ASHE Chapter Handbook
ASHE Chapter Handbook
ASHE Chapter Handbook
TABLE OF CONTENTS
For more than 50 years, the American Society for Healthcare Engineering (ASHE), a personal membership group
of the American Hospital Association (AHA), has been the advocate and resource for continuous improvement in
health care engineering and facility management. ASHE represents a diverse network of dedicated health care
professionals who are committed to optimizing the health care physical environment.
About ASHE
ASHE delivers the latest information on a wide range of issues related to the facility management profession
including but not limited to the planning, design, construction, and operation of the health care built environment.
ASHE offers effective and innovative health care engineering strategies and professional leadership through
education, advocacy, publications, networking, and interactions with leading health care organizations,
government agencies, and accreditation bodies.
ASHE Offers
ASHE continuously provides its members with the most current health care news and trends in the health care
built environment. ASHE hosts two conferences annually and 20 to 30 seminars each year to bring members the
most current thinking and best practices in areas including architectural design, construction practices,
environmental infection control, environment of care management, and advanced leadership skills.
ASHE is committed to helping members enhance their professional portfolios, expand their expertise, and reach
their full potential through a variety of educational, career development, and professional credentialing
opportunities.
ASHE produces management monographs, books, and interactive tools to support professional growth and
provides substantial online technical resources, networking opportunities with peers and leaders in the health care
field, and invaluable information through its publications, education, and advocacy programs.
With more than 12,000 members, ASHE is the largest association devoted to optimizing the planning, design,
construction, and operations of a health care organization’s physical facilities. As a trusted industry resource,
ASHE is committed to advancing the knowledge and leadership of our members as they build and maintain health
care facilities, support project teams and facility management staff, and serve patients. ASHE develops valuable
resources and education programs that respond to member needs, provides a unified voice for the industry through
intensive advocacy efforts, provides expert consultation and advice, and certifies health care facility managers
and constructors.
ASHE Mission
Dedicated to optimizing the health care physical environment.
ASHE Vision
To engage stakeholders in the creation of health care environments that are optimal for healing.
ASHE Purpose
To advance our members’ ability to design, build, operate, and maintain a physical environment that supports
excellent care, quality service, safe and effective work, and financial success.
ASHE is composed of 10 Regions. Each Region elects a Regional Director for a two-year term. The Regional
Directors make up the ASHE Board of Directors, which also includes a President, President-Elect, and Immediate
Past President. The Executive Director acts as Secretary and Ex-Officio member of the Board. The ASHE Bylaws
further delineate how the organization is structured.
Chapter 2
Notice of Affiliation
When affiliation has been approved, the chapter president will be notified. An announcement of affiliation will
also be printed in the official member publication, InsideASHE, and the chapter will be listed on the ASHE
website.
Termination of Affiliation
The process of affiliation does not end with the signing of an affiliation agreement. Problems and/or issues may
arise that do not have a mutually satisfactory solution. In such cases, affiliation may be terminated. ASHE may
revoke an affiliation for the following reasons: (See Chapter Agreement, Paragraph 8, Termination of Chapter
Status.)
1. Failure to satisfy obligations outlined in the Affiliation Agreement
2. Failure to observe the limitations on chapters set forth in ASHE’s bylaws or the chapter’s bylaws
3. Changes in chapter bylaws that bring the chapter into conflict with the national association
4. Fiscal impropriety
5. Loss of a critical mass of ASHE members
Revocation is always for cause and may be in the best interest of the association. Provisions for revocation tend to
be broadly stated, allowing discretion to the national association. In practice, revocation of a Chapter Affiliation
Agreement is serious business, and should rarely occur.
The members of a chapter may themselves request termination of the affiliation. The chapter is expected to give
ninety (90) days’ notice signed by the chapter officers. (See Chapter Agreement, Paragraph 8, Termination of
Chapter Status.)
The ASHE Board of Directors will hear revocation appeals, and their decision will be final.
Certified Healthcare Facility Manager (CHFM) and Certified Healthcare Constructor (CHC)
Programs
For chapter members who are interested in earning the CHFM and CHC certifications from the American Hospital
Association (AHA) Certification Center, a Candidate Handbook and Application may be obtained at the ASHE
website. Tests are offered at more than 100 assessment centers across the country. A complete list is available at
Applied Measurement Professionals, (AMP).
You can help chapter members prepare for the exam by:
Regularly distributing CHFM Candidate Handbooks at chapter meetings
Forming a support group
Conducting refresher courses for your members
Building a library of study materials for member use
Reviewing the Content Outline listed in the CHFM Candidate Handbook
If you need have specific questions concerning the CHFM certification, testing, renewal, or eligibility
requirements, contact Kimberly Wright at 312-422-3711 or kwright@aha.org.
Membership Lists
If your chapter is trying to build membership, ASHE can help by providing, upon request, a list of ASHE
members in your state or area of operation. ASHE membership lists may not be used, however, for electioneering
purposes, and must be used only for the benefit of the chapter. Each chapter is allowed one complimentary list
annually.
CHAPTER MANAGEMENT
Bylaws
Budget Basics for Chapters
Membership Applications
Research indicates that one of the biggest reasons members join a chapter is the value of the network—the formal
and informal exchange of ideas and information that are key to the ASHE experience. Chapters that effectively
encourage such a network—through educational programming, publications, and social interaction—will be far
stronger than chapters that view such activities as non-productive.
