april/may/june2015 to1p 5 - nearterm · 2020. 2. 22. · from houston, texas suggested having it...

AprilMayJune 2015

InfluentialPeople in theHealthcareFinancialManagementAssociationof theTexasGulf CoastChapterAprilbullMaybullJune 2015

Top15

Page 2 2015AprilMayJune

Silver SponsorsAdreimaApex Revenue Technolo-giesAutomated CollectionsServices Inc (ACSI)Availity LLCBank of AmericaBKD LLPCardon OutreachCiti-Money2 for HealthCleverly + AssociatesDuke RealtyEmdeonJacksonWalkerManaged Resources IncMemorial HermannSystem ServicesPatientCoPatientMattersProAssuranceResource Corporationof AmericaSimpleeSullins JohnstonRohrbach amp MagersTransUnion LLCXtend Healthcare

HFMA Texas Gulf Coast ChapterBronze SponsorsAvadyne Health

Banc of America PublicCapital Corp

BESLER Consulting

CHI St Lukelsquos Health

Cirius Group Inc

CNA HealthPro

Enable Comp LLC

HCFS Inc

Healthcare ResourceGroup Inc

MED ARX

Parallon BusinessSolutions

Protiviti

The SSI Group

Triage Consulting Group

Whitney Bank

e live in timescharacterized by rapidnon-stop change In

1970Alvin Toffler wrote a bookentitled Future Shock in which heposited the world was experiencingtoomuch change in too short aperiod of time In this book whichbecame an international best sellerToffler wrote that this pace ofchange left people with ldquoshatteringstress and disorientationrdquo and wasthe cause of themajority of societyrsquosills I look back with warm nostalgiaon the simple relaxed and easydays of the sixties (yes I am that old)and am amazed at how well we allnow take continuous change verymuch in stride

What Toffler saw througha glass dimly and described as theldquosuper-industrialrdquo revolutionwe nowknow as the information ageWehave the worldrsquos knowledge at ourfingertips and can communicate vi-sually with anyone in the world atany time essentially for free The fearexpressed that we would be crip-pled by information overload didnot anticipate computing power andsearch engines that quickly and eas-ily find needles in haystacks andthen ranks the needles in relevanceto the query

One byproduct of theinformation age is that many of ourinstitutions have been renderedobsolete Clubs and societies thatwere once very hard to join are now

starving for members and thebleaching bones of companiesunable to adapt litter the landscapeYet somehow participants in thehealthcare industry have been ableto survive and thrive despite the tidalwave of regulatory financial andoperational challenges springing updaily I believe HFMAhas played asignificant role in facilitating ourability to deal with these vicissitudesby bringing front line expertise fromthosemaking live ammunitiondecisions in real time

HFMA itself has had to adaptand is constantly reinventing itself tosustain its value to themembershipIt is developing qualitative measuresfor its educational programs andnewways to improvemembersatisfaction It is also taking a newapproach to the CertifiedHealthcare Financial Professionalcredential The CHFP is proof of ahigh level of industry knowledgethe possession of which has neverbeenmore important than nowHFMA is revamping its certificationexam to bemore knowledge-basedwith less reliance on experienceThe new programwill be rolling outthis summer and I encourageeveryone and especially youngcareerists to take the new examTheTexas Gulf Coast Chapter will beintroducing some exciting programsto create a paved road to achievingthis highly prized designation

I am looking forward to seeingeveryone at our Annual Institute inGalveston this May 17-19 2015and offer my very best summerwishes to all

Very truly yoursMark

Mark SWorthen CPA FHFMAPresident Texas Gulf CoastChapter HFMA5925 Kirby DriveHouston Texas 77005713-388-7858 (office)markworthenFrostbankcom

Presidentrsquos Letter2015AprilMayJune Page 3

Mark SWorthenPresidentTexas Gulf Coast Chapter

MMaarrkk

No Member Left Behind

W

Page 4 2015 AprilMayJune

Lita Abreu Editor of HFMA Texas Gulf Coast

hen my uncle from thePhilippines needed a heartsurgery a family friend

from Houston Texas suggested havingit performed here in the Texas MedicalCenter The surgery was performed byDr Denton Cooley famous for perform-ing the first implantation of an artificialheart Other family members followedby having their procedures at MD Anderson Cancer Center for their cancer treatment at stage 4 and havegone home to continue a fulfilled life I was in awe and it started my fascina-tion in working at the TexasMedical Center

I asked myself what is it that doctors do here at the TexasMedical Center that folks from all overthe world choose to have theirmedical procedures done My careerhere at the Medical Center kept intouch with many wonderful andtalented people and it showed methat this place was indeed special

I started my healthcare career in the Finance Department of TheHouston Methodist Hospital as an Institutional Account Specialist It wasat this job that I was able to work andcome in daily contact with various institutions such as Texas ChildrenHospital CHI St Lukersquos Hospital TheMichael E DeBakey VA Hospital andBaylor College of Medicine This position introduced me to the various

medical services offered to the Doctors and Nurses who performedthe procedures and to the Directorsand Managers who managed these Departments With my background inFinance and my boss at thetime John Woodwardrsquos 30plus years background inthe Hospital System weforged a partnership onhow to deal with hospitalspatients services and doctors

After nine years atMethodist I was offered positions by Baylor Collegeof Medicine (Cardiologyand Family and Community Medicine)as their HR and Business Manager andUT Health Science Center at Houston ndashMedical School (Cardiology) as theirAdministrative Service Officer I was involved with all facets of Patient careResearch Medical education person-nel budgeting revenue cycle and grant management I assisted in re-building the Baylor Heart Clinicinitiated the Womenrsquos Center forComprehensive Care and increasedcollections via review of the accu-racy of the medical insurance coding and did an aggressive review on denials resulting in

millions of dollars Now almost 25 years later

I am the Administrator Associate HRManager for the Human Genome Sequencing Center (HGSC) at Baylor College of Medicine In my current position I work at HGSC with 200 sci-entists IT Programmers BioinformaticsProgrammers and research staff Eachday we collaborate with people fromthe Texas Medical Center other US Institutions and Scientists from all overthe world for the future of medicineAs my Director Dr Richard Gibbsstates ldquoThe recent advances and ex-pansion of knowledge made in humangenetics have been extraordinary The human genome project biotech-nology and other genome research allhave such great potential to improvethe quality of liferdquo

For this special issue of our AprilMayJune 2015 Newsletter we invite you to read on some of ourMost Influential People that are involved with the Healthcare Finance

Management Associa-tion Texas Gulf CoastChapter They are amazing people who areso involved and passion-ate in their positions inHealthcare FinanceRead how they startedwith Healthcare whatpositions do they currently hold and what is the future

