It is hard to forget the images broadcast from local and national new programs on the afternoon of May 22, 2011, when an EF5 tornado ravaged the southwest Missouri town of Joplin. We soon learned that St. John’s Mercy Hospital took a direct hit, and as finance leaders who serve the healthcare industry, our hearts went out to them. The tornado’s 13.8-mile path led to 161 deaths and widespread destruction. It was reported that 8,000 structures, 400 businesses, 18,000 vehicles, and 8 schools were destroyed or severely damaged. It was the country’s deadliest tornado since 1947 and ranks as one of the most costly. Mercy Health’s Marcia Reynolds, RN, reported the tornado’s impact on St. John’s Mercy. Windows and walls were blown out, portions of the roof were pulled off, and massive debris filled the hospital. The building’s infrastructure was severely damaged: Generators were destroyed, all communication was lost, water, sprinkler, gas, and sewer pipes were disrupted, and liquid O2 tanks were damaged. The tornado also destroyed or severely damaged 86 medical staff offices, the rehab building, a helicopter, and disaster trailer. All 183 patients had to be evacuated. 1 Ms. Reynolds detailed lessons learned from the disaster: 1 - You do what you practice/drill - Evaluate drills/responses to improve your plan - Drill until you fail - Add patient slippers/shoes to your weather plan - Announce thunderstorm watches/warnings periodically to keep staff informed - Know your contacts - Strong community groups that plan and drill together - State-level positions - Hospital Association - Store emergency response supplies where you will need to use them Mercy Hospital Joplin Reopens: A Symbol of Recovery HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION SERVING THE KANSAS CITY CHAPTER Programming .............................2 Webinars ....................................2 President’s Corner ......................3 ANI 2015 ....................................6 MHA Update ...............................7 HOA Annual Awards ....................8 Officers/Committees .................10 Region 8 Connection.................11 MidAmerica Summer Institute...12 Leadership Training ..................13 Sponsor Spotlight .....................13 New Members ..........................14 Get to Know a Member .............15 Golf Tournament .......................17 Changes to CHFP ......................18 Board & Officer Highlights.........19 Mini Leadership Training ...........24 heart beat Article continues on page 4 Volume 68 | Issue 1 Summer 2015
Transcript
It is hard to forget the images broadcast from local and national new programs on the afternoon of May 22, 2011, when an EF5 tornado ravagedthe southwest Missouri town of Joplin. We soon learned that St. John’s Mercy Hospital took a direct hit, and as finance leaders who serve thehealthcare industry, our hearts went out to them.
The tornado’s 13.8-mile path led to 161 deaths and widespread destruction. It was reported that 8,000 structures, 400 businesses, 18,000 vehicles, and 8 schools were destroyed or severely damaged. It was the country’s deadliest tornado since 1947 and ranks as one of the mostcostly.
Mercy Health’s Marcia Reynolds, RN, reported the tornado’s impact on St. John’s Mercy. Windows and walls were blown out, portions of the roof were pulled off, and massive debris filled the hospital. The building’s infrastructure was severely damaged: Generators were destroyed, allcommunication was lost, water, sprinkler, gas, and sewer pipes were disrupted, and liquid O2 tanks were damaged. The tornado also destroyedor severely damaged 86 medical staff offices, the rehab building, a helicopter, and disaster trailer. All 183 patients had to be evacuated. 1
Ms. Reynolds detailed lessons learned from the disaster:1
- You do what you practice/drill- Evaluate drills/responses to improve your plan- Drill until you fail- Add patient slippers/shoes to your weather plan- Announce thunderstorm watches/warnings periodically to keep staff informed- Know your contacts- Strong community groups that plan and drill together- State-level positions- Hospital Association- Store emergency response supplies where you will need to use them
Mercy Hospital Joplin Reopens: A Symbol of Recovery
H E A L T H C A R E F I N A N C I A L M A N A G E M E N T A S S O C I A T I O N S E R V I N G T H E K A N S A S C I T Y C H A P T E R
Programming .............................2
Webinars ....................................2
President’s Corner ......................3
ANI 2015 ....................................6
MHA Update ...............................7
HOA Annual Awards ....................8
Officers/Committees.................10
Region 8 Connection.................11
MidAmerica Summer Institute...12
Leadership Training ..................13
Sponsor Spotlight .....................13
New Members ..........................14
Get to Know a Member .............15
Golf Tournament .......................17
Changes to CHFP......................18
Board & Officer Highlights.........19
Mini Leadership Training...........24
heartbeat
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Volume 68 | Issue 1Summer 2015
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mark your calendarsNational WebinarsAugust 11, 20152016 Proposed Rule Changes to the Outpatientand Ambulatory Service Center Payment Systems
August 26, 2015How Providers Can Simultaneously Reduce Expenses, Improve Operations, and IncreaseRevenue
August 27, 2015Revealing Productivity Performance to Drive Financial Improvements
September 9, 2015Aligning Physicians to Improve Reimbursement,Reduce Denials, and Enhance Regulatory Compliance
September 15, 2015Overview of MACRA Legislation: How the SGRRepeal and New Merit-Based Incentive PaymentSystem Will Impact Physician Payments
View all upcoming live webinars If you are interested in presenting a webinar, please contact Kurt Belisle at [email protected].
