Thank You to Our Platinum and Presidential Sponsors

2006 Issue 1

2006/2007 ISSUE One
Corporate Sponsor Program
We gratefully acknowledge the commitment of our Corporate Sponsors who assist in the funding of the Chapter's programs and activities

Presidential Level
Ernst & Young, LLP
Human Arc
Long-O'Shea & Co. LLC

Platinum Club
CPS Statement & Paper Management System, Inc. Fenner Consulting
HRSI/FirstCredit International Corp.
Joseph R. Harrison Company, LPA
JP Recovery Services, Inc.
MedQuist, Inc.
Meridan Leasing
NatCity Investments, Inc.
Revenue Group/HRS
Total Practice Management

Gold Club
Kreg Information Systems
Squire, Sanders & Dempsey LLP

Silver Club
Healthcare Funding Solutions
Robert Half International
Masters Associates Receivables Management, Inc.
Quadax, Inc.

Bronze Club
Bruner-Cox, LLP
Calfee, Halter & Griswold LLP
CDR Associates, LLC
Engelhardt & Emrhein
HMC Group
Howard, Wershbale & Co.
ImaCS, Ltd.
KeyBanc Capital Markets
Mutual Hospital Services
NCO Financial Systems Inc.
OSI Support Services, Inc.
Per-Se Technologies
Professional Receivables Control, Inc.
Receivables Outsourcing Group
Resources Global Professionals
Ryerson Management Associates
UCB-A Receivables Management Company
Vorys, Sater, Seymour & Pease LLP
Wise Management Services, Inc.
Wolfskill & Associates

HFMA Northeast Ohio
Chapter Officers 2006-2007

Christopher Milligan

Karen J. Mihalik

Vice President
Charles S. Josey

Suzanne M. Tschetter

Brian K. Quinn

Chapter Coordinator
Kathleen A. Much

Board of Directors

Maureen A. Wood
Cynthia A. Dormo Robert S. Matitia Brian C. Nestor Laurie A. Rauser Mary Jayne Reedy Anna Sulewski

Visit HFMA National at:

Visit HFMA Northeast Ohio at:

Click here for Past Newsletters

HFMA Northeast Ohio

Joyce Gusman

Human Arc

Jorie Novacek

Parma Community General Hospital

Maureen Campbell
The MetroHealth System

Jennifer Hahn
Robinson Memorial Hospital

Laurie A. Rauser
The MetroHealth System

Mary Jayne Reedy
Human Arc

Steve Rybka
United Collections Bureau

Anna Sulewski
The MetroHealth System

Steve Thome
Ernst & Young, LLP

Email the Committee

Chris Milligan

President's Message

It is hard to believe that I have begun my year as the president of this great chapter. It seems as if just yesterday I went to my first GHALI and met Bill Emrhein and Bob Monitello. Now here I am as chapter president.

Over the last several years, I have had the opportunity to attend several Annual National Institutes (ANI) and Leadership Training Councils (LTC) as well as numerous chapter meetings in Ohio, Indiana and Michigan. I have learned that our chapter is respected and in many cases emulated by other chapters. And why shouldn't it be? We are financially sound, have a great membership mix, and provide great education opportunities. And we know how to have fun, too!

So, upon thinking about this year, I realize that I am taking on a big responsibility to maintain that high level of excellence. To be honest, I have had some doubts that I could fulfill that charter. But meeting our national chairman, Joe Fifer, at LTC -- and experiencing his excitement over his Courage in Leadership theme for this year -- has helped immensely. It's the right theme: the courage to speak up and try something new, the courage to take a great chapter and try to make it better. With the help of the best officers and board that any president could hope to have, I am confident that we can make our chapter even greater.