Come attend our HFMA Annual Confer-ence this May 17-19 2015 in Galvestonmonthly luncheons at The HoustonMethodist Hospital and off site confer-ences Meet these influential people ofHealthcare Finance Over the years myInfluential People have been DrMichael DeBakey (World-renownedAmerican cardiac surgeon innovatorscientist and chancellor emeritus ofBaylor College of Medicine in HoustonTexas) Dr Richard Gibbs (Director ofHuman Genome Sequencing Center atBCM) Ron Girotto (former CEO-CFOof The Methodist Healthcare System)Dr Paul Klotman (CEO of Baylor Col-lege of Medicine) Dr Douglas Mann(former Cardiology Chief of BCM andSt Lukes Hospital and now Chairman ofCardiology Washington St Louis Med-ical School) Dr Luis Fayad (Director ofLymphoma and Myeloma Center at MDAnderson Cancer Center) John Wood-ward all the HFMA officers Boards and Committee ChairsCo-Chairs

This is my last issue as Chair of theNewsletter after seven years in theCommittee Itrsquos been an honor fun andprivilege Big Thank you to Vania Duckett Dr Jordan Mitchell KimSmelley Justin Myers Scott SetteLaura Mascorro Tim Eng and all thesponsors whom I enjoyed being in contact with to create our First Editionof the HFMA TXGC Gold Sponsors I will remain as Board of Director and will be Chair of the Community Benefitsfor Healthcare Financial ManagementAssociation Texas Gulf Coast

15W

Lita Abreursquos family reunion in Newport Beach

California ndash April 17-20 2015

2015 AprilMayJune Page 5

Amy Adams

PositionPartner In Charge Institution Richard Wayne and Roberts wwwrwrcom

What got you interested in theHealthcare industry The peoplewho work in the healthcareindustry are genuinely kind andcompassionate

What is it that you do in yourcurrent role and its impact inHealthcare I source recruit andqualify professionals onhealthcare entities across thenation Placing healthcareprofessionals with companies inpositions where they are happymake them productive individualsadding value to theirorganizationsWhat do you see is the future ofthe Healthcare Industry Thehealthcare industry will continueto change with all healthcareproviders working togethercollaboratively assisting eachother in benefitting the patient

Diaa Alqusairi

PositionSenior Staff AnalystInstitution Houston Fire Department wwwhoustontxgovfireHFD-Home-PageWhat got you interested in theHealthcare industry You arenever bored in Healthcare It is afascinating industry and alwayschanging It is also a place whereyou can make a positive impact onpeoplersquos lives

What is it that you do in yourcurrent role and its impact inHealthcare Senior Staff Analystwith the Houston FireDepartment working ontelemedicine project thatconnects low-acuity patients withcommunity primary careresources This dramaticallyreduces cost and improves theefficiency of the pre-hospitalemergency care and hospitalemergency departments It helpssolve the problem of peoplersquosreliance on EMS and ER for theirprimary care needs Here is someof the media coverage on theproject for more info httpwwwnprorgblogshealth20150409396583624doctors-make-house-calls-on-tablets-carried-by-houston-firefightershttpwwwhoustonpublicmediaorgnewshouston-fire-department-using-doctor-video-chats-for-minor-911-callshttpabc13comnewshfd-develops-virtual-911-checkup-program589446

What do you see is the future ofthe Healthcare Industry Lots ofinnovation in the way care isprovided and managedTelemedicine and web andmobile applications Definitelymore engagement and patientownership of their healthcare Notsure if it is coming but I wouldlike to see price transparency

Influential People in HFMA Gulf Coast Chapter

mdashmdash Continued on page 6

15LEADERS in the field of theHealthcare industry who havegreatly influenced one anotherpeople in their institutions mem-bers vendors and all attendeesof HFMA-TXGC conferences


Nancy Brock

PositionExecutive FinancialHealthcare Consultant withPharmacy Optimization (RxO)InstitutionMcKesson Corporationwwwmckessoncom

What got you interested in theHealthcare industry I waslucky in that I just ldquofell intordquo thehealthcare industry As a collegegraduate with very little moneyI chose the position that allowedme to initially move back in with myparents That said a deacon of thechurch that I grew up in hired meas a Medicare Auditor and thusbegan my healthcare career I wasfascinated by thecomplexity of theMedicareProgram alongwith how theindustry has andstill is inconstantchange

What is it that you do in yourcurrent role and its impact inHealthcare As part of McKessonrsquosPharmacy Optimization ConsultingServices my role is to assisthospital CFOs and pharmacydirectors identify hidden revenueand develop a customized actionplan to improve cash collectionswithin the pharmacy With aSystemrsquos limited resources theyfrequently just donrsquot have themeans to comprehensively reviewall aspects of the pharmacyrevenue cycle I with the Teamusing a proprietary Analytic Engineevaluate all of the pharmacyencounters We go from purchaseto dispense to billing to what isactually received on the remittanceThis comprehensive reviewhighlights substantial hiddenrevenues At one of our existingcustomers the result was in excessof $10 million and still growingWhat do you see is the future ofthe Healthcare IndustryNow for the crystal ballhellip I hopeto see that the industry continuesto strive for better quality andmoves to more of a value-basedoutcomes based solution I seethe need for more transparency

but like most of usunderstand that because of

the complexity ofcharging coding etc thiswill be quite difficult toaccomplish

Kevin J Burns

PositionExecutive Vice PresidentChief Financial OfficerChief Business OfficerInstitutionHouston Methodistwwwhoustonmethodistorg

What got you interested in theHealthcare industry I was anewly minted audit manager in thePhoenix Office of Arthur Andersenand they needed someone to do aspecial project in healthcare for anew client This experience mademe wonder if perhaps I might beable to use my skills to helpdoctors and nurses be bettersupported to take care of theirpatients And besides no one elsein the office wanted to transfer intohealthcare - my future was sealedWhat is it that you do in yourcurrent role and its impact inHealthcare My favorite part ofwhat I do is being engaged inwhat our people do each day tocare for patients

Most Influential continuedmdash


What do you see is the future ofthe Healthcare Industry (Really Am I a CFO or a wizard)I believe the future of healthcareis very bright We are learningnew ways to engage and care forpatients both in how we care forthem and in the actual treatmentsavailable to cure disease Ibelieve the pace of treatmentsand cures will accelerate in thedecade ahead

Mark D Evard

PositionAVP Revenue Cycle Institution CHI St Lukersquos Health wwwstlukestexascom

What got you interested in theHealthcare industry I enjoy working within an industrythat is constantly changing andallows for creativity in businessoperations I donrsquot like the cookiecutter approach I have beenfortunate to surround myself withmany of the best minds withinhealthcare allowing us to shareideas and to encourage oneanother so that all of ourorganizations succeed

