C ULTURAL AND PERSONAL IS S U E 1 V OLUM E 1 WINT E R 200 9
COMPETENCE ............... 1
U.S. G ETS A 'D' AS MARCH O F
D IMES R ELEASES P REMATURE
B IRTH R EPORT C ARD ……………..2
Ohio River NAHSE
It is my pleasure to bring to you the very first edition of the Ohio River Valley Newsletter
of the National Association of Health Services Executives (NAHSE). In efforts to increase
our communication and awareness among our Membership and constituents, we are
excited about the prospects and potential of this important publication. Our journey to
this point has endured a great deal. Thanks to Dr. Karen Bankston, we were triumphant
in resurrecting our chapter and taking it to new heights. Subsequently, we are presented
with new challenges. I have attempted to detail some of our challenges in my interview
within this inaugural edition of the ORV NAHSE newsletter. However, I am quite certain
our Membership will overcome these obstacles and be the better for it.
Healthcare is such a critical industry, especially with all that is occurring on the National
scene. The ORV Chapter of NAHSE hopes to bring you unbiased and unmitigated com-
mentary on issues affecting Healthcare Leaders. This publication is a manifestation of
our deliberate effort to promote the importance and impact of NAHSE on both the local
Gyasi Chisley, PMP, FACHE
and national forefronts.
The University Hospital
Special thanks goes to Yonathan Kebede, Treasurer of our illustrious chapter and member of the Marketing Committee. Through
tireless efforts of Yonathan and others, we were successful in the proliferation this initial publication. Within this text, there will be
articles of substance outlined for the reader to share. Moreover and as we continue to evolve our periodical, we are confident that
the mission of NASHE and the specific tenets of our Chapter will be clearly delineated. We value and appreciate your continu ed
support. In addition, we encourage you to visit our website (www.orvnahse.com) for upcoming events, socials, and general infor-
mation. Please enjoy and share this quarterly publication with your respective colleagues and friends in healthcare.
My personal best,
Gyasi C. Chisley
President, Ohio River Valley Chapter
National Association of Health Services Executives
Ohio River Valley NAHSE
Inside this issue:
Cultural and Personal Competence
Cultural Competence 1 Larry James
Holiday Gathering 2
What’s all this fuss about delivering culturally influencing their
US Gets a “D” 3 competent and personalized care? What do specific wants
these terms mean anyway? We don’t treat and needs?
Upcoming Events 3 people any differently on my unit. We treat Yes, race relig-
everybody the same. And that’s good! Isn’t it? ion and ethnic
Spotlight on Gyasi Chisley 4
Well, when it comes to clinical care, most of
Reminders 8 obvious factors
the time, that notion would seem to be a
but, they only
pretty fair place to start. But, there is a grow-
scratch the sur-
ing body of evidence in medical journals every-
face. There are
day that points to more and more cases of
Current Officers: probably a million other factors or experi-
people with diverse backgrounds responding
ences in our lives that help define who we
differently to drugs, therapies and treatments
President: than the majority population. And, when it
are as individuals and how we respond to
Gyasi Chisley, PMP, FACHE clinical care and those who would deliver it
comes to cultural or personal care, patient
The University Hospital to us. Remember how your mom used to
responses become even more diverse depend-
fluff your pillow or rub your back to help you
ing on who they are and where they come
get to sleep? Remember the ritual she went
President Elect from. Yes, maybe our patients don’t want to
through to get you to take your medicine
Matthew Turner, MBA, MHSA be treated the same after all. Maybe they
whenever you were sick? Remember how
Fort Hamilton Hospital want to be treated better. So, how do we do
safe and special that made you feel? Well,
that’s how our patients want to feel……. safe
Secretary: Well, with regard to cultural or personal con- and special.
Anita Brentley, M.ED, MPH siderations, we can start by treating all pa-
Cincinnati Children’s Med. Ctr tients as individuals with a variety of factors (Continue on page 2…)
Yonathan Kebede, MHA
Premier Health Partners Please welcome the following new members: NAHSE's purpose is to ensure greater participa-
tion of minority groups in the health field. Its
Lyndsey Nissley basic objective is to develop and maintain a strong
Parliamentarian: Cincinnati Children’s Hospital viable national body to more effectively have in-
Terresa Adams, MSM put in the national health care delivery system. It
Cincinnati Children’s Med. Ctr Janelle Richardson has provided a vehicle for Blacks to effectively
Cincinnati Children’s Hospital participate in the design, direction and delivery of
quality health care to all people.
