2013-2016 Strategic Plan
EXECUTIVE SUMMARY
Overview
The Show-Me Chapter of HFMA will continue our mission to promote education and
professional development to our members. Our Chapter’s highest priority is service to our
members and sustained excellence in performance.
Our future goals of the Chapter incorporate a balanced approach in our service to our members
and the development of Chapter goals through five foundational elements:
1.
2.
3.
4.
5.
Education
Networking
Collaboration
Membership / Membership Satisfaction
Professional Development
The plan applies specific goals and targets to each committee chair for attainment of those
goals and implements a long-term focused campaign to assure progress is maintained.
This strategic plan outlines the framework in which the Show-Me Chapter officers, Board of
Directors and committee chairs will operate for the upcoming fiscal year and beyond. The
strategic plan that follows this executive summary outlines our mission and vision as well as our
core Chapter values and balanced approach to the future.
CHAPTER FOUNDATION
Chapter Mission Statement
The mission of the Show-Me Chapter of HFMA is “to improve financial management through
tools and solutions available to individuals to enhance their job performance and careers.”
The vision of the Show-Me Chapter is “to be the resource for healthcare financial management
in our service area.”
The underlying core values support our mission and vision:

Service-The Chapter will provide value added service to our members.

Teamwork- Working together is essential to our mission and success.

Individuals-The Chapter believes individuals are important and should be treated
with respect, dignity, and fairness.
2013-2016 Strategic Plan

Financial Responsibility- The leaders and members of the Chapter will act in a
financially responsible manner.
ENVIRONMENTAL ASSESSMENT
The Healthcare industry issues at the national, state and local levels have affected every aspect
of the Show-Me Chapter. These factors have directly impacted member involvement in Chapter
activities. The impact of these factors include:

The trend in membership growth has continued to remain fairly steady.

The Chapter is seeing slight change in demographics of membership in the last two
years. Namely, the baby boomer demographic has decreased where the Generation
X has reflected the increase in percentage of members.
As of 5/31/10
Chapter
058 - Show Me State of Missouri
Chapter
058 - Show Me State of Missouri
Chapter
058 - Show Me State of Missouri
Chapter
As of 5/31/12
National HFMA Membership
Generation
Generation Y
Generation X
Baby
Boomers
Traditionalist
Date of Birth Range
1980-1994
1965-1979
As of 5/31/12
As of 5/31/11
1946-1964
<1946
Generation
Y
Generation
X
Baby
Boomer
8%
31%
43%
1%
17%
8%
29%
49%
2%
12%
8%
27%
53%
2%
11%
7%
27%
40%
2%
23%
Traditionalist
Blank
2013-2016 Strategic Plan

The Chapter has experienced slight fluctuations in the location of membership. The
counties making up the largest segment of membership and their trend over three
years show decreases in Greene and Boon Counties and increases in St. Louis
County. This geographic diversity between rural and urban membership creates
challenges in educational programming. Other counties have minimal change over
the period examined.
5/31/2013
5/31/2012
5/31/2011
Greene
52
Greene
56
Greene
55
Boone
34
Boone
42
Boone
38
St. Louis
15
St. Louis
13
St. Louis
13
Cole
11
Cole
10
Cole
10
Camden
10
Camden
Marion
10
Marion
Howell
9
Howell
Cape
Girardeau
9
Cape
Girardeau

9
Camden
9
10
Marion
8
8
Howell
11
10
Cape
Girardeau
9
The Chapter membership as a whole has remained consistent with average years in
HFMA, average years in healthcare, average age and gender.
5/31/2013
5/31/2012
Average years in HFMA
11
11
Average years in healthcare
20
21
Average Age
48
48
53.10%
53.00%
45.30%
45.60%
Female
Male
.
2013-2016 Strategic Plan

