DFWHC SpringINTERLOCUTOR 2015 www.dfwhc.org News from the DFW Hospital Council

Suzanne McRae (left) and Rex McRae Scholarship recipient Megan Hill of More than 100 hospital Methodist Mansfield Medical Center at the employees honored at May 1 Employee of the Year Luncheon. May 1 Luncheon - page 20 Making a Difference in Healthcare

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www.campbellwilson.com. 15770 North Dallas Parkway, Suite 500, Dallas, TX 75248 Phone: 214-373-7077 We should all be following the King v. Burwell result

LATER THIS MONTH, THE U.S. SUPREME COURT will rule on King v. Burwell. If the court rules in favor of Burwell, the impact will be minimal as the Affordable Care Act will continue. However, a ruling in favor of the plaintiffs will have the opposite effect and could unravel the Affordable Care Act. Thirty-four states have federally facilitated health insurance marketplace exchanges and three have state-based exchanges administered by the federal government. Simply put, 37 states would have a significant disruption to their healthcare insurance impacting the tax subsidies for enrollees and the administration of their state marketplace. For example, in Texas approximately 1 million enrollees Steve Love receiving over $206 million in tax subsidies would lose those credits and most of President/CEO these beneficiaries will probably discontinue the insurance coverage due to cost. Dallas-Fort Worth Hospital Council A ruling in favor of King would also impact the individual and employer-related insurance coverage. Such a ripple will hit the insurance premiums of people not receiving subsidies because they would experience insurance increases. The wave does not end there. Many of the one million enrollees receiving subsidies are younger and thus, healthier individuals. They help spread the population risk in an actuarial analysis. If they exit the plan, the remaining population will show to have more health issues, insurance risk and, therefore, insurance premiums will increase to cover this additional cost. From the beginning, hospitals have supported the Affordable Care Act. Certainly some refinements are needed. But the hospitals of North Texas, if not across the entire U.S., hope the Supreme Court rules in favor of the government. How can we stop this wave? A recent Kaiser Health Policy News Index revealed 60 percent of Americans have not been following the news of this monumental healthcare ruling. Educating our residents should be a priority as that is the only way consumers can make informed healthcare decisions in the future. Thank you for your support of the DFW Hospital Council. n

Spring 2015 www.dfwhc.org

INTERLOCUTORDFWHC EDITORIAL ADVERTISING PUBLISHED Executive Editor W. Stephen Love Interlocutor reaches more than 5,000 Interlocutor is published by Managing Editor Chris Wilson healthcare professionals in North the DFW Hospital Council as a Cover photo by Jerry McClure Texas. It is published four times a year. membership benefit providing information on healthcare issues FULL PAGE FOUR ISSUES and DFWHC activities. Material CONTACT Color Inside Cover $3,000 may be reprinted without permission, Chris Wilson Color Inside Pages $2,500 provided acknowledgement is given. [email protected] B&W Inside Pages $2,000 Articles, news items and opinions are appreciated. FULL PAGE ONE ISSUE Color Inside Cover $1,000 INTERLOCUTOR Color Inside Pages $950 1: one who takes part in dialogue B&W Inside Pages $850 or conversation

SEND TO 2: one in the middle of a Chris Wilson line who questions the end people [email protected] and acts as a leader McClellan named CEO of Houston hospital

Ashley McClellan (right) with husband Brett during the DFW Hospital Council’s Annual Awards Luncheon when she received the 2011 Young Healthcare Executive of the Year Award. Photo by Jerry McClure

HCA GULF COAST DIVISION announced in March that Ashley McClellan was named Chief Executive Officer (CEO) of The Woman’s Hospital of Texas in Houston. Ashley served as CEO of Medical Center of Lewisville in HCA’s North Texas Division since 2011. She was a 2015 board member of the DFW Hospital Council (DFWHC). Ashley began her career with HCA in the Chief Operating Officer (COO) development program as the Associate Administrator at HCA’s Overland Park Medical Center in Kansas. She was promoted to COO at Medical Center of Lewisville and served that role until she was promoted to CEO. Ashley is a Fellow in the American College of Healthcare Executives and earned her BBA in Finance from Southern Methodist University, and both her MBA and MHA from Texas Woman’s University. In 2010, Ashley was honored in the Dallas Business Journal’s annual list “40 Under Forty” and was presented DFWHC’s 2011 Young Healthcare Executive of the Year Award. “We were sad to lose Ashley as she was such a great contributor to not just the DFWHC Board, but North Texas healthcare,” said W. Stephen Love, president/CEO of DFWHC. “This is a great step and an opportunity well deserved.” Ashley relocated to Houston with her husband, Brett, and their two sons, Brooks and Spencer. She began her new role May 12. n

Gressle joins DFWHC Board

CHARLES GRESSLE, CHIEF EXECUTIVE OFFICER (CEO) of The Medical Center of Plano, was named to the DFW Hospital Council (DFWHC) Board of Trustees in May. With more than 20 years of experience in the healthcare industry, Gressle began his role of CEO at the HCA North Texas Division hospital in 2013. He had previously served as Chief Operating Office at HCA’s Medical City Dallas Hospital. Gressle was formerly the Chief Operating Officer at The Woman’s Hospital of Texas and an Associate Vice President in HCA’s Strategic Resource Group. He started his healthcare career as a Certified Nursing Assistant and a Nationally Registered EMT-Paramedic. Gressle received his undergraduate degree from The University of North Carolina at Chapel-Hill and his MBA degree with Highest Honors from Wake Forest University. n

4 dfwhc interlocutor Go Forth and Meet DFWHC’s Speed Networking attracts 50 area executives

WERE YOU THERE? If not, you missed a fun opportunity to meet and greet numerous healthcare employees May 28 at the DFW Hospital Council’s (DFWHC) Speed Networking event at Texas Scottish Rite Hospital for Children. In a timed format, attendees were able to meet executives, exchange business cards and talk turkey. Employees from Sprint, Konica FUTURE SPEED Minolta, Parker University, Gladney Center for Adoption, NETWORKING the College of Health Care Professions, Parkland Health & Hospital System, Kindred Healthcare and Sterling Sept. 3, 2015 Barnett Little, Inc. were present. DFWHC will host two Nov. 5, 2015 more Speed Networking events in 2015, with plans for an Don’t miss out! evening “Happy Hour” to be announced soon. n

dfwhc interlocutor 5 Finding a Cure Local research identifies genetic cause of Idiopathic Scoliosis

