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A Tribute To Some Incredible Professionals

Posted By Administration, Wednesday, December 16, 2015

Tonight, I had a “WOW” moment.  One of those times when you actually pause, breathe deep, and savor the moment.  For the fun of it, I “googled” my name, and added the letters CVAHP. And in just a second, my image appeared on the computer screen.  But that image was not what I saw! What I saw was me, surrounded by images of some of the most persevering, visionary, dedicated TRAILBLAZERS that I’ve ever met!
I looked at those faces, actually I stared at those faces.  One face at a time.  And I thought of bits and pieces of conversations from the last 2 ½ years.  Conversations about the history of AHVAP, about the vision of earlier members, the hunger in the healthcare world for what we do and what we know. Conversations about our membership and the quest for a certification…. that we could not get this certification “thing” wrong - we could not fail!    

As I stared at these images, I thought of all the volunteer time these trailblazers freely gave to this organization and to our profession, to get us to where AHVAP stands today. Sometimes they showed up literally, with feet in trauma boots, on crutches, or in wheelchairs, pushed along by another AHVAPer. Sometimes late, tired, and hungry from travel that didn’t go as planned.  But they showed up!

Getting to know these incredibly talented, steadfast, caring trailblazers has been an honor.  Working with them to advance AHVAP and Value Analysis has been a privilege.  Now, through all this work, I’ve earned the right to call them my friends AND colleagues – how incredibly awesome!

If I hadn’t gotten involved and stretched myself, this “WOW” moment couldn’t have - wouldn’t have happened!  Get involved in AHVAP!  Stretch yourself and join a committee!  Push yourself to participate!  I’m telling you, the WOW”moment is so worth it!!!

By Julie Ware

Tags:  AHVAP  caring  images  Julie Ware  thoughts  trailblazers  visionary  Wow moment  writing 

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2015 AHVAP Annual Conference Healthcare Value Analysis: Patient Centric and Outcome Driven

Posted By Administration, Monday, December 7, 2015

By: Susan D. Knapp, RN, MS, CHVAP

Wow, was that not a great conference?  117 Value Analysis professionals attended plus 38 suppliers/sponsors over the 3 days of the conference.  The lineup of speakers was exceptional.   The lectures were stimulating, timely, and valuable.  Many participants described the conference as “wonderful”, “the best ever”, “great”.  The conference committee is very proud to have been able to provide a quality program to our membership. 

Our annual conference is always a fun and exciting encounter.  VA professionals from across the country come together and network; creating new friendships, reuniting with old friends,
sharing their successes and disappointments.  One thing about Value Analysis folks that is universal is that we like to share.  We will share whatever we can: information, contacts, experiences, outcomes.  One way to do that is to submit an entry to the Wall of Experience, formally known as the Wall of Success.  Seven professionals displayed their projects for all to review and those submissions are now available on the website for the membership to view. 

Each speaker, each lecture provided a learning opportunity for someone in the audience.  Some of the participants are new in their Value Analysis positions.  Some have been in the profession for some time yet were able to find tidbits of new information. “Great mix of basic and advanced topics.”  Using Excel to Effectively Utilize Large Healthcare Supply Chain Data….. presented by Erin Laird was a great start to Wednesday. Erin provided the attendee’s some insights of what Excel skills are needed and how to organize your data for presentation.

Gloria Graham’s presentation on Clinicians’ Lack of Knowledge on Value Analysis was a synopsis of her doctorate study and evoked responses from attendees to want to implement “education from leadership to end users” and “add value analysis team activities to nursing professional clinical ladder/leader”.   Dr. Fernandes and Brenda Lambert presented a timely topic on clinical risk assessment in their presentation, An Innovative Scale to Anticipate Risk and Reduce Error within the Healthcare Supply Chain. “This was completely new information and I will definitely implement (risk assessment) at my hospital.”

Dr. Jimmy Chung returned this year and presented Physician Leadership in Supply Chain: A Model for Patient-Driven Value Network.  As the medical director for Medical Products Analysis at Providence Health Systems, Dr. Chung provides a perspective on physician engagement we all love to hear about and want to implement in our own facilities.  “I found Dr. Chung’s presentation extremely helpful.”