1. How far away members can live and work and still actively participate in chapter activities
2. The point at which the number of members makes it impossible to maintain a certain intimacy among
the group.
Recognize that there are no right or wrong answers to these issues, but keep them in mind as you work to manage
and strengthen the chapter. If you’ve got 150 on your mailing list, but only 25 are ever active, all the work falls on
far too few volunteers.
It may take some time to determine what works best for your chapter. Every chapter is different. The decision to
meet monthly or bi-monthly is evenly split among ASHE chapters. Whatever works best for your members is the
model you should adopt.
BYLAWS
ASHE and AHA require affiliated chapters to create and follow bylaws. More important, bylaws are the glue that
holds your chapter’s structure together. Bylaws are legal documents that summarize the chapter’s decisions before
problems arise and explains how the chapter intends to deal with them. They document objectives, structures, and
programs. However, the language of your bylaws should be your own.
The format for preparing bylaws is fairly simple. Like a report outline, bylaws should be separated into articles
(which address a broad area, such as the board of directors) and sections (which detail specifics about how the
articles will be administered).
Article I, Section 1:
Chapter Name
Article I, Section 2:
Mission, purpose, and objectives
Article II
Membership including in subsequent sections criteria and eligibility
You also need to include articles and sections that cover the following:
Dues
Meetings (annual, special meetings, notice of meetings, order of meetings, voting, quorum)
Board of directors (including eligibility, composition, election and terms of office, forfeiture of and
removal from office, powers, vacancies, and meetings)
Officers (eligibility, offices, election and term, forfeiture of and removal from office, duties, reports, and
vacancies)
Conflict of interest of directors and officers
Committees
Amendments
Bylaws shouldn't become doctrine, but they should be referred to whenever and wherever questions of proper
operations and process arise. As noted, they are designed to address potential problems before they arise, so that
decisions can be made dispassionately.
Bylaws should be reviewed every two years so to ensure that they reflect changes that may affect the way your
chapter operates as well as industry changes that may affect the makeup and potential growth of your chapter.
If you don't have people in your chapter who are comfortable handling money, balancing books, or dispersing
funds, consider hiring a small certified public accountant (CPA) firm or local bookkeeper to maintain the books
for you. That doesn't relieve the chapter officers of their fiduciary responsibility to ensure sound fiscal practices,
but it does ensure your checks won’t bounce.
Annual Budgeting
A typical chapter budget statement might cover the following areas:
Dues
Meeting registrations
Create a spreadsheet
Exhibit booth sales
Publication sales
Advertising revenues
o Total revenues
Expenses
The association should have an independent CPA complete an annual audit of the association’s finances. Financial
statements and association books should be made available to the CPA for this audit.
D&O Insurance
Directors and Officers (D&O) Insurance extends protection against legal claims for wrongful acts to the directors
and officers of an organization in the course of performing their duties.
Wrongful acts include omissions, errors, neglect, and breach of duty, among other things. Policy beneficiaries are
directors, officers, or the entity itself. Parties who might sue include employees, suppliers, competitors, or
creditors; directors and officers can be personally liable for damages. Three levels of coverage are available:
D&O policies cover claims made during the policy period. It doesn’t matter when the wrongful acts occurred. A
claim filed in the current year will be covered by the current policy, even if the wrongful act happened in the past.
Some organizations augment D&O policies with employment practices liability (EPL) coverage, which
safeguards against claims for wrongful dismissal, sexual harassment, and other violations of employment or anti-
discrimination laws. EPL coverage can be purchased as part of a D&O or general liability policy or as a stand-
alone policy.
ASHE and AHA requires all chapters to have D&O insurance. Chapters may find that some volunteers are
reluctant to serve as directors or officers without protection from lawsuits. Chapters may secure D&O insurance
by contacting a local broker for information on rates and specific coverage options.
MEMBERSHIP APPLICATIONS
Every chapter needs its own version of a membership application, and the more information the form includes, the
better. Obtaining a sound demographic profile of your members as they join and updating it regularly will give
you a better idea of the types of products and services that will have the greatest appeal.
If you ask age, gender, or race questions, they MUST be noted as optional on the application, and you should
indicate that you are requesting the information to maintain a demographic profile of members. Due to identity
theft issues, it’s not a good idea to request a person’s date of birth, social security number, or driver’s license
number.
The application form becomes a permanent record of information about your membership base and helps
determine which category of membership a prospective member best fits—or whether they qualify to be a
member. If you have different categories of membership, make sure you spell them out on the application form
along with the specific requirements for each category and the benefits and services associated with each.
The operating plan, on the other hand, looks at how the chapter will function over the coming year. If you do
nothing else, use the budget as a kind of operating plan, identifying the major areas of work to be undertaken in
the coming year, how much you will spend to accomplish them, and how much revenue you expect to have left at
the end of the year. Developing such plans creates clear expectations for the program of work ahead and
eliminates any surprises for members or board members in terms of expected expenses and revenues.
