Tuesday, August 20, 2019

Sean Stevenson, SVP of Operations, Genesis HealthCare



Today’s guest is Sean Stevenson. Sean a Senior Vice President for Operations with Genesis HealthCare, and responsible for Genesis’s 110 skilled nursing facilities in New England. Sean is an alumnus of the University of New Hampshire and holds a degree in Health Management and Policy, which of course is my department. In this interview, Sean talks about his journey in the long-term care field and all the rewards and challenges it presents. Sean and I both share the opinion that the long-term care field is underappreciated for the opportunity it represents to young people who are interested in a meaningful career in healthcare. 


Soundcloud:
Abridged version: https://soundcloud.com/healthleaderforge/sean-stevenson-svp-of-operations-for-new-england-genesis-healthcare-abridged/
Full length version: https://soundcloud.com/healthleaderforge/sean-stevenson-svp-of-operations-for-new-england-genesis-healthcare/
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 


Podcast Outline (Applies to full-length recording)
Time     Topic
0:01:28 Majoring in health management - a vision of managed care
0:05:38 discovering long term care by accident
0:11:06 starting in Long Term Care as a business office manager
0:14:57 pursuing an Adminstrator in Training (AIT) opportunity
0:17:08 what is an AIT
0:21:21 organizational structure of a skilled nursing facility
0:24:43 first role as an Administrator - empty briefcase
0:29:01 learning by experience and mistakes - learning to hold people accountable
0:30:40 how should young leaders establish credibility
0:33:18 categories of patients
0:38:27 industry shift from custodial care to rehabilitation
0:40:52 70-80% of patients are on Medicaid
0:43:01 traditional long term care - activities of daily living (ADLs)
0:45:09 memory support/dementia care
0:45:36 mental health/behavioral units and recovery
0:47:16 skilled nursing vs. assisted living
0:49:01 moving up to managing multiple facilities
0:53:36 developing a skill at improving organizations - "API"
0:57:31 moving on, becoming a regional vice president with 6 buildings
1:01:42 adding multiple states to his portfolio - policy and culture diversity - 18 buildings
1:05:18 how did leadership style evolve with a larger portfolio
1:08:43 surviving corporate acquisitions - acquired by Genesis
1:11:10 promoted to senior vice president with Genesis - 110 buildings
1:14:43 standardization efforts within the system
1:17:50 using management metrics
1:19:16 a day in the life of Sean Stevenson
1:21:22 how his role fits into Genesis's other operations
1:23:29 consolidation trends in long term care
1:25:16 financial challenges of LTC despite demographics
1:30:34 being creative around labor
1:33:58 what keeps him up at night
1:35:59 shaping corporate culture
1:39:58 leadership philosophy
1:44:12 why long term care as a career?


Links to Topics Discussed

Genesis HealthCare

Health Management and Policy

Winning by Jack Welch




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Monday, July 15, 2019

Jake Poore, President and Chief Experience Officer, Integrated Loyalty Systems


Today’s guest is Jake Poore, President and Chief Experience Officer of Integrated Loyalty Systems. Jake and his team consult with healthcare organizations around the country on how to improve the patient experience. Jake draws on 18 years of experience with Disney to help healthcare organizations improve how they care for patients. In this podcast, we talk about Jake’s career at Disney, then what it was like breaking out on his own and founding Integrated Loyalty systems. We also talk about his recently published book, 99 Lessons Learned from Disney To Improve The Patient Experience, which I would recommend to anyone who is thinking about ways to improve the patient experience.