What is it that you do in yourcurrent role and its impact inHealthcare I have overallleadership responsibility forPatient Access Services PatientFinancial Services RevenueIntegrity Charge CaptureOperations Health InformationManagement Patient CareManagement and special projectssuch as ICD-10 My team and Iimpact the financial operations ofthe entire health system We areconstantly looking for ways toimprove our operations and thenwe share our success with othersin and outside of CHI We havehad the privilege of sharing withorganizations like HFMA NAHAMThe Advisory Board TMAAAAMAS AAPC AHIMA IFHIMATxHIMA and many moreWhat do you see is the future ofthe Healthcare Industry I am excited about the future ofhealthcare The industry hasneeded a change for many yearsWe cannot continue to operate inthe manner we do today The shiftfrom volume to quality is one ofmany steps required to move usforward Payment methodologieswill change population healthmay struggle for a bit but it isimportant that we are ready andwilling to make the necessaryoperational changes to prosperand succeed

Melissa Fisher

PositionChief Financial Officer Institution Gulf Coast Regional Blood Center wwwgivebloodorg

What got you interested in theHealthcare industry It was justby luck actually that I ended up inthe healthcare industry Howeveronce here I came to love themission driven cultureWhat is it that you do in yourcurrent role and its impact inHealthcare I am the ChiefFinancial Officer for the GulfCoast Regional Blood Center inHouston Texas In this role Ioversee Business Operations RiskManagement and Building andFleet Management The need forblood is constant and we strive toensure an adequate supply ofblood is always available tohospitals to meet their patientneeds The availability of bloodhas a significant impact on ahospitalrsquos capability to conduct



many different life-impactingprocedures Gulf Coast RegionalBlood Center services more than170 hospitals and healthcareinstitutions in the 26-county TexasGulf Coast Brazos Valley and EastTexas regions

Steve HandCPA FHFMA

PositionAssociate Vice President Government Reporting Institution Memorial Hermann HealthSystem wwwmemorialhermannorg

What got you interested in theHealthcare industry Happenedby accident I was working with asmall CPA firm and had a HospitalAudit Client firm lost a big audit in our small town Staffing layoff followed Being the newest ac-countant I had to find a new job I went to work for BCBS of Missis-sippi the Medicare FI for Mississippiat the time Auditing Hospital CostReports I liked it and have been work-ing in Reimbursement ever since

What is it that you do in yourcurrent role and its impact inHealthcare GovernmentReporting mostly Cost reportsand several surveys a bit of the990 as well To give an easyexplanation these reports arerequired to be filed timely andaccurately in order to continue tobe paid by CMS and HHSC toname the two biggestGovernment Payors in Texas Thatis what I do in addition to closingthe books for the Net Revenueaccruals each month for theGovernmental PayorsWhat do you see is the future ofthe Healthcare Industry More consolidation and moregovernmental red tape I wish itwasnrsquot the case but I donrsquot seeany way around it Everything youread indicates that more andmore of a providerrsquos payments willbe tied to quality and other non-claim based measures

Rodney Lenfant

PositionVice President ChiefFinancial Officer Institution Oak Bend Medical Center wwwoakbendmedcenterorg

What got you interested in theHealthcare industry Havingsuffered early on in life a fewbroken bones lacerationsrequiring stitches and a lit matchbeing thrown in my eye I becameintrigued as to who theseindividuals were who had cared sowell for me When push came toshove however I wound upmajoring in baseball and notstudying nearly hard enough in myfirst two years of college to followthrough with my aspiration ofbecoming a physicianWhat is it that you do in yourcurrent role and its impact inHealthcare I presently serve asthe CFO of Oak Bend MedicalCenter and oversee all patientaccess patientthird-party billingand collections healthinformation management andaccounting and am responsiblefor setting and achieving thefinancial objectives of our safetynet hospitalWhat do you see is the future ofthe Healthcare Industry I seethe future of healthcare as moreof the same until we as a societycome to the collectiveunderstanding that the healthcarecosts we are incurring areunsustainable at which time wewill evolve into a nationalizedhealthcare system however thatis many many years in the futureand will not happen during myworking years



Jim Matthews

PositionPrincipal Institution Nearterm Corporationwwwneartermcomjmatthewsneartermcom

What got you interested in theHealthcare industry I began myhospital career in 1973 andcontinued working in hospitals andhealth systems through 1990 Itwas a very rewarding time thatallowed me to develop as a leaderimpacting multiple facilities withcutting edge revenue cyclethought leadership and make lotsof friends along the wayWhat is it that you do in yourcurrent role and its impact inHealthcare In 1990 I foundedour consulting business and havebeen in private practice since thattime as a Principal with the firmWe serve a national client base ofprovider organizations whichaffords me the opportunity toleverage what I have learned bysharing with the hospitals we workwith Equally importantly I have

learned from every engagementand colleague I have beenassociated with over the years andI continue to learn every day What do you see is the future ofthe Healthcare Industry I havebeen an active HFMA membersince 1982 and I attribute much ofmy success to that association Ithas been and remains aninvaluable source of educationand friendship

Pam PotterMBA FHFMA FACHECMPE MT

PositionPractice Administrator ANDAdjunct Faculty Institution Bone amp Joint Clinic ANDUHCL wwwbjc-houstoncom

What got you interested in theHealthcare industry My start inhealth care came from a love ofscience and math leading me firstto a position as a Medical Tech-

nologist and LMRT Administrativeroles in the lab followed and Ifound myself fascinated by themany aspects of healthcareadministrationWhat is it that you do in your current role and its impact inHealthcareAs Practice Adminis-trator for Bone amp Joint Clinic ofHouston and adjunct facility forUHCL I have the privilege of mentoring and supporting my staff and students as we strive forcontinuous improvement in our delivery of patient care and the resulting outcomesWhat do you see is the future ofthe Healthcare Industry Thefuture of healthcare is and willremain one of rapid change andtransition as we seek to stabilize andcontrol the expense related to thedelivery of care Navigating changeas we concurrently provide patientsa sense of stability and confidencein the delivery of their care will takeleadership at every levelWhat do you see is the future ofthe Healthcare Industry The healthcare industry continuesto face new challenges each dayand I expect the industryrsquos futurewill be full of change for manyyears to come

mdashmdash Continued from page 10

0 2015 AprilMayJune

Julie Rabat-Torki CFE FHFMA

PositionDirector of Finance-NetRevenue Institution Memorial Hermann HospitalTexas Medical Centerwwwmemorialhermannorg