Webmaster Yonathan Kebede
Erika McMullen Premier Health Partners
Cincinnati MD resource Ctr
Congratulation to Anita Brentley on receiving
the Amerigroup Community Care, 2008
NAHSE will be recognized globally as the premier
Healthy Hero Award professional membership society for Blacks in
Please submit stories, articles health care management. NAHSE strives to im-
and/or announcements to Congratulation to Terresa Adams on receiving prove the health status, economic opportunities
Yonathan Kebede @
Kebede.1@Gmail.com the 2008 Jefferson Award for her commitment and educational advancement of the communities
by 03/15/2009 to community service. we serve.
Page 3 Ohio River Valley NAHSE
Cultural and Personal Competence
(Continued from page 1…)
All jokes aside, cultural competence and personalized
Now, that is something we all can recognize and ap- care are rapidly becoming and will continue to be
preciate. And, that is what cultural competence and very important weapons for hospitals to use in estab-
personalized care really is when you boil it all lishing and maintaining a competitive edge in the
down…..the art of making all folks feel safe and spe- healthcare industry. In fact, it is highly probable that,
cial. The tricky part is figuring out exactly what makes at the very least, cultural competence will become
each individual feel that way, not to mention, finding yet another standard for all hospitals to meet consis-
the time and energy to make it happen for all of them. tently in order to be accredited or certified. So, does-
Oh, but when we can for any one of them, the end n’t it make sense to make it a habit now to strive to
result is magical indeed. serve the individual both clinically and personally?
Because, after all, your patients may not know how
And now, it’s time for the traditional marketing dis- you make them feel better but, they sure will know
claimer. The content of this article is advocating that how you make them feel. And in the end, that is of-
we compromise our standards for clinical care in any ten one of the biggest reasons they will choose your
way just to meet the patients’ desire for clinical or non hospital over some other facility the next time they
-clinical customization. are in need. Are you culturally competent enough?
We are not, and probably should not strive to be, eve-
ryone’s mother. But, what this article does suggest is
that we all be willing to consider the special needs of
the individual patient and strive to meet those needs
that fall within our clinical standards and can be man-
aged reasonably. Maybe we can be a close relative or
Photos from ORV Holiday gathering event
Page 4 Ohio River Valley NAHSE
U.S. Gets A 'D' As March Of Dimes Releases Premature Birth
The United States is failing hundreds of Report Card analyzes several contributing fac-
thousands of its youngest citizens on the tors and prevention opportunities, including
day they are born, according to the March rates of late preterm birth, smoking, and unin-
of Dimes. sured women of childbearing age. The pur-
pose is to raise public awareness of the grow-
In the first of what will be an annual Pre- ing crisis of preterm birth so elected and ap-
mature Birth Report Card, the nation re- pointed officials will commit more resources
ceived a quot;Dquot; and not a single state earned to address this problem and policymakers will
an quot;A,quot; when the March of Dimes com- support development of strategies that bene-
pared actual preterm birth rates to the fit mothers and babies.
“The nation national Healthy People 2010 objective.
The Report Card also is supported by the
received a The only state to earn a quot;Bquot; was Vermont. American Academy of Pediatrics, the Associa-
Eight others earned a quot;C,quot; 23 states tion of Women's Health Obstetric and Neona-
quot;Dquot; and not earned a quot;D,quot; and 18 states plus Puerto tal Nurses, the National Business Group on
a single state Rico and the District of Columbia got fail-
ing grades of quot;F,quot; according to the Report
Health, the American Benefits Council and
dozens of other business and maternal and
earned an Card. infant health organizations.
quot;A,quot;…” quot;It is unacceptable that our nation is fail- The Report Card also calls for:
ing so many preterm babies,quot;
said Dr. Jennifer L. Howse, president of the * Expanded federal support for prematurity-
March of Dimes. quot;We are determined to related research to
find and implement solutions to prevent uncover the causes of premature birth and
preterm birth, based on research, best lead not only to strategies for prevention, but
clinical practices and improved education also improved care and outcomes for preterm
for moms.quot; infants.
