Thursday, February 15, 2018

Colonel Jean M. Barido, Commander, Public Health Command - Central


Today’s guest is COL Jean Barido, the Commander of the US Army Public Health Command – Central. The Command provides public health leadership and evidence-based preventive medicine programs and veterinary services to optimize the health of military units, installation personnel, and animals within 20 states, the Caribbean, and Central America.

In this podcast we talk about COL Barido’s career as an Army Nurse Corps officer, starting in the reserves and then transitioning to active duty. We discuss her many roles in the military including deployments to Kosovo and Afghanistan, and then discuss her role as the Commander of a dispersed unit with many diverse missions. We conclude with a discussion of leadership.

Podcast Outline 
Time       Topic

0:01:24 introduction, education
0:02:40 working as an RN, joining the reserves
0:03:41 about the Army Reserves
0:06:17 balancing the Reserve duty with civilian full time job
0:07:43 deploying to Kosovo with reserve combat hospital
0:09:38 caring for local nationals in austere conditions
0:11:14 transition to active duty as an Army nurse
0:12:54 first jobs on active duty
0:13:29 deploying to Afghanistan
0:14:25 PROFIS units - how the Army staffs field units
0:16:54 the Afghan mission
0:21:06 return from deployment, becoming a nurse practitioner
0:22:26 Uniform Services University of the Health Sciences
0:24:21 work as a family nurse practitioner
0:26:24 moving to the Pentagon - working in Manpower and Reserve Affairs
0:28:38 Chief Nursing Officer, Moncrief Army Health Clinic, Ft. Jackson
0:29:28 Commander, Public Health Command - Central
0:32:25 defining public health - "one health" - people, animals, and the environment
0:34:24 composition of the command - units within the command
0:38:12 role of the Commander
0:45:06 role of Veterinary Corps
0:46:50 learning to lead in a distributed and diverse organization
0:47:57 the Army process for selecting commanders
0:48:54 what prepared her for this command
0:51:09 most pressing issues facing MHS from Public Health perspective
0:53:46 leadership philosophy - her 5 core values
0:55:11 characteristics of a good leader
0:55:58 her leadership role model - her father
0:56:39 what she is looking for in a leader
0:57:10 leadership lesson learned the hard way
0:59:30 organizational culture
1:01:48 her career mentors
1:02:46 what does a good mentor do
1:03:14 her role as a mentor
1:04:36 careers: why public health? Why nursing?
1:06:31 advice to future healthcare leaders


Topics Discussed:

Public Health Command - Central

399th Combat Support Hospital




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Monday, January 15, 2018

Mary Lowry, Administrative Director, Center for Telehealth, DHMC



Today’s guest is Mary Lowry, the administrative director of Dartmouth-Hitchcock health system’s Center for Telehealth. The Center for Telehealth is Dartmouth-Hitchcock’s consolidated telemedicine program, and in this podcast we talk about the variety of services and support that Mary’s team provides across New Hampshire and Vermont. It’s a fascinating look at the future of medicine, even though as Mary notes, telemedicine isn’t new, I think it is just now coming of age, and as we continue to transition away from a fee for service model in healthcare and towards the provision of value based care, we are only going to see greater levels of telemedicine utilization.

Links to the Podcast
Soundcloud: https://soundcloud.com/healthleaderforge/mary-lowry-administrative-director-center-for-telehealth/
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/w4K5nXEUwqQ
Transcript is available here: http://healthleaderforge.blogspot.com/p/mary-lowry-transcript.html