A COLLABORATIVE STUDY PUBLISHED March 18 in the scientific journal Nature Communications has identified a new genetic cause of idiopathic scoliosis and demonstrates it is female-specific. The discovery is a first clue to understanding why young females are more predisposed to idiopathic scoliosis, a twisting condition of the spine that usually affects growing adolescents. Citing the report “A PAX1 enhancer locus is associated with susceptibility to idiopathic scoliosis in females,” Carol Wise, PhD and director of Molecular Genetics at Texas Scottish Rite Hospital for Children, whose research team led the study, said that “the cause of idiopathic scoliosis has been pondered for centuries, and we know that there is a strong genetic component to it. One of the mysteries, though, is its sexual dimorphism. In other words, why is it biologically different in females and males? Idiopathic scoliosis is much more common in females; for children requiring surgery, the ratio is 10 girls to 1 boy.” Dr. Wise continues, “We performed a genome-wide study that associated a particular region of chromosome 20 to idiopathic scoliosis. To our surprise, this region is also associated with male pattern baldness, another sexually dimorphic condition. Therefore, we investigated whether the region could explain female/male differences in idiopathic scoliosis. We found that a regulator of the PAX1 gene is specifically associated with female idiopathic scoliosis, which is exciting because we know that PAX1 is important in early spine development. This is the first detailed study to identify the genetic cause of female-specific idiopathic scoliosis, and by following this lead we will understand why it is affecting girls so much more prominently than boys.” Important next steps will be to investigate how this genetic factor causes idiopathic scoliosis in females, and to also identify the causes of idiopathic scoliosis in males. Dr. Wise is a faculty member at University of Texas Southwestern Medical Center (UTSW). This study involved UTSW, Rutgers University, the University of California San Francisco and collaborators at RIKEN in Japan. To view the full report, go to http://www.nature.com/ ncomms/2015/150318/ncomms7452/full/ncomms7452.html. Texas Scottish Rite Hospital for Children is one of the nation’s leading pediatric centers for the treatment of orthopedic conditions, related neurological disorders and learning disorders. Patients receive treatment regardless of the family’s ability to pay. For more information, to volunteer Carol Wise, PhD of Texas Scottish or to make a donation, please call 800-421-1121 or visit tsrhc.org. n Rite Hospital for Children

6 dfwhc interlocutor CareFlite HOSTING ITS ANNUAL Emergency Care Update Conference, May 18-19 at the Arlington Convention Center, CareFlite presented more than 50 educational sessions while honoring the 2015 Great First Responders. The DFW Hospital Council (DFWHC) served as a sponsor of the event which attracted more than 400 attendees. Among the Great First Responder Award recipients was Mia Parsons (top left photo), a five-year-old who called 911 after her mother passed out. The ambulance arrived in time, with Mia opening the door for paramedics. More than 40 speakers participated covering such topics as clinical quality and case studies. W. Stephen Love (top left photo), president/CEO of DFWHC, and James Swartz (lower photo, far right), president/CEO of CareFlite, presented the Great First Responder Awards. n

CAREFLITE IS A TEXAS, nonprofit 501(c) 3 corporation governed by a board of directors with representatives from Baylor Health Care DID YOU KNOW? System, JPS Health Network, Methodist Health System, Parkland Health and Hospital System and Texas Health Resources. CareFlite is committed to high-quality patient care and community service and is the only, fully-integrated medical transport company serving North Texas. Established in 1979, CareFlite is the eighth oldest air medical transportation service in the nation, and the second oldest in Texas. In 1981, CareFlite began operating a ground ambulance division to support helicopters and to provide non-emergency transportation to patients in area hospitals. Today, CareFlite operates five helicopter bases throughout Dallas and Fort Worth. C areFlite responds to requests from hospitals, fire departments, EMS agencies and law enforcement within a 150-mile radius of more than 100 North Texas counties of more than 6 million residents. Since its founding, CareFlite has transported more than 71,000 patients by air. n

dfwhc interlocutor 7 Around DFWHC WHERE’S JON MEACHAM? With just days until Jon Meacham was to appear at the DFW Hospital Council’s (DFWHC) Annual Awards Luncheon, Oct. 21, 2014, the event was cancelled due to the Ebola crisis. He told DFWHC he completely understood and offered to speak in 2015 with no penalty fee. And so, DFWHC has taken him up on his offer and he will serve as the keynote speaker at the 67th Annual Awards Luncheon, Oct. 29, 2015 at the Arlington Convention Center. Meacham is a Pulitzer Prize- winning author who enjoys sparring with Joe Scarborough on television. Perhaps America’s greatest historian, his expertise was extensively utilized during Ken Burns’ recent documentary “The Roosevelts: An Intimate History.” Award recipients will be announced this summer. n

METHODIST RECEIVES TAPE AWARD METHODIST HEALTH SYSTEM announced in March it had received the Texas Award for Performance Excellence (TAPE) from the Quality Texas Foundation. The award establishes Methodist Health System as a leader in quality care and a role model for achieving performance excellence. TAPE employs a set of performance criteria used for the Malcolm Baldrige National Quality Award. The TAPE recognition is the result of a comprehensive process that includes a demonstration of excellence in leadership, planning, customer and workforce focus and process management and results. n

Tenet, Baylor Scott & White enter Dual-Ownership TENET HEALTHCARE CORP. REVEALED MARCH 25 that it will enter into dual-ownership of five hospitals withBaylor Scott & White Health. The two systems will jointly own Tenet’s Centennial Medical Center; Doctors Hospital at White Rock Lake; Lake Pointe Medical Center; Texas Regional Medical Center at Sunnyvale; and Baylor Medical Center at Garland. Baylor Scott & White Health will hold a majority ownership and the hospitals will be rebranded under its name and banner. Tenet will continue to operate its facilities and Baylor will manage its Garland hospital. The new hospitals will be integrated into Baylor’s accountable care organization, the Baylor Scott & White Health Quality Alliance. Day-to-day operations at the hospitals will not change and no layoffs are planned. n

