How It Works!

The North Carolina Chapter has organized itself using the “Matrix” concept. The Matrix involves several councils and committees graphically portrayed as a checkerboard or Matrix.  Within the Matrix, the North Carolina Chapter has six councils.  One member of the Board of Directors heads each council.  The councils represent the Chapter’s operating divisions in each of six areas:  Education, Membership, Programs, Management Practices, Publications, and Chapter Services.  Each of these councils has a set of service targets that support the Chapter’s Strategic Plan.

Each of these areas of membership service will likely involve several, if not all, of the six technical areas.  These technical areas are Hospital Services, Physician Services, Payor/Managed Care, Compliance, Information Management and Technology.  These technical areas constitute the committees of the Matrix.  Each member of the Matrix who serves on a council also serves on a committee.  One of the members of the committee is designated as the chairperson of that committee for purposes of conducting committee meetings.  The technical committees provide support to the council in their respective technical areas.  An example may illustrate the manner in which the Matrix is intended to work. 

Consider the case of a member of the Publication Council who is also on the Payor/Managed Care Committee.  As part of the individual’s role as council member, he or she may be assigned to obtain two articles for publication in the Newsletter on topics related to Payor/Managed Care issues.  That individual would then, in conjunction with other members of the Payor/Managed Care Committee, identify current issues on which useful information could be provided to members by publication of an article in the Tarheel News.  The members of the Payor/Managed Care committee would also seek to identify and recruit an author for the specified article.

Membership Matrix

A graphic representation would be as follows:








































































Click Here to download a copy of the current Matrix Membership 

This process would be repeated for education sessions, program sessions, best practices, membership recruitment, etc., with other committee members who are members of other councils.  Thus, the individual committee members, as subject matter specialists, are the source of identifying the needs of the members that can then be fulfilled by the operations of the various councils.

A special committee designed to support the Matrix is the Council Coordinating Committee, which is composed of the Council Chairperson of each of the six councils.  The President-Elect chairs the Council Coordinating Committee.  This committee is a key factor in the success of the Matrix activities, in that it provides an opportunity for council chairpersons to coordinate their various plans for membership service into a unified plan, which avoids both omissions and duplication.

The Chapter has also established several special purpose committees, including the Sponsorship Committee, the Chapter Technology Committee, and the Chapter Financial Management Committee.  The Sponsorship Committee is responsible for the operation of the Chapter’s Corporate Sponsorship Program.  The Chapter Technology Committee is responsible for providing for the chapter’s access to and use of technology, such as the website, email, video/audio teleconferences, and webinars.  The Chapter Financial Management Committee assists with processing of chapter financial activities such as workshop and program registrations.  In accordance with the Chapter’s By-Laws, these special purpose committees have limited membership and are appointed by the Board of Directors.

It should be clear that this structure provides opportunities to be of service to your fellow members and our industry, to meet and network with your peers in your area of specialization, and to develop your leadership skills through working with others to accomplish assigned tasks.



The North Carolina HFMA Council Structure


Education Council Chair: Sherry Keck

The Education Council is responsible for developing and presenting half-day, one-day and/or two-day workshops/webinars, at locations throughout the state, on topics relevant to our membership.  As a member of this council, you would be asked to assist with planning the time, subject, location, speaker and logistics for at least one workshop/webinar during the year and coordinating on site for at least one workshop per year.  Your help is needed to keep the membership informed about the many changes our industry is sure to face.

Membership Council Chair: Ariana Zibilich

The Membership Council is responsible for assuring that our chapter continues to grow by informing those in healthcare-related fields throughout the state of the benefits of HFMA membership.  The Council is also responsible for aiding member retention by mentoring new members and planning fun events for members.  Serving on this council might include serving as a new member host, assisting with a new member orientation, distributing new member marketing materials, hosting a fun member event such as group attending a sports event.  What a great way to get to know the membership!

Program Council Chair: Debbie Hoffman

The Program Council has responsibility for two major meetings a year.  You might be asked to assist in the selection of topics and speakers, host speakers at meetings and assist in their travel arrangements, prepare publicity about meetings and coordinate banquet arrangements.  This is not only a very active council, but also a very rewarding council on which to serve.

Management Practices Council Chair: Craig Wade

The Management Practices Council is responsible for completing projects, researching best practices, and providing support and information to assist members in changing the healthcare environment.  Members of this council gather data through surveys and research, then interpret the results and assemble meaningful reference materials.  Examples of recent projects we have completed include a Certification Survey to assess member interest in study groups, and a mapping project to analyze the demographics of our membership and conference attendees.   A member of this council may initiate the project as well as complete the project including a written summary project.

Publications Council Chair: Kyle McMahan; Lisa Griffin-Co-Chair

The Publications Council is responsible for producing our Chapter newsletter, The Tarheel News.  Serving on this council might involve writing short articles (or asking other members to write articles), taking pictures at meetings, reporting news about our members and assisting in acquiring coverage from local news media about our members, speakers or meeting topics.  The quality and content of our newsletter has been outstanding.  This is the place for you if you have a flair for writing, innovative ideas, or always wanted to be a reporter.

