Wednesday, July 15, 2020

Vanessa Druskat, PhD, Associate Professor of Organizational Behavior and Management, UNH




Today’s guest is my colleague Dr. Vanessa Druskat, associate professor of Organizational Behavior and Management here at the University of New Hampshire. Vanessa studies and teaches about team emotional intelligence, helping organizations develop more effective norms and behaviors. In the full length version of the interview, we go through Vanessa’s intellectual journey from an early interest in social work to work on leadership, teams, and emotional intelligence. We talk in detail about a few of her papers, particularly a Harvard Business Review paper she coauthored called Building the Emotional Intelligence of Teams, which I have included a link to in the show notes below.

Links:







Monday, June 15, 2020

LTC Jarrod McGee, Commander, 11th Field Hospital



If you were paying attention to the news about the COVID-19 pandemic in New York City you will remember that two Army field hospitals deployed to provide support to the beleaguered health system. Today’s guest is LTC Jarrod McGee, commander of the 11th Field Hospital. In this podcast we discuss what a field hospital is, what its capabilities are, and what it’s like to move one from Ft. Hood, Texas to New York City with only a few days’ notice. This interview focuses mostly on the logistics of the movement to give listeners a sense of what it takes to accomplish something this complex and make it look easy.

In the full length version of the interview we follow the discussion of the 11th Field Hospital’s mission with a discussion of LTC McGee’s career – he started out in the Army as a combat engineer “running around the woods and blowing things up” to later getting a commission as an Army Medical Service Corps officer and becoming a health services comptroller, so he has had a varied and interesting career. He is also the Army Regent for the American College of Healthcare Executives, so we talk about the importance of professional organizations, and how his ACHE contacts actually helped provide intelligence as he brought his unit into New York. We conclude with a discussion about leadership.







Links to the Podcast: 

Anchor:


Friday, May 15, 2020

Quarantine Graduation Special



A special edition of the Health Leader Forge dedicated to the University of New Hampshire Health Management and Policy Class of 2020 and all of the future health leaders who are graduating this spring. In this podcast, I go back through the archives and gather advice for early careerists from nine previous guests. I then share a little advice of my own, and close with a reading of a passage from Henry David Thoreau's Walden.

Links to the Podcast: 
Soundcloud: https://soundcloud.com/healthleaderforge/quarantine-graduation-special/
YouTube: https://youtu.be/WOmapf0wnpo 
Stitcher: https://www.stitcher.com/podcast/the-health-leader-forge
Podcast Outline

Time       Topic

19:10       Bonica's 3 Pieces of Advice
26:06       "I left the woods", from Henry David Thoreau's Walden


Links to Topics Discussed










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Wednesday, April 15, 2020

Brian Hall, President, Physicians Resources LTD




Today’s guest is Brian Hall, the president of Physicians Resources Limited, a revenue cycle management firm based in Merrimack, New Hampshire. Brian was employee number one of PRL more than thirty years ago, and on his way to being the president and eventually the owner of PRL, he did everything from sweeping the floors to business development. In this podcast we talk about Brian’s career, and what it’s like to be an entrepreneur working in a family business.


Links to the Podcast: 
Soundcloud: https://soundcloud.com/healthleaderforge/brian-hall-president-of-physician-resources-ltd/
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
Stitcher: https://www.stitcher.com/podcast/the-health-leader-forge
YouTube: https://youtu.be/u4caRzv6u3s

Podcast Outline

Time       Topic
0:01:03 starting at PRL part time while in college
0:03:32 employee number one
0:06:44 PRL's early years - software reseller
0:08:03 evolving into an RCM company
0:11:32 director of RCM operations  - running the back office
0:13:26 the draw of RCM - "it gets in your blood"
0:16:12 growing as a leader - from supervisor to manager
0:20:50 growing and formalizing the business processes
0:23:18 the integration of automation into the business - electronic claims and electronic payments
0:27:47 impact of HIPAA
0:29:57 SVP of client services - changing focus from operations to business development
0:34:42 learning client relations
0:37:17 president and partmer
0:41:58 buying out founders
0:43:08 advantages and disadvantages of being privately held
0:47:08 who is the typical client
0:50:13 Why outsource RCM? Why PRL?
0:52:06 a primer on accounts receivable
0:53:34 "revenue cycle ecosystem"
0:59:21 a day in the life of the president
1:01:34 organizational structure
1:03:20 impact of the corona virus threat on PRL
1:05:51 leadership philosophy
1:06:38 leadership role models
1:07:19 characteristics of a good leader
1:09:33 a leaedership lesson learned the hard way
1:10:49 cultivating an organization culture
1:13:05 mentorship
1:14:20 working in a family business
1:16:08 why a career in RCM?