Podcast Outline 
Time       Topic
0:01:15 introduction - about Dartmouth-Hitchcock
0:03:12 Mary's background, role of the administrative director
0:04:56 Connected Care Center
0:05:42 Telemedicine and Transfer Management
0:06:38 history of the program
0:07:38 Services - Telestroke & Teleneurology
0:10:11 which hospitals contract for telemedicine services and why
0:11:24 critical access hospitals, night coverage at PPS hospitals
0:18:35 partnership with Specialists on Call
0:19:47 reimbursement
0:21:40 the business case for telemedicine - keeping patients
0:23:25 protocol for treatment with telehealth
0:24:08 other inpatient telehealth services
0:25:26 tele-emergency medicine
0:28:50 challneges of quantifying the business case
0:30:18 tele-intensive care (tele-ICU)
0:31:48 "wired bed"
0:36:11 tele-ICU - complement, not substitute
0:37:51 the tele-ICU stations team
0:38:56 revenue stream for tele-ICU, ROI
0:40:50 tele-pharmacy
0:42:36 tele-psychiatry
0:45:40 why not ambulatory tele-psychiatry
0:47:50 ambulatory services
0:50:35 billing for home telehealth visits
0:51:45 pediatric specialty services - efficiency
0:52:45 strategy implications of telemedicine
0:56:30 synergies between services
0:57:20 identifying gaps in care and bringing resources to patients
0:58:05 building the business, seeking profitability
0:59:46 role of telemedecine and value based care
1:01:26 what are the limits on growth for telemedicine
1:04:06 future visions for telemedicine
1:05:35 business to business vs. business to consumer
1:09:25 closing thoughts


Topics Discussed:

Connected Care Center





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Friday, December 15, 2017

Stephen Kasabian, Chief Administrative Officer, Maine Medical Partners


Today's guest is Stephen Kasabian, Chief Administrative Officer for Maine Medical Partners (MMP) in Portland, Maine. Maine Medical Partners is a large, multi-specialty practice with over 500 physicians and is a subsidiary of Maine Medical Center. Steve was MMP Employee #1, and has overseen the growth of the organization since its inception.

Steve is a graduate of our own HMP program, and in this podcast we trace his career from UNH through to his leadership at MMP. We discuss the challenges and opportunities faced by healthcare organizations, and those in and around southern Maine. We conclude with a discussion about leadership. 

Steve is interviewed by HMP junior Bridgette Carrier and HMP senior Shayna Murphy.




Links to the Podcast
Soundcloud: 
            Full-length: https://soundcloud.com/healthleaderforge/stephen-kasabian-chief-administrative-officer-maine-medical-partners/
 Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/jIW8ArQjxvs

Podcast Outline 

Time       Topic
0:01:54 Choosing health management as a major
0:02:44 Internship at Exeter Hospital - the beginning of a career
0:04:56 First job at Goodall Hospital, learning to be a manager
0:08:53 Transition to consulting
0:11:21 key skills - relationship building and listening
0:13:56 what did he enjoy most about consulting
0:15:26 becoming a senior manager and deciding to leave consulting
0:16:27 moving into practice management
0:18:44 comparing practice management to hospital management
0:19:42 Leading a practice merger
0:20:57 the formation of Maine Medical Partners
0:23:30 working with a PHO when the concept was new
0:24:55 employee 1 - starting Maine Health's Medical Service Organization (MSO)
0:27:09 organziation as it was in 1995
0:28:29 building relationships with the physicians
0:29:26 what are the challenges of building a multi-specialty practice
0:30:50 what does it mean to be a multi-specialty group
0:33:21 MMP process for acquiring or opening a practice
0:35:49 challenges of rapid acquisition
0:37:00 hiring a physician president, becoming Chief Administrative Officer (CAO)
0:38:57 being half of a dyad
0:40:20 division of labor in the physician-administrator dyad
0:41:38 pros and cons of dyad leadership
0:42:07 MMP's major services
0:43:50 MMP's current structure
0:46:06 small number of direct reports
0:47:15 longevity of leadership team is a strength
0:48:39 MMP corporate strategy linked to Maine Medical Center
0:51:07 making the jump from individual practice to system level
0:52:37 MMP mission - to care for patients regardless of ability to pay
0:54:34 challenges of recruiting physicians
0:56:01 dealing with an aging population
0:57:45 impact of the ACA - lowering bad debt
0:58:30 impact of not expanding Medicaid
0:59:57 operational excellence, Gemba walks
1:03:40 Gemba walks help with employee engagement
1:04:53 what keeps him up at night - finding the resources to provide the services needed
1:06:34 what are the skills necessary to become a CAO
1:07:32 advice to his 20 year old self
1:08:33 leadership philosophy
1:10:04 the characteristics of a good leader - listening
1:11:09 who inspired his leadership style
1:11:54 a leadership lesson learned the hard way
1:13:56 what to look for when choosing leaders
1:16:21 the common mistakes of junior leaders - impatience
1:17:23 organizational culture
1:18:41 how to shape organizational culture - live it
1:19:56 the role of the mentor
1:22:11 book recommendation for early careerists
1:23:20 advice to early careerists


