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An Ethical-Basis Move from Volume to Value

Wednesday, June 8, 2016 @ 9:30 am - 4:00 pm

A Joint Education Event between ACHE East Texas and North Texas Chapters

6.0 Face-to-Face Credits

In this changing healthcare environment, an essential task for today’s leaders is to move from volume- to value-based care. This organizational shift and new business model may result in unintended consequences including ethical dilemmas.

Join us for a proactive seminar that will explore effective, intentional and practical ways for healthcare leaders to strengthen their organization’s focus on doing the right thing when moving from volume to value-based care. Expert faculty will discuss the linkage between ethics, quality and value. Hear firsthand from healthcare leaders who have been faced with ethical challenges and learn from the changes they made in their organizations. This engaging presentation and discussion will provide the opportunity for reflection.
During this seminar, you will:

  • Explore the ethical basis for avoiding non-beneficial care
  • Identify the challenges in implementing an effective strategy to restrict the use of non-beneficial interventions
  • Examine the connection to the growing interest in the “Choosing Wisely” campaign
  • Understand the role of leaders in ensuring the alignment of organizational values and administrative and clinical practices
  • Discuss how an ethical organization impacts culture, care delivery and the bottom line



William A. Nelson, PhD, HFACHE, is associate professor of community and family medicine, The Dartmouth Institute for Health Policy and Clinical Practice and the Department of Psychiatry at the Geisel School of Medicine at Dartmouth.  Previously, he was chief of the ethics education services for the Department of Veterans Affairs’ National Center for Ethics in Health Care, which he cofounded. Dr. Nelson is a regular contributor to Healthcare Executive’s Healthcare Management Ethics Column and has authored more than 85 articles and book chapters. Dr. Nelson will lead the presentation and moderate the panel.

Plus there will also be panel presentation by healthcare executives, including:

Christopher Karam, FACHE, has served as President and Chief Executive Officer of CHRISTUS St. Michael Health System since February 2003, and has recently been named Chief Experience Officer for CHRISTUS Health System. Interested in health at an early age, Mr. Karam began his healthcare career in nutrition and exercise physiology with a focus on cardiac rehabilitation. He has more than 30 years of experience in health care, having held a variety of clinical, operational and management positions in acute and rehabilitation hospitals.

Mr. Karam has been named one of 24 Hospital Leaders to Know by The Hospital Review and Beckers’ ASC Review, named one of 58 Hospital and Health Industry Leaders by Hospital Review Magazine, one of 300 Most Influential People in Healthcare selected out of 400,000 nominees by Modern Healthcare, selected as 300 Hospital and Health System Leaders to know by Becker’s Hospital Review, and was a recipient of the most prestigious leadership award in the Texarkana region, The Wilbur Award.

For the past 10 years, CHRISTUS St. Michael has ranked in the top of the Press Ganey database for employee satisfaction and has consistently been one of the top leaders in patient satisfaction scores in the CHRISTUS Health System. Under his leadership, CHRISTUS St. Michael has also received Magnet® designation, NICHE designation, been nationally recognized as a 100 Top Hospitals by Thomson Reuters, named one of the Best Places to Work in the Nation by Modern Healthcare, named a Becker’s Hospital Review 100 Best Places to Work in Healthcare, received the America’s Best Hospital for Patient Experience Women’s Choice, and named a Best Place to Work in Texas across all Texas industries. The hospital is an affiliate with the Cleveland Clinic Heart and Vascular Institute, the country’s No. 1 heart hospital, according to U.S. News and World Report.

Mr. Karam holds a master’s degree in Healthcare Administration from the University of Minnesota and is a Fellow of the American College of Healthcare Executives (FACHE).  He also has a master’s degree in exercise physiology with an emphasis in cardiac rehab from Virginia Polytechnic Institute and State Univeristy, a bachelor’s degree in food and nutrition from Louisiana State University, and recently obtained a bachelor’s in theology from St. Gregory’s University.