The job function of the Chapter membership has consistently favored
Director/Manager/Supervisor and CFO/Controller, followed by
President/CEO/Executive Director.
5/31/2013
President/CEO/Exec Director
Partner, Principal or Owner
CFO/Controller
Other Chief officer excluding CFO
Vice President
Assistant/Associate VP
Director/Manager/Supervisor
Staff Specialist or Professional
Professor
Other Professionals
5/31/2012
16
6.20%
14
5.19%
8
3.10%
9
3.33%
56
21.71%
55
20.37%
4
1.55%
2
0.74%
18
6.98%
17
6.30%
1
0.39%
2
0.74%
101
39.15%
112
41.48%
41
15.89%
42
15.56%
2
0.78%
4
1.48%
11
4.26%
13
4.81%
258

270
The type of employer Chapter membership has consistently emphasized Hospital or
Medical Centers and Health Systems.
5/31/2013
Hospital or Medical Center
150
58.14%
Ambulatory Care Clinic
2
0.78%
Other Provider or Clinical Service
2
Skilled Nursing, Rehab or Subacute
Medical Group or Specialty
5/31/2012
169
62.59%
0.78%
2
0.74%
3
1.16%
3
1.11%
7
2.71%
9
3.33%
Health System Headquarters
27
10.47%
21
7.78%
HMO Health Plan Insurance
3
1.16%
3
1.11%
Accounting Firm
16
6.20%
13
4.81%
Collection and AR Services
12
4.65%
10
3.70%
Consulting Firm
14
5.43%
16
5.93%
Professional Trade Association
4
1.55%
3
1.11%
Educational Institution
3
1.16%
5
1.85%
Physician Practice Management
1
0.39%
1
0.37%
14
5.43%
15
5.56%
Other/Non Provider
258
270
2013-2016 Strategic Plan

Nationally, HFMA members who are certified as CHFP/FHFMA was at 9.0% in the
2011-12 year (the last year data is available). The CHFP/FHFMA certification and
CPA designation of the Show-Me membership has noted a flat trend in the last year
– CHFP/FHFMA is at 23 members in each year, whereas CPA designations have
increased by one.
5/31/2013
CHFP
5/31/2012
9
3.50%
6
2.20%
FHFMA
14
5.40%
17
6.30%
CPA
38
14.70%
37
13.70%

The number of educational offerings and networking opportunities has decreased
slightly over the past two years. The Show-Me Chapter was awarded a C. Henry
Hottum Award for educational performance improvement in the 2012 and 2013 years
and a Bronze award for educational hours increase in 2010, 2011 and 2012 and a
Silver award for educational hours increase in the 2013 year. The chapter is
experiencing a positive trend in the number of educational hours per member with
less educational offerings.
Education Offerings
Education Hours
Education Hours per
Member