Soundcloud:
Abridged version: https://soundcloud.com/healthleaderforge/jake-poore-president-and-chief-experience-officer-integrated-loyalty-systems 
Full length version: https://soundcloud.com/healthleaderforge/jake-poore-president-and-chief-experience-officer-integrated-loyalty-systems-full-length 
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 


Podcast Outline (applies to full length version)
Time     Topic
0:01:27 coming to Disney
0:06:57 what drew him to Disney
0:08:27 getting the teaching bug
0:09:05 ten 2-year careers
0:09:47 first teaching opportunity
0:10:57 designing organizational development and change
0:14:47 launching on the Euro-Disney
0:18:43 Frnaklin-Covey, learning the healthcare industry
0:21:10 recruited back to Disney to launch the Disney Institute
0:24:27 launching the healthcare division of the Disney Institute
0:30:52 learning healthcare to improve healthcare
0:35:41 founding Integrated Loyalty Systems - making the leap to entrepreneurship
0:39:18 the founding team of ILS
0:39:57 finding first customers
0:43:37 Jake's book, "99 Lessons Learned from Disney to Improve the Patient Experience"
0:48:33 creating a culture with intention
0:52:47 lesson #30 - "localize your culture" - "we create happiness…"
0:57:52 lesson #58 & 59 - "caring out loud"
1:01:48 lesson #95 - "culture of always"
1:06:45 lesson #99 - "developing an organization true north" - connecting to purpose
1:09:03 why do we need patient experience officers?
1:15:15 leadership philosophy - asking, don't tell
1:18:03 what makes a good leader
1:19:29 advice to early careerists
1:22:00 about Jake on the Web


Links to Topics Discussed:

Integrated Loyalty Systems

Jake's book, 99 Lessons Learned from Disney To Improve The Patient Experience

Jake's Facebook page

The Disney Institute

Saturday, June 15, 2019

Marie Vienneau, FACHE, President & CEO, Mayo Hospital



Today’s guest is Marie Vienneau, the President and CEO of Mayo Hospital in Dover Foxcroft, Maine. Mayo Hospital is a critical access hospital in rural central Maine. Mayo Hospital is the primary hospital for the 17,000 residents of Piscataquis county, spread over a land mass roughly the size of Connecticut.

Prior to coming to Mayo Hospital, Marie worked at Millinocket Regional Hospital, in her home town of Millinocket, Maine, where she rose from staff nurse to President and CEO. During her tenure, like much of rural Maine, the two paper mills that were the economic engines of her community closed down. We talk at length about what it is like leading a non-profit community hospital during a time of economic downturn, and how she led the organization and worked with the community to care for her fellow residents.

Marie has been the President and CEO of Mayo Hospital since 2014. Mayo Hospital has a unique governance structure: it is a quasi-governmental entity governed by a Hospital Administrative District, which I was not familiar with. We discuss how this governance structure is different from the typical non-profit hospital’s governance structure and the challenges of working in this different environment. Mayo Hospital is currently in negotiations to merge with Northern Light Health, formerly the Eastern Maine Health System, one of the three largest health systems in Maine, and we discuss some of the challenges of going through a merger process. We close on a discussion of leadership.

Links to Podcast:

Soundcloud: 
Full Length: https://soundcloud.com/healthleaderforge/marie-vienneau-president-and-ceo-mayo-hospital-full-length 
Abridged: https://soundcloud.com/healthleaderforge/marie-vienneau-president-and-ceo-mayo-hospital-abridged



Podcast Outline (Applies to Full-Length version)
Time               Topic
0:02:24 Early career in nursing - Boston
0:04:08 returning to Maine - Millinocket Regional Hospital
0:05:38 becoming CNO of Millinocket Regional Hospital at 26
0:06:47 about Millinocket and and the collapse of the paper industry
0:09:40 making the transition from staff nurse to senior leader
0:12:06 advice for making the transition to leader from individual performer
0:14:03 being young in a senior leadership role
0:15:54 transition to CNO/COO
0:16:38 becoming CEO
0:18:31 Millinocket Regional Hospital and the economy
0:21:40 effects of the contracting economy on the hospital
0:23:30 1/3 of the population becoming uninsured in one day
0:29:00 surviving the downturn - loyalty of the medical staff
0:31:07 reflecting on rise from staff nurse to CEO in one organization
0:34:54 importance of having been a clinician and support of the medical staff
0:39:02 CEO is the face of the organization in the community
0:43:14 moving from Millinocket to Mayo Hospital
0:45:49 about Dover Foxcroft, Maine
0:48:39 Mayo Hospital
0:50:12 challenge of maintaining specialties in a small facility
0:53:40 challenges of recruiting physicians to rural hospitals
0:55:01 foreign medical graduate program
0:57:31 reliance on non-physician providers
0:58:28 reliance on telemedicine in the emergency department
1:01:08 telepsychiatry, other telemedicine
1:02:19 Governance - Hospital Administrative District - quasi-governmental district
1:07:08 founding of Mayo Hospital as a Hospital Administrative District
1:08:41 Northern Lights (Eastern Maine) Merger
1:09:50 strategic advantages of the proposed merger
1:13:21 merger must be approved by Maine legislature
1:15:25 lessons from 17 years as a CEO - it's lonely at the top
1:18:13 what keeps her up at night as CEO
1:20:09 leadership philosophy
1:21:56 what she looks for in a leader
1:22:30 advice about worklife balance