What got you interested in theHealthcare industry I graduatedfrom the University of Houston-Clear Lake with a BS inAccounting Like manypeople nearing graduationI earnestly began tointerview with companies inoil amp gas CPA firms etchellipeventually accepting a jobas a Medicare Auditor forBlue Cross amp Blue Shield ofTexas I wish I could say that I knewI had a natural talent for auditingbut I really had no idea Funnythough many years later I realizedthat I actually did have a naturaltalent for auditing and so I becamea Certified Fraud Examiner in 2011

What is it that you do in yourcurrent role and its impact inHealthcareMy current positionas Director of Finance ndash NetRevenue covers our 1082 bedTMC campus with $13 billion innet revenue Some of myresponsibilities include monthlynet revenue variance analysis andpreparation of the annual netrevenue budget MHH-TMC is thebiggest facility in our System anda major Trauma center for the cityof Houston and it is importantthat my department performs at ahigh level in all of our work OurExecutives count on theinformation we give them in theirdecision making I believe that byexcelling at my job I am helpingsupport the operations of a muchneeded hospital in HoustonWhat do you see is the future ofthe Healthcare Industry With

all the recent changes inhealthcare we are all goingto be required tocontinually perform at ahigher level and do morewith less I believe we areaiming for the right thingsliking paying for

performance rather thanquantity but it is a monumentalshift that requires a great deal ofeducation planning and superbexecution

Dena RegasMcNeill

PositionClient Relationship Executive Institution PwC wwwpwccomusenhealth-industriesindexjhtml

What got you interested in theHealthcare industry My interestin the healthcare industrydeveloped when I was attendingPecos High School I grew up inrural West Texas and my family wasfriends with the local pharmacistThe pharmaceutical reps came thruPecos about once per quarter and Igot to know some of them Itseemed like they thoroughlyenjoyed their jobs and I knew I wanted to be in marketing andsales in an industry that improvespeoplersquos livesWhat is it that you do in yourcurrent role and its impact inHealthcare I have been a ClientRelationship Executive forPricewaterhouseCoopers LLPseven years this June It has beena very exciting and rewarding



career for me as I have helpedbuild a great healthcare practicefor PwCrsquos Greater Houston MarketI cover Houston The Rio GrandeValley Louisiana Oklahoma andmost of the University of TexasSystem When I started in 2008PwC didnrsquot have much of apresence with the healthcareproviders in Houston Now we dobusiness with the majority of theproviders in this marketWhat do you see is the future ofthe Healthcare Industry Thefuture of the Healthcare Industry isgoing to be about change It is nosecret that we are going to needto have better outcomes andspend less to get them So manyother countries exceed what weare doing in terms of outcomesnumbers of covered lives etc ButI have faith in the system andknow that we are going to figurethis out Additionally I believe thatthe Affordable Care Act is a goodstart in the right direction Thereare obviously some aspects of thelaw that need to be tweaked but Ifor one donrsquot want to start overfrom scratch

Julie Shaw Noel

PositionPresident CEOInstitution Parrish Shaw wwwparrishshawcom

What got you interested in theHealthcare industry I started inthe Healthcare industry in 1984 asa health claims examiner for amajor insurance carrier Afterworking on the insurance side ofhealthcare for several years Idecided to ldquojump overrdquo and start afirm that ldquofightsrdquo insurancecompanies to recover deniedinsurance claimsWhat is it that you do in yourcurrent role and its impact inHealthcare I started ParrishShaw in 1992 and have been thePresident and CEO since thenWe have grown from a small firmto one that employs 55 peopleand helps over 100 hospitalPartners In these days of patientcentric focus helping our Clientsrsquopatients navigate the recovery oftheir insurance benefits so thatthey are not liable for their entire

bill provides a welcome servicefor both provider and patientWith higher deductible planswhile new normal and rising in thefuture collecting all of theinsurance benefits due will becritical I am proud of the role thatParrish Shaw provides in themission of our Clients

AlanSpiegelhauer

PositionVP Sales amp Marketing Institution FMA Alliance LtdwwwtheFMAdifferencecom

What got you interested in theHealthcare industry I love thepeople in Healthcare Itrsquos such agreat industry filled withcompassionate people whoembrace change and areconstantly challenged to findsolutions I started with FMA (Alocal collection agency with anational presence) in January1987 Healthcare was and still is


such a big business we decided tostart off by offering our services tothis industry Thirty-one years laterhealthcare is still a very largesegment of FMArsquos businessWhat is it that you do in yourcurrent role and its impact inHealthcare In my role at FMA Ieducate clients help others andremain innovative in the recoveryof lost dollars for our clients In2014 FMA recovered in excess of$25 Million for its clientsWhat do you see is the future ofthe Healthcare Industry Onething I have learned in the 28 yearsIrsquove been in this industry is theonly constant IS CHANGE I see theneed to remain compliantcompassionate and creative inorder to keep up with the changes

Mark S WorthenCPA FHFMA

PositionMarket President Institution Frost Bank wwwfrostbankcom

What got you interested in theHealthcare industry In 1986 Iwas working for a Louisiana bankthat had a problem with a chain ofrural hospitals I was briefly theadministrator for this hospitalgroup and I learned healthcarefinance is unlike any other businessI remained interested in healthcareand took advantage of anopportunity to move to Houston in2005 to start a healthcare bankingdivision for a major bank ThroughHFMA I was able to develop thespecialized industry expertise toeffectively serve this segment

What is it that you do in yourcurrent role and its impact inHealthcare I seek to build longterm banking relationships withparticipants in the healthcarearena Frost Bankrsquos focus is onservice to our clients which savesthem time ndash the most preciouscommodityWhat do you see is the future ofthe Healthcare Industry I believe the future for healthcare inAmerica has never been brighterPrice and quality transparencythough painful in the short run willultimately lead to a higher standardof care at a fair price The shift topersonal financial responsibilitycoupled with the new focus onwellness will lead people to haveimproved lifestyles and better longterm health