Several presentations focused on lean, quality and patient outcomes, and waste including Value Analysis – a Lean Approach presented by Kimberly Baker closely followed by Barbara Stain’s Reverse Engineering Value Analysis: Patient Centric and Outcome Driven.  The Future of Value Analysis: Evidence Outcomes and Interventions by Liz Fackina.    Attendees remarked on practice changes they might implement in their program such as “look at ways to combine PI, Quality initiatives with CVA projects” and “…..attend more meetings internally such as Quality”. 

Pathway to Provider-Supplier Collaborations presented by Dennis Orthman provided a lot of food for thought as he encouraged the attendees to look at ‘turning suppliers into cost cutting allies.’  LaTammy Marks and Amin Mokrivata provided some insight into Advancing Your Value Analysis Program: The Power of Data, Integration and Automation.  Amin provided a nice Finance perspective. 

Then there was Wanda Lane’s Everything Old is New Again: Reclaiming conservative approaches to patient care.  Using her wonderful sense of humor Wanda reviewed some ‘old’ practices that have resurfaced and proven to be effective as well as how the generational mix of physicians, nurses and patients pertains to care, products and outcomes.  The take away for some attendees was to try and fill any generation gaps on their VA teams. 

The closing presentation of the conference was Terry Foster, RN.  Terry is an Emergency nurse with a wonderful sense of humor.  He provided a light, entertaining closing based on his experiences in the emergency department.  It was non-stop laughter throughout the room.  “Terry Foster was AWESOME.”  “Loved Terry Foster!”  “Terry was hilarious – I cried!”  The conference ended on a high note as everyone went on their travels to home. 

Each year is a learning experience for the attendees as well as the conference committee.  The committee values the comments attendees give during and at the conclusion of the conference and we use them to make adjustments and improvements to the conference experience the following year.  In particular we added a new feature this year thanks to Owens and Minor University. THE OMU conference app was well received and we learned a great deal from its use.  “LOVE the app”.   “….app was helpful for engagement and agenda…..”  We plan to bring it back next year.

 Our increasing membership and attendance at the conference provides the organization the resources to continue to deliver high quality speakers and educational opportunities to the membership.  The conference committee will continue to canvas for speakers and topics that will help you to advance your Value Analysis program as well as foster your personal and professional growth. ‘

Thank you to those who attended this year and please let your colleagues know the value you received from the conference presentations and networking opportunities.  If you couldn’t attend this year, there is always next year.  We will see you all October 19-21, 2016 in Scottsdale, Arizona. 

Tags:  2016 Conference  AHVAP  Arizona  CHVAP  committee values  foster personal growth  high quality speakers  MS  October 19-21  products and outcomes  professional growth  RN  Scottsdale  Susan D. Knapp 

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The Medbuy Clinical Risk Rating Tool

Posted By Administration, Thursday, November 12, 2015

What do the nuclear power, airline and healthcare industries have in common?  All operate in complex, high-risk environments in which accidents can be expected.  The first two industries have successfully avoided failures resulting in catastrophic consequences by adopting the principles and organizational behaviors of High Reliability Organizations (HROs). Healthcare organizations have only recently begun the HRO journey, a fundamental shift in business practice which is urgently needed.
This culture change is based on the 3 principles of anticipation and 2 principles of containment articulated by Weick and Sutcliffe:

  1.  Preoccupation with failure.  What is the potential threat?
  2. Sensitivity to operations.   What is the organization’s situational awareness?
  3. Reluctance to simplify.  What is another way we could look at this problem?
  4. Commitment to resilience.  What do we do to prevent this problem in future?
  5. Deference to expertise.   What are the best controls?

Adopting these HRO principles and integrating risk anticipation and risk containment requires assessment of 3 questions:

  1.  Severity—If this product fails, could it result in the imminent death of a patient?
  2. Detectability—If this product fails, what is the likelihood of detection?
  3. Frequency of occurrence—What is the likelihood that this product will fail?

At Medbuy, a healthcare group purchasing organization (GPO) in Canada, we took these questions and created an algorithm that draws on the principles of anticipation and containment to measure and subsequently manage risk in a consistent structured fashion (figure).

This tool always starts with the first fundamental concern:   Is there a risk that the product will cause death?  If so, this product is assigned the highest risk of 1.  If not, we then address the ability to detect failure.  If so, this product is assigned a risk of 2.  Finally, we assess frequency of failure, assigning a risk level from 2 to 5.