November 12 was the nation's 6th Annual * Hospital leaders to voluntarily review all
Prematurity Awareness Day, a time when Cesarean-section
the March of Dimes mobilized volunteers births and inductions of labor that occur be-
and parents to draw attention to prema- fore 39 weeks gestation, in an effort to re-
ture birth (birth before 37 weeks gesta- verse America's rising preterm birth rate. The
tion), which affects more than 530,000 review should ensure that all c-sections and
babies each year in the United States. inductions meet established professional
Premature birth is the leading cause of guidelines.
newborn death and a major cause of life-
(continue on page 9…)
In addition to providing state rankings, the
January 15 January 22 February 26
General meeting @ Lincoln Heights General meeting @ Lincoln Heights
ORV NAHSE first Newsletter will be sent
Health Center 2nd Floor Conf Rm. Health Center 2nd Floor Conf Rm.
to members. Don’t forget to submit your
1401 Steffen Avenue 1401 Steffen Avenue
articles for the next edition!
Cincinnati, OH 45215 Cincinnati, OH 45215
Spotlight on a member Page 5
Gyasi C. Chisely, PMP FACHE
Thanks again for your time. In order for our Membership to
really understand your approach and background, this inter-
view will consist of 3 components: inquiring about several
personal attributes, discussing your healthcare perspective,
OHIO RIVER VALLEY
and finally, reviewing NAHSE business and your platform for
Vice President Personal
The University Hospital 1. You have a really unique name. Does it have a certain
GCC – Yes, it means wonderful and noble child in Swahili.
2. Where did you grow up? What schools did you at-
President Elect: tend? What brought you to Cincinnati?
Matthew Turner GCC - I was born and raised in Milwaukee, WI, where my parents still reside, but I have
Matthew.Turner_II@healthall.com lived in many different cities, which has helped shape my perspective (New York, Miami,
FL, Chicago, and Atlanta to name a few).
Anita Brentley I am a proud product of the Milwaukee Public School system. Subsequently, I graduated
Anita.Brentley@cchmc.org from Morehouse College and the University of Michigan for undergrad and graduate
My wife and I were looking to find some stability and put a halt to my hectic travel sched-
Kebede.firstname.lastname@example.org ule. A recruiter informed me about the position at the Health Alliance and the rest, as they
say, is history.
Parliamentarian: 3. Do you have any hobbies?
Terresa.Adams@cchmc.org GCC - I do. I am a voracious reader, particularly enjoying biographies and historical ac-
counts. I am also an old movie buff and really enjoy all different genres of music (you
Webmaster should see my IPOD). However, given my time is so limited, I really, truly enjoy just hanging
Erika McMullen with my Family.
4. Favorite Book?
GCC - Hands down. Sun Tzu – The Art of War. Best book I have ever read/
referenced. Consequently, I’m currently reading American Lion by Jon Meacham; a fasci-
nating biography on Andrew Jackson.
5. Person you most admire?
GCC - Without a doubt. My wife. While there are so many historical figures, present/past
mentors and leaders in my presence, and ordinary folks that are doing the right thing that I
truly admire, my wife is not of this planet. She keeps me grounded, cares for our daughter,
and completely manages our household. She has guided our family in decency and
love. She is exceptional in every way, shape, and form. And by the way, she is 20 times
smarter than I will ever be….
6. Do you have any pet peeves?
GCC - I do. Excuses. Excuses are tools of the incompetent. I have a disdain for long, unnec-
essary meetings. And I hate witnessing failed potential and along those same lines, I de-
spise the word, “can’t”.
1. How many years have you been in Healthcare?
GCC – This is my 14th year in this profession. I absolutely love healthcare administration,
particularly operations. However, my career has run the gamut from consulting to finance
to support services management, all within the healthcare profession.