Chapter Services Council Chair: Elaine Peeler

The Chapter Services Council will be asked to handle the hotel and meeting site space contracting to accommodate the Program and Education Councils along with Chapter meetings such as Matrix.  This council will create a database of contracts and terms for meeting rooms, meals, refreshments, audio/visual equipment and a list of contacts with whom they will work to facilitate Chapter events.  This Council is ideal for individuals with strong negotiation, coordination and scheduling skills.  This Council will also assist with chapter administration of CVent for Education/Program registrations. 

If you have any questions about any of the councils, please feel free to call a council chair or any officer of the chapter.


North Carolina HFMA Committee Structure

The committee structure for the Matrix allows our Chapter to keep pace with the changing delivery of healthcare and the changing technical needs of our members.  The purpose of the committee structure is to obtain current information from subject area specialists to assist the councils with projects, papers, education topics (workshops and programs) and to gather the opinions of healthcare providers on the effect any proposed change might have on our chapter operating structure.  The committees are:

Hospital Services Committee: Rhonda Silver

Responsible for reviewing the present structures of traditional hospital services and identifying how service delivery could change with healthcare reform; provides information to councils on needed programs, workshops and projects to help provide members with information, education, and methods to deal with these changes.  This is often the committee of choice for members involved in accounting and financial services, budgets, patient accounts, materials management, and other hospital operating activities.

Physician Services Committee: Lynn Lambert; Co-Chair-Larry Trout

Responsible for reviewing how physician practices are currently structured and reimbursed; identifies changes that affect their organizational structure and the impact on other healthcare providers; provides insight on how State and/or Federal regulations impact physician services and how NCHFMA can assist members with information, education, and methods for dealing with these changes.  This is often the committee of choice for members involved in accounting and financial management of physician practices, overall administration of physician practices, and billing and collection for physician practices.

Payor/Managed Care Committee: Cassandra Fahey

Responsible for determining how Federal and/or State healthcare reforms might change the reimbursement to healthcare providers; identifying the impact reform will have on the Medicare and Medicaid programs; identifying billing and collection issues related to Medicare and Medicaid; monitoring the operations of the different kinds of managed care programs available in our state and their impact on providers; identifying billing and collection issues related to managed care and other insurance; identifying how NCHFMA can assist members with information, education, and methods for dealing with payor and managed care issues, sometimes in conjunction with other organizations and agencies (CMS, the Department of Insurance, insurance companies, NCHA, etc.).  This is often the committee of choice for members involved in patient financial services, reimbursement, revenue cycle management, and managed care contracting and operations.

Compliance Committee: Christine Sibley

Responsible for identifying emerging compliance issues, such as OIG Work plan issues, IRS compliance issues, Sarbanes-Oxley issues, CON issues, HIPAA compliance issues, Stark compliance issues, other regulatory issues or proposed laws which will impact healthcare entities; identifies how NCHFMA can assist members with information, education, and methods for dealing with such emerging  compliance issues.  This committee is often the committee of choice for compliance officers, auditors, tax accountants, financial reporting specialists, and others involved with regulatory reporting and compliance.

Information Management Committee: Tim Lea

Many decisions regarding healthcare reform and payment systems will be required of healthcare providers and healthcare policymakers in the next few years.  These decisions must be based on sound and accurate data, not only for specific healthcare providers but for the industry as a whole.  This committee is charged with looking atways to test the quality of information that is available; ways to ensure that appropriate and accurate data is utilized in the analysis of all aspects of reform, quality assessments, community benefit assessments, and accreditation; and identifying how NCHFMA can assist members with information, education, and methods for ensuring appropriate and accurate information availability and use.  This committee is often the committee of choice for financial reporting specialists, auditors, decision support specialists, and regulatory reporting and analysis specialists.

Chapter Technology Committee: Eb Preuninger

Responsible for maintaining and improving the Chapter website, website content, links, list serve functions; for ensuring that the Chapter’s website meets all requirements of national HFMA for website functionality as well as inclusion of data required by HFMA; and for arranging for use of educational and communications technology, such as webinars, video teleconferences, email, survey systems, etc.  This is a limited membership committee, appointed by the Board, with members selected from among those with interest and skills in the application of the technologies listed.

Chapter Financial Management Committee: 

Responsible for processing deposits, receipt recording, and other financial transactions, services, or reports required for the NCHFMA event to which the committee member has been assigned by the Treasurer.  This is a limited membership committee, appointed by the Board, with members selected from among those indicating interest in serving on this committee and with the appropriate skills and experience.  This committee is chaired by the Treasurer.  Members of this committee are usually involved in the accounting functions of their employer’s operations.

Sponsorship Committee: Jody Fleming

Responsible for the operation of the Chapter’s Corporate Sponsorship Program, including recruitment of sponsors, billing for sponsorships, arranging for sponsor exhibit space, and other sponsor activities.  This is a limited membership committee, appointed by the Board, with members selected based on their chapter experience and contacts with potential sponsors.






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