View all upcoming on-demand webinarsHFMA provides webinars available one calendar year following the live webinar date and year. Most on-demand webinars are free for HFMA members and $99 for non-members, unless otherwise noted.
AVAILABLE UNTIL:August 1, 2015 Managing Staff Productivity to Maximize Output and Control Costs
August 1, 2015 St. Joseph Heritage Healthcare: Building an Accountable Care Organization
with a High-Performing Narrow Network
August 7, 2015 Population Health Management: Creating a Clinically Integrated Network
August 7, 2015 Using Analytics to Work Smarter in a Healthcare Setting
August 21, 2015 Using New Business Models to Reduce Hip and Knee Implant Expenses
September 3, 2015 Innovations in Cost Accounting Drive Value-Based Healthcare
September 3, 2015 Linking Payment with Quality: Reducing Rehospitalizations
September 23, 2015 Adapting to the Affordable Care Act with Proven Financial Planning Techniques
If you are interested in presenting a webinar, please contact Kurt Belisle at [email protected].
AUGUST 6, 2015Healthcare Trends – Current Outlook and Financial Considerations
SEPTEMBER 17, 2015MHA & KHA UpdateLocation: Ritz Charles
OCTOBER 16, 20152nd Annual! Women in Leadership
NOVEMBER 19, 2015Chapter Favorite! CEO & CFO Panel
JANUARY 28, 2015Medicaid/Medicare and Other Payers Update – Impact of Model Changes
MARCH 10, 2015Healthcare 101 – Overview of Finance and the Revenue Cycle
APRIL 21, 2015Effective Leadership – Chapter Awards and Professional Photos
Heart of America ProgrammingThe topics listed are subject to change and will be more clearly defined as the programyear progresses:
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Paul Knudtson, President
Hello Heart of America Members!I am Paul Knudtson and I am very pleased to have the opportunity toserve as your Chapter President for the 2015-2016 year! There havebeen many outstanding presidents that have served in the history ofour chapter and I am excited about the opportunities to continue toimprove our Chapter. A great leadership team has been assembledthis year, to include our Officers, Board Members and CommitteeChairs and Committee Members.
I joined HFMA in 2007 and quickly became involved in the Sponsor-ship Committee where I became known as “P.I. Paul” due to my effortsin tracking down contact information for potential sponsors. I servedon the Board of Directors from 2011 to 2013. In 2012 I began my officer rotation serving as Vice President responsible for educationalprograms.
I would like to thank Jim Mozena for his outstanding leadership of theChapter last year. Under Jim’s leadership the Chapter had a wonder-ful year.
- Constant Contact was implemented to better communicate with the Membership.
- A new and enhanced website was created. - Ability for the chapter to take Credit Card Payments both online
and in person is now an option. - The Chapter was awarded the Hottum award for Educational
Performance Improvement.- Two Yerger awards for educational programs were earned.
- Women in Healthcare Luncheon. - Legislative panel in conjunction with the MHA/KHA Regulatory
Update.
In May the Officers and I attended the annual Leadership Training Con-ference (LTC) where the 2015-2016 National Chair, Melinda Hancockannounced that this year’s HFMA theme titled, “Go Beyond”.
Melinda explained this may include “Going Beyond” old assumptionsand traditional roles to deliver results. Or “Going Beyond” expecta-tions and mindsets to identify and seize opportunities. LTC is a greatopportunity for the Officers to work together in planning for the com-ing year and network with chapters from across the country to under-stand best practices. As a leadership team, it was determined that tohave a successful year that we would focus on the following items:
- Governance-proper engagement of Board Members with strategic objectives to ensure goals are met.
- Programs- continuing to identify alternative meeting locations and topics to best meet the need of the membership. Partner with other local societies for joint program opportunities. Continue to be creative to increase the opportunities for providers to attend chapter meetings.
- Student/Young Careerist program-engage local universities to identify opportunities to engage and involve student members.
- Networking- continue with our strong networking program and consider a charity to support as a Chapter.
- Certification- identify and implement plans to encourage chapter members to take the newly redesigned certification exam.
I look forward to working with all of you over the next year as we navi-gate through changes within the healthcare industry. If you have anyquestions about the chapter or if you have recommendations for im-provements, please be sure to contact me.
Paul Knudtson, President
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Mercy Hospital Joplin Reopens, continued...
- Keep shut-off tools near equipment- Make emergency supplies easily portable- Provide grab bags at locations throughout the facility that include:- Paper and pen- Gloves- Flashlight and batteries- Consider marking rooms that have been searched and evacuated- Establish communications as rapidly as possible – especially with
other key sites by using cell phone texting.- Respond to disaster situations with ID/badge and educate staff- Security needs increase rapidly- Take care of yourself, your staff, and their families
Construction EnhancementsOn March 22, 2015, just 46 months after St. John’s Mercy was destroyed, the new Mercy Hospital Joplin opened its doors, with bigchanges. Building enhancements that could withstand a powerfulstorm were added and accounted for just 2% of the hospital’s construction costs.