Topics Discussed:




Goodall Hospital (now SMHC)






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Wednesday, November 15, 2017

Timothy D. King, VP of Business Development, G. Greene Construction



Today's guest is Timothy King, Vice President of Business Development for G. Greene Construction, a construction firm specializing in healthcare facilities. Tim has a long history of working business development for construction firms, starting with his father's commercial real estate development firm, moving on to work with civil construction, including the Big Dig in Boston, and finally specializing in healthcare construction. In this podcast we talk about the construction industry and business development in general, and then focus in on how business development in healthcare construction works. Tim talks with a lot of passion about his work, and I learned a bunch about a side of healthcare that I personally have not been directly involved in all that much.

Prior to recording the podcast, Tim was able to give me a tour of the new ICU that his firm, G. Greene, had just completed at Lowell General. We talk about the project quite a bit during the podcast, so I have included some pictures of the facility below.

(We recorded the podcast at Lowell General, so at a few points you will hear announcements from the intercom, and even a lullaby is played, indicating a new baby was born during the recording.)

Links to the Podcast
Soundcloud: 
https://soundcloud.com/healthleaderforge/timothy-king-vp-of-business-development-g-greene-construction/
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/dc3OeNIAnJI

Podcast Outline

Time               Topic
0:01:47 Business and Econ at Stonehill College
0:03:14 starting in construction - family business - 
                        A.J. Lane & Co./King-Guanci Development
0:05:16 Modern Continental Construction
0:06:49 The Big Dig
0:07:42 defining "business development"
0:09:07 healthcare construction - director of Business Development for 
                        Suffolk's healthcare division
0:11:37 selling to municipal vs. institutional (hospital) buyers
0:15:48 the challenges of business development - winning and rejection
0:22:27 opportunities through relationships
0:23:54 starting a healthcare practice for the real estate firm of Jones, Lang, Lasalle
0:31:32 starting his own business development agency
0:34:35 business development for G. Greene Construction
0:36:18 securing a project - Lowell General ICU
0:39:20 planning a team for a construction project
0:43:28 winning a project is about relationship chemistry
0:44:27 how architect and construction firm work together
0:46:22 challenges of building an ICU expansion in a functioning hospital
0:47:37 managing the project - hiring the subcontractors
0:50:17 factors that led to the unique design of the Lowell ICU project
0:55:55 what drives the high cost of healthcare space?
1:01:02 the future of healthcare - and the future of healthcare construction
1:03:04 lessons learned from his career
1:04:54 what do people get wrong about healthcare construction?
1:08:17 why administrators should understand healthcare construction

Pictures of the Lowell General ICU:




Topics Discussed:








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Sunday, October 15, 2017

Samantha O'Neill, VP of HR, The Elliot Health System


Today's guest is Samantha O'Neill, the Vice President of Human Resources for the Elliot Health System in Manchester, New Hampshire. Sam has served in senior HR roles in software, information technology consulting, high-tech, manufacturing companies, and most recently healthcare.

Sam is interviewed by Kayli Mathews and Nicole Bishop, juniors in the Department of Health Management and Policy at the University of New Hampshire. In this podcast, they explore Sam's diverse career, talk about the various functions of HR, and close on a discussion of Sam's leadership style.

Links to the Podcast
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/KW0Sf7MCw6I