Dr. Janice Knebl, DO, MBA, received her medical degree at the Philadelphia College of Osteopathic Medicine. After earning her degree, she completed an Internal Medicine Residency at Geisinger Medical Center in Danville Pennsylvania and a Geriatrics Medicine Fellowship at the Philadelphia Geriatrics Center. Dr. Knebl also received an MBA from Texas Christian University in 2002. She is a Professor of Medicine and the Dallas Southwest Osteopathic Physicians Endowed Chair in Geriatrics at the UNT Health Science Center. She teaches medical students, residents and fellows along with Interprofessional health care students through the Reynolds Interprofessional Geriatrics Education and Training in Texas Program, which she directs. Dr. Knebl is the Medical Director of the James L. West Center, Silverado Care Assisted Living and the Stayton Retirement Community. She has been named annually as a Fort Worth Top Doc, received the distinguished “Internist of the Year” Award from the American College of Osteopathic Internists and has been awarded the 2013 TCOM Deans Research Award.

Dr. Matt Richardson was appointed as the Director of Public Health for Denton County in the summer of 2014.  Dr. Richardson served as Director of Public Health for the City of Amarillo and Potter/Randall Counties for the previous 9 years.  His prior experience includes public health preparedness and response, corporate health consulting, and private physician practice management.  Dr. Richardson has several peer-reviewed publications, has testified to the Texas Legislature regarding public issues and continues to advocate for public health practice and resources for Denton County and the state of Texas.  He has a bachelor’s degree in Biology from Abilene Christian University and both Master’s and Doctoral degrees in Public Health from the UNT HSC School of Public Health with concentrations of health administration and health management/policy.  Dr. Richardson currently serves on the site review teams for the Council on Education in Public Health (CEPH) to accredit public health programs and schools across the US.  Matt lives in Argyle with his wife of 20 years and their two daughters.

Joseph F. Woelkers, MA
Executive Vice President, Chief Operating Officer, Chief Business Officer
Associate Professor of Medicine
UT Health Northeast, (University of Texas Health Science Center at Tyler)

Reporting to the President as Executive Vice President, responsible for all institutional operations.  He serves on behalf of the president in his absence and chairs the executive cabinet of the institution whose membership includes the executive leadership team.

His broad experience includes 32 plus years in academic medicine as a senior administrator at three of the largest and complex medical intuitions in the US/world including the University of Michigan, Johns Hopkins University, and the University of Florida. In addition, he has served as the Vice President for Outreach for the H. Lee Moffitt Cancer Center and Research Institute in Tampa and worked in the private sector as CEO/President of HealthCare Operations International a company dedicated to building healthcare facilities throughout the world.  His previous position prior to joining UT Health Northeast was CEO of the National Childhood Cancer Foundation which was dedicated to supporting 8,000 researchers throughout the world conducting pediatric cancer research.

His educational background consists of a bachelor and master’s degree (Higher education Administration) from Central Michigan University. He is currently enrolled in the Doctorate program in Healthcare Administration at Central Michigan University. He has completed the fellowship program from the Americas Essential Hospital Association, and he has completed certificate programs from the University of Michigan and Harvard University.

Panel Moderator:
Patrick Simonson, MHSA, FACHE
Vice President
CHRISTUS Trinity Clinic
Patrick has extensive senior leadership experience in multifaceted health services, primary and specialty care practices, operations, business development, consulting and interim management roles within health systems. He recognizes the value of principle-centered leadership, innovation, with attention to strategic and tactical imperatives as well as realistic objectives and metrics. Patrick ensures effective structure, market and provider driven approaches and sustainable operations.  He applies collaborative, result oriented methods with clear communication to ensure operational and financial results, effective change and high performing teams providing excellent care.

Patrick has worked in corporate and health service organizations for 25 years with an emphasis on launching and leading profitable ventures, coordinating mergers and acquisitions, achieving significant, multi-site operations improvements and optimal patient / key learner centered performance.   He is adept at measuring mission and margin, works well independently and with teams, is recognized for an ability to manage complexity, think clearly, communicate effectively, and implement strategies.

Career success includes leadership positions at Washington Hospital Center,   IBM Health Industry, Cerner Corporation, Lehigh Valley Health Network and CHRISTUS Trinity Mother Frances.

Patrick earned his BS in Economics at Indiana University of PA and a Masters, Health Services Management at The George Washington University.  He holds a Healthcare Market Analysis Certificate from the Wharton School at Penn and graduated from the IBM Advanced Management Institute.  Patrick is on the Faculty at DeSales University and Cedar Crest College and is an award winning Fellow in the American College of Healthcare Executives.

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Sponsors PPT 2016 as of 4 27 2016


Wednesday, June 8, 2016
9:30 am - 4:00 pm