The Joplin Newsroom from Mercy.net reports the advances in theirnew facility:2
“Having windows that can withstand a storm is a huge deal,” saidGary Pulsipher, President of Mercy Hospital Joplin. “Winds like theones we experienced in the May 2011 tornado caused major damageand once inside the building, they tore things apart and sent debrisflying. There was no question we needed to prevent that going for-ward.”
Mercy’s new hospitals will get the strongest windows where needed,utilities will be better protected from storms and changes will come toexisting facilities, as well, such as new laminate films that will hardenglass against storms.
“Because of our goals and requirements in Joplin, we worked closelywith our window supplier to invent a new window glazing systemthat’s like no other,” said Terry Bader, Mercy’s vice president of plan-ning, design and construction.
Mercy saw firsthand how strengthened windows survived the 2011storm. Windows in the behavioral health unit of the old hospital, wherestrengthened glass had been installed prior to the storm, were intact.“Seeing how those windows survived helped get us thinking aboutwindows in the new hospital and elsewhere,” said Pulsipher.
The new hospital has three types of windows. Lobbies and other pub-lic areas, where able-bodied visitors can move to safer areas, havewindows with a rating for 110 mph winds, stronger than the typical 90mph rating for commercial buildings. Mercy added a film of plasticlaminate to prevent the glass from shattering. The hospital’s newemergency department rooms, as well as the hallways connecting thehospital and clinic tower, have laminated glass that’s designed towithstand winds of 140 mph.
The strongest windows are installed in both intensive care units. Test-ing was conducted in a Minnesota warehouse, where technicians shotthe glass with 15-pound, 2x4 wooden missiles at 100 mph, which ishow fast debris is typically flying in a 250 mph tornado.
The devastation of the 2011 tornado spurred about $11 million in upgrades specifically designed to harden the new hospital againstnatural disasters. The advances will protect patients, visitors and co-workers from future storms, and they will ensure that Mercy Hospi-tal Joplin will remain the “last light on” and a source of life-savingservices. Upgrades include:
Reinforced refuges – Each floor has a special hallway with reinforcedwalls and ceilings, where tiles and lights are secured as if in an earth-quake zone. Instead of standard interior doors, heavy storm barrierscan be closed to secure the safe zones. Rods in the door hardwarepenetrate into the cement above to hold against intense gusts. All passenger elevators reach the basement where widened corridors cansafely hold co-workers and patients.
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Protected power – The 2011 tornado cut utilities and even managedto disable the old hospital’s emergency generators. A storm-hardenedbuilding is buried across the campus, and critical utilities travel to thenew hospital through a 450-foot reinforced tunnel. Local companiesprovide two lines each of power, water and data communicationscoming from different directions. The utilities plant also houses generators, and nearby diesel tanks were buried to protect them fromstorms.
Hallways and stairwells have battery-operated lights that will automatically kick on. Critical life-support systems, such as ventilatorsand newborn bassinets, have their own battery backup. Some will operate as long as two hours, providing time to move the most vulner-able patients.
Emergency grab bag – Crucial supplies will be strategically stashedthroughout the new hospital. They include flashlights, batteries andfirst aid kits, as well as tools needed amid destruction, such as gloves,crowbars and even snow shovels, which would have been helpful toclear passageways clogged with rain-soaked debris.
Hardened shell – A precast concrete exterior provides a shell tougherthan the brick, metal or plastered walls of most commercial buildings.A poured concrete roof holds tight in a gale, unlike the metal deckingthat blew off the old hospital. A penthouse that holds mechanical unitsis protected by heavy walls of hurricane-strength boards.
“Mercy applied unheard of standards to areas of the hospital wherepeople can’t quickly escape, protecting even our frailest patients whodepend on life-sustaining equipment,” Pulsipher said. “It’s part of un-derstanding the unique role of a hospital – what it is, what it does andwho it serves.”
A New Hospital EmergesThere is also a silver lining to the horrific destruction in 2011. Whatemerged is “a new hospital unlike any in the region,” stated Gary Pul-sipher, president of Mercy Hospital Joplin.
The Joplin Newsroom from Mercy.net showcases their new use oftechnology:3
At the center of Mercy’s digital advances is the extensive use of electronic health records across the system’s four-state network. They already proved their value in ensuring consistent care after thetornado destroyed the old St. John’s, which implemented the elec-tronic records system just weeks before the storm. Instead of blowingaway like paper records would have, the electronic records remainedsafely stored in a secure data center some 100 miles away and wereimmediately available after the tornado.
Mercy is a national leader in remote delivery of health care servicesand monitoring patients using high-speed data and video connections.It began as a response to the shortage of doctors and specialists avail-able in many of the rural areas Mercy serves. These advances intelemedicine are now at the fingertips of Mercy’s doctors in Joplin.
“Our early experience has enabled us to expand our use of new tech-nologies for the benefit of patients,” said Randy Moore, President ofMercy Virtual, which is pioneering a new model of care using thepower and potential of telemedicine.
Patients themselves have access to a web-based program calledMyMercy. It enables them to see their lab results, schedule a tradi-tional doctor’s appointment, and even schedule an e-visit with theirdoctor for minor conditions.