  1. Exceeding National Matrix
  2. Succession Planning
  3. Sponsorship
  4. Networking
  5. Certification
  6. Yeager awards

In keeping with the standard set by our past president, Maureen Wood, we will provide you with regular updates on our progress in these areas. If you wish more detail on our strategies to achieve our goals, I encourage you to review our 2006-2009 strategic plan at our web site

And if you have an idea that can make our chapter better in any way, don't keep it to yourself. Speak up and share your thoughts with me or any of our officers. You too share the Courage in Leadership!

In This Issue…
click or scroll to see as article

I look forward to a great year, working with fantastic friends, and personally meeting those of you whom I do not as yet know.


Chris Milligan
President Northeast Ohio HFMA

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Sponsorship Update

A big thank you to all of our sponsors! We have been fortunate to have a significant increase in sponsorship support this year. This will allow us to continue with our quality programming and networking throughout the year. Please take notice of our updated sponsorship list in this newsletter, as well as the links to all on our website as an easy reference to reach them. A new feature has been implemented to meet with all of our sponsors quarterly to share information on upcoming programs, networking opportunities and ensure that our benefits offered meets our sponsors needs. Our first meeting was Tuesday, September 12 at Great Lakes Brewery. This was a great exchange of information and ideas. I especially appreciate several folks who are getting involved in committees this year, which is a great way to actively help us in chapter development. I hope to spend time with all sponsors at our next meeting, to be scheduled in January. If you have questions regarding sponsorship opportunities, please contact Karen Joyce at 216-444-5936.

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Committee Corner


The 2006-2007 GHALI Committee has announced the chapter will be returning to Quail Hollow Country Club in Painesville, Ohio, May 21-23, 2007. After reviewing the surveys from the last meeting, Co-Chairs Bill Watson and Dave Lang both concluded that the Quail Hollow facility was almost perfect for our needs. Add to that the announcement that the Country Club is currently building a brand new club house and dining room makes it even more attractive for our group.

So mark the dates, make your plans, invite your spouse or guest to join us, make it through the winter, and we'll see you in May in Painesville.

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Upcoming Events

Listed below are the remaining events planned for the 2006/2007 program year. Details and dates are announced as soon as they are available. Check the events calendar section of for updates on events.

View the upcoming Holiday Party Invite!

Corporate College East - be prepared to be impressed!

We are very excited to announce that some of our upcoming programs will be held at Corporate College East. If you have not yet been to Corporate College East, be prepared to be impressed! Said to be Greater Cleveland's best venue for seminars, business conferences and events, Corporate College East's state-of-the-art design, ergonomic features, and cutting-edge technology are best in class. The facility, located on Richmond Road, overlooking I-271, includes 107,000 square feet with high-speed Internet service, video conferencing, wi-fi, and an integrated sound system in all of its spacious and comfortable meeting rooms. People from the Cleveland area will also recognize that Corporate College East's catering is provided by Sammy's. Sammy's is no doubt one of the premiere caterers in Cleveland. Sammy's will be providing the food during the breaks and lunches associated with our programs. Mark your calendar now to join for the upcoming programs at Corporate College East:

November 15, 2006ReimbursementCorporate College East
February 22, 2007Patient Financial ServicesCorporate College East
March 29, 2007Medical Group PracticeCorporate College East
April 26, 2007Post Acute CareCorporate College East

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Rapid Cycle Cost Reduction - July 25

Chip Caldwell of Caldwell and Associates joined members at the Great Lakes Brewery to provide insight on deploying Lean-Six Sigma to improved financial turnarounds and patient optimization. Chip provided some key points in a witty fashion, and kept the audience engaged. He emphasized focusing on process, not resources and adding resources only after rapid cycle test.

Afterwards, members gathered to taste test Great Lakes products while networking with fellow members.