1:24:49 why healthcare administration?

Links to Topics discussed

Mayo Hospital

Millinocket Regional Hospital

Northern Light Health




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Wednesday, May 15, 2019

Chris DiNicola, COO, The Process Recovery Center


Today’s guest is Chris DiNicola. Chris is a healthcare entrepreneur working in the field of addiction services. I stumbled on to Chris’s organization after reading about a new barber shop in Nashua, New Hampshire that was run by recovering addicts, and catering to those in recovery. It turned out Rise Barbershop was just one of a number of ventures Chris is responsible for. I spoke with him at Process Recovery Center, one of two treatment facilities he and his partners own. They also operate sober living houses, which provide safe and supportive housing communities for recovering addicts with a total of 170 beds in New Hampshire and Massachusetts.

What is amazing is that Chris and his partners are all recovering addicts, so the businesses are a manifestation of their passion to help others who have suffered from the same challenges.

This is one of the longer interviews I’ve done, so I’ll be posting two versions, a full length version with the entire interview, and an abridged version.

If you would like to help with Chris's mission, consider making a donation to the charity we talk about in the podcast, Revive Recovery.

Links to the Podcast:

Soundcloud: 
Full Length: https://soundcloud.com/healthleaderforge/chris-dinicola-coo-process-recovery-center/ 
Abridged: https://soundcloud.com/healthleaderforge/chris-dinicola-coo-process-recovery-center-abridged/
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
Podcast Outline (applies to the full-length version)

0:01:43 Intro - why addiction services
0:03:32 Chris's story of addiction - oxycontin
0:07:18 dopesick - experiencing chemical dependence
0:10:16 trying to stop using
0:11:58 bargaining with addiction
0:12:48 transitioning from pills to injecting heroin - an economic decision
0:14:43 entering long term recovery
0:18:03 hearing the message of sobriety - changing his perception
0:19:43 the need for validation and inability to practice self-love
0:23:58 abusing anything that allows him escape
0:26:31 surrendering to treatment
0:29:24 getting clean, but not dealing with the disease
0:34:08 bottoming out, fearing vulnerability
0:38:48 losing his father
0:45:33 bottoming out - thinking about using again
0:48:43 opening up, allowing himself to be vulnerable
0:50:43 turning point of everything - ready for honesty and communication
0:52:16 explaining a 12 step program
1:00:23 breaking through isolation by sharing his darkest fears
1:08:03 the addiction disease manifested itself through external accomplishment
1:10:03 deciding to become a professional dancer at 25
1:16:03 auditioning for America's Best Dance Crew
1:20:28 first entrepreneurial venture - opening his own dance school with his brothers
1:23:23 deciding to be more public about his recovery
1:27:43 second entrepreneurial venture - a sober house, "Rise Above"
1:33:10 sober living housing - transitional safe housing
1:37:48 challenges of getting the business started - cash flow and scholarshipping
1:39:53 growth from 6 to 170 beds in 4 years
1:42:40 adding a treatment center - Process Treatment Center
1:47:13 treatment center complementary service to sober living
1:47:45 types of programs offered
1:48:10 intensive outpatient (IOP)
1:49:21 Partial Hospitalization vs IOP
1:51:18 progression of treatment
1:52:59 outpatient care
1:54:12 recovery coaching
1:55:20 Process Treatment Center is unique in that it has full-spectrum (less detox) care
1:58:25 COO Role
2:00:50 number of staff - discussion of other organizaitons under Recovery umbrella
2:05:38 Revive - non-profit resource center
2:07:50 the life of an entrepreneur - following a path and purpose
2:09:55 the interaction between being an addict and being an entrepreneur
2:14:42 what do people misunderstand about addicts
2:20:04 choosing employees and leaders
2:22:48 mentorship - leading by example
2:26:01 what's next?
2:28:05 policies that impede the provision of treatment?