Typical Responsibilities
The advantage of writing job descriptions for each voluntary leader is great. It clearly defines who is responsible
for what and eliminates duplication of effort—something that is simply unacceptable in today’s environment
where leadership time is limited. While job descriptions will vary widely from chapter to chapter, following are
some of the responsibilities to consider including for key leaders’ roles:
Chapter President
The chapter president is charged with the general management of the chapter. They are responsible
for seeing that all orders and resolutions from the chapter Board of Directors are put into effect.
Duties typically include (but are not limited to):
1. Presiding over all meetings of the general membership and Board of Directors
2. Appointing all committee chairs
3. Acting as liaison to the regional and national organizations
4. Ensuring that the chapter abides by its bylaws in all operations
5. Working in partnership with the Board, scheduling regular chapter meetings and Board meetings
6. Making sure that the application for the ASHE Levels of Affiliation Chapter Awards Program is
prepared and submitted each year along with other required submissions
Chapter Secretary
The Secretary is charged with keeping all records of the chapter (other than financial) as well as
mailing lists. Specific duties typically include:
1. Keeping accurate minutes of all chapter meetings, including those of the Board and major committees
2. Keeping up-to-date membership lists and distributing advance meeting notices
3. Keeping mailing list of potential members in concert with the membership vice president
4. Producing chapter letterhead and roster of officers and committee chairs
5. Preparing and submitting the Chapter Annual Report to ASHE by January 1 of each year, along with a
copy of the chapter’s membership list
Chapter Treasurer
The Treasurer is responsible for keeping chapter funds and records of all financial transactions.
Typical other duties include:
1. Collecting all chapter dues as well as any other additional funds raised by the chapter
2. Establishing bank accounts and obtaining signature cards for officers with signing authority
3. Keeping an accurate and timely record of deposits and disbursements
4. Reporting financial status of the chapter to the local board
5. Securing federal and local tax ID numbers and filing tax returns when necessary
6. Preparing a balanced budget for the board to approve and follow
7. Advising the secretary of any delinquent dues payments and dropped members
8. Disbursing accounts payable in a timely manner and invoicing and collecting accounts receivable
Membership Chair
This person is charged with recruiting and retaining members for the chapter. Typically they work
with a membership development committee. More information on recruiting and retaining
members appears in the chapter on revenue. Membership chair responsibilities typically include
the following:
1. Generating revenue
2. Coordinating recruitment/retention activities
3. Annual dues renewal
Education/Conference Chair
This individual is responsible for identifying topics and scheduling programs for the chapter’s
monthly meetings and/or the annual conference. This position is best handled in conjunction with
a committee. Typical responsibilities include the following:
1. Scheduling education programs
2. Coordinating registration/logistics
3. Securing and working with speakers
ASHE Liaison
Each chapter is highly encouraged to appoint an ASHE Liaison. Ideally, this individual will be a
member of ASHE in your chapter who is not your Regional Board Member or another member of
the Board. If they have been active in ASHE as a leader, even better. This individual will be an
ongoing contact within the chapter for ASHE and will receive copies of all communications ASHE
sends to the chapter. Chapter officers change frequently, while the intent is for the ASHE liaison to
stay the same for a significant period of time. This provides a more consistent link between ASHE
and the chapter. You may want to consider appointing someone from your chapter administrative
staff and/or a committed volunteer (maybe a retired member or a chapter past president) who has
joint membership in the chapter and ASHE national to serve in this role.
Advocacy Liaison
This individual will be responsible for communicating and advocating on issues specific to the
state or local level as well as providing feedback to ASHE on various national codes and standards
issues affecting the profession.
Sustainability Liaison
1. The Sustainability Liaison serves and acts as Chapter Champion to raise awareness of chapter members
on the value of sustainability
2. The Sustainability Liaison will guide or connect chapter members to resources available from ASHE
3. The Sustainability Liaison will assist and encourage chapter members to maintain engineering criteria to
help reduce operational costs and thereby increase the value and profile of their healthcare facilities to
stakeholders and to the C-suite
4. The Sustainability Liaison will act as a change agent and data gathering person within the chapter to
encourage participation in ASHE’s Energy to Care program. He or she will monitor and report chapter
participation
5. The Sustainability Liaison encourages the use of the resources of the Sustainability Roadmap to achieve
cost savings
A quorum or minimum number of voting members must be present to conduct business legally. This prevents a
handful of people from deciding for everyone. NOTE: Your bylaws should state what constitutes a quorum for
your chapter.
Chapter 4
GENERATING REVENUE
MEMBERSHIP RECRUITMENT/RETENTION
No longer can we view the members of our chapters as a "captive audience," committed to joining purely for the
sake of joining. They don't belong because they "should." They belong because you've earned their trust and
support and then reinforced the value of membership through words and actions throughout the year. This chapter
addresses the two critical aspects of membership: 1) keeping the members you have and 2) finding new ones.
In today's economy, it is estimated that it costs 10 times more to attract a new member than to keep one. With that
in mind, we'll focus first on one of the most overlooked aspect of membership--keeping current members
satisfied.
Keeping Members
Look in the yellow pages for hospitals and health care and long-term care facilities that might have
employees who aren't involved and should be.
Get involved with your local Chamber of Commerce. This is a great way for you to talk about the chapter
with the people you meet. They may be able to offer ideas and leads. Check your Yellow Pages for the U.S.
Chamber of Commerce in your area. Embed a link to show readers how to access local or state FEMA for
hospital contact information.
Read health care industry literature for references to individuals in your area.