8 dfwhc interlocutor Berg named President March for Babies TEXAS HEALTH PRESBYTERIAN HOSPITAL national numbers DALLAS has named Jim Berg, FACHE, as president effective April 7. Berg joined the organization in 2007 as senior vice president and chief operating officer, and since August 2014 has served as interim president. Berg holds a master’s degree in hospital and health care administration from Saint Louis University, where he also received a bachelor’s degree in management sciences, magna cum laude. n Texas Health Plano names new President JOSH FLOREN, FACHE, was named president of Texas Health Presbyterian Hospital Plano, May 14. He had served as interim president since January. Floren joined Texas Health Plano as vice president of professional and support services in 2013. Floren was also instrumental in RESULTS FOR THE MARCH the opening of the Texas Health Ben Hogan Concussion FOR BABIES 2014 events across the Center Plano. n U.S. were released in March and they revealed prominent numbers for Dallas- Fort Worth. An estimated 40,000 walkers RN named Methodist HCA’s first CNE participated in the events held last spring. CAROL W. Stephen Love, president/CEO of Charlton President GREGORY, RN, the DFW Hospital Council, served as FRAN LAUKAITIS, MHA, BSN, MSN, MBA, was chair of the 2014 walks. Pam Stoyanoff, named HCA FACHE, was named President of executive vice president/COO of North Texas Methodist Charlton Medical Methodist Health System, and Division’s first Center in April. Laukaitis is the first Joseph DeLeon, president of Texas Chief Nursing registered nurse Health Harris Methodist Hospital Executive, May Southwest Fort Worth, served as co- (RN) to become 13. For five years, chairs. The top-15 fund-raising cities: president of Gregory served as senior vice president 1. Houston $3,003,717 a Methodist and chief nursing officer at Medical City 2. New York $2,192,768 Health System Dallas Hospital. Prior to joining Medical 3. Los Angeles $1,758,706 facility. Laukaitis City, Gregory served for ten years as 4. Dallas $1,741,267 began her chief nursing officer and vice president 5. Chicago $1,386,958 nursing career of patient care at HCA’s Medical Center 6. San Jose $1,210,680 with HCA of Aurora in Colorado. Gregory received 7. Miami $1,201,943 hospitals in her Bachelor of Science degree in 8. Atlanta $1,048,913 Pennsylvania, Ohio, Florida and Texas. nursing from The University of Michigan 9. Cincinnati $1,017,104 Her first chief nursing officer role and holds both a Master of Science in 10. Fort Worth $951,106 (CNO) was in 1999 with Kalispell Nursing from Wayne State University 11. Ft. Lauderdale $942,833 Regional Medical Center in Kalispell, and a Master of Business Administration 12. Sacramento $863,871 13. White Plains $855,539 Montana. She joined Methodist degree from the University of Denver. In 2013, Carol was named as a DFW Great 14. Phoenix $850,758 Charlton as a CNO in 2010. n 100 Nurse. n 15. Nashville $810,750 n

dfwhc interlocutor 9 Associate Members The IMPACT of the IMPACT Act by Chris Clark, CPA, Partner, BKD National Health Care Group Office Industry Leader

PRESIDENT BARACK OBAMA SIGNED THE Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 on Oct. 7, 2014. The law is intended to modernize Medicare payments to post-acute care (PAC) providers by improving accountability and quality of care across all settings. PAC providers include services provided in long-term care hospitals (LTCH), inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF) and home health agencies (HHA). The act was developed with recommendations from more than 70 health care stakeholders. Without comparable data across PAC settings, it’s currently impossible to determine if care provided in various care settings is comparable and cost-effective. This act is intended to standardize data that will allow Medicare to do the following: 1. Compare quality across PAC settings; 2. Improve hospital and PAC discharge planning; 3. Use the information to reform PAC payments (for example, via site neutral or bundled payments), while still ensuring the continued access to beneficiaries in the most appropriate PAC setting.

The IMPACT Act has drawn praise from the American Health Care Association (AHCA) and the National Association for the Support of Long Term Care. According to AHCA President and CEO Mark Parkinson, “IMPACT will standardize assessments for critical care issues across the spectrum of post-acute care (PAC) providers. Assessing improvement in areas such as functional outcomes, pressure ulcers and dementia goes a long way toward improving the health and well-being of our patients.” The National Association for Home Care and Hospice (NAHC) also has released a statement of support: “Overall, NAHC is very supportive of the goals behind the IMPACT Act and fully supports the development of a uniform patient assessment and discharge planning process.” To prepare for this shift, post-acute providers should begin closely monitoring and improving upon their quality metrics, resource utilization and process improvements, if not already doing so. PAC providers currently use their own type of assessment. SNFs use the Minimum Data Set (MDS), HHAs use the Outcome and Assessment Information Set (OASIS), IRFs use the IRF Quality Reporting Program and

10 dfwhc interlocutor As a service, the Interlocutor is publishing articles submitted by Associate Members. This article was provided by BKD, LLP. For guidelines, contact Kristin Alexander at [email protected].

LTCHs use the LTCH Quality Reporting Program. The act will amend title XVIII of the Social Security consequences for PAC providers Act and add section 1899B. This will require PAC providers that fail to report the standardized and others to report standardized assessment data with assessment data, quality resource and other measures. standardized quality measures and resource use measures. This The IMPACT Act also requires the Centers for Medicare & will require modification of all PAC assessment data to allow Medicaid Services to survey hospices at least every three years for comparison across all PAC providers. Beginning October 1, for the next 10 years. “Prior to the IMPACT Act, there was no 2018, for SNFs, IRFs and LTCHs (and January 1, 2019, for HHAs), set time frame for frequency of hospice surveys, and the average PAC providers will be required to report standardized patient length of time between surveys for hospice providers is six assessment data under the requirements of the applicable to eight years—with some hospices not having been surveyed reporting provisions. in over a decade,” NAHC says. “More frequent surveys are a At a minimum, reporting will be required at admission step toward helping ensure hospice provider compliance with and discharge. The standardized assessment data will include regulations and proper administration of the hospice benefit.” functional status, cognitive function, special services, medical For questions, please contact a BKD advisor. conditions, impairments and prior functioning levels—as well as ABOUT BKD any other categories determined necessary and appropriate. The BKD, LLP, a national CPA and advisory firm, helps individuals act also requires existing patient assessment data elements that and organizations realize their goals by offering services are duplicative or overlapping to be revised or replaced. in accounting, assurance, tax, risk management, technology, In addition, standardized patient data will be required for corporate finance, forensics, valuation and wealth management. inpatient hospitals, along with alignment with Medicare Part B BKD National Health Care Group has approximately 500 therapy data, new quality measures and resource use measures. advisors and professionals who work with thousands of health There also will be confidential feedback reports to PAC care providers, including hospitals, long-term care centers, providers in 2017 followed by public reporting of PAC provider skilled nursing facilities, home health agencies, rural health clinics performance by 2018. The act indicates there will be payment and other health care organizations nationwide. n

dfwhc interlocutor 11 Associate Members

Will rising interest rates impact healthcare?