5/31/2013
5/31/2012
5/31/2011
5/31/2010
29
36
34
30
4837.8
4,007.0
3,551.4
3,569.1
19.4
15.1
14.1
13.9
The Chapter has experienced fluctuation in Membership Growth over the last four
years.
Membership Growth
5/31/2013
5/31/2012
5/31/2011
5/31/2010
4.40%
-6.40%
6.40%
-0.40%
2013-2016 Strategic Plan
HFMA SHOW ME MEMBERSHIP SATISFACTION SURVEY
Members of the Show-Me Chapter participated in the membership satisfaction survey in the fall
of 2012 which is conducted annually by the HFMA National Office. The results are based on a
scoring system of 0=Dissatisfied, 1=Neutral, 2=Satisfied, 3=Moderately Satisfied, 4=Very
Satisfied, 5=Extremely Satisfied.
The 2013 survey results indicated that the membership was “very satisfied” or “extremely
satisfied” at a rate of 59.0%. Because this was an increase of 5% over the prior year’s results,
the chapter met its membership satisfaction survey goal. Membership satisfaction survey
result2 for 2013-14 and forward must meet the 60% threshold. Additionally, the membership
satisfaction survey will become a larger weighting factor of the Chapter Balance Scorecard
system prescribed by the National Office, from 15% to 20% in the 2013-14 year.
The 2013 survey included responses from 56 total members for a response rate of 26%. This is
somewhat in the middle of the chapter’s response rate over the last four years:
HFMA Chapter Member Satisfaction
Survey
Show-Me of Missouri Chapter
Response Rate
Members "Very Satisfied" or "Extremely Satisfied"
Percentage
'12-'13
'11-'12
'10-'11
'09-'10
'08-'09
'07-'08
59.0%
54.0%
63.0%
46.0%
55.2%
55.2%
26%
28%
22%
27%
34%
2013-2016 Strategic Plan
When compared to the results from the prior year, membership indicates that the chapter is
making improvements in most all facets of the chapter’s offerings. The largest improvement is
noted in the location of the chapter programs, speakers and the overall education programs.
The one area in which the chapter decreased, though only less than 1% point, was in
Newsletter.
Ranking of Very Satisfied &
Extremely Satisfied
Show Me Chapter
2013
2012
Variance
Education Programs Overall
62.30
51.00
11.30
Education Topics
58.50
49.00
9.50
Speakers
60.40
48.90
11.50
Location of Chapter Programs
50.90
38.80
12.10
Coverage of State / Local Issues
60.00
49.00
11.00
Newsletter
59.60
60.40
(0.80)
Networking Opportunities
51.90
46.00
5.90
Chapter Website
47.80
42.60
5.20
Chapter Overall
58.50
53.80
4.70
2013-2016 Strategic Plan
When the Show Me membership satisfaction survey results were compared to the results from
all chapter results, the chapter lacked in all areas. The largest areas for improvement were the
Chapter Website, Networking Opportunities and the Chapter Overall.
2013 Ranking of Very Satisfied
& Extremely Satisfied
Show
Me
All
Chapters
Variance
Education Programs Overall
62.30
63.10
(0.80)
Education Topics
58.50
61.60
(3.10)
Speakers
60.40
65.00
(4.60)
Location of Chapter Programs
50.90
57.30
(6.40)
Coverage of State / Local Issues
60.00
63.40
(3.40)
Newsletter
59.60
62.80
(3.20)
Networking Opportunities
51.90
59.60
(7.70)
Chapter Website
47.80
56.90
(9.10)
Chapter Overall
58.50
66.10
(7.60)
INTERNAL ASSESSMENT
SWOT Analysis
A SWOT analysis was performed as part of the internal environment assessment of the Officers
and Board of Directors in 2012. The survey was not renewed in 2013 and it will be a goal of the
Chapter to update the internal assessment of the Officers and Board of Directors every two
years. The following points of the 2012 SWOT analysis were noted and have been consistent
with historical surveys:
Strengths

Leadership Team

Provider Influence on the Chapter

Quality Education

New member involvement – work early to get new members on committees/volunteers
2013-2016 Strategic Plan
Weaknesses

Membership decline

Young members not active

Geography of chapter affecting location of events
Opportunities

Sponsorship

Collaboration with colleges and universities

Increase Member involvement – continue to focus on more quality volunteers

Education – work with other organization to provide education (MHA, CPA Society, etc)

Social Media
Threats

Economy – loss of members

Mergers/Consolidations of member employers

Competition for member education dollars
EXTERNAL ASSESSMENT
Government Regulations


Healthcare financial professionals are required to possess and maintain a broad
understanding of regulatory and operational issues affecting all sectors of healthcare.
Within an increasing demand and complexities of these issues, a burden is placed
on healthcare professionals to lead their organizations to compliance with related
mandates. Healthcare professional organizations, like HFMA Show-Me, are likewise
challenged to meet the increased demand of their membership for up-to-date
education and tools.
With Healthcare Reform changes taking place, it will continue to be increasingly
important to stay in tune with the changes as they occur and to provide updates and
education to members on these changes.
Membership

An increased need for broadened educational offerings will include a demand for
more programs on general management and leadership skill development, other
non-financial topics and topics that may reflect the relevance of the many
components of the organization that contribute to successful financial performance.
2013-2016 Strategic Plan



The chapter must be responsive to the diverse programming needs of hospital-based
members who work in various settings: urban, rural, teaching, home care, physician
practice management, revenue cycle, etc.
The shift to cost-based reimbursement from prospective payment reimbursement
has caused a gap between the Critical Access Hospitals and PPS Hospitals. The
chapter must provide additional uniquely targeted programming for both categories.
The geographical diversity of the Show-Me Chapter highlights the need for
programming opportunities throughout the state to meet the needs of membership.
The Chapter must be proactive in utilizing web-based programming and “taking the
programs to the people.”
Technology