Ask members to post on their bulletin boards about the chapter and its services.
Alert the local media through press releases of your meetings. Regularly published announcements about
meeting topics and speakers will attract prospective members.
Attend some local colleges to encourage students leaning toward health care careers to get involved with
your chapter so they can learn more about the field and meet other experienced professionals in the field.
Look to related health care associations as a possible source of new members. Attend their meetings and
discretely talk about the value of your chapter.
Stay in touch with your Regional Director. They have frequent contact with potential chapter members, and
by keeping an open line of communication, your chapter will be in a good position to recruit these
individuals as soon as they are identified. In addition, Regional Directors send welcome letters to all new
ASHE members that also promote your chapter.
Don’t overlook your own employees. They also need to be educated and mentored. Show readers how to
access local or state FEMA for hospital contact information.
Direct mail solicitations. Well-written direct mail efforts can be very effective but more costly by the time
you create the cover letter and brochure, order labels, coordinate the effort, track responses and do a follow-
up. In this approach you send the meeting invitation to the Directors of Engineering or Clinical Engineers
(depending on your target market) and their staff, and request that they post it on the employee bulletin
boards. If you choose to go the traditional direct mail route, remember that the value of the mailing is
directly proportional to the quality of the mailing list you use. An outdated list with obsolete addresses and
inaccurate names wastes your money and weakens your credibility. So if you choose to go with this
approach, check the lists carefully for currency and accuracy. The best direct mail response falls in the 2-
3% range. Just as important to the list is the offer made. Offers can include, for example, a free report,
complimentary first meeting or a discount on products/services, etc.
Send personal letters from members to people they know suggesting they join. This is a more effective
approach for many chapters, both because it spreads the cost and relies upon the credibility of the member
sending the letter. The downside is ensuring that the letters get out, because this approach is outside the
control of chapter leaders or staff.
Invite a prospective member to your meeting. If you can afford it, the chapter should pick up the cost of
lunch the first time a prospect attends. When you think about it, it is a pretty cheap way of recruiting.
Identify prospective members with a special badge and ask existing members to introduce themselves to
these individuals. You don't want a hard sell, but your current members are your best sales force when it
comes to believability.
Offer Conference/Membership package. Some chapters, as well as ASHE, have had a lot of success in
both recruitment and retention by packaging a membership with a meeting registration. Keep in mind,
though, that you may experience a lot of “churn” with these types of memberships if people aren’t able to
attend the conference each year.
Break information into market segments to help you better target your mailing efforts. For instance, you
should be able to differentiate between plant engineers, planners, construction managers, facilities
management people, buildings and grounds, safety, etc.
Keep your list up-to-date through periodic clean-ups to save time and money on mailings.
Code the different reply devices or applications you use to determine the success of each different kind of
mailing so you can tell which worked best.
Develop different paragraphs within the body of the letter to reflect the different needs of different
prospective members. For instance, the needs of facilities managers could be discussed somewhat
differently than the needs of clinical engineers or security officers.
Implement a quick response system to provide names to members interested in recruiting their colleagues.
Consider offering rewards to top recruiters. Some people respond well to a little motivation like free
registrations or other items you might be able to obtain through vendor members.
Social Events
Include a variety of social/networking events into your program in order to bring members together and produce
some additional income for the chapter.
DEVELOPING LEADERSHIP
Motivating Volunteers
CHARACTERISTICS OF EXCELLENCE
According to a recent study, three critical elements are needed for excellence in nonprofit organizations: a sense
of mission, the presence of a strong leader, and an involved and committed leadership.
Mission
A clear sense of mission serves as the focal point of commitment for members and leaders. It is also the guidepost
by which your chapter’s success can be evaluated. In essence, it defines how your members’ world will change as
a result of the chapter’s efforts. The mission of a chapter should be aligned with ASHE’s mission, which can be
found at the beginning of this handbook.
Presence of a Leader
Successful organizations need an individual who truly leads and who creates a culture that enables and motivates
others to work together to fulfill the group’s mission. The best leaders have clear goals, a vision that looks beyond
today’s crisis, the ability to develop strategies to achieve this vision, and the capacity to involve others in the
process. They must also have the courage to make extremely difficult decisions and a willingness to take risks and
challenge the status quo despite what others may think.
Provide members with a continuous stream of information about what you are thinking and the rationale
behind it.
Provide quality programs and services that serve their common interests.
Motivate voluntary participation by offering opportunities for members to achieve whatever benefits they
consider important.
MOTIVATING VOLUNTEERS
Essential Elements
Nine elements contribute to the creation of an environment where members are motivated to participate. The
conditions for motivating volunteers exist when people have the opportunity to do the following:
Use their special knowledge and skills
Give their life purpose and significance
Help others
Be recognized and acquire status
Feel useful and needed
Develop new skills
Participate in enjoyable activities
Gain competencies and visibility that advances them in work or social arenas
Use leisure time and reduce loneliness and boredom
Communication—communicating effectively both orally and in writing, being able to speak in public and
to write in a clear, brief, and benefit-oriented style.
Problem solving—helping people learn how to help themselves rather than solving their problems for
them.
