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NEWSLETTER
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SPECIAL POINTS OF INTEREST:
Strengthening Physician-Hospital Alignment
Work place strategies.
Professional development opportunities.
New Membership Announcements.
Yearly Budget
INSIDE THIS ISSUE: President’s
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Message 2012 Annual Budget
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Chapter Awards
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Educational Opportunities
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Region 8 Connection
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New Members
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BKD : Sponsor Spotlight
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Our Sponsors
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Kate Lovrien & Luke Peterson Healthcare and payment reforms, new structural models and myriad market forces have increased the pressure on the physician-hospital relationship, but forging stronger partnerships is a key element of future success. As illustrated by Exhibit 1, there are three major elements of the Physician-Hospital Alignment Triangle required for full physician-hospital alignment:
To systematically study alignment, we developed a diagnostic that allows hospitals to test their specific situation and alignment against others across the country.
3. Alignment of purpose scores range from 17 to 36 of a possible 50 points with a mean score of 27
Urgency of alignment is a factor of the market, hospital, and competitive factors. The measure of Urgency ranges from 22 to 39 of a possible 50 points with a mean score of 30
These scores, which are similar to other hospitals in the database, show the variability of alignment and that many hospitals Clinical Activity have significant opportunity for greater alignment Alignment Taking a sample of 40 hospitals shows in multiple areas. The correlation of the patient care some interesting results. Strategies to Improve Physicianapproach, expectations of quality Hospital Alignment The total alignment score is and service, and consolidation of activity in the diagnosis, treatment measured by adding the scores of the There are 20 distinct strategies and rehabilitation of a patient three types of alignment. With a in four categories (business services, maximum possible full alignment Economic Alignment score of 150, the sample scores range contracts, structured communications and employment) that hospitals can from 59 to 106. The mean score is use to strengthen the three forms of The correlation of physician and 81. alignment. (See Exhibit 2.) hospital financial returns 1. Clinical activity alignment scores Moreover, each of these strate Alignment of Purpose range from 19 to 38 of a possible 50 gies impacts different parts of the points with a mean score of 27 Physician-Hospital Alignment Triangle. The correlation of vision, values As such, the appropriate strategy and energies; creating a shared 2. Economic alignment scores belief in a single vision/mission, a range from 12 to 36 of a possible 50 needs to be used for the each situation. In general, hospitals wanting to common culture and an active points with a mean score of 27 align physicians should consider involvement in the future direction strategies based on the connections of the organizations outlined in Exhibit 3:
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2011-2012 HFMA Show–Me Officers President Kory Stout Business Director for Surgical and Intravascular Services St. Anthony’s Medical Center President-Elect Janet C. Taylor Chief Financial Officer Ozark Community Hospital Vice-President Kyle W. Lee Principal MedTrack, Inc Secretary Donna Epperly Senior Management Analyst University Physicians Treasurer Jennifer Ogden, FHFMA Director of Accounting Audrain Medical Center
President’s Greeting Show-Me Chapter Members, I am extremely excited to get the new year started! We ended 2010-2011 on an extremely high note and will be receiving four awards during ANI later this month. I would like to build on that momentum and continue to provide you with current and relevant educational opportunities. Please feel free to reach out to me or any of the HFMA officers if you have ideas for topics. Our chapter website is www.hfmashowme.org we continue to enhance this site and many valuable resources can be located there. For a little about myself, I was born and raised in Republic, MO and attend Missouri State University (formerly Southwest Missouri State University) in Springfield, MO. My healthcare background started at Sister’s of Mercy in Springfield as a staff auditor, following that I became Audit Manager and then Audit Senior Manager for CHAN Healthcare auditors serving St. John’s in Joplin, MO. Currently I am the Business Director for Surgical and Intravascular Services for St. Anthony’s Medical Center in St. Louis, MO. I have two wonderful boys ages 5 and 2 and a lovely wife who keeps all of us in line. I am looking forward to this upcoming year! Thanks for making this a successful chapter. Kory Stout President, Show-Me Chapter Business Director, Surgical & Intravascular Services St. Anthony's Medical Center