By Bridget Triepke, CPA and Carly Bender

THERE IS SPECULATION THAT THE FEDERAL must be met. First, there can be no default risk associated with RESERVE BANK could move to raise the federal funds rate the return, which typically results in the utilization of securities as soon as June, which could lead to an increase in risk-free issued by governments since they control the printing of rates. The risk-free rate is utilized as the basis of most cost of currency and can guarantee the promised return. Second, there equity calculations, including both the commonly used capital can be no reinvestment risk. asset pricing model (CAPM) and build-up method. Assuming all To avoid reinvestment risk, investors will match the other inputs in the cost of equity calculation remain constant, an duration of the risk-free security to the duration of the cash increase in the risk-free rate results in an increase in the cost of flows in their analysis, which are typically assumed to continue equity and a corresponding decrease in the value of the equity into perpetuity for businesses that are a “going concern.” of the healthcare business being valued. Therefore, it is common practice for valuation practitioners to Investors view a risk-free security as having a guaranteed utilize a longer-term rate, such as the 20-year Treasury bond, as return. Since there is no risk in achieving the expected return, the risk-free rate when valuing a healthcare business. As seen in the actual return is equivalent to the expected return. In order the chart on the next page, the 20-year Treasury bond rate has for the expected return to truly be risk-free, two conditions experienced significant volatility since the 2008 financial crisis.

12 dfwhc interlocutor How will Rising Interest Rates Impact Healthcare Business Value?

Written by: Bridget Triepke, CPA and Carly Bender

There is speculation that the Federal Reserve Bank could move to raise the federal funds rate as soon as June, which could lead to an increase in risk-free rates. The risk-free rate is utilized as the basis of most cost of equity calculations, including both the commonly used capital asset pricing model (CAPM) and build-up method. Assuming all other inputs in the cost of equity calculation remain constant, an increase in the risk-free rate results in an increase in the cost of equity and a corresponding decrease in the value of the equity of the healthcare business being valued.

Investors view a risk-free security as having a guaranteed return. Since there is no risk in achieving the expected return, the actual return is equivalent to the expected return. In order for the expected return to truly be risk-free, two conditions must be met. First, there can be no default risk associated with the return, which typically results in the utilization of securities issued by governments since they control the printing of currency and can guarantee the promised return. Second, there can be no reinvestment risk.

To avoid reinvestment risk, investors will match the duration of the risk-free security to the duration of the cash flows in their analysis, which are typically assumed to continue into perpetuity for businessesAs athat service, are the a Interlocutor“going concern.” is publishing articlesTherefore, submitted it byis common practice for valuation practitioners to Associate Members. This article was provided by VMG Health. For utilize a longerguidelines,-term contact rate, Kristin such Alexander as the at [email protected]. 20-year Treasury bond, as the risk-free rate when valuing a healthcare business. As illustrated in the chart below, the 20-year Treasury bond rate has experienced significant volatility since the 2008 financial crisis began.

Some healthcare Some healthcare valuation valuation professionals professionals have suggested have suggestedtrend higher that throughout consideration the year as the mayeconomy need seemed to to be given to utilizing normalizedthat consideration risk may- needfree to rates be given duringto utilizing periodsnormalized of beabnormally improving and the low Federal interest Reserve Bankrates. was expectedIn his topaper, “Developingrisk-free the rates Cost during of periods Equity of abnormally Capital low: interestRisk- rates.Free Ratescale backand its ERPquantitative During easing program. Periods However, of Flightoptimism to Quality,” In his paper, “Developing the Cost of Equity Capital: Risk-Free faded when the first quarter 2014 results revealed that the Roger Grabowski,Rate and ERP Duringa prominent Periods of Flight member to Quality,” ofRoger the valuationU.S. economy community, actually contracted stated and experiencedthe following: its worst “If one was estimatingGrabowski, the cost a prominent of equity member capital of the valuation in any community, of these periodsquarter in three of abnormallyyears. As 2014 progressed, low interest economic turmoil rates, one stated the following: “If one was estimating the cost of equity in currency markets, unrest in the Ukraine and the Middle East, capital in any of these periods of abnormally low interest rates, and plunging oil prices led many investors to rush back to the one would need to be cautious that one’s application of the cost safety of government bonds. Once again, the yield of risk-free of equity capital model does not result in an unrealistically low securities declined. cost of equity estimate, particularly if we are in the presence of When performing valuation analyses, the healthcare economic turmoil.” valuation practitioner should be acutely aware of deviations While Grabowski has valid points regarding the volatility in the risk-free rate during times of financial uncertainty and of the risk-free rate during the financial crisis, any increase that assess whether or not a normalizing adjustment is warranted. was made by valuation practitioners to normalize the risk-free Although we are no longer in a period of financial crisis, risk- rate during this time period contradicts with actual yields that free rates have continued to surprise to the downside over the have been realized over the past several years, as rates have past year. While Wall Street consensus is once again predicting not yet reverted back to normalized levels. The latest decline an increase in interest rates, there is uncertainty regarding what of interest rates beginning in 2014 illustrates the point that it is the new “normal” will be and how quickly the rates will rise. very difficult to predict what “normalized” rates should be. The valuation analyst should be cognizant of the effects on value At the beginning of 2014, the consensus viewpoint of of an interest rate change and use caution with risk-free rate Wall Street’s top economists was that interest rates would normalization adjustments. n

dfwhc interlocutor 13 GRAY-0009_DFWHC Interlocuter - Doctor Ad_01-06-15.pdf 1 1/6/15 2:18 PM

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88 Hospital Members 95 Business Members 45 Years of Collaboration

DALLAS-FORT WORTH HOSPITAL COUNCIL www.dfwhc.org DFWHC ASSOCIATE MEMBERS For information, contact Kristin Alexander at [email protected].