Furthermore, potential leaders should be open to criticism, sensitive to people, and willing to change. As a leader,
your ability to be flexible and adapt to a variety of situations will be augmented if you are aware of and
comfortable with your own limitations. A good leader doesn’t need to be able to do everything by themselves or
to be all things to all people. They learn how to delegate, realizing that the end goal can be reached via a variety of
roads and understanding that being right is often less important than being involved.
Types of Committees
There are two basic types of committees—standing committees and special committees. Standing committees
serve an ongoing, continuous function and operate indefinitely. Their function usually deals with organizational
and operational procedures, or with specific permanent features of chapter programs. A special committee, often
referred to as an ad hoc committee or task force, is assembled with a specific purpose in mind and a specific time
frame.
Committees can also be classified by purpose or function into one of four categories:
Administrative
Project
Study or problem-solving
Liaison
Create a larger committee if participation of a wide variety of members would be beneficial. Larger
committees usually enable the chapter to hear more viewpoints and opinions, and to get more thoughtful
recommendations. Because of their size, larger committees have more members to promote the value of a
program or activity. In addition, the larger the group, the less likely all the work will fall to one or two
people.
Base the number of members on a committee on the segments of your membership that need to be
represented.
For example, think in terms of large groups for a conference committee, and a smaller group for nominating work.
There is no magic number for the size of a committee. However, a committee of 10 to 15 members will be able to
split into smaller groups (if necessary) to accomplish the objectives of the committee. This size will also allow the
committee to meet, make recommendations, and reach decisions as a quorum.
What Committees Do You Need?
The mission of every chapter is different. The following are committees a typical ASHE chapter may want to
implement. Those that are critical for effective operations are noted as * and those recommended by ASHE are
indicated with ++.
Education Committee*—This committee is responsible for developing, promoting, conducting,
and monitoring the educational/training efforts of the chapter.
Finance Committee*—This committee monitors the investment of association funds, reviews and
negotiates contracts and recommends their acceptance to the board, approves fees to be charged
for services, establishes an accounting system, and oversees the annual financial audit. The role of
this committee will vary greatly depending on whether paid staff exists.
Membership Committee*—This committee is charged with the development of new members
for the chapter, promoting retention among existing members, and identifying new member
services and programs to enhance the value of membership. For some chapters, this group may
also be responsible for the development and distribution of the member newsletter and/or
directory. (Where that is not the arrangement, this would be handled by the Publications
Committee.)
Awards and Recognition Committee++—This committee oversees whatever award programs
are in place, continually reviews the awards programs for currency, and suggests new ways to
increase member recognition.
Bylaws Committee++—This committee is responsible for reviewing the association’s bylaws for
compliance with the national organization. If bylaws changes are required, the bylaws committee
formulates them and submits them to the chapter’s board for approval prior to submission to the
membership. In addition, this committee may be responsible for, maintaining the records of the
association, including pictures, legal records, and information pertaining to leaders’ positions and
volunteer involvement.
Codes and Standards Committee++—This committee is charged with an ongoing review of all
codes and standards relating to health care to keep members of the chapter apprised of pending
code changes. This group can also be actively involved in efforts to modify codes and standards,
as appropriate, and may assist ASHE in reviewing codes and standards changes.
Conference Committee++—This committee is responsible for conducting the annual trade show
and major educational activities of the chapter (separate from the ongoing continuing education
requirements of the group). Because of the significant financial impact of this activity on most
chapters, this committee has a critical stake in the group’s financial health.
Nominating Committee—This committee is charged with developing the slate of officers for the
coming year and may also be involved in recommending committee appointments. Typically, this
committee consists of the past president, current president, president-elect, and one ex-officio.
Publications Committee or Public Relations Committee—This committee seeks to create
attention for and awareness of the chapter, its members, and the profession they represent. In
addition, this committee would be responsible for the development of the chapter member
directory, newsletters, press releases, and other publications. Other areas of responsibility might
include sponsorships, advertising, and promotion.
Defining Responsibilities
The areas of accountability for each standing committee within the chapter should be defined. The very process of
clarifying each group’s role establishes what results the organization expects from the committees’ efforts and
eliminates the possibility of having several groups claim the same territory as their own (i.e., you don’t want the
education committee undertaking the work of the membership committee).
Communicate effectively? This important ability allows a committee chair to work with their
group, the governing body, and related groups.
Have a record of active participation and interest in the association’s objectives? Have they
served on the committee before and do they understand its charter?
Have a willingness to listen? A good committee chair must be open-minded and encourage
free expression of ideas among committee members.
Have the ability to control a group without dominating it with their own personal agenda?
Have an understanding of the dynamics of group process and how a committee functions best?
Have the ability to think and act in terms of the association’s overall goals and objectives?
Have the skill to create the right atmosphere for productive committee work?
Have the time and resources to carry out the assignment? Good intentions are not enough.
Have a clear understanding of the position and the role of association management and the
need to work closely with the organization’s governing body?
For the committee to be effective, the new chair needs a thorough orientation to their new role. That includes
determining the committee’s work agenda, clarifying governance roles—who does what, why, and how; what sort
of checks and balances exist; the responsibilities and expectations of the chair (including outlining their duties);
and complete background information. Background information should include the committee roster for the
current and previous year, minutes from past committee meetings, background on the committee’s
accomplishments and activities, a list of members of the chapter’s governing body (as well as ASHE’s governing
body), and key contacts. It may also be a good idea to conduct an annual committee orientation planning meeting
for all incoming committee members.