“Whether inpatient, outpatient or even in-home monitoring, Mercy cannow provide care from anyplace to anywhere,” Pulsipher said.
This summer, Mercy Virtual will open the world’s first freestanding virtual care center near St. Louis. Called a “hospital without patients,”it will serve as a hub for Mercy physicians, nurses and techniciansacross Mercy’s four states working around the clock to help diagnose,treat and monitor patients anywhere.
While Mercy in Joplin has participated in several of the telemedicineprograms, the new hospital will include: Mercy SafeWatch, Telesepsis,Telestroke, and eAcute.
Whether it’s the convenience of MyMercy or the life-saving potential ofadvanced cancer treatments and virtual care, the new Mercy HospitalJoplin is wired like never before. That technological power will combine with the skill and compassion of Mercy co-workers to offerunprecedented health care to the region.
To view additional Joplin tornado pictures, go to: https://www.flickr.com/photos/mercyhealth/sets/72157650968344786/show/
ANI 2015: Orlando, June 22-25ANI’s keynote speakers included best-selling author Dan Heath with his presentation How to Change Things When Change is Hard; internationallyrenowned healthcare futurist Ian Morrison, Health Care 2025: Building the Future, and; founder of ChangeLabs Peter Sheahan, Leadership in aRapidly Changing World. This year HFMA offered ANI to Go, allowing remote attendees to participate without the travel.
During Tuesday night’s award ceremony, the Heart of America Chapter received two National HFMA Awards: - Henry Hottum Award for Educational Performance Improvement- Two Helen M. Yerger Special Recognition Awards for the Legislative Update and Women in Healthcare Events
Region 8 Presidents; Jim Mozena pictured 2nd from right.
ANI sessions were focused around eight themes. Speakers explored the issues in-depth, and attendees could follow up at solutionsessions and innovation labs for ideas to implement back home.
The incoming National Chair of HFMA, Melinda Hancock, presented the motto for the upcoming year. During her presentation,Hancock explained, “Today, we are asked by our industry ‘Where are your limits and when do you decide to go beyond them?’ Forme, the answers to those questions are: here and now.”
Jim Mozena and Paul Knudtson, incoming Heart of America President, attended many educational sessions and represented ourchapter at the annual awards banquet.
ANI offered excellent programs, networking opportunities, and a time to connect.celebrate!
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Andrew B. Wheeler, Vice President of Federal Finance, Missouri Hospital Association
Congress’ Deep DivideDeep partisan divisions continue to pervade the U.S. Congress, leavingmany with a sense of uncertainty and futility. However, even though asignificant congressional divide seems to exist, legislators havepassed and are debating several bipartisan health care bills that couldlead to more certainty in the future.
This spring, Congress passed legislation that repeals the sustainablegrowth rate formula. The legislation also contained extensions to theMedicare low-volume and Medicare-dependent hospitals, extendedthe therapy cap exceptions process, and delayed the implementationof the Medicaid disproportionate share payment reductions; addition-ally, it preserves and extends the Children’s Health Insurance Program.Strong bi-partisan support for the SGR fix was the main reason for thelegislative “deal” that produced this much needed change.
The recent Supreme Court decision to continue offering tax credits forthose individuals who have signed up to receive insurance through afederally facilitated marketplace is also good for healthcare providersand those who are beneficiaries. While there clearly is partisan
disagreement about the results of the ruling, the decision forestalledwhat would have been a deeply divisive and extended congressionaldebate about health care.
By an overwhelming margin, the U.S. House of Representatives recently passed legislation preventing the Medicare trust fund frombeing used to pay for the trade package, sending a clear message that Medicare funding should not be used to fund non-Medicare legis-lation. The House, by a vote of 395-0, also passed a bill which ensures that patients who are hospitalized in a bed are notified thatthey are in observation status. These actions continue to indicate thatstrong bi-partisan legislation is not only possible, but happening now.
The U.S. Senate Committee on Finance has now passed several bills,ranging from technical changes and enforcement extensions tobroader availability of services through demonstration projects. The bills consist of:
- S. 607 – The Rural Community Hospital Demonstration Extension Act of 2015
- S. 1349 – The Notice of Observation, Treatment and Implications for Care Eligibility (NOTICE) Act of 2015
- S. 1461 – One year extension of the enforcement instructions on supervision requirements of outpatient therapeutic services in critical access hospitals and small rural hospitals
- S. 313 – Prevent Interruptions in Physical Therapy Act of 2015- S. 1253 – Patient Access to Disposable Medical Technology Act
of 2015- S. 1347 – Electronic Health Fairness Act of 2015- S. 704 – The Community Based Independence for Seniors Act- S. 1362 – The PACE Innovation Act of 2015- S. 861 – Preventing and Reducing Improper Medicare and
Medicaid Expenditures Act of 2015- S. 349 – Special Needs Trust Fairness Act of 2015- S. 466 – Quality Care for Moms and Babies Act- S. 599 – Improving Access to Emergency Psychiatric Care Act
of 2015
The Senate Committee on Finance Chairman Hatch and RankingMember Wyden pledged to work with leadership to bring the bills tothe Senate in a “balanced and bipartisan fashion”.