Links to Topics Discussed













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Sunday, March 15, 2020

Mark Mellott, Senior Director, Cerner Corporation


Today’s guest is Mark Mellott, a senior director with the Cerner Corporation. Prior to joining Cerner in 2017, Mark served in the Army first as a combat medic, and later as a Medical Service Corps officer specializing in health information systems management. He describes the field of health information systems management as the confluence of people, problems, and technology, and it was helping people solve problems through the appropriate and efficient use of technology that drew him to the field. In particular, some fifteen years ago Mark began thinking about the problem of electronic health records in combat zones and how to ensure the information about injured soldiers was being captured and preserved. Mark had observed this problem during his deployments to Kosovo and Iraq. This passion led him to earn a PhD in policy and to deploy to Afghanistan to test his theories. After retiring from the Army, he followed his passion for improving medical records to the Cerner Corporation where he is part of the team working to deploy an integrated electronic medical record to both the Department of Defense and Veterans Administration. (As an aside, I enjoyed doing this interview because Mark has been one of my closest friends for more than 10 years, so my interviewing style is a little less formal and we laugh a bit more than usual.)

Podcast Outline

Time       Topic
0:01:50 triple major in liberal arts
0:03:37 dropping out to enlist as an Army medic
0:07:18 transitioning back to college; becoming a flight medic in the reserves
0:09:14 becoming a Medical Service Corps officer
0:10:27 early career - discovering health IT
0:14:20 IT problems are management problems
0:15:33 becoming an official Medical Service Health Information System Management Officer (70D)
0:18:15 Mark turns the tables on me for a minute
0:19:45 going to a medical brigade; deploying to Kosovo
0:20:44 describing a combat support hospital
0:23:05 learning to lead soldiers, first command in Iraq
0:25:37 turning point - deciding to make the Army a career
0:27:06 helping people work through hard sets of problems
0:28:34 career progression - continued focus on being a leader
0:32:18 developing a career against the grain - staying with field units
0:34:23 PhD in Policy from Clemson
0:43:23 trying to solve the problem of battlefield medical documentation
0:46:03 teaching at Army-Baylor, waiting to go back to the field
0:47:10 deploying to Afghanistan, testing economic theories
0:50:09 Army Medical Department Headquarters - quantified self
0:53:02 deciding to retire, reflecting on a career of service
0:57:14 preparations to transition to civilian life
1:04:35 Cerner and the DOD/VA EHR transition
1:08:40 what's the big deal about EHRs?
1:10:15 machine learning, AI, and EHRs
1:11:32 learning to work in corporate America
1:13:54 what's most exciting in the health IT space
1:15:50 leadership philosophy
1:17:01 what leadership competencies does he look for
1:18:22 what makes a good mentor
1:21:13 guidance on professional reading - something bigger than you
1:23:58 why should early careerists choose health IT?


Links to Topics Discussed











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Saturday, February 15, 2020

Eileen Keefe, Chief Nursing Officer, Parkland Medical Center


Today's guest is Eileen Keefe, the Chief Nursing Officer at Parkland Medical Center in Derry, New Hampshire. Parkland Medical Center is part of the country's largest for-profit health system, HCA Healthcare

This interview was special because Eileen is interviewed by her daughter Sara Elmendorf, a junior in Health Management and Policy here at UNH. Sara and Eileen talk about Eileen's career, starting as a nurse at Beth Israel Hospital , up through her role with Parkland. They conclude with a discussion of leadership, and Eileen gives advice to young people interested in pursuing a career in healthcare. 