The Agenda
This is an often overlooked and undervalued element in designing a successful meeting. The agenda sets
forth the work of the meeting and must be managed carefully to ensure that the number of items to be
addressed doesn’t exceed the time available for discussion. If a topic is important enough to add to the
agenda, it is important enough to allocate sufficient time. In addition to the topics to be covered, the agenda
should include the date, room, site, starting time, scheduled coffee and lunch breaks, and adjournment. It
should also note who is responsible for leading the discussions on each topic presented.
Physical Arrangements
Although they may seem very simple, physical arrangements need to be spelled out in great detail. Leave
nothing to be assumed. In working with a hotel, the committee chairs need to make sure the catering
manager knows the room setup, breaks, food needs, audiovisual needs, and other equipment requirements.
Put the details in writing and arrive early enough to reset the room or change the food order if the hotel got
it wrong. There is nothing more disruptive to an effective meeting than having the hotel reset a room or
deliver coffee service after the meeting has started.
Financial Objectives—How much money can the chapter spend on educational programming? Do you
expect to make money on the programs?
Qualitative Objectives—How well will you be able to meet your members’ needs and interests?
Questionnaires and surveys are useful ways to elicit information or confirm problems and issues that have
already been identified.
Written evaluations of previous programs, particularly when a place for comments and suggestions is
included, provide valuable insight into members’ reactions to both content and format.
Articles that appear in ASHE publications or in professional journals also are excellent sources of problems
or trends that face the industry.
In the process of collecting this data, it is important to differentiate between groups of your members. Professional
position, degree of experience, and academic background are all factors that affect the type of educational offering
they will want.
Monthly Meetings
A less intense but equally effective approach to education can occur at monthly chapter meetings. Because these
programs are generally fairly short, this format does not lend itself to an in-depth approach to a topic. However,
regular educational programs for chapter members can be scheduled into these meetings to convey general
information about a specific topic, or when the desired outcome is to change attitudes about a particular issue.
The frequency of monthly educational programs enables you to vary the topic, thereby appealing to a wider
audience. The formats can range from lecture presentations to panel discussions. Finally, in these settings
audience participation can be actively encouraged. The added advantage of a monthly meeting is regularity of
contact—a predetermined time when members can gather for networking and discussion. The networking that
occurs is often as valuable as the formal educational offering.
Conferences
The term “conference” often signifies a large meeting of several days’ duration. In fact, conferences can range in
size from 25 to more than 2,000 attendees, and can be as brief as a half day, or as long as 3 to 4 days. The term
conference is usually reserved for an educational program that includes multiple elements, from technical papers
and presentations to lectures and speeches, many of which occur simultaneously. A conference can accommodate
larger audiences, and both the program content and format of presentations can be varied, thereby appealing to the
widest possible audience. Insert ASHE website link showing ASHE Education programs.
Promoting CEUs
Offering CEUs encourages people to attend your programs to maintain a certification, such as the Certified
Healthcare Facility Manager (CHFM) and Certified Healthcare Constructor (CHC) designations offered by the
American Hospital Association (AHA) Certification Center, as well as the Senior ASHE (SASHE) and the Fellow
ASHE (FASHE) designations. CEU approval also adds credibility to your program and helps advance the fields of
health care engineering and facility management.
Once ASHE has given your program CEU approval, you should state on your marketing brochure that:
“Attendees will earn Continuing Education Units (CEUs) approved by the American Society for Healthcare
Engineering of the American Hospital Association (AHA) and the AHA Certification Center. A maximum of (#
of CEUs) CEUs can be earned by attending (chapter program’s name).”
If you have any additional questions, contact ASHE at (312) 422-3800 or via e-mail at ashe@aha.org.
Chapter 8
PUBLIC OUTREACH
Being Interviewed
Taking a stand on legislation or regulations that will affect your members and their employers
Ensuring that the public in your community understands that effective health care engineering and facility
management is related to reducing rising medical costs and improving the quality of patient care.
For these reasons, public relations—outreach to identify non-legislative audiences of importance to your
organization—and government relations/advocacy—outreach to public policy audiences—should be viewed in
concert. They are two sides of the same coin and work best when they are done together.
PUBLIC OUTREACH
For most people, the link between advocacy and public relations isn’t as clear as it should be. Part of the problem
lies in the way people traditionally view public relations—slick, somewhat superficial, and designed to put the
best spin on a problem—and the way they view public affairs—often as manipulative and only focused on self-
interest. After all, why else would they call PR guys “spin doctors,” and why would the term “lobbyist” have
gained such a negative connotation? Those negative labels still apply in many organizations, but more enlightened
groups look at public relations and advocacy as ways to tell their story and influence opinion in an ongoing, open,
and strategic way. That means being honest, talking about what works and what doesn’t, not saying “no
comment,” and positioning messages to specific, highly targeted audiences instead of trying to influence the entire
universe as we know it.
Advocacy is usually geared not to the general public or the general media, but to lawmakers and regulators, and it
is usually focused on a specific set of issues. Advocacy is calling on your local or state legislator to voice your
support of or opposition to an issue. The two disciplines overlap in that the effective use of public relations can
raise awareness of your issues to the point that public opinion helps you win your advocacy efforts.