HFMA Membership Appreciation Outing - September 26

On a brilliant September day, members convened at Grey Hawk Golf Club in LaGrange. The morning session began with a presentation by John Fenner of Fenner Consulting. He covered material regarding Hospital-Employed Physicians and the opportunities and challenges involved with this topic. John gave a well rounded presentation, covering the history of employment scenarios and the importance of building good relationships between Hospitals and their physicians, regardless of the employment situation. Fenner's depth of knowledge in this field was evident. To learn more go to

Next up were Larry Vuillemin and Norm Douglas from Heart to Heart Communications, providing a humorous and touching presentation on the need for effective communication and how it is critical in all aspects of our lives. Larry, an attorney and Norm, a priest, while unlikely associates, provided real life stories about how different situations in their lives found them thinking more clearly, and realizing what is really important in life. This was an inspiring presentation and hopefully all walked out with at least a slightly different, more positive, perspective. For more on Heart to Heart go to

A catered lunch on the patio, and golf for some finished up the day. Those not golfing were given a gift certificate as a token of HFMA's appreciation for their volunteerism.

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Kudos to You!

Raymond E. Martin has joined HumanArc as Vice President of Business Development. Ray is also new member of the NEO HFMA chapter. Welcome Ray!

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Healthcare Organizations Rank High on AARP Best Employers List

Six of the top 10 employers named by AARP this year as the Best Employers for Workers Over 50 are healthcare organizations. The first-ranked employer is Mercy Health System of Janesville, Wis., a system with 63 facilities, including three hospitals. The not-for-profit organization offers numerous flexible work options, including weekend-only work, nursing "float" options (work at different facilities and/or departments), work-at-home opportunities, "seasonal work" programs that allow staffers to go on leave for extended periods while maintaining benefit eligibility, and on-call assignments that involve a limited number of hours per month that can be expanded and/or contracted based on the employee's availability.

The remaining top 10 finishers are Lee Memorial Health System of Fort Myers, Fla.; Bon Secours Richmond Health System of Richmond, Va.; Leesburg Regional Medical Center and The Villages Regional Hospital in Leesburg, Fla.; Yale-New Haven Hospital in New Haven, Conn.; Volkswagen of America in Auburn Hills, Mich.; Massachusetts Institute of Technology in Cambridge, Mass.; Oakwood Healthcare System, Inc. in Dearborn, Mich.; First Horizon National Corporation in Memphis, Tenn.; and Hoffmann-La Roche Inc. in Nutley, N.J. AARP also announced four winners of its Bernard E. Nash Award for Innovation, chosen among the 50 best employers, for success in at least one of these areas: flexible work options, recruitment, retiree work opportunities, and training and development. Three of the four winners were healthcare organizations: Bon Secours Richmond Health System of Richmond, Va.; Scripps Health of San Diego; and Lee Memorial Health of Fort Myers, Fla.

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Specialty Hospitals Aren't Threatening Community Hospital Profit Margins, Says MedPAC

Even in markets where physician-owned hospitals captured more than 10 percent of admissions, community hospitals' profit margins appeared stable through 2004, according to a new report by the Medicare Payment Advisory Commission. Using two additional years of data and a larger number of physician-owned specialty hospitals, MedPAC issued an updated report on the cost of inpatient care at specialty hospitals. The number of physician-owned specialty hospitals doubled from 2002 to 2004, primarily in parts of the country with above-average population growth and without certificate-of-need laws, according to the report. Specialty hospitals' inpatient services are not less costly than community hospitals, with inpatient costs at orthopedic/surgical hospitals running about 20% higher. Both types of specialty hospitals, however, have 20% to 25% shorter lengths of stay. And even though specialty hospitals took profitable procedures away from community hospitals, the study found that competing hospitals found ways to compensate by cutting staff, increasing their own profitable services, and increasing prices.

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Puzzle - Semantics

In most words containing the letter "O" between two consonants, the O is either pronounced as a long O or a short O. Can you name a common word in which O appears between two consonants and the O is pronounced like a short "i"?

E-mail or fax your answer to Joyce Gusman at All correct answers will be included in a drawing and one lucky entrant will receive a $25 gift certificate to Giant Eagle.

Previous puzzle: Books
Answer: 4 books
Winner: Atana Collins, from UHHS, who won the gift certificate to Applebees.

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