Legislators are beginning to move in a bipartisan fashion, and whilemany uncertainties continue to exist, these recent actions give hopefor a more stable and predictable Congress.
HOA Annual Awards/InstallationThe annual Chapter Awards and Officer Installation program was held on April 23, 2015 at the Ritz Charles in Overland Park, Kansas. The after-noon concluded with presentations by Samuel H. Turner, Sr., retired President and CEO of Shawnee Mission Medical Center, and Kansas City PublicSchools Superintendent Dr. R. Stephen Green. Mr. Tuner spoke about his personal and professional journey that led to his executive position atShawnee Mission Medical Center, and Dr. Green’s presentation focused on the leadership and teamwork that led to the turnaround of Kansas City,Missouri public schools.
AWARD RECIPIENTS INCLUDE THE FOLLOWING: - Medal of Honor: Donna Findley- Outstanding Contribution Award, Chapter Improvement: Matt Robertson- Outstanding Contribution Award, Education: Michelle Narayan- Outstanding Contribution Award, Education: John Travis- Outstanding Contribution Award, President’s Award: Todd Kenney
In addition, Mea Austin, Jessica Baird and Cathy Kindle were presented with gift cards for their contributions to the chapter.
Jim Mozena, HOA Chapter President 2014-15
Jim Mozena and Michelle Narayan, recipient of the Outstanding Contribution Award for Education.
Jim Mozena and Paul Knudtson, Incoming HOA Chapter President.
Jim Mozena presents Donna Findley with the Medal of Honor.
2015-16 HOA Leadership, R to L: Paul Knudtson, President; Michelle Narayan, President-Elect; Todd Kenney, Vice President; MattRobertson, Secretary; Damara Harper, Treasurer; Board Members – Esteban Ponce, Sue Brammer, Michelle Decker, Donna Findley,Tammy Shepherd, and Jessica Baird.
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HOA Annual Awards/Installation
Jim Mozena and Matt Robertson, recipient of the Outstanding Contribution Award for Chapter Improvement.
Jim Mozena with Mea Austin, who was presented with a lululemon gift card for her work and dedication to the chapter.
Speaker Samuel H. Turner, Sr. speaks about his journey into healthcare.
Speaker Dr. R. Stephen Green, Superintendent of Kansas City Public Schools, presents “True Grit: How You Live is How You Lead”.
Jim Mozena with John Travis, receipient of the Outstanding Contribution Award for Education.
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PLATINUMBKD, LLPBank of America Merrill LynchHaase & LongHuman ArcMcGladrey LLPParrishShaw
GOLDBank of Kansas CityCommerce Bank
SILVERCardon OutreachCountry Club BankMercer
2016 Corporate SponsorshipSincere appreciation is extended to our corporate sponsors for2015-16. Your support of our Chapter significantly improves our ability to offer quality programs to our members. Please considerjoining our fantastic group of sponsoring organizations.
If you are a service provider, please contact:Mea Austin 785-842-0726Mary Knollmeyer 913-791-3500 x 4018
2016 HEART OF AMERICA CHAPTER OFFICERSPresident Paul KnudtsonPresident-Elect Michelle Narayan
Vice President Todd Kenney
Secretary Matt RobertsonFounders/DCMS Matt Robertson
Treasurer Damara Harper
BOARD OF DIRECTORS2014-2016Todd Goforth Jessica Baird Esteban Ponce Keely Roach
Come join us!HFMA volunteers receive opportunities for professional development, information, networking, and advocacy and earn Founders points when theyparticipate in a chapter committee. The 2015-16 committee chairs and co-chairs are as follows:
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Stephanie Hultman, CHFP, Region 8 Executive
My name is Stephanie Hultman and I am honored to introduce myselfas your Region 8 Regional Executive for the 2015-16 chapter year. Iam a member of the Iowa Chapter as well as your representative onthe HFMA Regional Executive Council.
The primary responsibilities of the Regional Executives, from theeleven regions, are:- To serve as the primary volunteer and policy liaison between the chapters and HFMA National;
- To assist chapter leaders in serving members;- To foster dialogue and effective communications between national HFMA and the individual chapters;
- To represent the needs and interests of chapter leaders to the HFMA Board and management, and
- To encourage chapters to collaborate and help other chapters.
I would like to extend a sincere thank you to my predecessor, TracyPackingham. Tracy and the other RE’s definitely raised the bar to anew level of excellence in 2014-15. Tracy has been a fabulous mentorfor me and has set the stage for our continued success. Thank youTracy for your many contributions last year!
Bill Fenske from the Minnesota Chapter is the Regional Executive-Elect for Region 8. I am thrilled to be working with Bill. Bill hasalready begun working with your President Elects and will be veryinvolved with our Region 8 Webinars and in the planning for our upcoming Fall Presidents Meeting in Chicago.
During the week of April 26, 2015, your chapter leaders attended theLeadership Training Conference (LTC) in San Antonio, Texas. LTC isheld each year to allow your elected leaders and various committeechairs to receive the training needed to fulfill their responsibilities.
LTC is very rewarding and sets the tone for the upcoming year. I would encourage each of you to support your leaders in reaching the goals set for the June 2015 through May 2016 chapter year.