Podcast Outline 

Time             Topic
0:01:07 Start of Career Post Music Education Degree
0:01:55 Challenges as a Business Retirement Plan Specialist
0:03:25 Working with the Temp Agency - starting in HR
0:05:14 Senior HR of Ajalon- Reasons for staying in HR
0:06:47 Sam had little HR experience but someone took a chance on her - "baptism by fire"
0:07:33 Learning HR and taking a crash course
0:09:10 Success of making Senior VP in 12 years
0:10:11 Start of HR at TomTom (GPS)
0:11:48 How Sam learned to build an HR Department at Tom Tom
0:13:00 Sam's career in HR at Velcro
0:13:49 Why Sam took her posistion at Velcro
0:15:11 Understanding travel and requirements of a new CEO
0:16:56 Joining rhe Elliot Health Care System
0:18:43 What is the Elliot like as an organization
0:19:58 First Posistion at the Elliot: Director of HR
0:21:43 Genereal structure of the orgnization and how Sam fits in as VP of HR
0:22:24 Who Sam interacts with as VP
0:23:16 Compensation and Benefits 
0:25:00 How Sam knows and manages to stay within her market
0:25:33 How Sam and her team deliver support to other areas
0:27:28 Sam took initiative because HR was not appropriately staffed
0:30:40 HR in healthcare vs HR in other fields
0:32:02 Show you want to learn in the industry to be successful
0:33:48 Interaction with employed physcians 
0:35:20 Approaching the CEO about staffing issues in HR
0:36:37 Measuring employee outcomes and patient satisfaction
0:38:42 Patient and Department ratings
0:40:37 Transferable skills from HR
0:41:38 The draw of HR - seeing the value
0:43:47 Employee law, patience, judgement, and regulations
0:45:17 Confusion and Misunderstandings about HR Departments
0:47:14 Strategic Goals in HR 
0:48:26 Leadership Philosphy
0:49:55 Characteristics of a good leader
0:51:00 Leadership lesson learned the hard way
0:52:40 Being a woman in a senior executive posistion
0:53:55 Hiring for skill and fit
0:55:53 Organizational Culture
0:56:54 Mentors in earlier jobs and using previous knowledge
0:59:06 Developing leaders
1:00:58 Professional organizations
1:02:21 Advice to those starting a career in the health field

Topics Discussed:

The Elliot Health System

Westfield State

Tom Tom

Velcro

Society for Human Resource Management





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Friday, September 15, 2017

John W. Polanowicz, EVP of the Hospital Services Group, Steward Health Care


Today’s guest is John Polanowicz, the Executive Vice President of Steward Health Care’s Hospital Services Group. Steward Health Care is a large, for-profit hospital system with a national presence.
In this podcast we talk about John’s fascinating career, beginning with his time at the United States Military Academy at West Point, his tour as an Army aviation unit commander and Black Hawk pilot, and then on to his experiences as a hospital CEO, his service as the Secretary of the Executive Office of Health and Human Services for the State of Massachusetts, and finally his role today at Steward. We close on a discussion of leadership and John’s advice to early careerists.

0:01:04 US Military Academy at West Point
0:02:18 why military service?
0:03:16 what sold him on WP
0:03:55 entry onto active duty - Black Hawk pilot
0:04:21 Company Commander for an assault helicopter company
0:05:40 leadership lessons from military service
0:06:56 decision to leave the military
0:08:56 first healthcare experience - Stryker
0:10:35 Stanford MBA
0:11:49 healthcare delivery - UMass Memorial - internal consulting
0:16:07 VP. Operations, UMass Memorial
0:16:37 committing to healthcare delivery, operations
0:17:51 President & CEO, Marlborough Hospital
0:20:39 what was the attraction of the CEO role?
0:21:29 about Marlborough Hospital
0:22:26 the influence of the organized medical staff
0:24:22 surprise at the extent of external roles of the CEO
0:25:52 President, St. Elizabeth's Medical Center
0:28:07 switching from not-for-profit to for-profit
0:32:16 should healthcare not be for-profit?
0:33:23 culture differences
0:35:32 becoming Secretary of the Executive Office of Health and Human Services
0:37:54 scope of HHS in MA
0:39:03 challenge of taking on new areas of interest as Sec EOHHS
0:41:35 pressing policies facing HHS at the time
0:44:28 biggest accomplishments as Sec EOHHS
0:47:01 about Steward Health Care
0:49:06 rapid growth through acquisition - leadership challenges
0:52:01 what scales well with growth?
0:53:49 how does Steward go about making acquisition choices?
0:55:22 what is the process of integrating a new facility?
0:58:22 role as EVP of Hospital Services Group
1:02:09 what makes Steward so successful?
1:04:03 concerns as the EVP of Hospital Services
1:08:07 leadership philosophy
1:09:30 characteristics and behaviors of a good leader - importance of thank you notes
1:12:45 leadership lesson learned the hard way
1:15:06 importance of mentoring networks
1:16:09 executive coaching
1:16:39 Mentoring as creating managerial scale
1:18:33 Advice to early careerists