Adreima Concorde Career Institute Norton Rose Fulbright AET Environmental Criss & Kraft LLP Oncor Electric Delivery Alliant-HAS, West Crowe Horwath LLP Parker University Alliant Services DFW Business Group on Health Pinnacle Partners in Medicine Allied Bioscience Dallas Regional Chamber Polsinelli Shughart Alzheimer’s Association Deloitte Presbyterian Communities and Services American Diabetes Association Entrust One Facility Services PwC American Heart Association Ernst & Young LLP ProPath Amgen Fisher & Phillips LLP QTS Data Centers AMN Healthcare, Inc. Gladney Center for Adoption Rogers-O’Brien Construction APCO Graphics Golden Heart Senior Center The S.A.F.E. Approach Aquent HCCA International Sheridan Healthcare of Texas Arcadian Ambulance HealthMark Group Southern Methodist University AstraZeneca InLight Risk Management Southwest Transplant Alliance Avatar Solutions Irving HC Foundation StaffCare Bank of America Johnson & Johnson Healthcare Companies Janssen Steelcase Health Best Receivables Management Pharmaceutical & Biotech Stratford360 BKD, LLP Juliette Fowler Communities Supplemental Healthcare Blue and Company, LLC Kaplan College Tarrant County College District Blue Cross Blue Shield of Texas Kidscapes Foundation Texas Woman’s University - Brown McCarroll, LLP College of Nursing Konica Minolta Business Solutions Calao Wealth Management Group TIAA-CREF Leukemia and Lymphoma Society CampbellWilson, LLP U.S. Army Medical Recruiting MADD North Texas Cantey Hanger, LLP VITAS Innovative Hospice Care March of Dimes CareCycle Solutions VMG Health Maxim Healthcare Services CareFlite Walgreens McGriff, Seibels & Williams, Inc. Carter BloodCare Weston Solutions MD News DFW Children at Risk Wilson Elser, LLP MEDCO Chronic Disease Fund Winstead PC Metromark Market Research College of Healthcare Professions Witt/Kieffer Multicultural Alliance Community Hospital Corporation Xcution Naveos The Concilio YMCA of Metropolitan Dallas NCTTRAC

dfwhc interlocutor 17 Thank you for being a part of our team

THE DFW HOSPITAL COUNCIL FOUNDATION has been putting together the 2014-2015 Annual Review over the past few months. We hope you enjoy the information in the report. This time of year is always an opportunity for reflection coinciding with the seasonal traditions of spring as children graduate, weddings are scheduled and vacations planned. The Foundation’s Annual Review is a relatively new seasonal tradition, with this year’s document an opportunity to give thanks to so many partners. While putting together the report, our team asked many questions about Kristin Jenkins our accomplishments over the past year, “What did we learn? What did we JD, FACHE achieve? What were the greatest contributions?” President, DFWHC Foundation Perhaps the most important question, “What is incomplete?” Senior Vice President, DFWHC As we look ahead to the remainder of 2015 and the beginning of 2016, we are considering what information should be released to assist our community. How can we utilize this valuable knowledge to assist quality healthcare in North Texas? I hope my staff and their partners will reflect on these questions as we move forward. In many ways, the Foundation feels renewed after this type of report and analysis. Such inspiration will energize us to move forward as we address not only the difficulties facing our industry, but the troubles in our society. The Foundation is grateful for every one of our partners. Without your dedicated and skilled assistance, we would not be able to accomplish our goals. This dependable support only increases our energy for the task ahead. We How to contact us hope to have yet another productive year of working with you to improve our 972-717-4279 community’s health and healthcare delivery. [email protected] Thank you for being a part of our team. Enjoy your summer travels! n

Foundation Trustees

Aubrie Augustus Steven R. Newton JPS Health Network Baylor Health Care System www.dfwhcfoundation.org Ruben Esquivel Dr. Irving Prengler UT Southwestern Medical Center Baylor Health Care System Foundation Mission To serve as a catalyst for Harvey Fishero Dr. Scott Robins continual improvement in Chair of the Foundation Board HCA North Texas Division community health and healthcare delivery through education, Dr. Baron Hamman Dr. Merlyn Sayers research, communication, TX Health Heart & Vascular Hospital Carter Bloodcare collaboration and coordination. W. Stephen Love Mary Stowe Children’s Health System of Texas Foundation Vision DFWHC Act as a trusted community Chuck Lyles Pam Stoyanoff resource to expand knowledge Board Member Methodist Health System and develop new insight for the continuous improvement of Dr. Matthew Murray Dr. Ferdinand T. Velasco health and healthcare. Cook Children’s Health Care System Texas Health Resources

18 dfwhc interlocutor Around DFWHC Foundation

HIGHLIGHTS

4.8 million patient encounters processed

45 million patient encounters in warehouse

10 million patients identified

86 facilities submitting data

$19.7 million in healthcare spending saved

Foundation releases 2014-2015 Annual Review

THE DFW HOSPITAL COUNCIL FOUNDATION president of the DFWHC Foundation. “Our efforts started (DFWHC Foundation) released its 2014-2015 Annual Review small. Today, they have taken root and achieved results because to the public in June. This year’s edition details where each of the assistance of our partners. This year’s Annual Review DFWHC Foundation department has been and where they are is a tribute to these diverse and talented partners making a “growing.” difference in our community.” “For the last five years, the logo image of the DFW Hospital With the theme “Taking Root,” the 28-page report details the Council Foundation has included a tree, symbolizing our efforts DFWHC Foundation’s departments, publications and partners through data and research to branch out into the community over the past year. To obtain a copy, please e-mail info@ to assist in the pursuit of a quality life,” said Kristin Jenkins, dfwhcfoundation.org. n

dfwhc interlocutor 19 Around DFWHC Foundation

Photographs by Jerry McClure 20 dfwhc interlocutor Captain Chad Fleming (top left) opens the luncheon with an inspirational speech on his Honoring the best hospital employees of North Texas service in the U.S. Army; Jenny Murray (top right) of Tenet’s Centennial Medical Center, receives a Special Recognition Award; VIPs at the event included (middle right, l to r) Ruben Healthcare Esquivel of UTSW, Kristin Jenkins of the DFWHC Foundation, Suzanne McRae of Texas Health Arlington Memorial, Dr. John Warner of UTSW and W. Stephen Love of DFWHC; Clarence Heroes Griffith (lower right) of Baylor Jack & Jane Hamilton Heart and Vascular Hospital, accepts the The 19th Annual Volunteer of the Year Award; Nancy Valant (lower left) of Methodist Dallas Medical Center, is Employee of the honored with the Community Service Award; Vernon Lee (middle left, l to r) and Regina Hobson Year Luncheon of Cook Children’s Health Care System celebrate Lee’s Employee of the Year Award.