This tool, the Medbuy Clinical Risk Rating Tool, has been in use for nearly 2 years, and has shown an interrater reliability of 100% over dozens of sourcing initiatives involving thousands of products.  As a result of this tool, we are now able to manage risk in a more structured manner, as well as measure organizational performance more consistently.
We welcome the use of this tool by all healthcare purchasing organizations, to allow better risk management and a better understanding by all parties as to how to prepare for issues of resilience.

As with risk tools in other businesses, this algorithm provides the foundation in value analysis to better understand and manage our business.

Weick K, Sutcliffe K.   Managing the unexpected: Resilient performance in an age of uncertainty. 2007.  San Francisco, CA: Jossey Bass.

 Attached Thumbnails:

Tags:  Brenda Lambert RN MBA  Christopher M.B. Fernandes MD  clinical  culutre  healthcare  organizations  risk  tool 

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AHVAP Unveils the Long-Awaited Value Analysis Courses and CVAHP Certification!

Posted By Jazzy McCroskey, Thursday, November 12, 2015
Updated: Thursday, November 12, 2015

After more than two years of work (1000+ hours!) by dedicated volunteers, AHVAP was proud to unveil the long-awaited Value Analysis Courses and CVAHP certification at their Annual Conference. Owens & Minor University with whom AHVAP contracted to develop our Value Analysis on-line course, distributed CVAHP Handbooks to all and enrolled candidates for on-line courses. Handbooks are available on-line at:

AHVAP announced the accomplishment in a press release to Healthcare Purchasing News, a long-time supporter of AHVAP.

If you were not able to attend this year’s conference and do not receive HPN, Click here to view the press release.

One of AHVAP’s foundational strengths is the opportunity for networking with professional peers. If you are a member committed to Healthcare Value Analysis, share the announcement and the opportunity with your peers. Those new to the role are often desperately searching for education now available on-line and a personal recommendation is a powerful message about the value of professional certification.

For more information about the CVAHP Certification and on-line course modules visit the AHVAP website see the links below:

CVAHP Pioneers (received the certification at the 2015 AHVAP conference)
  • Cheri Berri-Lesh
  • Shannon Candio
  • Kathleen Carrico
  • Cindy Christofanelli
  • Colleen Cusick
  • Dee Donatelli
  • Nila Getter
  • Sonja Glass
  • Gloria Graham
  • Robin Howe
  • Lori Kirsch
  • Sue Knapp
  • Jamie Kowalski
  • Robin Lane
  • Wanda Lane
  • Kumbia Lewis
  • Kristie Monroe
  • Joyce Palczewski
  • Laura Polson
  • Beth Potter
  • Ellis Reeder
  • Allison Richins
  • Lois Simpson
  • Robin Starr
  • Barbara Strain
  • Perry Suthar
  • Jennifer Sydnor
  • Peg Tinker
  • Sue Toomey
  • Jane Torzewski
  • Liz Veazey
  • Julie Ware
  • Crickette Young

Tags:  CVAHP Certification  on-line course modules  Owens & Minor University  Pioneers  Value Analysis Courses 

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8 Steps to Looking for a Job Confidentially

Posted By Administration, Monday, October 26, 2015

What to do in your first steps for a career move
As there becomes an increasing demand for Value Analysis Professionals, clinicians specializing in product standardization and utilization can assess how they want to move forward in their careers. 

Here are 8 Steps to looking for a job confidentially.

Keep your departure plans 100% confidential, as this is gossip almost no one can resist. Even if you only tell one co-worker during a mutual whine-fest, you’ve told one person too many.
Management will eventually find out and you’ll be toast just as soon as you can be replaced.
Don’t let anybody suspect that you’re losing interest in your job, or taking time off to meet recruiters and interview. Everything should go on as before. Maintain normal behaviors and performance. Dress the way you’ve always dressed, contribute to meetings what you’ve always contributed, and keep the same hours.
If anything, increase your commitment -- to your boss, your work, to your own professional competency and to your team. Become the ideal professional so you can present at job interviews by supporting your commentary with valid illustrations from current activities.