NEWSLETTER
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Show-Me of Missouri Chapter HFMA
2011-2012 Board of Directors & Committee Members
BOARD MEMBERS: Tina Gillespie Brad Brotherton Jennifer Doll, CHFP Past President Jennifer Ogden, FHFMA Josh Wilks Allison Lewis Greg L. Shaw, FHFMA, CPA, MBA
COMMITTEE MEMBERS: Program Chair—Kyle Lee Member – Kory Stout Member – Janet Taylor Member – Josh Wilks Member – Bradley Brotherton Member – Susan Duncan Member – Shelly Hunter Member – Roger Dix Member – Carla Gilbert Member – Beth Hill Member – Victor Arnold
Region 8 Webinars
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2012 Annual Budget Income Meeting Income Sponsorship Income Interest Income Other Income Total Income
30,750 14,000 15 6,200 50,965
Expenses Meeting Expenses ANI Expense LTC Expense Fall President's Expense Sponsorship Expense Certification Expense Insurance Expense Other Expenses Total Expenses
25,750 4,830 8,000 4,400 500 1,500 525 2,225 47,730
Net Income
3,235
Chair—Janet Taylor Member – Kyle Lee Member – Jon Branstetter Member – Victor Arnold
Newsletter
Chapter Awards
Chair— Susan Duncan Member – Tina Gillespie Member – Deana Thomas Member – Jon Branstetter
Chair—Kory Stout Member – Jennifer Doll Member – Greg Shaw Member – Shelly Hunter
Co-Sponsored Webinars
Internet/Website
Organization Manual
Chair—Kalon Mitchell Member – Janet Taylor Member – Jennifer Ogden
Chair—Greg Shaw Member – Kory Stout Member – Shelly Hunter
Membership
Bylaws Committee
Chair—Stephanie Fennewald Member – Donna Epperly Member – Josh Wilks Member – Tina Gillespie Member – Susan Duncan Member – Denise Witthaus Member – Andrew Wheeler
Chair—Greg Shaw Member – Kory Stout Member – Shelly Hunter
Chair—Kyle Lee Member – Jennifer Ogden Member – Josh Wilks Member – Allison Lewis
Registration Chair—Rita Dew Member – Tina Gillespie Member – Denise Witthaus Member – Debra Froebel
Social Events Chair—Jennifer Ogden Member – Matt Geurink Member – Mary Edwards Member – Dan Probstfield Member – Jan Pederson Member – Becky Mcafee
Job Bank Chair— Deana Thomas Member – Kalon Mitchell
Membership Directory
Founders Chair—Deana Thomas
Nominating
Chair—Janet Taylor Member – Donna Epperly Member – Jennifer Ogden Member – Debra Froebel
Chair—Jennifer Ogden Member – Kory Stout Member – Shelly Hunter
Certification
Chair—Donna Epperly Member – Jennifer Ogden
Chair—Janice Janssen Member – Jennifer Doll Member – Bradley Brotherton Member – Shelly Hunter
Sponsorship
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Show-Me of Missouri Chapter Wins Multiple Awards By: Jennifer Ogden HFMA’s Annual National Institute was held in Orlando, FL at the Gaylord Palm’s Resort June 26-29. There were approximately 4,500 attendees and 1,500 vendors in attendance. Keynote speakers included Peter Orszag, Former Director, Office of Management and Budget and Vice Chairman, Institutional Clients Group, Citigroup, Inc., Maureen Bisognano, President and CEO, Institute for Healthcare, Mike “Coach K” Krzyzewski, Head Coach, Duke University and U.S. Olympic championship basketball teams and Mark Thompson, Author, Success Built to Last and Former Chief Customer Experience Officer, Schwab. HFMA CEO Dick Clarke also spoke about defining value and how to close the gap between what we pay for in healthcare and the quality we receive for that investment. The 58th Annual Chapter Presidents Dinner and Meeting was held on Tuesday evening. Greg Adams, 2011-2012 HFMA
National Chair led the meeting and chapters were recognized for their achievements during the 2010-2011 chapter year. Below is a listing of all the awards presented to the chapters in Region 8! 2010-2011 was an amazing year, the Show-Me Chapter received four awards – thank you to everyone who made this possible! Vicki Mills served as our Regional Exec and Teri Reger was our Regional Exec Elect this past year. Both did a fantastic job for our region – they deserve a big thank you as well! I look forward to working with everyone under Kory’s leadership to make 2011-2012 just as memorable. Enjoy the summer and I hope to see you at one of our upcoming conferences!