How can you support your leaders? It takes a team to reach the goalsset at each chapter and each of our members are part of that chap-ter’s team. It can be as simple as attending chapter meetings, attend-ing national meetings or volunteering for a committee. Based on myexperience, you will get more out of it than what you put into it. Thatis one of the many outstanding things about HFMA.
This year’s Chairman’s Theme is “Go Beyond”. I have had the privi-lege of working with each of your chapter Presidents over the pastyear and have already seen them incorporating this theme. Yourchapter leaders have you, the members, in mind when they developtheir chapter goals. Each chapter in our region has exceptional lead-ers and as your Regional Executive, I have no doubt that Region 8 willhave another phenomenal year!
Thank you for the opportunity to serve Region 8, by far the best regionin HFMA! I look forward to working alongside your dedicated chapterleaders and meeting many of you throughout the year. My telephonenumber is 319-240-5306 and my email address is [email protected], please feel free to contact me with questions or commentsany time!
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Summer Sponsor Spotlight: BKD, LLP
Leadership Training Conference2015-16 Heart of America Officers
Get to Know a MemberErica DerksName: Erica Derks Employer: KforceTitle:Client Relationship Associate
Why did you join HOA-HFMA?To meet and network with great peoplethat share the same interest in thehealthcare industry.
How long and why do you work in healthcare?I have worked with many healthcare clients staffing great Kforce candidates. I recruited for healthcare for over a year and have nowmoved into the Business Development side of the business. Health-care is an ever growing industry with lots of opportunity in KansasCity. It’s great to see that my team and I can help place great workersin the field.
What do you like most about your job?Getting to help place people in their dream job, or even helping theclient in getting temporary head count to reduce any crunch they arein with limited staff.
Marital status? Children? Single, no children. 2 dogs – those are kids, right?
Do you have a funny/embarrassing event that has happened onthe job you can share?Not yet, I’m sure it will happen anytime though!
What is your personal or professional motto? ”Feel the fear and do it anyways”
Lydia Mejia-JohnsonName: Lydia Mejia-Johnson, RN, MSNEmployer: University of St. MaryTitle: Faculty-MSN Program
Why did you join HOA-HFMA?I joined because I wish to influence thefield of nursing to incorporate financeinto nursing research design, and hopethat Nursing understands the impor-
tance finance plays in organizational and patient outcomes. Additionally, this is an area where academia should embrace andbegin to prepare nurses for attaining certification with financial executive organizations such as HFMA and AONE.
How long and why do you work in healthcare?I have been in healthcare for over 15 years as a nurse in various roles, both clinical and academic. I enjoy helping others succeed andinfluencing change to improve our healthcare system.
What do you like most about your job?I enjoy the iterative learning process and preparing our future nursingwork force to comprehend and meet demands of an ever changingcomplex healthcare system for which they will be employed in.
Marital status? Children?I am a proud single mother of two very courageous, intelligent childrenages 13, and 7. I have been so blessed to have them in my life.
What is your personal or professional motto?Live life to the fullest, and learn from mistakes advancing forward.
What advice would you give to someone entering the healthcare field?Advice I would definitely offer would be to learn everything you canabout finance and attain certification in finance. It will help in comprehending the complexities of the HC system.
Why did you join HOA-HFMA?The healthcare industry is goingthrough a dramatic shift that willchange the landscape, and finance is at
the heart of that change. I can’t think of a better way than to networkand learn from financial professionals who are helping to lead the wayfor the future.
How long and why do you work in healthcare?I have worked with healthcare organizations for the past 10 yearsthrough general banking services. Recently, I’ve narrowed my focusbecause it helps me fulfill a purpose – what other industry affects somany people’s lives?
What do you like most about your job? Since I was a child, leadership has always inspired me. In my job, I amfortunate to get to know some great leaders in the business and cor-porate community. The idea of learning from others and how they facechallenges really gets me excited about getting up in the morning.
Marital status? Children? My wife, Candace, and I have been married for 7 wonderful years. Sheis my rock. We have been blessed with a beautiful daughter, SelahSophia Gutierrez.
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Get to Know, continued...Do you have a funny/embarrassing event that has happened on the job you can share?Unfortunately, I cannot share specific stories, but let’s just say I am great at putting my foot in my mouth.
What is your personal or professional motto? I have two. The first is from one of my mentors: “Do the best you can with what you got.” This helps me remember that, no matter the situation,you can only do your best and the rest is out of your hands. The other is a quote from Martin Luther King, Jr, which reminds me that everyone hasa purpose that we must fulfill. “If a man is called to be a street sweeper, he should sweep streets even as a Michaelangelo painted, or Beethovencomposed music or Shakespeare wrote poetry. He should sweep streets so well that all the hosts of heaven and earth will pause to say, ‘Herelived a great street sweeper who did his job well.”
Please describe some of your favorite accomplishments or biggest challenges met:I am most proud of my personal and professional growth achieved by (1) never being satisfied and (2) learning to work through people. In myshort 10 year career, I have been fortunate to have a wide range of responsibilities. I’ve been in positions where a market / line of business had tobe revived, started up a market / line of business, and managed teams of 2 to 12. Each challenge has its own lessons and tribulations that helpme with my next task.