Decide On a Target Job
Many people think that job change is a good opportunity to get a promotion. Sometimes this is possible, but mostly it is not. People get hired based on their credentials, not on their potential, while the majority of promotions come from a current employer where skills are already known.
You’ll typically need at least 75% of the required skills for a job to land an interview and to be seriously considered as a candidate. Your most realistic strategy is to pursue a job similar to the one you have now, but that offers different opportunities more in tune with your goals.

Upgrade Your Skills
Surfing for potential job options also helps you determine if there are in-demand skills that you are lacking. Your renewed enthusiasm and commitment at work puts you in a perfect position to pursue training and projects that will build these needed skills and enhance your marketability, while simultaneously becoming more valuable in your current job.

Define Your Sales Message
Probably the most financially important document you will ever own is your resume. It is the key that opens the doors of professional opportunity. Be witty in your sales message.
You need to learn how to write one a resume that captures a carefully defined sales message within a succinctly written story focused on a specific target job before starting your job search.

Build Your Professional Networks
If you don’t have a LinkedIn profile you should create one. If you have a profile, update it to reflect consistent messaging between your resume and social media profile.
Begin expanding your professional networks by connecting to everyone with whom you have worked. Then, join the LinkedIn special interest groups that are relevant to your job and profession. With these groups you are looking for a membership that reflects your job title as well as the job titles one, two and three levels above yours, and finally, those titles with which yours interacts on a regular basis.

This will help you to build a professional network optimally focused to help you land that next step on your path with minimal noise.

Manage Your Emotions
You cross an emotional bridge when you make the decision to move on, and there is often a temptation to make your workspace less personal as a visual reminder that this is no longer your home. However, you should keep everything normal.
Don’t pack up your photographs or other personalization of your workspace. Keep everything as it is until you achieve your goal, have accepted a new job, have the offer in writing and have formally resigned.

Find a Recruiter
Find a Recruiter who understands your background and interests, so that you can pick and choose the specific jobs that best fit your needs and qualifications.  A recruiter who says they recruit in all areas and doesn’t have a specific niche is probably not going to be your best avenue.  They don’t understand what you do and don’t have the knowledge base to market your skills. 

Jessica Bellew
Managing Partner
Code Bellew Healthcare Recruiters
281 600-8132

Tags:  8 steps  careers  Code Bellew Healthcare Recruiters  Jessica Bellew  jobs 

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Standardization of PPI items....HOW do you achieve?

Posted By Administration, Monday, September 14, 2015

AHVAP Regional Webinar Hosted by the Central Region

Our thanks to Kumbia Lewis, AHVAP, Central Region Director for another educational webinar!  Kumbia along with the team from Indiana University Health, Dennis Mullins, VP Supply Chain Operations, Design & Construction; Linda York, Director of Contracting and Value Analysis Supply Chain Operations; and Carli O’Beirn, Executive Director Supply Chain Operations provided participants with a step-by-step account of their experience in establishing a capitated contract for cardiac stents.
Linda York began the presentation with a high-level overview of Indiana University Health.  With 29,000 employees at 19 hospitals in 15 communities, IU Health is the second-largest employer in the state.  Linda went on to explain the structure of their System Value Analysis Team which consists of eight teams and four councils.  The teams have been in existence for several years.  The councils, established within the last four years, are aligned along service lines, and include both physicians and clinicians.  Both the Value Analysis teams and the Councils are focused on value analysis.

Whether you establish a value analysis charter or a standard operating procedure, in order to operate effectively and produce measureable outcomes, the team must define their purpose, identify their objective, and determine their strategy.  These were the steps the IU Health team followed when they began working with their Cardiologists three years ago.  Physicians acknowledged that stents are essentially a commodity item.  The team’s objective was to normalize costs for bare metal and drug eluting stents.  The stakeholders convened to develop their strategy and their message, establish a pricing structure, then met with the suppliers with an invitation to participate. Suppliers were given a deadline to accept the offer to participate.

Throughout the process, physicians were fully supportive of the strategy. Linda said they “played hardball” when it came to interactions with the Suppliers.  One supplier refused to participate and as a result was excluded as an approved vendor for this product line.  Most recently, with the introduction of a new technology, the supplier attempted to meet independently with physicians.  The physicians maintained their position, emphasized their support for the contracting process and informed the Supplier they would not deviate from the current contract. Support from the stakeholders was essential for the success of the team effort.
The IU Health team shared valuable tips and insights into their experience in establishing a capitated price for cardiac stents.  Our thanks to Kumbia, Linda, Dennis, and Carli for their time and effort. 