Technology allows for cost-effective programming to our members’ facilities. Webbased and / or teleconferencing formats enable members to share programming
opportunities with others at a low cost without added costs of travel time and
expenses. The technology also allows for additional educational opportunities to our
remotely located members, members with limited time and multiple attendees from
facilities.
Competition for Education Hours


The same technology available to Show Me Chapter is also highly competitive in that
others can and do provide education to our members, as our members are more
accessible to other regional and national organizations via the internet and
videoconferencing.
Additionally, other providers of quality education compete for our members’ time and
attention. These include other professional organizations, vendors or internal
(system) departments. To continue to compete with these other offerings, HFMA
Show-Me must remain relevant, competitively priced and consider offering
Continuing Professional Education (CPE) hours which satisfy Certified Public
Accounting continuous learning requirements.
Economy

The current economy continues to threaten the financial wellbeing of healthcare
organizations and the results include cutbacks in travel, education and memberships.
National HFMA

National HFMA provides the Show-Me Chapter a clear direction of the vision it has
for the organization. As a chapter, Show-Me evaluates the national platform and
2013-2016 Strategic Plan

prioritizes these initiatives with the greatest benefit to our members in which we will
invest our Chapter resources.
The National HFMA office also provides web-based and on-site learning
opportunities which the Show-Me Chapter will continue to leverage to provide
education to membership.
CRITICAL GOALS AND STRATEGIES
The HFMA Show-Me Chapter will focus our resources and efforts in the following areas:
Provide Quality Education / Networking
Education offerings must meet the needs of membership and the goals of hours per member for
Chapter requirements. Education offerings will specifically be:




Affordable, timely education using multiple delivery methods
Relevant to day-to-day and strategic operations of healthcare finance operations
Clear education tracks with recognized authorities in their respective fields
Collaborative efforts with other organizations including other professional organizations
and other HFMA Chapters
The Chapter shall adopt a goal to obtain a C. Henry Hottum award for the 2014 and 2016 years
(6% increase in prior year) as well as set a goal for to obtain a Gold award for education hours
per member (<=20.1 – <26.3 hours per member).
Year
Hours per
Member
Increase from
PY
2013
19.40
2014
20.56
6.00%
2015
21.80
6.00%
2016
23.11
6.00%
To reach this goal, the chapter shall


Promote as many educational offerings as possible at the beginning of the year on the
Show-Me Chapter’s website and through a postcard mailing to members.
Add structure the Programs Committee with members in specific areas of expertise.
These subcommittees shall identify needs within their areas and provide possible topics
and speakers to the Programs Committee for consideration. These subcommittees will
specifically consist of:
o Accounting/Finance
2013-2016 Strategic Plan





o Revenue, Reimbursement, Managed Care
o Revenue Cycle
o Information Technology
o Critical Access Hospitals
Offer education sessions to non HFMA audiences along with HFMA members. These
specifically will include
o Affordable Care Act (ACA) “road shows” strategically held throughout the state at
provider locations to area employers and area providers
o Ethics Conference to Certified Public Accountants in December to meet ethics
CPEs
Offer “high content / low commitment” education that will consist of one-day sessions or
an afternoon of education followed up with networking opportunities
Offer CPE for live education offerings in accordance with the Missouri State Board of
Accountancy
Expand the use of webinars to reduce education costs for members. Aside from live
broadcasts, recorded broadcasts of webinars will be promoted and hours of education
accumulated.
Embrace social media, namely LinkedIn, as a means of communicating educational
events to followers. Other platforms (e.g. Facebook, google+, Twitter, YouTube may be
considered as well.)
Promote Membership
The Chapter has experienced fluctuations over the last few years in membership retention. It is
thought this is due to changes in the healthcare landscape (e.g. systemization of independent
providers, economic constraints) The trend of retention has shown:
Show-Me Membership Retention
'11-'12
'10-'11
'09-'10
'08-'09
'07-'08
Average
86.4%
93.3%
87.9%
87.9%
93.4%
89.8%
Show-Me Chapter will set a goal to retain at least 92% of chapter membership from the prior
year.
2013-2016 Strategic Plan
The chapter shall set a goal of increasing chapter membership above the CBSC goal of .4%
growth by 2.5% per year to be recognized as a Gold award performance in chapter growth.
Specifically, the goal for membership growth shall be:
Increase
from PY
Year
Membership Goal
2013
261
2014
269
2.50%
2015
276
2.50%
2016
284
2.50%
To reach these goals, the chapter shall target Provider, Sponsor and Student memberships.
For Providers, the chapter will:

Target future members of the Show-Me Chapter by promoting education offerings to non
members. This will be accomplished through promotion to the “nonmember list”
obtained from HFMA National Office as well as through promotion to non member
facilities. Education offerings such as “road shows” or webinars which are offered
without charge, will cease in October 2013 to promote membership in the chapter. Live
educational offerings which have a nonmember registration rate, will continue to be
promoted throughout the year.
For Sponsors, the chapter will:

Promote involvement in the chapter by bundling sponsorship opportunities and benefits
with a chapter membership. These sponsor members will be further given the
opportunity to participate in Chapter committees and /or offer educational topics for the
chapter members.
For Students, the chapter will:

Recognizing that student members are the future leaders of HFMA, Show-Me shall
continue to promote HFMA at a campus level by speaking presenting at least twice
during the academic year. These presentations will include the classroom setting (e.g.
Masters of Healthcare Administration course) and / or to professional organizations (e.g.
Accounting Society – Beta Alpha Psi) These presentations may include University of
Missouri and Missouri State University as in the 2012-13 year. It is noted that the
Student members do not go towards meeting the Chapter’s membership goals, but the
hours of education for Student Members do count to education hours per member.
2013-2016 Strategic Plan
As a continued means of involvement in HFMA Show Me Chapter, quantifiable goals of
involvement will be set and monitored by means of the Committee Matrix. The goal will be to
increase chapter involvement to 15% in 2013-14 and then by 2% thereafter. General
recruitment for volunteers will be used as well as identified specific members may be asked to
serve the chapter. This goal will be adjusted in accordance with the membership growth goal:
Year
Members
Involved
Percent
Increase
from PY
2013
29
11.11%
2014
40
15.00%
2.50%
2015
47
17.00%
2.50%
2016
54
19.00%
2.50%
The Show-Me Chapter website, quarterly newsletter, as well as Social Media will be used to
report Membership participation, involvement and activities if appropriate (such as job changes,
promotions, etc.)
Membership Satisfaction
The goal for member satisfaction reported as “Very Satisfied” or “Extremely Satisfied” will be
65% in the 2013-14 year. The goal is to increase the satisfaction by 2 percentage points for the
2014-15 and 2015-16 years.
Specific means to attain the goal are:



Revamp the chapter website to better meet the members’ needs and communicate
chapter events and news.
Promote networking at all live events, giving members a means to feel a part of the
chapter
Promote the Satisfaction Survey personally (through personal interaction or a phone
call) to no less than 50 Show Me members beginning in September, explaining the
importance of the survey and attaining the highest level of satisfaction from members.
Also promote the survey via e-mail to all members by October 15 in anticipation of the
survey reaching members by late October.
Professional Development
To meet the CBSC goal, the Show-Me chapter must attain one additional CHFP/FHFMA in the
2012-13 year. To obtain a Gold award for Chapter certified members, seven members of the
Chapter must pass the certification exam, which will be the Chapter’s goal for the 2013-14 year.
This goal will be met by:
2013-2016 Strategic Plan


Promoting web-based course review of the CHFP exam course at least once in the
2013-14 year.
Extend life-time membership status to retired Show-Me members who are FHFMA
certified.
As previously mentioned, Show-Me Chapter will offer CPEs for Missouri CPAs at live events if
the education sessions qualify under the Missouri State Board of Accountancy policies.