Show-Me of Missouri Chapter 2010-11 President, Jennifer L. Ogden Award of Excellence for Certification: Gold Award of Excellence for Education: Sister Mary Gerald Bronze Award of Excellence for Membership Growth and Retention: Gold Helen M. Yerger Special Recognition Award – Improvement
NEWSLETTER
From Left: Incoming President Kory Stout, Past President Jennifer Ogden, Past President Stephanie Fennewald, and Region Eight Executive Teri Reger
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HFMA Professional Development One of the greatest benefits of HFMA membership is continuing education and networking opportunities. Without question, HFMA offers the most accessible, affordable and applicable programming for today’s healthcare financial professional! For the next few months we have many great programs planned. Please mark your calendars now for these events and plan to attend! Kyle Lee
HFMA also offers webinars on various timely topics.
From the comfort of your own office, you can tune in for relevant information from industry leaders on an array of topics! These will be held on the second Tuesday of each month from 12:00 – 1:00 and the third Tuesday of each month from 12:00 – 1:30. More webinars will be added as the year progresses. These webinars are very low cost or are free of charge. Keep an eye out for e-mails on upcoming topics.
site and webinar opportunities are open to non HFMA members as well! If there are non HFMA members of your organization which can benefit from any of HFMA’s programming, please encourage them to attend! If you have questions or suggestions on future topics, please contact the Show-Me Vice President/Program Chair, Kyle Lee at
[email protected]
Please note that these on-
Upcoming Educational Programs Date
Program
Location
August 24 - 26
15th Annual 2011 Joint HFMA Conference
Westin Crown Center, Kansas City
September 22 - 23
Medicare 101/102 Workshop
Double Tree, Springfield
October 19 - 21
Show-Me Chapter Fall Conference and Board Meeting
Camden on the Lake, Lake of the Ozarks
November 9 - 11
MHA 89th Annual Convention & Trade Show
Tan-Tar-A Resort, Osage Beach
November 17
Show-Me/Greater St. Louis HFMA CFO Symposium
Millennium Hotel, St. Louis
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Region 8 Connection Submitted By: Teri Reger HFMA greetings! My name is Teri Reger and I am honored to introduce myself as your Region 8 Regional Executive for the June 2011 through May 2012 chapter year. I am a member of the Greater St. Louis Chapter as well as your representative on the HFMA Regional Executive Council. The purposes of HFMA’s Regional Executive program are: • To serve as the primary volunteer and policy link between the chapters and HFMA National; • To assist chapter leaders in serving members; • To foster a dialogue and effective communications between the national and chapter levels of HFMA; • 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, Vicki Mills, for her service as our
Regional Executive this past year and for being a wonderful mentor. She represented our region extremely well and has set the bar very high! In addition, please welcome Mike Dewerff from the Iowa Chapter as your Regional Executive -Elect. HFMA’s Region 8 is made up of nine very strong chapters – North Dakota, South Dakota, Minnesota, Nebraska, Iowa, Sunflower, Heart of America, Show-Me of Missouri and Greater St. Louis. Congratulations to each and every one of them for completing a successful year with outstanding achievements that will be honored at this year’s Annual National Institute in Orlando in June. All nine chapters in Region 8 earned multiple awards totaling 35 awards across the region! What a testament to the dedication and commitment of our chapter leaders to providing exceptional service to their members!! The HFMA Chair’s Theme for 2011-2012 is “Believe to Achieve”. I have had the privilege of working with each of your chapter Presi-
dents over the past year, and more recently each President-Elect at HFMA’s 2011 Leadership Training Conference. I believe in your chapter leaders and know that they will achieve if not exceed their strategic goals. As regional executive, I want to be engaged in the success of each chapter during the coming year by making myself available as consultant, collaborator, and number one supporter! Thank you for the opportunity to serve Region 8, the best region in HFMA! I look forward to working alongside your chapter leaders and meeting many of you as I travel around the region. My telephone number is 314-523-8771 and my email address is
[email protected]. I welcome your questions and comments, any time!