2. What made you want to pursue a career in healthcare administration?
Spotlight on a member Page 6
Gyasi Chisley Interview Continued…
GCC - I initially matriculated into undergrad as a Psychology/Biology-Pre Med major with hopes of pursuing a
career as an OB/GYN or a psychiatrist. I had a mentor from my hometown that had a profound effect on my
life who happened to be an OB. On the flip side, I began to really enjoy a couple of Econ/Finance courses
that I started taking Junior year as electives that enhanced my interest in business, so much so, that I
thought I should minor in it the following year. Instead, I made a caustic pivot and began researching ca-
reers that integrated healthcare concepts with business.
For all intent and purposes, the world became my anchor at that instant. There were so many opportunities
that were presented in my research. Then, in the summer months during my Junior and Senior year, I found
out about a new program that was being introduced called the Institute for Diversity in Healthcare Manage-
ment sponsored (at that time) by the American Hospital Association and American College of Healthcare
Executives. The Institute matches minority students to an established healthcare facility – not necessarily a
hospital – and finds preceptors for the students as well for the purposes to expose young African Americans
to our Field. Unfortunately, the inaugural program was only offered to Grad school students at the time. So
long story short, I begged and pleaded my case and was eventually granted access to the program. I was
matched in one of the most precarious cities (Omaha, NE), but in one of the most well respected health sys-
tems and administrators in our profession (University of NE Health System with the COO, Cory Shaw). It was
my first real interface with healthcare administration and I have been hooked ever since.
And by the way, the woman that I begged and pleaded to let me in the program was Neysa Dillon Brown, a
prominent member of NAHSE and ironically the immediate past Conference Chair in Atlanta, GA. She was
the first person to begin to inform me about NAHSE. I met so many interesting individuals in the Field at all
levels. Subsequently, I returned to College for my senior year knowing exactly what I wanted to do and be-
gan applying to Grad school programs.
3. In those years in healthcare, what is one thing that you would like to see changed in the industry? In
other words, what is the one thing that you would address if you could?
GCC - That’s an important and intriguing question. If you don’t mind, I would like to expound on 2 chal-
lenges that I foresee. Firstly, I have thoroughly researched the ostensible disparities in access to health-
care. I initially wrote my grad school thesis on it, and have subsequently, been invited to present some of
my research to various groups. Now by no stretch of the imagination am I an expert on the topic. However,
I have developed a considerable passion in the area and amassed some significant research from several
sources and individuals. In my estimation (which I won’t bore you with in this discussion), there are so many
glaring opportunities to address the obvious disparities. It sometimes baffles me that we are not doing more
to execute some of those opportunities…such as the expansion of the CHIP. It would certainly save time,
resources, and money if we made a couple of easy amendments to our public policy mandates relating the
healthcare insurance on both the state and federal levels. In addition, we always have the opportunity to
affect change at our own institutions by becoming more culturally competent and understanding some of
the barriers to access (like transportation and pervasive stigmas).
Secondarily, I am somewhat concerned about the pipeline of young healthcare administrators. In speaking
to various programs, some of the most prominent programs are witnessing slight declines in enroll-
ment. However, this may begin to change as there have been reports in the Wall St. Journal that healthcare
is a profession that is virtually “recession proof”, which is a statement that I do not entirely agree with. In
addition, due to latest trends in healthcare, we are starting to see the young talent shy away from the tradi-
tional hospitals because the diversity and flexibility that of the degrees like an MHA or MBA brings. I have
attempted to mentor as many individuals as possible to merely expose them to the healthcare field. This
aspect has probably been the most rewarding component of my career that I hope and plan to continue.
4. Describe your management philosophy.
GCC - I consider healthcare my ministry. It gives me the wonderful opportunity to display sharp business
acumen, while to proliferating my passion to do what’s right. It gives me the opportunity to meet and touch
so many lives.
With that said, I am a change agent and I have let that passion guide me in all that I do throughout my ca-
reer. I firmly believe that any organization and leader can excel and affect change if they are able to craft
Spotlight on a member Page 7
Gyasi Chisley Interview Continued…
the approach in 3 areas: Focus on the fundamentals, be transparent on your challenges, and try to transcend.
