to communicate our progress of change to every level of a very complex, ma-trixed organization (like UH). Like anything else, there is a process involved in change and our management team has subscribed to the change vision while honoring the concepts of tradition and continuity at a large Academic Medical Center and Teaching Hospital. I am confident that we are the precipice of something BIG at UH because in large part of the associates and our management teams.
NAHSE Business 1. What makes you qualified to be President of our Chapter?
GCC - I am not sure that I am. However, I am deeply passionate about the plight of this chapter. That passion guides my purpose, which then, clarifies our mission. I want to make this Chapter one of the most preeminent and prolific chapters in the country. I am reminded of the tag line for Lexus: the relentless and passionate pur-suit of perfection. It is a personal precept that I have lived by. I am committed to put that tag line into action for our Chapter and have been a champion for so many causes that are tantamount NAHSE’s mission. I’m fired up and ready to go. The beauty is that we have the infrastructure in place, thanks to Dr. Karen Bankston and a very dedicated Membership core. We are one of the largest chapters in the country and we have got a great group of dedicated members (which
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Spotlight on a member
Gyasi Chisley Interview Continued…
may be a bit smaller). However, those committed few have taken this chapter to new heights. My role is just to get out of the way. Like I tell my Team at UH, I am here to obliterate barriers in order for the true talent of this organization to be indisputably discernible, so that we can further our mission and execute our tenets.
2. You outlined your platform to many of the Membership of our chapter in email address at the beginning of the year. Is there anything you would like to highlight during this interview? GCC - Sure. It’s simple. In the most convenient and no uncertain terms, we will improve our chapter com-munication. I am thoroughly convinced that by making our communication more robust, we can increase outreach, which will subsequently increase our membership. We also want to craft and cultivate our plans for students and public policy. Our student members are going to drive the future our beloved organization. And public policy will continue to permeate on the national stage as healthcare becomes a “hot topic”, given the deficit, new President, and call for universal health-care. NAHSE and our local chapter will be major players on the local scene in assisting with our message and perspectives as well as disseminating important information to the masses about policy. Again, thanks to the tireless efforts of Dr. Bankston, I am confident that we will be a local force in this arena. In these tough times, we have to firmly illustrate why membership to NAHSE is so important, now more than ever, because most of our General Body are paying for dues out of their own pockets and not being reim-bursed by their respective companies. The Executive Team will make that sell. We have got some great things planned for our Members in ’09.
3. What are you most excited about in 2009?
GCC - In 2008, over $7 trillion dollars was lost in wealth through the stock market and investments in this country. Huge! This will obviously and significantly impact healthcare. However, in challenging times, comes tremendous opportunity. I am truly optimistic about 2009. I am excited about our communication efforts. While in its infancy, we are making some fantastic headway with our website (Erika) and the newsletter (Yonathan). However, I think I am most excited about the pros-pect of mobilization. Through many outreach efforts, we have done a decent job at attracting folks from Dayton and Northern Kentucky. With so much going on in our country, it would be inane to think that NAHSE does not have the auspicious opportunity to be a major player on a major stage. Like I mentioned about UH, I, too, believe our Chapter is on the threshold of greatness. I am predicting a breakthrough year for NAHSE and our Chapter.
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Do you want to be more involved in the chapter?
Become a committee member
Here are the committees you can serve on:
Fundraising
Mentoring
Membership
Public Policy
Professional Development & Marketing
After months of planning and design Ohio River Valley’s Chapter website has been completed and gone live as of January 2009. Thanks to our web-master, Erika McMullen, members can now go on the website and read meetings minutes, keep up with upcoming events, as well as utilize important resource links. It is our hope that you visit the site often as well as sign-up for our quarterly newslet-ter to be well informed about our movements.
(Continued from page 2…) * Policymakers to improve access to health coverage for women of childbearing age and to support smoking cessation programs as part of maternity care. * Businesses to create workplaces that support mater-nal and infant health, such as providing private areas to pump breast milk, access to flextime, and information about how to have a healthy pregnancy and childbirth.
The National Healthy People 2010 preterm birth objec-tive is to lower the rate to 7.6 percent of all live births. Latest available data (2005) show that the national preterm birth rate is 12.7 percent.
"Employers can play a key role in helping their employ-ees and dependents have healthy babies and healthy families," said Helen Darling, president of the National Business Group on Health. "The March of Dimes Pre-mature Birth Report Card provides guidance on best
U.S. Gets A 'D'... practices that can help any size business." The March of Dimes says that in 2009, Report Card grades will reflect state actions taken that have the po-tential to reduce preterm birth rates in future years. Preterm birth is the leading cause of death in the first month of life in the United States. The preterm birth rate has increased about 20 percent since 1990, and costs the nation more than $26 billion a year, according to the Institute of Medicine report issued in July 2006. Babies who survive a premature birth face the risk of serious lifelong health problems including learning dis-abilities, cerebral palsy, blindness, hearing loss, and other chronic conditions including asthma. Even infants born just a few weeks too soon have a greater risk of breathing problems, feeding difficulties, hypothermia (temperature instability), jaundice and de-layed brain development.
All NAHSE members are encouraged to network with other NAHSE chapters that will be in attendance at the ACHE Congress in Chicago. The NAHSE board meeting and reception takes place on Sunday, March 22, 2009 at the Hilton Chicago. For more information about this meeting and time—please contact the national office at : 1140 Connecticut Avenue , NW Suite 505 Washington, D.C. 20036 Phone: 202.429.6060 Fax: 202.429.6767 Email: [email protected] URL: www.nahse.org
NAHSE Board Meeting in Chicago
Ohio River Valley NAHSE
ORVNAHSE Newsletter is published quarterly. If you would like to share an opinion, an article, or news about healthcare related issues—please submit your writings to: Yonathan Kebede at [email protected]
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