Contents Departments 4 ACHE Online 6 Take Note 8 Perspectives 42 72 Professional Pointers Inside ACHE What Drives an ethical culture? Jack Gilbert, EdD, FACHE 76 Improving the patient experience With an eIcu Greg Taylor, MD, FACHE, FACPE Going the Distance for breast Health Thomas D. Brown, MD 58 Public Policy Update AcA payment changes for medicare and medicaid Robert Cunningham Careers Fellowship programs boost careers of All Involved John T. Fox 64 Governance Insights Achieving Stronger physician Engagement Center for Healthcare Governance On Physician Relations In this together Marisa J. Paulson Executive News 80 CEO Survey ceo Survey on Hospital-physician Integration Satisfying Your Customers 54 Community Health Innovations 62 preventing Infection After Hip and Knee replacements Institute for Healthcare Improvement New conversations to Foster collaboration Deborah J. Bowen, FACHE, CAE 48 Healthcare Management Ethics 50 68 Improving Patient Care 82 On the Move 84 Member Accolades 86 Board Highlights 88 Chapter News engaging early careerists creatively 90 Professional Development Calendar 92 Policy Statements