Topics Discussed:





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Tuesday, August 15, 2017

Sean Tracey, Founder, CEO, and Creative Director of Sean Tracey Associates



Today’s guest is Sean Tracey, the founder, CEO, and creative director of Sean Tracey Associates, a full service marketing and brand strategy firm located in Portsmouth, New Hampshire. I spoke with Sean because over the years his firm has worked extensively with healthcare organizations, helping them craft their internal and external brands and marketing strategies. In this podcast we talk in particular about his work with Wentworth-Douglass Hospital, but Sean has worked with a many other healthcare organizations including developing the Tufts Health Freedom Plan brand with Tufts Health and Granite Health, Boston Children’s Hospital, and Hartford Health. He is currently working with the newly formed North Country Healthcare, whose CEO, Warren West has been a previous guest on the Forge. Sean has also worked with large, national brands such as Sears and MasterCard.

This was a fun interview because Sean has done so many diverse and interesting things in his career, including being a jazz trumpeter, producing a TV show called, "The Best of New England", and making a feature length documentary called, “The Jesus Guy”.

One of the things I found most interesting was our conversation about leadership in an industry where most organizations are project-based, and teams may form for a day or many years, depending on the length of the project. We close on a discussion about developing a personal brand, which I think is particularly valuable for any professional to think about.

Links to the Podcast
Soundcloud:
Edited: https://soundcloud.com/healthleaderforge/sean-tracey-founder-ceo-and-creative-director-of-sean-tracey-associates-1
Full length: https://soundcloud.com/healthleaderforge/sean-tracey-founder-ceo-and-creative-director-of-sean-tracey-associates
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/MkJSVvyBAwA

Podcast Outline (applies to full length interview)

Time         Topic
0:02:11 education and background - philosophy and religion
0:04:39 electronic music
0:07:06 large scale installation sculptures - behavioral interactions
0:09:31 side career as a jazz pianist and trumpeter
0:10:57 transition to television, television production
0:12:09 starting Sean Tracey Associates - starting in production of commercials
0:13:41 interest in tae kwon do
0:17:33 how do the diverse influences come together - importance of interests
0:19:39 early career, documentary, "The Jesus Guy"
0:22:31 what it is like to make a documentary
0:24:16 how does financing work for documentary projects?
0:25:14 what makes a good story
0:28:06 knowing your audience
0:28:53 Commercial work (Advertising) vs. art
0:30:19 The evolution of STA to a full service advertising and marketing firm
0:35:26 learning to manage other aspects of the business - in addition to video
0:37:14 specializing in financial services and healthcare organizations
0:40:56 about STA - core organization, working within the "Hollywood Model" - project based
0:43:37 the importance of common understandings within the advertising and film market
0:47:30 reputation is everything
0:50:26 collecting names of talented people for work in the future
0:51:47 managing relationships with freelance talent
0:52:57 challenges of the temporary, project-based organization
0:53:28 from the client perspective - creating a relationship with an agency
0:57:16 benefits of working with a small agency vs. a large agency
0:59:03 understanding what a brand is
1:00:40 defining marketing
1:02:49 Branding Wentworth-Douglass  Hospital - rebranding the HR department
1:05:11 internal vs. external marketing
1:06:28 describing the process of developing an internal brand
1:09:14 what the HR director wanted - a brand to recruit and retain the best talent
1:10:51 what do healthcare executives need to know about branding? What do they get wrong?
1:12:27 evolution of marketing - more complexity
1:14:07 looking forward for STA
1:15:28 managing big, fragile egos
1:17:46 leadership philosophy
1:19:56 what do you look for when bringing on a leader
1:20:32 what kind of culture does he try to create
1:21:40 what does a good mentor do
1:23:59 his experience as a mentor - with own staff, teaching
1:25:03 defining success - ongoing growth
1:25:50 advice on personal branding for early careerists


Topics Discussed:

Sean Tracey Associates

Albert Maysles

The Jesus Guy

Dr. David Shore, The Trust Prescription for Healthcare

Wentworth-Douglass Hospital

sample ad created by STA for Wentworth-Douglass Hospital





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