If you were unable to attend the webinar, Hayes Inc. has recorded this session for AHVAP.  A link to the recording has been posted on the Members Only, Resource Library, in the Webinar Archives section.

Tags:  Carli O'Beirn  Central Region  Dennis Mullins  Indiana University Health  IU Health team  Kumbia Lewis  Linda York  PPI items  webinar 

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Relationships with Revenue Integrity Teams and the partnership with VA’s

Posted By Administration, Friday, September 11, 2015

Providence Health & Services has recognized the need to look at both reimbursement and total cost of procedure. This is new for our value analysis process.  It has always been difficult to find who had the information and even who we should ask. It was rarely information that was included in our product request and procedural review, but information we recognized as needed. One region may have found a resource but there was no connectivity to other regions in role, title, department, or scope of work. Thus no transferability from one region to another.

We have been in a transition from Regional Value Analysis to a System Value Management process over the last several years. This journey encompassed many other system areas such as nursing, human resources, and revenue cycle to name a few. A Chief, Strategic Business Analytics and a Chief Reimbursement Officer have recently been named with whom we can work. This work is just beginning with meetings set up to discuss our collaboration…so our journey begins with great excitement!

The dream: To be able to justify the increase in Supply costs upon which supply chain gets measured with the strategies that Nursing is being charged with along with the cost of items that physicians request that increases those costs. We keep getting asked to cut and caregivers keep adding. It is not really a “we” “they” scenario because we all want what is best for the patient and the community and we do work well with all the caregivers. The work is in how to tie the cost and outcomes together for the total financial benefit.

By Tanya Rice, RN, MSN, Director Clinical Value Analysis Services for Providence Health and Services

Tanya Rice RN MSN, Director Clinical Value Analysis Services for Providence Health and Services. Experience in perioperative and NICU nursing. Multiple years in value analysis and experience in industry as a consultant and sales representative. Currently leading a fabulous team of five VA Managers and four VA Coordinators that manage the value analysis process at Providence Health & Service, a 34 hospital system on the west coast.

Tags:  Analytics  Integrity  Providence Health and Services  Relationship  Supply Costs  Tayna Rice  Teams  transition  VA 

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Posted By Administration, Thursday, August 20, 2015

Tags:  ahvap  video  youtube 

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Meet August’s Member of the Month: Wanda Lane

Posted By Administration, Wednesday, August 19, 2015
Updated: Tuesday, August 18, 2015

Wanda’s favorite element about AHVAP is NETWORKING! She says, “When I began in the field, I had no idea what I was doing. AHVAP was rich with friendly people who were willing to share their experiences and take me under their wing.”

What’s one thing personal you’re willing to share?

I am blessed to be the wife of an amazing man, the mom of three teenagers, bonus-mom to three adults and nana to two grandchildren! I speak at events as an advocate for families of addicts and am in the process of writing a book outlining five steps to protecting yourself, your children, and your financial future when married to an addict.  I feel extremely blessed to have survived the ordeal and emerge as an advocate for a forgotten group.

3 professional or personal accomplishments?

  • Set up the value analysis program for a 400 bed safety net hospital, and developed a robust vendor claim validation method using quasi-experimental design.  
  • Written and presented programs on Generational Culture and Diversity, Communication, and Merging Science and Supply Chain.
  • Completing the coursework for my doctorate was incredible! The dissertation process is daunting, but fun.  