Once you’ve defined the audience, you need to establish priorities. You are unlikely to have sufficient resources
to reach all audiences with the same amount of energy, so pick your key targets carefully. Once you’ve done that,
examine where they stand on the issue in question and how you’d like them to think about it. The following chart
might be a useful guide for determining this information.
This grid format can be adapted as needed, but the idea is to identify the audiences, then contrast the current and
desired perspectives. By doing this, you’ve begun the important next step—crafting messages that address these
concerns.
BEING INTERVIEWED
While the results are somewhat different, the approach to a media interview is very similar to a face-to-face
meeting with a legislator you want to hear your viewpoint. The following rules apply in both situations:
Talk from the viewpoint of the public, not the organization.
You are looking for the public value in your position, not just the personal benefit to your members, so
make sure you encompass a wide group in your worldview.
If you don’t want to be quoted, don’t say it.
Remember that there is really no such thing as off the record.
Get your most important points in first.
You may not have a lot of time, so know in advance the most critical things to emphasize. Ask yourself, “If
I could only make one point, what would it be? If I could only make two points, which are most
important?” Work through that process to maximize the value of the time. In most cases, you only want to
get two to three points across in any one session.
Don’t lose your composure or get into an argument.
If the reporter or the legislator doesn’t agree with you, you can have a discussion, but you won’t win a
debate. Be careful about being baited to make a more interesting story.
Don’t be afraid to say “I don’t know, but I’ll find out.”
This is the right answer. Under no circumstances should you try to fake information. It is a sure way to lose
both credibility and respect.
Tell the truth always.
Never exaggerate, never embellish, and never misrepresent. Sooner or later, someone will find out. Be
brutally honest.
Watch out for traps.
Reporters often use questions that have no right answers, questions that put words in your mouth and
produce negative answers, no matter what you say. —The press calls this technique “when did you stop
beating your dog.” Watch for these questions, and always, always, always think carefully before answering.
Don’t presume you are buddies.
Reporters and politicians get what they need by making people feel comfortable with them. Remember that
this is an important exchange. Keep it on a professional level.
Awareness and Information Publicity, promotion, audience Pave the way for sales,
targeting fundraising, stock offers, etc.
CHAPTER COMMUNICATIONS
This chapter addresses the following topics:
Overview
Executing Professionally
EXECUTING PROFESSIONALLY
Writing—A Review of Fundamentals
Be sure your news stories cover the facts. Check for who, what, when, where, why, and how.
Use short sentences—15 to 20 words is a good guideline.
Use short paragraphs; this visually makes your newsletter more inviting to read.
Use common language. Avoid unnecessary jargon, technical terms, and academic-sounding language. Spell
out acronyms in the first reference.
Use action verbs and the active voice.
Assume readers may not read the entire article. Put the most important information at the beginning.
Vary the length of the articles.
Incorporate summary boxes in feature articles.
Use checklists, bulleted lists, and call out quotation boxes to help break up long articles or pages with a lot
of type.
If you don’t already have one, select and regularly use a grammar handbook.
Use a style guide. One of the most popular is the Associated Press Stylebook.
Select a standard dictionary as part of your style guide. One common choice is the Webster’s New World
Dictionary.
Develop a style guide for your own organization. For example, do you prefer “Annual Meeting” or “Annual
Convention”? Decide what words you will hyphenate, capitalize, and the like. Develop standard formats
and spellings for jargon and technical terms.
Consistently work at the finer points of style. For example, know how to properly display service marks
and trademarks. Example: Realtor®
Tips on proofreading
Ideally, have three outside proofreaders review your document for these different areas:
Grammar and language.
Content accuracy about the profession and your organization.
Political sensitivity about issues in your profession and organization. This proofreader should have a feel
for how an article will be perceived by rank-and-file members, leaders, and other segments of your
readership. Look for someone who can spot who or what has been left out as readily as what was
mistakenly left in.
In addition, your review team should include someone with an eye for graphics, photo selection, layout, and
overall appearance.
Tips
If you don’t have access to a desktop publishing system or someone who has experience in design and
layout, consider using software templates.
Learn about typefaces, fonts, and layout techniques.
Identify common found elements and styles in professionally produced pieces that you can incorporate in
your publication.
Resources
If you don’t have the resources you need to prepare a newsletter, you may want to consider contacting:
Universities, community colleges (faculty and/or students)
Graphic design firms
Colleagues in ASHE
The right to privacy: Always obtain signed releases before publishing photographs.
Copyright (the right of authors to control the reproduction and use of their creative expression that have
been fixed in tangible form): Secure permission before using materials or artwork from a published source.
Antitrust: This complex body of law prohibits any concerted action that unreasonably restrains
competition. Among actions clearly prohibited are: conduct involving horizontal agreements to establish
prices and entering agreements to refuse to deal with third parties or to allocate markets or limit production.
Advertising: Put in writing your policy about what you will and will not accept. Use signed contracts for
ad space.
Consider publishing a legal disclaimer in each issue or for your website content.
If you need help with postal matters, such as how your newsletter should be folded to incur the least amount
of postage, consult the United States Postal Service.
Mail to advertising prospects several times a year. Announce your ad deadline schedule well in advance.
If you sell advertising as a regular part of your publication’s operation, determine your editorial-advertising
ratio. Use the ratio as a guide, not a firm rule.