What advice would you give to someone entering the healthcare field? Ask more questions… Even when you think you have it figured out, there is still so much to learn.
Lending | Cash Management | International Banking Retirement Plan Services | Corporate Trust | Wealth Management
New CHFP program featuresA learning program designed to build comprehensive industry under-standing and sharpen business skills:
Two-module structure: 1) Achieving Strategy: the Business of Health-care 2) Operational Excellence: Healthcare Industry Stakeholder’sBusiness Challenges;
CHFP designation earned by successful completion of both modules;Online study materials created specifically to assist in mastering thebusiness content.
Why is the certification program changing?The healthcare reform environment has caused the industry’s keystakeholders—providers, payers and physicians—to fundamentallyrethink existing business models. Care transformation is businesstransformation. The necessary success factor for finance professionalstoday: Change-oriented business acumen. The existing certificationprogram focuses narrowly on applied finance and financial reportingand does not address the business environment.
CHFP Program Important Dates:April 30, 2015 - Current CHFP exam registration endsYou may register for the current CHFP exam prior to April 30. You haveone year from the date of registration to schedule your exam. For ex-ample; if you register in March 2015 you will have until March 2016 toschedule your exam. Also, if you need to retake the exam, the currentexam will be available to you for as long as you need (based on cur-rent registration, scheduling, and retake policy).
May 1, 2015 - New CHFP program pre-registration availablePre-registration allows interested members to email HFMA. HFMA willemail members as soon as the link to purchase and more informationabout the new program is available.
June, 2015 - New CHFP program registration available.
CHFP Program - Transition GroupsFor members who are currently pursuing certification and havebegun actively preparing for the exam, or have been through a chaptercertification webinar series or practicum study group, HFMA encour-ages continuing with the current process.
Current CHFP candidates can choose, at no additional cost, either tocontinue the traditional CHFP program or to wait until June 2015 topursue the revised certification. These options are open to those whohave: - Purchased the self-study course since January 2014, whether they
have completed it or not.- Registered and paid for the CHFP exam via Castle since February
2014 (but not yet scheduled).- Registered, paid for, and scheduled the CHFP exam via Castle since
February 2014 (but not yet taken).
Note: Members who may have been unsuccessful and are waiting toretake the current CHFP examination are not eligible.
Candidates must choose one of these options by April 30, 2015 andnotify Career Services at [email protected]. HFMA will provide the complete revised CHFP program (Modules 1 and 2) at nocost to all those who have purchased the CHFP self-study courseand/or registered for the exam, as outlined above.
For members interested in certification who have not yet begunpreparing, HFMA encourages that they wait and use the new materi-als available in summer 2015 to prepare for the new CHFP.
Questions? Please contact [email protected] or call (800)252-4362 and ask for career services.
Changes to HFMA’s CHFP Certification ProgramHFMA’s strategic vision characterizes the current healthcare business environment as the transformation of care to achieve value. Providers,physicians, and payers are all confronted with new business challenges. The nature of the business environment and its impact on industry stakeholders supply both the demand for and elements of a new approach to the CHFP.
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Name Paul Knudtson Employer Saint Luke’s Health SystemTitle Director, Patient Access Years with HFMA 8
How did LTC help prepare you for your 2015-16 leadership role with the Heart of America Chapter? 1. Spending time getting to know the other officers and sharing ideas on how we believe we can improve the chapter this coming year.
2. Having dialogue with other incoming presidents from around the country and learning ideas from what theyconsider best practice in their chapters.
Please name two objectives that would you like to see accomplished during the next HFMA year.Chapter membership engagement in meetings and activities. Increase provider attendance at meetings. Begin a long term relationship with MGMA to cooperatively partner on a joint meeting.
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move. That’s what you can expect from McGladrey. That’s the power of being
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Experience the power. Go to www.mcgladrey.com/healthcare
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Board & Officer Highlights
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SAVE THE DATE18th Annual Joint Fall Conference
OCTOBER 21-22, 2015THE BROADWAY HOTEL, COLUMBIA, MO
Name: Michelle Narayan Employer: Olathe Medical Center, Inc. Title: Contract Administrator at OMCI, President-Elect for HMFA Years with HFMA: 13
How did LTC help prepare you for your 2015-16 leadership role with the Heart of America Chapter?LTC is a great environment to learn best practices from other chapters. There are numerous success stories toapply in our own chapter.
Please name two objectives that would you like to see accomplished during the next HFMA year.I would love to see greater attendance at programs this year. Coming off my year as Programming Chair, I seegreat value in promoting the quality programs we offer. Alot of work goes into developing each program and seeingmore faces would be a great reward for those efforts.
Expanding the Heart of America Chapter’s presence in the various educational undergraduate and graduate pro-grams in the Kansas City area is at the top of my list. I believe reaching out to healthcare students is crucial ingrowing our chapter and involving early careerists.