Tags:  ahvap  member of the month  Wanda Lane 

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Exploring the Generational Culture Concept

Posted By Administration, Tuesday, August 18, 2015

By Wanda Lane, RN, MaED, Clinical Value Analysis Manager, Regional One Health


Birth Years

Generational Characteristics

Political\Social Influencers



  • Loyal
  • Risk Adverse
  • Team Players
  • Strong respect for authority
  • Struggle with communication technology
  • Great Depression
  • World War II

Baby Boomers


  • Higher priority given to work over family
  • Optimistic
  • Risk Takers
  • Distrust authority
  • Generally resist communication technology
  • Civil Rights movement
  • Vietnam
  • Great Recession\ Hyperinflation economy

Generation X


  • Higher priority given to family over work
  • Adaptive
  • Independent
  • Openly question authority
  • Adapt to traditional or electronic communication
  • Technology explosion
  • Latchkey syndrome*
  • Economic Boom or “Wall Street” economy



  • Higher priority given to friends over work
  • Optimistic
  • Strong team influence
  • Require ample feedback from authority
  • Entitled
  • Prefer communication technology
  • Technology immersion
  • Helicopter parents
  • Everyone gets a trophy syndrome*
  • Dotcom economy
  • Pre & post 911 cohorts





After 1996

  • Highly networked
  • Problem solvers
  • Fiercely Independent
  • Tech intuitive
  • Creative
  • Altruistic
  • Post 911 culture
  • Terrorism
  • Poor economy
  • Bitter political divisiveness
  • Social Networking

Diversity has been a business buzzword for the past couple of decades regarding race, ethnicity, and gender; however, a relatively new concept is moving to the forefront.  Generational culture is a concept that is beginning to seep into the diversity conversation. Webster defines culture as-

  • the beliefs, customs, arts, etc., of a particular society, group, place, or time
  • the customary beliefs, social forms, and material traits of a racial, religious, or social group; also:  the characteristic features of everyday existence (as diversions or a way of life) shared by people in a place or time

Applying this definition to the behaviors of the five generations sharing work space, it becomes clear that generational culture must be accepted as a diversity element and addressed by leadership.

The four primary workplace generations have been Traditionalists (born 1925-1945), Baby Boomers (1946-1964), Generation X’ers (1965- 1980), and Millennials (1981- 1995). They have established traits and stereotypical behaviors that are readily accepted and “managed” in the workplace; however, the conversation typically focuses on differences and conflict opportunity. The newest generation entering the workplace is the NetGen generation. They are the youngest of the group, and in some ways the best prepared for the dynamic political and technological future.

The key to understanding generational diversity is to change the conversation to one of generational culture.  The definition of culture assigns groups of people beliefs, customs, social behaviors, and acceptable norms. Each generation has been shaped by the political and economic events of the times. Traditionalists were raised by survivors of the great depression and many remember the events leading to World War II. Their culture tends to be very self-sufficient and risk adverse.  Baby Boomers grew up during a time of optimism and re-building following the war. They are hard-working, dedicated to a fault, and place great value on stability. However, they also vividly remember civil rights movements and equality marches of the 60’s. Generation X’ers are the middle generation, sometimes called forgotten because they were the first generation of latchkey kids. They tend to be fiercely protective of personal time and work\life balance. They also became very self-sufficient at a very young age; therefore, they do not deal well with micro-managing or overly needy employees. Millennials are the first generation to be raised by parents who gave them a voice in the family decision-making process. This spills over into the workplace with young employees expecting to be treated as equals from the beginning. They were also the first generation raised in the “everyone gets a trophy” culture; therefore, they expect praise for simply showing up to work. This creates some tension in the workplace if the origin is not readily apparent.

Understanding the cultural aspect to approaching generational diversity deepens the conversation, promotes understanding, and narrows communication gaps in the workplace. To complicate matters further, Baby Boomers, Generation X’ers, and Millennials each have defining moments that led to cohorts of people born before and after the event. For example, and older Baby Boomer who was a young adult during the 1960’s has a much different perception of the civil rights movement than a Boomer born in 1963. An older Gen Xer vividly remembers life before cellphones, computers, and other technologies. Millennials’ dividing event is 9-11. Older Millennials remember the attacks and the fear that swept our nation, younger Millennials have little concept of life before the economic downfall following that day. They have only known life after terrorism preparedness, sluggish economy, and political distrust.

Changing the conversation from one of discussing behaviors to one of cultural differences allows a shift in perspective. Moving focus from annoying behaviors to cultural awareness encourages respect and enhances communication. This change in perspective opens doors to a change in perception and that lays the foundation of respect and teamwork.

Seen Around the Web: Resources and Tips

Tags:  AHVAP  Clinical Value Analysis Manager  Exploring the Generational Culture Concept  Wanda Lane 

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