The fundamentals, in my mind, consist of the 5 C’s: Competence, compassion, concern, creativity, and most of
all, communication. The transparency of the challenges is critical as well. I am an advocate of collabora-
tion. Oftentimes, it will produce the best approaches to issues and problems. I urge individuals to share their
opinions and viewpoints, even if they are different from mine. In fact, I welcome it. It gives me comprehension
on my charge, streamlines my passion, and helps me understand varying perspectives. However, if one is coy
about what the organization is facing, it makes it tough for the rest of the organization (those that do the most
work) to buy into the vision.
In addition, given my background, I am a strong proponent of efficiency tactics, hardwiring methodologies and
systems. I don’t believe in merely meeting to meet, or talking just to talk or reiterating my resume before
qualifying a statement. I do my best to mitigate impulsiveness, but value working collectively and definitively
toward a common objective. I truly believe that the best ideas will surface and the support will follow. Again,
if one is transparent about these expectations at the onset, the organization will be the better for it.
Finally, I truly abide by the notion to force yourself and your organization to be better. Comfortability is syn-
onymous with complacency. In fact, comfort is where complacency begins. When you and your organization
feels challenged and discomforted, then true change can occur.
5. What are some of the challenges you face at University Hospital?
GCC - Thanks for the question. First, let me say, I have the wonderful pleasure to work and affect change
where my wife, mother, and I have all been patients. In addition, my daughter was born and spent some time
in the NICU at UH…so I am confident that not many administrators can say that about their hospitals or com-
ment on the love and respect for what we are able to achieve on a daily basis that permeates every time I walk
through the door.
We are facing many of the same challenges as most organizations within the Tri State and around the coun-
try. In these tough economic times, we are consistently faced with the classic balance between cost and qual-
ity. With rising technology cost and workforce development/salary increases, we are continuing to strategize
and being creative on how we deliver the best care to our patients. In addition, for the second time in my ca-
reer, we are seeing declining inpatient volumes and a shift to more of an outpatient model because of the eco-
nomic downturn (instead of the culprit being managed care like the ‘90’s).
However, we are truly trying to transcend at UH. We have made the conscious and profound choice to invest
in our future. The journey has been eye-opening and inspiring. As I mentioned before, we sometimes compli-
cate the change process. The one truism that has been proven, time after time, is that culture always trumps
strategy. In the past, our culture has presented some problems and barriers, but we are fantastically fortunate
to have a Leader, in our CEO, that is not satisfied with status quo. She has a great vision for the hospital and
we have made tremendous strides in patient and physician satisfaction since her appointment in April. We’ve
got a great management team and we understand, under CEO’s leadership, that our transition has to be trans-
latable. In other words, we have to communicate our progress of change to every level of a very complex, ma-
trixed organization (like UH). Like anything else, there is a process involved in change and our management
team has subscribed to the change vision while honoring the concepts of tradition and continuity at a large
Academic Medical Center and Teaching Hospital. I am confident that we are the precipice of something BIG at
UH because in large part of the associates and our management teams.
1. What makes you qualified to be President of our Chapter?
GCC - I am not sure that I am. However, I am deeply passionate about the plight of this chapter. That passion
guides my purpose, which then, clarifies our mission. I want to make this Chapter one of the most preeminent
and prolific chapters in the country. I am reminded of the tag line for Lexus: the relentless and passionate pur-
suit of perfection. It is a personal precept that I have lived by. I am committed to put that tag line into action
for our Chapter and have been a champion for so many causes that are tantamount NAHSE’s mission. I’m fired
up and ready to go. The beauty is that we have the infrastructure in place, thanks to Dr. Karen Bankston and a
very dedicated Membership core.
We are one of the largest chapters in the country and we have got a great group of dedicated members (which
Spotlight on a member Page 8
Gyasi Chisley Interview Continued…
may be a bit smaller). However, those committed few have taken this chapter to new heights. My role is
just to get out of the way. Like I tell my Team at UH, I am here to obliterate barriers in order for the true
talent of this organization to be indisputably discernible, so that we can further our mission and execute our
2. You outlined your platform to many of the Membership of our chapter in email address at the beginning
of the year. Is there anything you would like to highlight during this interview?
GCC - Sure. It’s simple. In the most convenient and no uncertain terms, we will improve our chapter com-
munication. I am thoroughly convinced that by making our communication more robust, we can increase
outreach, which will subsequently increase our membership.