Healthcare Heroes! North Texas hospital employees honored at May 1 luncheon

A SALUTE TO THE NORTH TEXAS hospital workforce, System Award the Dallas-Fort Worth Hospital Council Foundation’s • Darla Whitmire, Administrative Coordinator HR, UT (DFWHC Foundation) Annual Employee of the Year Luncheon Southwestern University Hospitals celebrated its 19th year May 1 with the announcement of the 2015 recipients at Irving Convention Center. More than 700 Special Recognition Awards attendees turned out to honor the 14 winners introduced from • Anthony Dinsay, Medical Laboratory Scientist, Texas a pool of 55 area hospitals. Health Harris Methodist Hospital Alliance “Our goal is for this luncheon to serve as a tool for • Jenny Murray, Nursing Supervisor, Tenet’s Centennial hospitals to inspire great employees,” said Kristin Jenkins, Medical Center president of the DFWHC Foundation. “We’re attempting make • Mary Harrison, Supervisor Housekeeping, UT a difference by helping to build morale in our hospitals, improve Southwestern Clements University Hospital quality of care, quality of life and recognize the importance of • Lou Ann Shumate, Clinical Lab Assistant, Texas each individual. Every nominee, the best of the best of North Health Harris Methodist Hospital Fort Worth Texas, deserved to be recognized” Employee of the Year Awards Recipients were: • Chris Talatala, Operating Room Nurse, Texas Health Rex McRae Scholarship Southlake • Megan Hill, Methodist Mansfield Medical Center/El • Michelle De La Cruz, Nurse Practitioner, Baylor Centro College Medical Center at Carrollton • Vernon Lee, Catering Aide, Cook Children’s Health Nurse Preceptor Award Care System • Maneoly Casaquite, Unit Supervisor, HCA’s North • Susan Mericle, Art Therapist Psychiatric Services, Hills Hospital Texas Health Presbyterian Hospital Dallas

Physician Award Captain Chad Fleming, a former member of the U.S. • Dr. Kevin Martens, HCA’s Medical Center McKinney Army’s 75th Ranger Regiment whose heroic service resulted in the amputation of his leg, served an inspirational keynote speech Volunteer Award in support of the luncheon theme “Healthcare Heroes.” • Clarence Griffith, Baylor Jack & Jane Hamilton Heart Dr. John Warner, CEO of UT Southwestern University and Vascular Hospital Hospitals, served as master of ceremonies. Board members of the Dallas-Fort Worth Healthcare Human Resources Community Service Award Association judged the nominations April 20 with the names and • Nancy Valant, Staff Nurse, Methodist Dallas Medical hospitals removed in advance. CampbellWilson and GroupOne Center Services were gold sponsors. n

dfwhc interlocutor 21 Honoring the best hospital employees of North Texas Healthcare Heroes Award Recipients The 19th Annual Employee of the Year Luncheon

Nurse Preceptor Award: Physician Award: System Employee: Maneoly Casaquite, Unit Dr. Kevin Martens, Darla Whitmire, Administrative Supervisor, HCA’s North HCA’s Medical Center Coordinator HR, UTSW Hills Hospital of McKinney University Hospitals

Special Recognition: Special Recognition: Special Recognition: Anthony Dinsay, Medical Lab Mary Harrison, Supervisor Lou Ann Shumate, Clinical Scientist, Texas Health Harris Housekeeping, UTSW Lab Assistant, Texas Health Methodist Hospital Alliance Clements University Hospital Harris Methodist Hospital FW

Employee of the Year: Employee of the Year: Employee of the Year: Chris Talatala, Operating Michelle De La Cruz, Nurse Susan Mericle, Art Therapist Room Nurse, Texas Health Practitioner, Baylor Medical Psychiatric Services, Texas Southlake Center at Carrollton Health Presbyterian Dallas

22 dfwhc interlocutor Employee Nominees

Kristi Evans Brenda Wilburn Britannica Garrett Julie Wright Yen Munoz Certified Navigator, Breast Advocate HR Assistant Patient Care Technician Registered Nurse Nurse Supervisor - ER Baylor All Saints Baylor Institute Baylor Jack & Jane Hamilton Baylor Medical Center Baylor Medical Center Medical Center Fort Worth for Rehabilitation Heart and Vascular Hospital at Garland at Irving

Mary Ann Primacio Jamee Gatzemeier Travis Kleckner Maria Hoffman Kendra Vaughn Care Coordinator Nurse Clinician Mechanical Circulatory Support Enterostomal Therapy Nurse Speech Language Pathologist Baylor Medical Center Baylor Regional Medical Center Baylor University The Heart Hospital Our Children’s House at McKinney at Grapevine Medical Center Baylor Plano at Baylor

Tracy Chamblee Kim Jobe Missy Pepin Elizabeth Samuel Selethia Bogar Clinical Nurse Specialist Supervisor Critical Care ICU Registered Nurse Registered Nurse RN Case Manager Children’s Health System HCA’s Denton Regional HCA’s Green Oaks HCA’s Las Colinas HCA’s Medical Center of Texas Medical Center Hospital Medical Center of Arlington

Laurie Beall Jozel Benson Linda Van Pelt Cynthia Stock Cathy Barnett Registered Nurse Registered Nurse Palliative Care Coordinator Registered Nurse Hospitalist Navigator HCA’s Medical Center HCA’s Medical Center HCA’s Medical Center HCA’s Medical City HCA’s North Hills of Lewisville of McKinney of Plano Dallas Hospital Hospital dfwhc interlocutor 23 Employee Nominees

Robin Evans Travis Potter Tracey Brown Vicki Hallum Melissa Mitchell Registered Nurse Recruiter Registered Nurse, Team Lead Nurse Navigator Clinical Coordinator HCA’s Plaza Medical Center Hunt Regional JPS Health Network Methodist Charlton Methodist Mansfield of Fort Worth Medical Center Medical Center Medical Center

Jon Mark Pleasant Brandi Perez Sharon Magness Vancietta “Van” Winters Linda Vo Physical Therapist Staff Nurse Case Manager Staffing Coordinator Registered Nurse Methodist Richardson Parkland Health Tenet’s Doctors Hospital Tenet’s Lake Pointe Texas Health Arlington Medical Center & Hospital System at White Rock Lake Health Network Memorial Hospital

Carolyn Haskell Toni Pinyan Anne Wainwright Julie Banaag Amber Caskey Registered Nurse Registered Nurse PGRM CRD Outpatient Oncology Admissions Specialist Licensed Vocational Nurse Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Harris Methodist Hospital Azle Hospital Cleburne Hospital HEB Hospital SW Fort Worth Hospital Stephenville

Rhonda Fuselier Arthur Woods Jeffrey Deville Kelly St. Clair Katie Samler Registered Nurse Patient Host Supervisor IMCU/CVCU Direct Care Nurse Registered Nurse Texas Health Huguley Texas Health Presbyterian Texas Health Presbyterian Texas Health Presbyterian Texas Health Presbyterian Hospital Hospital Allen Hospital Denton Hospital Kaufman Hospital Plano