James Donohue SeniorManager and RichardTrembowicz Senior Manager ECG Management Consultants

ecently the US Departmentof Health amp Human Services(HHS) outlined ambitious

goals to significantly increase thepercentage of Medicare paymentsthat are tied to quality and costeffectiveness over the next severalyears The proposal announced byHHS Secretary Sylvia M Burwell at apress conference on January 262015 would move Medicare awayfrom the fee-for-service (FFS) systemcalling for 30 of Medicare paymentsto be tied to quality-based alternativepayment arrangements by the end of2016 and 50 by the end of 2018 HHS proclaimed its announcementldquohistoricrdquo and therersquos some truth tothat Itrsquos the first time the departmenthas ever set explicit goals foralternative payment models andvalue-based payments and itrepresents the most significantindication yet that HHS and theObama administration will moveaggressively away from FFSpayments By funneling moreMedicare dollars into alternativepayment models HHS is clearlyintent on establishing a providerreimbursement system based onvalue and patient outcomesWhile HHSrsquos message timeline andgoals are clear the plans forachieving these objectives are notWe look forward to hearing moredetails behind the percentages HHSput forward as well as their plans to

reach these percentage targetsrdquo theAmerican Medical Association (AMA)noted in its response to HHSrsquosannouncement The AmericanHospital Association (AHA) imploredHHS and the Obama administrationto ldquofully evaluate and improve on thedelivery system reforms currently inplace to ensure that we are learningfrom the pilot and demonstrationprojects to best meet patient needsrdquoThe responses from the AMA andAHA are likely reflective of anindustry-wide sentiment Yes weneed to move away from the FFSmodel where is the proof that wecan successfully do thatOne of the key concerns in theaftermath of HHSrsquos announcement isthe absence of clear evidence thatproviders can improve quality andreduce cost within the existingMedicare value-based paymentmodels Measuring performance andmodifying operations to meet themodelsrsquo goals requires significantinvestment in administrative systemsand technology In the Pioneer Accountable CareOrganization (ACO) program 13 ofthe original 32 participants haveexited the program rather than facethe prospect of losses Many deemthe program requirements to beunworkable Of the 220 participatingACOs in the Medicare SharedSavings Program only 53 earnedshared savings in 2013 Andalthough CMS has touted that 1700hospitals qualified for bonuses in2014ndash2015 through the HospitalValue-Based Purchasing (VBP)

Program fewer than 800 hospitalswill ever see bonus paymentsPenalties incurred in two other value-based programs (Hospital-AcquiredCondition Program ReadmissionsReduction Program) wiped out theVBP bonus amounts Because each of these programs hasdifferent measurement standards withlittle overlap providers are strugglingto decide where to devote their fundsand resources to avoid penalties Thisis leading some observers to deemthe approach a failure and others tocaution that the programs need moretime to demonstrate their validityGiven the urgency expressed inHHSrsquos recent announcement and theamount of money in play one thingis clear ndash providers cannot afford tostand still HHSrsquos plan is sparse ondetails but the announcementreaffirms the departmentrsquos intentionto reconcile healthcare costs withquality Itrsquos what happens next thatdetermines how historic thisannouncement truly is

Health amp Human Services Promises BigChanges ndash And Raises More Questions

R

JamesDonohue

RichardTrembowicz



Page16 2015AprilMayJune

artnering with HR to Reduce the Risk of CostlyEmployment Claims It is being put on by KevinTroutman and amp Joe Gagnon two local employment

law defense attorney with Fisher amp Phillips The description isas followsVirtually every employment decision in your organizationinvolves some risk of legal claims This presentation willreview some of the most common types of decisions thatpresent material risks and discusses ways thatRisk Management and Finance leaders can identify relatedrisks and collaborate with Human Resources Professionals toreduce themThe link to the registration iswwwghshrmcom

June Educational LuncheonKevin Troutman amp Joe Gagnon

What the Risk Manager Needs to KnowAbout Employment LawThursday June 04 20151130 PM - 100 PM

Tonys Restaurant3755 Richmond Avenue Houston TX 77046

Link to Google Map Directions

VIEW CalendarONLINE

May 201517-19 Annual Sprint Institute

San Luis Resort5222 Seawall BlvdGalvestonTX 77551Reservations8003925937Map andDirectionsOnline information ofSpeakers and Panel

Resort CasualmdashShortsWelcome

19 Region 9 FreeWebinar

June 20154 June Educational

Luncheon-GHSHRM

19 HFMATexas Gulf CoastLuncheonMeetingIRS 501RHoustonMethodistMap andDirectionsOnline information

July 201517 HFMATexas Gulf Coast

LuncheonMeetingTelemedicineHoustonMethodist

Calendar of Events

P

2015 AprilMayJune Issue Page 17

The MembershipDevelopmentCommittee of the TexasGulf Coast Chapter of theHealthcare FinancialManagement Association(HFMA) spread joy recently bydelivering checks to scholarshipwinners at Texas AampM University(TAMU) On April 29 2015 fourscholarships were awarded including the Arden Jean Biggarscholarship at the Texas AampMUniversity - School of PublicHealth Committee membersMelissa Fisher (TAMU Alum)Julie Rabat-Torki Mark Worthenand Pam Potter presented the scholarships and as you can seefrom the pictures everyone wasall smiles after receiving financialassistance to help further theirdegree programs Congratula-tions to each of our winnersfrom TAMU ndash Sunayana Chopra(Arden Jean Biggar Award win-ner) John Pisquiy JoshuaRivera and Kenneth BarretoGig rsquoem Aggies

The scholarship program issponsored by HFMA - Texas GulfCoast Chapter for accreditedHealthcare Finance orHealthcare Administrationdegree programs In additionthe Chapter awards the covetedArden Jean Biggar Scholarshipannually to the highest ranked

student (must be a qualifiedMasters of Health Administrationstudent) Arden was a long termleader in healthcare and a pastpresident of the Texas GulfCoast Chapter She transformedthe revenue cycle of severalhealthcare institutionsShe was frequentlysought out toprovide guidancearound the world She was a mentor to many who arehealthcare financeleaders today Sheloved to learn sharementor and was afriend to all

The scholarship criteriainclude academicachievement experienceand interest in thehealthcare finance arealeadership skills andinvolvement in HFMAStudents are asked tosubmit an essaydetailing the reason

they should receive ascholarship from HFMAApplications are also to beaccompanied by a Professorsletter of recommendation and acopy of their transcript

The Texas Gulf CoastChapter is proud to join ourUniversities and Faculty insupport of the youngleaders who are thefuture of HealthcareFinance and

Administration

Scholarship Winners

hysician documentation inthe medical record helpsprovide the cornerstone of

medical necessity that not only canhelp validate the level of patientcare provided but also help toensure proper reimbursement tothe hospitalAn increase in denials by Recovery Auditors (RAs) Medicare Administra-tive Contractors (MACs) CommercialPayers and others have propelled documentation into the spotlight as acritical part of the equation

The BenefitsI highly doubt that anyone wouldargue that accurate and completephysician documentation is essentialbut there are definitely a number ofclear cut benefits ndash beyond helping toensure proper reimbursement isreceived from cases submitted

Quality of Care Increased quality topsthe list of benefits that comes to mindA 2008 Archives of Internal Medicine1article indicated that ldquomedical recordsfor patients with NSTEMI often lack keyelements of the history and physicalexamination Patients treated athospitals with better medical recordsquality have significantly lowermortality hellip (and) the relationshipbetween better medical charting andbetter medical care could lead to newways to monitor and improve thequality of medical carerdquo The article alsopoints out that patients cared for athospitals that had better medical

recordkeeping experienced lower in-hospital mortality compared to patientswho did not have this experience