Links to Topics Discussed:

The Process Recovery Center

Rise Above Sober Living

Re-Vive Recovery Support

Nashua Telegraph covers the Rise Barber Shop

Rise Barber Shop

Everett dance crew bringing Phunk to MTV

Video of Phunk Phenomenon Performing





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Monday, April 15, 2019

Semra Aytur, PhD, MPH, Associate Professor, Department of Health Management & Policy




Today’s guest is my colleague, Dr. Semra Aytur. Semra is an associate professor in the Department of Health Management and Policy, and holds a PhD in Epidemiology from the University of North Carolina at Chapel Hill and a Master of Public Health from Boston University. Her research focuses on socio-ecological resilience. She has published 40 academic papers, books, and book chapters on topics related to public health. In this interview we talk about her journey from discovering the field of public health as an undergraduate, her pursuit of technical skills to support her passion for public health, and examples of her interdisciplinary research blending together fields such as epidemiology, engineering, and urban planning to improve community health and health equity. It was fun for me to get into depth with Semra about her background, and I hope you enjoy the conversation, too.

Links to the Podcast:

Soundcloud: 
Full Length: https://soundcloud.com/healthleaderforge/semra-aytur-phd-mph-associate-professor-of-health-management-and-policy/
Abridged: https://soundcloud.com/healthleaderforge/semra-aytur-phd-mph-associate-professor-of-health-management-and-policy-abridged/
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge




Podcast Outline (applies to the full-length version)

0:01:31 background, undergraduate at Brown - thinking about medicine
0:06:20 discovering public health research and epidimeology
0:08:42 sleep research - bridging medicine and public health
0:09:49 defining epidimiology
0:11:40 going to Boston University for an MPH degree
0:16:06 glimmerings of becoming a researcher vs. a practitioner
0:17:01 moving to Dallas
0:19:17 primary, secondary, and tertiary prevention
0:20:36 desire to develop skills to lead primary/secondary prevention
0:22:21 attraction to methodogical rigor of epidimeology
0:25:01 working with the CDC
0:27:22 PhD in epidimiology at UNC Chapel Hill
0:29:04 TA/RA to help pay for school
0:32:10 PhD vs. professional masters - learning research inquiry
0:36:52 learning about civil rights - seeing the intersection between epidimiology and justice
0:40:22 dissertation - built environment and health
0:53:41 doing a post-doc
0:54:41 working in King County (Seattle) public health department
0:56:16 coming to the University of New Hampshire
0:57:50 academic rank - promotion to associate professor
1:00:13 the importance of mentorship in academia
1:03:08 leadership in an academic environment
1:05:06 learning to teach
1:07:24 research - the socio-ecological model
1:10:33 research - Urban Containment and Health Outcomes
1:17:27 research - Climate Change and Adaptive Governance  a case study
1:26:01 research - Photovoice and Sport participation for youth with disabilities
1:34:57 the generation of research ideas
1:37:39 summarizing her agenda: socio-ecological resilience

1:39:04 careers in public health


Links to Topics Discussed:

Semra Aytur - CHHS web page

The Social-Ecological Model: A Framework for Prevention

John Snow

Photovoice project with Northeast Passage

University of North Carolina at Chapel Hill


Brown University







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Friday, March 15, 2019

Alex Walker, Executive Vice President and COO, Catholic Medical Center


Today’s guest is Alex Walker, the Executive Vice President and Chief Operating Officer for Catholic Medical Center in Manchester, New Hampshire. Alex took an unusual route to senior leadership in the healthcare field. Prior to joining Catholic Medical Center in 2012, he spent more than twenty years practicing corporate law and litigation at one of New Hampshire’s largest and most prestigious law firms.