24 dfwhc interlocutor Employee Nominees

Debra Dillon Mary Harrison Stephen Smith Princess Hopes Unit Secretary Supervisor Housekeeping Manager Hospital Facilities Ambulatory Care RN Texas Health UT Southwestern Clements UT Southwestern VA North Texas Specialty Hospital University Hospital Zale Lipshy Hospital Healthcare System

Dr. Shawnta Pittman-Hobbs Dr. Cinda Rose Dr. Scott Meril Dr. Larry Schorn Baylor All Saints Baylor Medical Center Baylor Medical Center Baylor Medical Center Medical Center Fort Worth at Carrollton at Garland at Irving

Dr. Kevin Theleman Dr. Carolyn Quan Dr. Michael Mack Dr. Michael Sebert Baylor Regional Medical Center Baylor University The Heart Hospital Children’s Health System Physician Nominees at Grapevine Medical Center Baylor Plano of Texas

Dr. Khiem Chu Dr. Farrah Paracha Dr. Thomas Shima Dr. Theresa Patton Dr. Ketan Trivedi HCA’s Las Colinas HCA’s Medical Center Methodist Charlton Methodist Dallas Methodist Mansfield Medical Center of Lewisville Medical Center Medical Center Medical Center

dfwhc interlocutor 25 Physician Nominees

Dr. Luis Usuga Dr. Joseph Borrelli Dr. Jonathan Snead Dr. Suzanne Whitbourne Dr. Roberta Vickery Tenet’s Lake Pointe Texas Health Arlington Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Harris Methodist Health Network Memorial Hospital Hospital Alliance Hospital HEB Hospital SW Fort Worth

Dr. James Wyrick Dr. Gary Weinstein Dr. Gary White Dr. David Rothbart Dr. Fernando Torres Texas Health Presbyterian Texas Health Presbyterian Texas Health Presbyterian Texas Health UT Southwestern Clements Hospital Allen Hospital Dallas Hospital Plano Southlake University Hospital

System Nominees Dr. Benjamin Nguyen Ben Liegl UT Southwestern Zale Lipshy Physical Therapist University Hospital Baylor All Saints Medical Center Fort Worth

Audrey Gillum-Lane Charlotte Morris Jody Tolar John Dennington David Breedlove Senior HR Associate Workforce Development Employee Activities Coordinator Information Tech Solutions Staff Development Specialist Children’s Health System Coordinator Methodist Health System Texas Health Physicians Group VA North Texas of Texas HCA North Texas Division Healthcare System

26 dfwhc interlocutor Volunteer Nominees

Antoinette “Toni” Geren Mike Stine Kay Campbell Nancy Wilson Dorothy Henry Baylor All Saints Medical Center Baylor Institute for Baylor Medical Center Baylor Medical Center Baylor Medical Center of Fort Worth Rehabilitation at Carrollton at Garland at Irving

Janan Weeks Benny Barrett George J. Lynch, Jr. Veronica Kubiak Billie Cox Baylor Regional Medical Center Baylor University The Heart Hospital Cook Children’s HCA’s Denton Regional at Grapevine Medical Center Baylor Plano Health Care System Medical Center

Cynthia Chandler David Buettner Elaine Heath Marcie Hakala Heather Wargo HCA’S Medical Center HCA’s Medical Center HCA’s Medical City Hunt Regional JPS Health Network of Lewisville of McKinney Dallas Hospital Medical Center

Joey Webb Janice Fannin Jim Murphy Norma Murphy Janice Womble Methodist Charlton Methodist Dallas Methodist Richardson Methodist Richardson Methodist Mansfield Medical Center Medical Center Medical Center Medical Center Medical Center

dfwhc interlocutor 27 Volunteer Nominees

Marilyn White Hal Davenport Patricia Coates Gladys Wagner Connie Carman Parkland Health & Tenet’s Doctors Hospital Tenet’s Lake Pointe Tenet’s Lake Pointe Texas Health Arlington Hospital System at White Rock Lake Health Network Health Network Memorial Hospital

Janice Barnes Helen Doucet Nancy Langley Raymond Neal John Faulk Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Texas Health Presbyterian Hospital Alliance Hospital HEB Hospital SW Fort Worth Huguley Hospital Hospital Allen

Gwendolyn King-Linton Marion Rohwer Shirley Dillman Margie Friedheim Texas Health Presbyterian Texas Health Presbyterian Texas Health Presbyterian UT Southwestern Clements Hospital Dallas Hospital Denton Hospital Plano University Hospital

Preceptor

Megan Patterson Jency Abraham Juana Bueno Nominees Registered Nurse Registered Nurse Registered Nurse Baylor Medical Center HCA’s Las Colinas Methodist Dallas at Garland Medical Center Medical Center 28 dfwhc interlocutor Preceptor Nominees

Karrie Klein Theba Reid Rebecca Merendon Carol Jones Rusty Overall Staff Nurse Registered Nurse Registered Nurse CNS RN CPAN Registered Nurse Methodist Mansfield Texas Health Harris Methodist Texas Health Harris Methodist Texas Health Presbyterian VA North Texas Medical Center Hospital Alliance Hospital HEB Hospital Dallas Healthcare System

To download photographs from the event, please go to: http://www.actionphotosdfw.com/Events

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dfwhc interlocutor 29 Around DFWHC Foundation Physician Shortage NTREC study reveals Texas access to physicians in 254 counties

ONE HUNDRED AND EIGHTY-FIVE (185) Texas counties with a combined population equal to or greater than 21 individual states have no general psychiatrist, while 158 Texas counties with a combined population equal to or greater than 14 individual states have no general surgeon, according to a new report. Entitled “The Physician Workforce in Texas: An Examination of Physician Distribution, Access, Demographics, Affiliations and Practice Patterns in Texas’ 254 Counties,” the study was prepared for the North Texas Regional Extension Center (NTREC), a program of the DFW Hospital Council Foundation, by Merritt Hawkins, a national physician search and consulting firm. The report exposes major gaps in Texas’ physician workforce and calls into question patient access to physicians in the state. The study includes a breakdown of physician numbers for each county in Texas. It concludes that 35 counties have no physician of any kind, while 80 counties have five or fewer physicians. One hundred and forty-seven (147) Texas counties with a combined population of more than 1.8 million people have no obstetrician/gynecologist. More than 1.9 million Texans live in counties without a general surgeon, while more than 3.1 million live in counties without a psychiatrist. Texas ranks 41st among 50 states in physicians per 100,000 residents and would need to add 12,819 physicians in order to be in line with the national per capita average, according to the report. The study also reveals that while many rural counties lack physicians, urban areas also are experiencing challenges. There are 375 federally designated Health Care Professional Shortage Areas (HPSAs) in Texas with a dearth of primary care physicians, many of them located in Texas’ most populous counties, including Dallas, Harris and Bexar. A complete copy of the report can be accessed at www.ntrec.org or www.merritthawkins.com. n