Increased Patient SafetyAlthoughnot as noticeable a benefit at firstpatient safety and the quality ofphysician documentation within themedical record can run hand in handAccording to a recent study publishedin the September 2013 issue of theJournal of Patient Safety2 between210000 and 440000 patients eachyear who go to the hospital for caresuffer some type of preventable harmthat contributes to their deathStaggering numbers such as thesecan help stress the need for betterdocumentation to provide a clearpicture of the care provided

Increased Accuracy and SpecificityA third notable benefit as the result ofproper physician documentation is theincrease in accuracy and specificitywithin the medical record In additionto this timeliness of the informationrecorded tends to lead to higheraccuracy within documentation Withincreased proficiency in accuracy andspecificity from better documentationcomes a better description of servicesprovided to the patient This outcomecan also lead to an increase in qualityscores ndash the higher the quality scoresthe more of a reflection of patientacuity This can have collateral benefitto 30 day risk adjusted mortality andreadmission rates amongst some othermetrics being measured

Potential RoadblocksAlthough improvements to thephysician documentation process haveevolved over the years the roadtraveled has been a rocky one to saythe least ndash with some even claimingthat documentation has evendeteriorated the more it progresses

Among these factors two stand outas the prime culprits impactingphysician documentation theemergence of the electronic medicalrecord (EMR) and the uneasytransition from a source-orientedrecord to a problem-oriented record

Electronic Medical Record The futureof EMR holds so much promise thataccording to The New York Times3ldquothe federal government is spendingmore than $22 billion to encouragehospitals and physicians to adoptelectronic health recordsrdquo But theproblems can start basically from theplanning stage as EMRs are typicallydesigned by non-clinicians ndash ieprogrammers who are not as familiarwith how hospitals and cliniciansactually function

As reported in the Times articleldquocutting and pastingrdquo (CampP) commonlyreferred to as ldquocopy forwardrdquo mayallow for ldquoinformation to be quicklycopied from one portion of adocument to another as well asreduce the time that a doctor spendsinputting recurring patient datardquo but italso leaves the window open to

Proper Physician Documentation More than Just Your Bottom LineBy John D Zelem MD FACSExecutive Medical Director of Client Relations and Education Executive Health Resources Newtown Square PA


P

potential fraud In an effort to cut downon CampP abuse by physicians who areperforming less work than theyactually bill the Office of the InspectorGeneral (OIG) has named the issue ofcloning in the medical record as apriority in 2015 the Times reported

To further muddy the concerns ondocumentation the EMR is limited inproviding the opportunity forphysicians to include their ownthoughts and comments So muchwithin the record is a template acheckbox etc which preventsphysicians from documenting theirimpressions assessments and coursesof action for the patient

Problem-Oriented Record Thecreation of the problem-orientedmedical record (POMR) by DrLawrence Weed in the late 1960sprovided a disciplined approach forphysicians to include properdocumentation in the medical recordThrough POMR Weed created theSOAP note (an acronym forldquoSubjective Objective AssessmentPlanrdquo) which gave physicians astructured approach to gathering andevaluating the volumes of informationcontained in the medical record andprovided them with an avenue tobetter communicate with each other

Over the years physicians haveessentially abandoned the

fundamentals of the SOAP approachto the more straight-forward but notnecessarily well-rounded ldquoProblemListrdquo approach But in order for thistransition to be effective physiciansmust be able to successfully addressall of the following factors

bull The problem list was actuallydesigned to help with treatmentprogress Many times the initialproblem list is copied and pastedunchanged from one day to thenext with no original thought orcomment This practice can presentchallenges for UtilizationManagement coding dischargeplanning as well as others

bull The problem list may notadequately express the physicianrsquosconcerns for what is actually goingon with the patient

bull The problem list may not connectthe risks and acuity with which thepatient presents

The Importance of QualityPhysicians need to lead the charge indocumentation improvements in themedical record As budgets get tighterand resources become fewer onemisconception rears its ugly head ndashthat hospitals are forcingimprovements in this area solely tobenefit coding and help increaserevenue As a matter a fact itrsquos just theopposite Medicare actuallyencourages hospitals to improve theircoding to support properreimbursement which may be higheror lower based on the documentationbut also for better reflection of thepatient acuity This improved accuracycan only increase cost measures suchas the case mix index (CMI) over time

as well as the previously mentionedquality scores Accurate and specificdocumentation may also favorablyimpact audit findings and preventreimbursement delays or take backsdue to incorrectly denied hospital andphysician claims

Better documentation can benefit bothhospitals and physicians through qual-ity scores that are now readily availablein publicly recorded data such asHealthgrades The road to improvedphysician documentation has not beenwithout its bumps and curves over theyears but physicians remain on thefront line of this issue and need to takean active part in ensuring that the qual-ity and thoroughness of their docu-mentation stands as a true record ofthe care provided

References1Dunlay Shannon M Alexander Karen PMelloni Chiara Kraschnewski Jennifer LLiang Li Gibler W Brian Roe Matthew TOhman E Magnus Peterson Eric D(2008) Medical Records and Quality ofCare in Acute Coronary Syndromes Resultsfrom CRUSADE Archives of InternalMedicine 168(15) 1692-1698

2 James John T (2013) A New Evidence-based Estimate of Patient Harms Associatedwith Hospital Care Journal of PatientSafety 9(3) 122-128

3Abelson Reed and Creswell Julie TheNew York Times Report Finds More Flawsin Digitizing Patient Files January 8 2014

John D Zelem MD FACS is ExecutiveMedical Director Client Relations ampEducation at Executive Health ResourcesNewtown Square Pa He can be reachedat jzelemehrdocscom

2015 AprilMayJune Issue Page19

Page 20 2015 AprilMayJune Issue

Dan HeathFounder of Change Academy and best-selling co-author of Made to StickSwitch and Decisive

How to Change Things WhenChange is HardWhy is it so hard to make lastingchanges in our organizations in ourcommunities and inour own lives Theprimary obstaclesays author DanHeath is a conflictthatrsquos built into ourbrainsmdashthe rational mind vs theemotional mindmdashthat compete forcontrol Yoursquoll hear real-worldexamples of successful efforts todesign and implement successfulchange efforts and betterunderstand how individuals teamsand organizations shift or changefrom a current state to a future stateFinally yoursquoll see how successfulchanges follow a pattern that can beused to change your organization