Teri Reger, FHFMA
Mark Your Calendar's 15th Annual Joint Conference August 24-26th Kansas City, MO WHAT IS MSCB KNOWN FOR IN THE COLLECTION INDUSTRY? MANY SATISFIED CLIENTS!
Show-Me AAHAM Conference September 15th Lake of the Ozarks Check out our website @ www.hfmashowme.org for additional educational opportunities, including webinars!!!
NEWSLETTER
GREAT NET RECOVERIES AND ENHANCED PR SET US APART. CONTACT US AND FIND OUT WHY SO MANY HOSPITALS CHOOSE Joe Wewers, CHFP, Senior Sales Representative Jim Driscoll, Senior Sales Representative
www.mscbonline.com P. (800) 887-4359 • F. (800)555-0119
[email protected]
MSCB.
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Show-Me Chapter Welcomes New Members We are happy to announce the following individuals who recently received membership to the HFMA Show-Me of Missouri Chapter! We would also like to welcome those who have transferred from other Chapters.
New Members Diana O’Connor Director Patient Financial Services Bothwell Regional Lisa Atkinson Accountant Lake Regional Health System Jeffery Reese Decision Support Analyst Lake Regional Health System Debra K. Froebel Director of Patient Financial Services Capital Region Medical Center
Congratulations on Certification! Jennifer Doll, CHFP Tyler Hedden, CHFP Beth Hill, CHFP Andrew Wheeler, CHFP Janet Taylor, FHFMA Deana Thomas, FHFMA
Allen E Brinkman Accounting Manager Ozarks Medical Center Vance B Moore Sr. VP - Operations Sisters of Mercy Health System Mark Costanza Partner CSC Adriana Iacob Accounting Manager Skaggs Regional Medical Center
Transfer Members Lori McLennan Manager Finance BJC Long Term Care Douglas Wakefield Director/Professor University of Missouri, Columbia Jim Kokkines Marketing Manager HFMA
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Strengthening Physician-Hospital, continued... Conclusion Strengthening physician relationships is a key component of hospital and health system success. With the increasing integration of the physician into the hospital and health system organizations, it is important to create stronger alignment in all three areas.
Case Study Evaluating a sample hospital (“Hospital A”) shows a typical profile of a hospital in the database. This hospital, a 200-bed hospital, has above-average financial indicators and provides strong community care to a growing, affluent, suburban market. The diagnostic shows that Hospital A has substantially higher -than-average alignment of purpose, but average alignment in clinical activity and economic areas. (See Exhibit 4.) Moreover, market indicators suggest that the urgency of creating stronger physician alignment is lower than average.
clinical activity or economic alignment. For instance the Hospital A does not employ any physicians, does not pay ER call pay, and has only a very limited number of other contractual and business service activities with its physicians. Given the relatively weaker alignment within clinical activity and economic areas, Hospital A has embarked on investigating the tools that directly impact these two areas of alignment.
Kate Lovrien is a senior manager and Luke Peterson a partner with Kurt Salmon’s healthcare strategy group, and the two are coauthors of the free Physician-Hospital Alignment Diagnostic at www.PhysicianHospitalAlignment.com. They have focused their careers on advising community and regional referral hospitals and healthcare systems on the strategic positioning including physician-hospital alignment, health system organizational structures, and continuum of care coordination. They can be reached at 612.810.8188 or by emailing
[email protected] and
[email protected].
Further investigation of Hospital A shows that the hospital’s administration has been actively working to create a common vision with its physicians. This common vision has led to direct physician leadership in setting the strategic course of Hospital A. However, while Hospital A has kept up with the national trends, it has not been overly aggressive at using the tools that might advance
The 40 hospitals were chosen to provide a cross section of the typical community hospital in the U.S. today. These hospitals all depend heavily on a private practice medical staff, are located in urban and suburban markets and range from 150 to over 500 beds. These hospitals represent typically high-quality, successful organizations.