We also want to craft and cultivate our plans for students and public policy. Our student members are going
to drive the future our beloved organization. And public policy will continue to permeate on the national
stage as healthcare becomes a “hot topic”, given the deficit, new President, and call for universal health-
care. NAHSE and our local chapter will be major players on the local scene in assisting with our message and
perspectives as well as disseminating important information to the masses about policy. Again, thanks to the
tireless efforts of Dr. Bankston, I am confident that we will be a local force in this arena.
In these tough times, we have to firmly illustrate why membership to NAHSE is so important, now more than
ever, because most of our General Body are paying for dues out of their own pockets and not being reim-
bursed by their respective companies. The Executive Team will make that sell. We have got some great
things planned for our Members in ’09.
3. What are you most excited about in 2009?
GCC - In 2008, over $7 trillion dollars was lost in wealth through the stock market and investments in this
country. Huge! This will obviously and significantly impact healthcare. However, in challenging times,
comes tremendous opportunity. I am truly optimistic about 2009.
I am excited about our communication efforts. While in its infancy, we are making some fantastic headway
with our website (Erika) and the newsletter (Yonathan). However, I think I am most excited about the pros-
pect of mobilization. Through many outreach efforts, we have done a decent job at attracting folks from
Dayton and Northern Kentucky.
With so much going on in our country, it would be inane to think that NAHSE does not have the auspicious
opportunity to be a major player on a major stage. Like I mentioned about UH, I, too, believe our Chapter is
on the threshold of greatness. I am predicting a breakthrough year for NAHSE and our Chapter.
Get Involved! Check us out on the web!
Do you want to be more After months of planning and design Ohio River
involved in the chapter? Valley’s Chapter website has been completed and
Become a committee gone live as of January 2009. Thanks to our web-
member master, Erika McMullen, members can now go on
the website and read meetings minutes, keep up
with upcoming events, as well as utilize important
Here are the committees you can serve on: resource links. It is our hope that you visit the site
often as well as sign-up for our quarterly newslet-
Fundraising ter to be well informed about our movements.
Professional Development & Marketing
Ohio River Valley NAHSE Page 9
U.S. Gets A 'D'... practices that can help any size business.quot;
(Continued from page 2…) The March of Dimes says that in 2009, Report Card
grades will reflect state actions taken that have the po-
* Policymakers to improve access to health coverage tential to reduce preterm birth rates in future years.
for women of
childbearing age and to support smoking cessation Preterm birth is the leading cause of death in the first
programs as part of maternity care. month of life in the United States. The preterm birth rate
* Businesses to create workplaces that support mater- has increased about 20 percent since 1990, and costs the
nal and infant nation more than $26 billion a year, according to the
health, such as providing private areas to pump breast Institute of Medicine report issued in July 2006.
milk, access to flextime, and information about how to
have a healthy pregnancy and childbirth. Babies who survive a premature birth face the risk of
serious lifelong health problems including learning dis-
The National Healthy People 2010 preterm birth objec- abilities, cerebral palsy, blindness, hearing loss, and
tive is to lower the rate to 7.6 percent of all live births. other chronic conditions including asthma.
Latest available data (2005) show that the national Even infants born just a few weeks too soon have a
preterm birth rate is 12.7 percent. greater risk of breathing problems, feeding difficulties,
hypothermia (temperature instability), jaundice and de-
quot;Employers can play a key role in helping their employ- layed brain development.
ees and dependents have healthy babies and healthy
families,quot; said Helen Darling, president of the National
Business Group on Health. quot;The March of Dimes Pre-
mature Birth Report Card provides guidance on best
NAHSE Board Meeting in Chicago
All NAHSE members are encouraged to network with other NAHSE chapters that will be in attendance at the ACHE
Congress in Chicago. The NAHSE board meeting and reception takes place on Sunday, March 22, 2009 at the Hilton
For more information about this meeting and time—please contact the national office at :
1140 Connecticut Avenue , NW Suite 505
Washington, D.C. 20036
ORVNAHSE Newsletter is published quarterly. If you would like to
share an opinion, an article, or news about healthcare related
issues—please submit your writings to:
Yonathan Kebede at Kebede.email@example.com
Next Submission deadline is: March 15, 2009