Ian MorrisonInternationally Renowned Healthcare Futuriust

Health Care 2025 Building theFutureThe healthcare industry is goingthrough an unprecedented period ofrealignment Hospitals physicians andhealth plans are seeing their traditionalroles blur as the transformation fromvolume to value takes hold When thedust settles what will the future bringfor these key healthcare stakeholdersOne thing is certain thefuture must be builtaround improvinghealthmdashnot justhealth care In thisdynamic multimediasession led byinternationally renowned healthcarefuturist Ian Morrison you will hearmany voicesmdashincluding those of yourfellow ANI attendeesmdashenvisioning afuture that we can all be excited about

Peter SheahanFounder of ChangeLabs on unleashinginnovation and pushing collaboration

Leadership in a Rapidly Changing WorldThe sweeping transformations withinthe health care industry aredemanding thatleaders innovate andcollaborate in thereal world in realtime in order torespond nimbly tochanging employee and patientexpectations Yoursquoll hear innovationexpert Peter Sheahanrsquos perspectiveand strategies for moving through thefive phases required to transformaspirations into good ideas and thenmoving good ideas to great resultsYoursquoll also learn how to accelerateprogress on initiatives in order to getmassive results faster than you everthought possible Sheahan will inspireyou to take the intelligent risksrequired to innovate and drive change

ANI ConferenceJune 22-25Orlando FLOrange County Convention Center

CPE InformationTotal CPE hours for Career Skills SessionsEarly Riser Sessions Featured SpeakerSessions Breakout Sessions InnovationLabs and Keynote Sessions 21See individual descriptions of Pre-conference Workshops for CPE hours

Prerequisites (if required) are listed forindividual sessions prework required isldquononerdquo unless indicated for the sessionThe CPE Field of Study for sessions isSpecialized Knowledge andApplications unless otherwise indicatedin each specific description

httpwwwhfmaorgANIHome

Rahaf Abboushi Alla AdamsTrident University International Healthcare Management InstructorVincent Ancona Apogee Consulting Group ConsultantFrancisco Ardila Richard Wayne amp Roberts Emily Batten Office ManagerAshley Beck Aaron Bonnett TeacherLexie Bradford MD Anderson Physicians NetworkCoordinatorJane Chen MD Anderson Cancer Center Sr Financial AnalystShona Cook StudentGregg Cooper Saudi Aramco Accounting Staff AnalystKellie Craig Orthopaedic Associates Check-OutCathy Davis UT MD Anderson Cancer Center Department AdministratorMichele Dionne Houston Physicians Hospital Chief Executive OfficerMai Doai Kay Edwards Michael E DeBaky VA Med Center Shannon Fleming Houston Methodist Claims AttorneyBradley Gabeline Larry George Parallon Business Solutions Support Services

DirectorLarry Grajales Alegis Revenue Group LLC Acct Resolution SpecialistWhitney Grant Applus Velosi America Sr Operations Specialist

Shaunte Green Memorial Hermann Health Care System

Registered NurseJennifer Havenar Juan Hernandez Jose Herrera Andy Ho Kelsey-Seybold Clinic Financial AnalystMark Huntley FirstCare Helath Plans Chief Financial OfficerJamirul Hussain Saudi Aramco Accounting Staff AnalystJames Imperial Apogee Consulting Group Jessica Itzep Resource SpecialistRenee Jaramillo Parallon Business Performance Group

DirectorAngele Johnson Texas Childrens Hospital Registered NurseAnna Johnson Jenae Johnson MD Anderson Cancer Center Financial AnalystChristine Jones Resource Corporation of America Marketing DirectorJazzman Jones ServerBartenderAdrienne Joseph Houston Methodist Hospital AdministratorHarmeet Kaur Claudia Leal Parallon-Houston Shared Services Center

Chief Finance OfficerLaurence Leumalieu Passion Lockett Soheb Maredia Zachary Menn Houston Methodist Postdoctoral Fellow

Amna Mirza StudentShradha Mishra StudentHaley Nguyen Navigant Inc Managing ConsultantMarie Jeanne Nis-nisan Ruth Ogol LVHN Abraham Olivas Methodist Health Care System APC-CoordinatorArleita Ortega Houston Methodist Hospital PrecertificationScheduler IIKarli Painter Joseph Passeneau Cerner Corporation Senior ConsultantSonal Patel Sony Philip Memorial Hermann Patient AccessGeorge Ponton Apogee Consulting Group Healthcare ConsultantMarcus Powell Parallon-Houston Shared Services Center COOLisa Purnell Kelsey-Seybold Sr Coding Compliance SpKrystal Ramirez Susan Rikoff The Medical Center of SE Texas ControllerElizabeth Rushing StudentCharles Schreiner MD Anderson Physicians Network DirectorMitra Shahbaz Texas Childrens Healthplan Director of FinanceAnkur Sharma Administrator-InternCatherine Sheppard Clinical Business Manager

Saffra Shiell Brown Sims File ClerkAshlan Snyder KPMG LLP Senior Associate (Consultant)Natalie Thuy-Nga Lam Lisa Tidwell GetixHealth VP of OperationsMaria Torio-Balderas Ebrahim Ulu Stephanie Uriegas Kirby Multispecialty Physical Therapy TechGina Versace UTMD Anderson Cancer Center Sr Financial AnalystCandace Whaley Apogee Consulting Group Health ConsultantWilliam Wied MD Anderson Cancer Center Financial AnalystSharon Williams StudentRobert Wingo Univ of TX MD Anderson CancerManager Systems Analyst ServicesJordan Winzenried Houston Methodist Respiratory TherapistDiana Wright MD Anderson Cancer Center Clinical Business ManagerDeborah Ybarra Lu Zhang Healthsouth Rehab Hospital PPS CoordinatorKristen Zinser Frost Bank Assistant Vice President

Welcome NEW MembersPlease feel free to contact any of our chapter leaders for any questionor need additional information regarding HFMA Texas Gulf Coast


OfficersPresidentMark S Worthen FHFMA CPAFrost Bankmarkworthenfrostbankcom7133887858President-ElectPam Potter FHFMABone amp Joint Clinic of Houstonpampottersbcglobalnet7135044483Vice PresidentKevin J Burns CPAHouston Methodistkjburnshoustonmethodistorg7134413421TreasurerRachel BeasleyTexas Childrenrsquos Hospitalrmbeasl1texaschildrenshospitalorg8328242318SecretaryJacqueline Medina-LewisIMA Consultingmedina-lewisima-consultingcom4844323200Immediate Past PresidentNatasha Baria Mehta FHFMA FACHEParallon Business Performance GroupNatashaMehtaParalloncom7134482114