In the podcast we talk about Alex’s journey from his early experiences in the Marine Corps, to what it was like to rise to become President of Devine and Millimet, and ultimately his decision to change careers and industries and join the team at Catholic Medical Center.

What I thought was especially interesting about Alex’s story was how he described the experience of joining a mission driven non-profit hospital, and how important that was to him. I hope you enjoy this conversation as much as I did.



Podcast Outline

Time Topic
0:01:27 Becoming a Marine - growing up, diversity
0:08:34 coming home, Umass Boston - first in family to go to college
0:13:55 law school at Northeastern
0:18:13 joining the firm of Divine Millimet in Manchester, NH
0:22:27 the partnership model of law firms
0:25:47 commercial litigation
0:27:11 defending Catholic Medical Center during de-merging
0:31:25 becoming Chairman of Divine Millimet
0:35:29 what do people misunderstand about the practice of law
0:38:06 coming to CMC
0:42:24 about CMC
0:46:37 from general counsel to COO
0:51:17 inernal focus of the COO
0:53:27 Granite One System
0:58:32 Affiliation with Dartmouth-Hitchcock Health
1:03:40 leadership philosophy
1:04:55 how did leadership style change coming from law to healthcare
1:06:37 influences on his leadership style
1:11:23 organizaitonal culture
1:13:53 importance of mentors
1:16:15 advice to early careerists



Links to topics discussed:





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Friday, February 15, 2019

Heather Staples Lavoie, President of Geneia


Today’s guest is Heather Staples Lavoie, the President of Geneia in Manchester, New Hampshire. I had the opportunity to hear Heather speak recently at a UNH CEO forum during which she described the exciting work Geneia is doing in the health analytics field, so I invited her to be on the program to share both her journey as a serial healthcare entrepreneur, and Geneia’s story, too.

In the podcast we discuss Heather’s career and how she discovered a passion for healthcare analytics. We then talk about the various products and services Geneia has developed to help improve the delivery of healthcare and mitigate provider burnout (we talk about the Physician Misery Index Geneia has developed to measure the pain clinicians feel from the array of administrative tasks that take them away from providing care).

I really enjoyed talking with Heather because her experiences in small firms are so different from mine, and I believe analytics, AI, and machine learning are going to transform healthcare.

Links to Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/heather-staples-lavoie-president-of-geneia

Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge


Podcast Outline


Time Topic
0:01:27 education
0:03:57 moving to healthcare
0:06:17 early interest in health IT, HealthSource and Cigna
0:09:11 the draw to analytics
0:12:04 building Choicelinx, healthcare consumerism
0:19:07 "mid market customers"
0:19:40 Starting Choicelinx in a garage
0:20:18 taking the entrepreneurial leap
0:21:55 early days of a start up
0:22:34 angel and venture capital investors
0:23:57 pitching a start up to investors
0:25:32 circumstances beyond control - 9/11
0:27:32 deciding to sell Choicelinx
0:29:26 the sale to Cigna and transition to being a subsidiary
0:30:27 leaving Cigna for consulting
0:30:53 starting with Geneia, joining with Capital Blue Cross
0:32:42 the original vision for Geneia - Capial BC seeking diversification
0:35:20 what is a wholly owned subsidiary?
0:37:34 early stages of establishing the subsidiary
0:41:11 Geneia's products - Theon analytics
0:43:38 What is the value added to a community hospital?
0:48:32 argument for specialized firms doing analytics work
0:49:45 need for scale in the healthcare market, driven by payment models
0:50:51 management of client data
0:52:10 the Physician Misery Index
0:56:15 how Geneia's interface helps with decision making
0:57:46 remote patient monitoring services
1:04:46 other services
1:05:57 looking into the future - AI and Machine Learning
1:08:38 leading in an entrepreneurial organization
1:11:32 finding the right people
1:15:04 career opportunities in health analytics



Links to topics discussed:







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