Name Todd Kenney Employer BKD, LLPTitle Director Years with HFMA 6
How did LTC help prepare you for your 2015-16 leadership role with the Heart of America Chapter?As the Vice President and Programming Chair for this year - LTC was a great opportunity to network with leadersin other HFMA chapter and learn about the programs and services they provide to their membership. Throughthose interactions, we gathered several new ideas to improve chapter programs for our members. LTC also al-lowed us some time away from home and work responsibilities to focus on planning for the upcoming year andmaking improvements.
Please name two objectives that would you like to see accomplished during the next HFMA year.I would like to see increased participation at chapter events from our membership. Each year our volunteerswork hard to put together programs with interesting topics and great speakers. We will try out some new eventvenues, meeting ideas and a couple other tricks to hopefully entice people to attend more programs.
Secondly, I would like to see more opportunities for members to volunteer and become active in the chapter.Everyone is busy at work but assisting with a program, networking event or other committee is the best way tomeet other members and expand your network.
Name Matt Robertson Employer Bank of Kansas CityTitle Vice President, Healthcare Banking Years with HFMA 4
How did LTC help prepare you for your 2015-16 leadership role with the Heart of America Chapter?Learn from other chapters about best practices – including event topics, membership drives, etc.Opportunity to spend time with other HOA chapter leaders to plan for the upcoming year
Please name two objectives that would you like to see accomplished during the next HFMA year.Better communication and engagement with our chapter membersIncrease event attendance with new programming topics and schedules
Name Damara Harper Employer Liberty HospitalTitle Senior Director of Finance Years with HFMA 10 (I think)
How did LTC help prepare you for your 2015-16 leadership role with the Heart of America Chapter?I appreciated the time with the leadership team of both HFMA national and our local chapter to plan for the upcoming year.
Please name two objectives that would you like to see accomplished during the next HFMA year.Increase in new members as well as an increase in board and member engagement
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Board & Officer Highlights
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Name: Sue Brammer Employer: BKD, LLPTitle: Partner Years with HFMA: Approximately 24 years
What skills and/or expertise do you bring to this position? As a past president, I bring experience to support the officers and chapter in its endeavors. In addition, I am pas-sionate about the impact that HFMA can have on one’s career and advancement that I am interested in sharingwith others.
Please name two objectives that you would like to see accomplished during the next HFMA year.Revitalized new member program; Increased program attendance
Name: Michelle Decker Employer: Hunter HamiltonTitle: Vice President Years with HFMA: 3 years
What skills and/or expertise do you bring to this position?I have been in the recruiting industry for 17 years. Through this time period I have built many long-term relation-ships with healthcare groups and facilities in the Kansas City market. With over 50% of our clients being inhealthcare we would like to continue to encourage our clients to consider HFMA as a way to educate their teams.
Please name two objectives that you would like to see accomplished during the next HFMA year.As Membership Committee co-chair I would like to lead efforts in how we can reactivate past membership aswell as bring in new members to the Heart of America Chapter. I would also like to get feedback from currentmembers on how we can get more involvement of all members in encouraging new guests to attend. For exam-ple, what different educational topics should we consider, what times/locations work best to encourage an in-creased attendance and how is networking important to these new prospective and current members.
Name: Donna Findley Employer: Saint Luke’s Health SystemTitle: Patient Accounts Manager Years with HFMA: 18 years
What skills and/or expertise do you bring to this position? I have previously been on the board as well as have held all of the officer positions including being chapter Presi-dent 2005-2006. I believe my knowledge of chapter operations as well as my past experiences will be helpful tothe board when making decisions.
Please name two objectives that you would like to see accomplished during the next HFMA year.Help the chapter to increase membership (or at least maintain) and to assist the department in bringing qualityeducational opportunities to our members.
Board of Director highlights:
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Board & Officer Highlights
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Name: Kalinda Marfisi Employer: Bank of Kansas CityTitle: VP, Market Manager Treasury Services Years with HFMA: 8
What skills and/or expertise do you bring to this position? I have had the opportunity to work with all shapes and sizes of healthcare facilities/companies in and around theKansas City area. This has given me a good breadth and scope of changing needs when it comes to banking,merchant processing, and more. I feel this background will help benefit the chapter as we expand our membership, allow increasing payment/technology options to our members, and as an expert in this ever evolving industry.
Please name two objectives that you would like to see accomplished during the next HFMA year.1. More chapter and member involved networking events2. Better options for member payments
Name: Tammy Shepherd, CPA, FHFMA Employer: The University of Kansas HospitalTitle: Health System Controller – Management Planning and Analysis Years with HFMA: 19
What skills and/or expertise do you bring to this position? I am a Past President of the Chapter and have served on the Board or most committees most of the years I havebeen a member. On the National level, I served on the HFMA Board of Examiners for 3 years.
Please name two objectives that you would like to see accomplished during the next HFMA year.1. Provide relevant education topics for our members2. Provide networking opportunities for our members
Mini Leadership Training ConferenceOn June 12, 2015, Chapter officers, committee chairs and board members met at Pinstripes in Overland Park. President Paul Knudson shared the
Chapter goals for the upcoming year. After the meeting, chapter leaders played bocce ball and bowling.
Matt Roberson reviewed the 2015-16 Budget with Chapter leaders.
President-Elect, Michelle Narayan, shared her suggestions for a successful year.