(Sara and Eileen)

Podcast Outline

Time       Topic
0:01:33 Boston College for Nursing
0:04:19 1st job at Beth Israel - "primary nursing"
0:06:02 making the transition to practice
0:07:50 med surge to ER
0:10:12 coming to Parkland
0:13:25 masters degree in nursing leadership at UNH
0:15:16 about Parkland Medical Center and HCA
0:18:03 difference between for-profit and non-profit hospitals
0:19:33 competition in healthcare
0:21:10 how has healthcare and nursing evolved during her career
0:22:37 transition from direct patient care to leadership
0:23:45 merger trend in healthcare
0:25:28 moving from nurse educator to VP of quality
0:26:24 mentoring and mentorship
0:29:16 becoming the CNO of Parkland
0:30:41 scope of the CNO
0:31:33 a day in the life of the CNO
0:35:08 working with the senior leadership team
0:36:15 management metrics for the hospital
0:39:41 greatest challenges facing the CNO
0:40:37 what are the big changes in healthcare coming?
0:43:05 advanced practice nurses (APRNs)
0:45:11 policy changes for access to care
0:45:59 career goals, pursuing a DNP
0:47:55 leadership philosophy
0:51:10 organizational culture
0:53:47 leadership lesson learned the hard way
0:55:11 professional organizations
0:56:44 for a career in health, why nursing and/or nursing leadership
0:58:17 book recommendation for early careerists
1:00:30 advice to young people seeking a career in healthcare graduating from college


Links to Topics Discussed


Parkland Medical Center

HCA Healthcare

Beth Israel Hospital

Boston College Nursing

University of New Hampshire Nursing

Gawande, The Bell Curve



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Wednesday, January 15, 2020

LTC Amy Thompson, Division Surgeon, 101st Airborne Division



Today’s guest is Lieutenant Colonel Amy Thompson, the Division Surgeon for the 101st Airborne Division. The 101st Airborne Division is one of the Army’s most storied units, having played critical roles during World War II on D-Day, the Battle of the Bulge, and other history changing moments. The 101st is currently located at Ft. Campbell, Kentucky, but its units are deployed all around the world.  


LTC Thompson is a board-certified pediatrician with a fellowship in adolescent medicine, focused on young adults. As she notes in the podcast, more than half of the Army is under 25, so her specialty is actually perfect for her mission of taking care of soldiers. As you listen to LTC Thompson’s story, I think you will be struck by the level of commitment she has demonstrated to her mission of taking care of soldiers, volunteering to serve in challenging and dangerous environments when she could easily choose to remain in a hospital or clinic. In the podcast the themes of mission, service, and endurance repeat, and we conclude with a discussion of servant leadership. 



Time       Topic
0:01:44 Pre-Med/Biology at UC Berkley
0:04:55 medicine to make a difference
0:06:30 joining the Army - ROTC
0:08:55 HPSP scholarship for medical school
0:12:47 Kansas City University of Biosciences and Medicine
0:15:16 choosing pediatrics
0:16:53 pediatrics residency at Madigan Army Medical Center
0:19:14 developing the physician identity
0:20:29 chief of pediatrics at Ft. Irwin
0:26:17 impact of having children on being a pediatrician
0:27:34 fellowship in adolescent medicine
0:30:50 volunteering for first deployment to Afghanistan - battalion surgeon
0:37:13 reflecting on deployment on her development as an officer and military physician
0:38:44 Brigade Surgeon, Ft. Riley, Kansas
0:42:21 second deployment - Kuwait
0:43:34 planning medical support
0:45:26 staff time at the Defense Health Agency
0:51:05 101st Airborne Division
0:53:26 planning for medical support of the division
0:55:45 roles of care
0:56:57 coordinating higher levels of care in support of division
0:59:26 planning for non-battle injuries and disease
1:03:27 planning for 100,000 visits/year
1:08:35 most gratifying aspect of practice of medicine
1:11:13 managing careers as a dual military couple
1:15:42 leadership philosophy
1:17:22 leadership role models
1:21:42 mentors for her
1:24:06 being a mentor to others
1:25:49 what does she look for in a leader
1:28:40 a book recommendation for early careerists
1:31:01 why military medicine


Links to Topics Discussed


101ST AIRBORNE

Kansas City University of Biosciences and Medicine


Madigan Army Medical Center


THE NATIONAL TRAINING CENTER AND FORT IRWIN


U.S. ARMY FORT RILEY


Defense Health Agency


Roles of Medical Care


THE STORY OF SPC ROSS A. MCGINNIS





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