Stowe joins Foundation Board MARY STOWE, MS, RN, NEA-BC, A SENIOR VICE PRESIDENT AND CHIEF NURSING OFFICER at Children’s Health System, joined the DFW Hospital Council Foundation Board of Trustees in April. Stowe oversees strategic development, clinical operations and clinical practice for the Division of Nursing at Children’s Health, a 591 licensed bed pediatric hospital in Dallas with two campuses and multiple satellite locations. She has served with Children’s since 2005. In Stowe’s 30 years of experience as a nurse leader, she has held a variety of clinical, quality, case management, performance improvement and leadership roles across Texas in pediatric and adult healthcare facilities including Trinity Medical Center in Carrollton and Denton Community Hospital in Denton. n

30 dfwhc interlocutor dfwhc interlocutor 31 GroupOne’s future is now

GROUPONE SERVICES, IS UNDERGOING A RADICAL SHIFT IN OPERATIONS. Starting this spring, we initiated the transformation from an in-house program to an updated system managed by Accio Data. As of June, GroupOne had 90 percent of its clients operating within the new system. We anticipate 100 percent conversion by the end of June. We are thrilled to be taking this new step. Our staff has worked with great dedication since the migration began in March. Simply put, “The future is now!” Since I began my job two months ago, the conversion to Accio Data has been an important focus and it has been a thrill to participate in the project. The gains expected from Accio Data emphasize speed, efficiency and flexibility. We are now more prepared than ever before to anticipate the never-ending Danny Davila changes in the background screening industry. “EMPHASIZE Executive Director As a member of the National Association GroupOne Services of Professional Background Systems (NAPBS), SPEED, EFFICIENCY GroupOne actively conducts research with numerous data sources to collect criminal, sanction, AND FLEXIBILITY” education and employment information on our clients’ behalf. Work is additionally contracted to expert researchers who expand their investigations to ensure the information is thorough for compliance purposes. With the advent of social media, the internet and expanded background search options, GroupOne is steadfast in using highly reliable and vetted partners such as Accio Data to facilitate trusted background reports. Healthcare, hospital, nursing care, rehabilitation, hospitality service industries and educational institutions rely on GroupOne to obtain solid information to help them make safe hiring decisions. This is just the first step. We will continue to explore methods and practices further contributing to accurate background information on our clients’ behalf. Accio Data significantly impacts GroupOne’s ability to improve service to its wide client base. I am proud to be a part of this new journey. n

GroupOne Contact us GroupOn1 e Trustees

HR Solutions Connie Lowe GroupOne Services www.gp1.com Sierra Search Consultants, 250 Decker Drive GroupOne LLC Irving, TX 75062 HR Solutions Jeremy Howell Created by a board of hospital Texas Scottish Rite Hospital 972-719-4208 CEOs in 1989, GroupOne was for Children 800-683-0255 the nation's first healthcare pre- Fax: 469-648-5088 employment screening program. David Knowles Today, GroupOne provides Children’s Medical Center convenient web-based solutions, Dallas Danny Davila: automated employment [email protected] verification and student James O'Rielly background checks. It has grown Methodist Health System into one of the most dependable Kim Hines: human resource partners in the Janelle Browne [email protected] healthcare community. Texas Health Resources

32 dfwhc interlocutor Around GroupOne Updated Salary Surveys now available

PARTICIPANTS BY REGION Central Texas 36

East Texas 101

North Texas 144

South Texas 24

West Texas 5

Market data for benefits budgeting GroupOne would like to and Pay Planning? Benchmark data welcome its newest Salary Survey participants including St. for Vacancy & Turnover? David’s Healthcare Partnership, HCA Houston/Gulf Coast GROUPONE HR SURVEY RESULTS are available to provide you with the Region, Methodist Houston benchmark information you need. The 2015 Surveys were published May 1. They include: Healthcare, Kelsey-Seybold Clinics, Nacogdoches Memorial Benefits Practices Survey – provides benchmark information on Time off practices, Hospital, Olney-Hamilton Medical, Dental, Vision, and Disability Plans, Retirement plans, Wellness plans, Tuition Hospital, and University General Reimbursement, and a variety of other benefit offerings. Hospital.

Pay Practices Survey – provides current information on key compensation measures Did you know over 300 as well as practices relating to certification pay, on-call practices, differential and shift pay, healthcare organizations holiday pay, charge pay, critical shortage and seasonal pay practices, and other pay related across Texas participate in the practices. GroupOne Salary Survey?

The survey provides valuable Vacancy & Turnover Survey - This survey contains vacancy data on nursing and allied market data for over 250 health jobs as well as turnover statistics for the North Texas Region. positions and is updated every Results are available for purchase by hospitals/healthcare organizations, institutions of six months. For information, higher education and DFW Hospital Council associate members. To purchase, contact contact [email protected]. Suzanne Smith, SPHR, CCP, CBP at [email protected] or call 972-719-4900. n

dfwhc interlocutor 33 FindingFinding Truth.Truth. ProtectingProtecting You.You.

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DFWHC’s 2015 Board of Trustees

Dr. John Warner Daniela Decell Audra Early Doug Hock Lillie Biggins Chair Past Chair Chair-Elect Trustee Trustee UT Southwestern Las Colinas Kindred Children's Health Texas Health Harris Medical Center Medical Center Hospitals System of Texas Methodist FW

Brett Lee Cindy Schamp E. Kenneth Debbie Paganelli Bill Whitman Trustee Trustee Hutchenrider Trustee Trustee Tenet's Lake Pointe Baylor Medical Trustee Texas Health Harris JPS Health Medical Center Center at Irving Methodist Richardson Methodist HEB Network

Scott Peek Charles Gressle Robert Walker Dr. Frederick Trustee Trustee Ex-Officio Cerise, Ex-Officio Baylor Medical HCA’s Medical Texas Scottish Rite Parkland Health & Center at McKinney Center of Plano Hospital for Children Hospital System