Directors 2013-2015DirectorLita D AbreuBaylor College of Medicineeabreubcmedu7137983936DirectorTonie BaymanMemorial Hermann Health Systemtonie_baymanmemorialhermannorg7133386011DirectorNan Chi CPAHouston Methodistnchihoustonmethodistorg8326676075DirectorLaura C Comer FHFMAUT - MD Anderson Cancer Centerlcomermdandersonorg2813867016DirectorVania A DuckettCHI St Lukersquos Healthvduckettstlukeshealthorg8323555102

DirectorDena McNeillPwCdenarmcneilluspwccom7133565939DirectorBrad Monahan CPABKD LLPbmonahanbkdcom7134994600DirectorAlan SpiegelhauerFMA Alliance LtdAlanSfmaalliancecom2817821994

Directors 2014-2016DirectorAmy AdamsRichard Wayne amp Robertsamyarwrcom2816814202DirectorNancy L Brock CPA FHFMAnancybrock45comcastnet8322796139DirectorBeverly C Dowling CPA FHFMAConsultantbeverlycdowlinghotmailcom4095995573DirectorAngela JacoTexas Childrenrsquos Hospitalaajacotexaschildrensorg8328246794DirectorRodney LenfantOakBend Medical Centerrlenfantobmcorg2813414881DirectorJames (Jim) Matthews Nearterm Corporationjmatthewsneartermcom2816461330DirectorKim ReynaUT - MD Anderson Cancer Centerkmreynamdandersonorg7137941770DirectorJulie Anne Shaw NoelParrishShawjulieparrishshawcom8008721818

ProgramsAmy AdamsAngela JacoKimberly (Kim) SmelleyMembershipAlan SpiegelhauerJames L Matthews (Jim)Tonie BaymanAwards and RecognitionKevin BurnsKim Marie ReynaKimberly (Kim) SmelleyCertificationDiaa Alqusairi PhD CHFPDale Dodds CPACommunity BenefitsLisa R DixonJulie Anne Shaw NoelNatasha Baria Mehta FHFMA FACHEEventsNatasha Baria Mehta FHFMA FACHENancy L Brock CPA FHFMACindy PriceGovernancePam Potter FHFMAScott McBrideRodney LenfantMember DevelopmentJulie T Rabat-Torki CFE FHFMAMark D Evard MBAJordan Mitchell PhDNewsletterLita D AbreuVania DuckettJordan Mitchell PhDSocial NetworkingLaura C Comer FHFMADommen (Rooy) EapenSandra LueSpecial InterestLouis (Lou) DeNino PhDDeborah (Deb) CottrellTerra Andrews CISRSponsorshipDena Regas McNeillJohn RobbKent WaltersAdministrationStacy DeMarseDeborah Demetski

Chapter Leaders Page 22 2015 AprilMayJune Issue

Your Newsletter Committee is very interested in hearing from you Please let us know if you have articles or information you would like to have published

Submit articles (MS Word) or advertising (jpg or tif files) to the newsletter editor beginningnext issue Vania Duckett at vduckettstlukeshealthorg

For advertising rates for NON-SPONSOR ads please contact the newsletter editor at the same e-mail address

Gulf Coast Lines is published quarterly by the Texas Gulf Coast Chapter of the Healthcare Financial Management Association as a communication medium to Chapter members Opinions expressed in articles are those of the authors and do not necessarily reflect the views of the Texas Gulf Coast Chapter or its members

The Editor reserves the right to edit any submission for clarity and length and to accept or reject any submission

Please submit all submissions to Newsletter Chair Vania Duckett at vduckettstlukeshealthorg Co-Chair - Dr Jordan Mitchell at mitchellUHCLedu



2015AprilMayJune

Silver SponsorsAdreimaApex Revenue Technolo-giesAutomated CollectionsServices Inc (ACSI)Availity LLCBank of AmericaBKD LLPCardon OutreachCiti-Money2 for HealthCleverly + AssociatesDuke RealtyEmdeonJacksonWalkerManaged Resources IncMemorial HermannSystem ServicesPatientCoPatientMattersProAssuranceResource Corporationof AmericaSimpleeSullins JohnstonRohrbach amp MagersTransUnion LLCXtend Healthcare

HFMA Texas Gulf Coast ChapterBronze SponsorsAvadyne Health

Banc of America PublicCapital Corp

BESLER Consulting

CHI St Lukelsquos Health

Cirius Group Inc

CNA HealthPro

Enable Comp LLC

HCFS Inc

Healthcare ResourceGroup Inc

MED ARX

Parallon BusinessSolutions

Protiviti

The SSI Group

Triage Consulting Group

Whitney Bank










Presidentrsquos Letter2015AprilMayJune Page 3


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Amy Adams




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JamesDonohue

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Scholarship Winners














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W















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Rodney Lenfant





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Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















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JamesDonohue

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Administration

Scholarship Winners














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2015 AprilMayJune














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Amy Adams




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Kevin J Burns






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Rodney Lenfant





Jim Matthews
















Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















R

JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune

Amy Adams




Diaa Alqusairi








Nancy Brock






Kevin J Burns






Mark D Evard




Melissa Fisher






Steve HandCPA FHFMA




Rodney Lenfant





Jim Matthews
















Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















R

JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune

Nancy Brock






Kevin J Burns






Mark D Evard




Melissa Fisher






Steve HandCPA FHFMA




Rodney Lenfant





Jim Matthews
















Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















R

JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune


Mark D Evard




Melissa Fisher






Steve HandCPA FHFMA




Rodney Lenfant





Jim Matthews
















Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















R

JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune


Steve HandCPA FHFMA




Rodney Lenfant





Jim Matthews
















Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















R

JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune

Jim Matthews
















Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















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JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune







Dena RegasMcNeill






Julie Shaw Noel




AlanSpiegelhauer


















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JamesDonohue

RichardTrembowicz










VIEW CalendarONLINE






Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














P




















































2015 AprilMayJune


Julie Shaw Noel




AlanSpiegelhauer


















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JamesDonohue

RichardTrembowicz










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Luncheon-GHSHRM




Calendar of Events

P








Administration

Scholarship Winners














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2015 AprilMayJune









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JamesDonohue

RichardTrembowicz










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Calendar of Events

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Administration

Scholarship Winners














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2015 AprilMayJune







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JamesDonohue

RichardTrembowicz










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Luncheon-GHSHRM




Calendar of Events

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Administration

Scholarship Winners














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2015 AprilMayJune









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Calendar of Events

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Scholarship Winners














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2015 AprilMayJune








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Luncheon-GHSHRM




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2015AprilMayJune







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Scholarship Winners














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2015 AprilMayJune Issue







Administration

Scholarship Winners














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2015 AprilMayJune

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Chapter Leaders 2015 AprilMayJune Issue









april/may/june2015 to1p 5 - nearterm · 2020. 2. 22. · from houston, texas suggested having it...

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