A CHECKLIST FOR NEWSLETTER PRODUCTION AND PLANNING
The following checklist can help you manage the production and planning aspects of your newsletter:
Do you have established deadlines and stick to them?
If your publication has photos and graphics, do you ask authors to contribute?
Do you put the author’s contact information at the end of the article?
Do you get credit when something in your publication is copied and shared? (Tip: put the page number,
date of publication, and name of your publication on every page, so if the page is copied and shared, your
organization will get the credit.
Do you insert a request for updated member contact information with a box including address, phone, and
e-mail changes?
Do you use recycled paper? Some of your members view this as very important. Some organizations use
recycled paper but forget to let readers know.
Keep an ongoing idea file containing examples of other newsletters and article ideas.
Read a variety of publications, including several outside your field. Examples: Fast Company Magazine
and Hospitals and Health Networks.
Make up a quiz. Invite readers to send in their answers by a certain date. Everyone who gets a certain score
can be entered in a drawing for a prize. Print the answers—and winners’ names if you offer prizes—in a
future issue. Or put them on your website to help build traffic.
Look for ideas on content (plus layout and graphics) from a variety of resources.
Focus on fitting and adapting ideas from others, not copying them.
Consider creating a special issue that can be sent to non-member audiences, such as:
o Non-members (including former members who have dropped)
o Retired members
o Local media
o Opinion leaders including local political leaders, libraries, and universities
o Administrators of health care facilities
Look before you launch—experiment, test prototypes, and create pilot programs. Gather feedback. Then
refine and improve.
If you are making big changes in the format or frequency of the publication, let your key audiences know.
This includes your leadership, readers, and advertisers. Tell them about the benefits of the changes you’re
making and ask for their feedback.
Grocery checkout line magazines often live and die on the power of their front pages to jump off the rack
and into the hands of buyers. Whatever style you select for your cover or front page, the goal is to be
visually interesting and entice readers.
Involve readers with quick surveys. Provide instructions and then report the results.
Tips
When determining frequency, stay tuned to member feedback. For most people, daily is probably annoying
unless you offer vital information.
Avoid indents and long lines. This will cut down on awkward line breaks and will make the web page
easier to read.
In addition, you may want to consider including more minor buttons or information (usually located at the top or
bottom of the page), such as:
Search
Site Map
Who to Contact
Date of Last Update
ASHE Logo and link to the ASHE website with the words “An Affiliated Chapter of the American Society
for Healthcare Engineering of the American Hospital Association.”
Web users expect brevity. This means Web articles have to be shorter than written copy. Avoid big words,
long sentences, and fluff. A rule of thumb is to keep Web articles to half the length of printed pieces.
Web users skim, click, and move on. To help them, use lots of subheads and bulleted lists.
While the Web is different from print, copyright law is the same for both. For example, you cannot simply
paste someone else’s text or graphics on your website without permission.
Contact ASHE if you wish to post copyrighted ASHE material (non-marketing materials) on your website.
In most cases there should be no objection, as long as ASHE is given full credit.
Make careful decisions in this area. If your website designer or expert leaves or moves, you may be in trouble.
With a service provider, you may have more staying power.
Next, determine who will be responsible for updating your site. Can you update it yourself, or do you need to
work with your web host or designer? It’s highly recommended that your site be updated at least monthly.
Expenses
The cost of developing and maintaining your website will vary greatly depending on factors including design
complexity, kind of content (e.g., bulletin boards require more programming than text-only content), and the
amount of content to be maintained. A page that offers the user interactivity demands a greater amount of
programming and will be more expensive. Photos and graphics also add costs.
Items that may need to be budgeted include the following:
Design
Encryption (if you wish to conduct e-commerce using credit cards)
Hosting
Maintenance contract
Special programming, if required
Domain registration—Don’t be overcharged. Many companies advertise low prices but then charge extra
for critical add-ons. In many cases, these add-ons cost more than your initial name.
Income
Don’t forget about the opportunity to generate income, either by offering sponsorship or online advertising space
or by selling listings in an online directory of buyers. Be prepared, however, to deliver traffic to your site. Online
advertisers and sponsors will want information on site traffic to justify their expense.
The way website advertising generally operates is that the advertiser will place a small banner advertisement on
your site and will pay you either by click-through, impression, sale, or some combination of the three. A click-
through occurs when a visitor to your site clicks on the advertising banner and is taken to the advertiser’s site.
Conducts straw polls on issues. The Liaison conducts straw polls among members to determine support
for or objections to a proposed regulation. This reality check ensures that ASHE truly represents the
opinions and views of frontline health care engineers and managers.
Organizes review and comments. To proactively influence the issue, draft language must be reviewed and
comments (in support or opposition) submitted. The Liaison works with chapter members to select areas of
interest for their review and then solicits their feedback on national issues (exchange of knowledge).
Forwards issues to ASHE for analysis and action. Often national issues begin as state or local issues.
The Liaison is encouraged to organize and submit chapter advocacy issues to the ASHE Advocacy
Committee for review, analysis, and potential action.
Writes letters. On some national issues, the most effective comment and influence is through an organized
letter-writing campaign. The Liaison will be asked to disseminate talking points and letter templates to
chapter members, and will encourage timely submittal of comment letters to the appropriate agency.