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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Tuesday, January 15, 2019

Joel Hornberger, Chief Strategy Officer, Cherokee Health Systems


Today’s guest is Joel Hornberger, the Chief Strategy Officer and National Training Director at Cherokee Health Systems, headquartered in Knoxville, Tennessee. I had the good fortune to hear Joel speak last fall at an event sponsored by the New Hampshire-Vermont Chapter of HFMA and invited him to be on the podcast, and I’m really pleased that he did. Cherokee Health Systems is a combined Federally Qualified Health Center and Community Mental Health Center, which is kind of unique. Cherokee provides care for more than 70,000 patients through it’s 23 brick and mortar locations and 23 additional telemedicine sites.

Cherokee has been an innovator in the area of integrating behavioral health and primary care, which is the focus of my conversation with Joel today. In the interview we talk about how Cherokee uses embedded behavioral health consultants (BHCs) to collaborate with primary care providers as well as the Clinic developed a unique rating system called the BPSA to quantify the needs of individual patients, among other things. I really enjoyed talking with Joel because his passion for integrated care and the FQHC mission is so apparent. I hope you enjoy this conversation as much as I did.

During the podcast I make reference to a presentation that includes a floor plan used for integrating primary care and behavioral health, as well as the BPSA. You can find that presentation here.

Links to Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/joel-hornberger-chief-strategy-officer-cherokee-health-systems/

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

Podcast Outline

Time     Topic
0:01:58 education, VISTA volunteer
0:04:38 transition to healthcare administration
0:05:35 lessons from working in managed care in the 80's
0:08:05 Cherokee Health Systems - history
0:10:18 "going where the grass is brownest"
0:11:55 CMHC and FQHC - explaining what they are
0:16:21 growing from behavioral health to an integrated system
0:18:15 growing the system from 4 to 23 clinics
0:19:26 integrating behavioral health and primary care - treating the whole person
0:24:39 moving from co-location to integration
0:27:33 integrating beahvioral health consultants (BHCs)
0:29:38 an example of BHC treatment
0:32:26 the role of the BHC and behavioral treatment
0:33:56 training for BHC role
0:36:08 staffing ratios for BHCs vs primary providers
0:36:29 Services offered - Dental services
0:38:25 Services offered - addiction services
0:40:33 Grants and other funding for FQHCs
0:43:45 telemedicine to support school-based clinics
0:48:32 telemedicine in support of psychiatry
0:49:23 telemedicine - the aesthetics
0:50:22 telemedicine and licensing
0:51:49 Value-based contracts and the Bio-psycho-social Assessment (BPSA)
0:56:56 zip-code trumps genetic code
0:57:56 working with claims data
0:59:19 using the BPSA score to manage patients
0:59:59 using BPSA to guide preventive care, community health coordinator role
1:03:39 role as chief operating officer and now, chief strategy officer
1:08:03 what makes a good leader?
1:10:18 what do you look for when hiring a leader? Importance of fit
1:12:21 a difficult leadership lesson you learned the hard way? Making promises you can keep
1:17:28 why should early careerists look to FQHCs?

Links to topics discussed:

Cherokee Health Systems

What is Integrated Behavioral Health? AHRQ


Lebanon Valley College




Monday, January 14, 2019

We're back!

Greetings, friends! After an 8 month hiatus, the Health Leader Forge is back with new interviews. Tomorrow, January 15th we will release the first podcast of the new year. It is an exciting interview with Joel Hornberger, the Chief Strategy Officer and National Training Director for Cherokee Health Systems, headquartered in Knoxville, Tennessee. Cherokee Health Systems is a large, combined FQHC and CMHC, and they are leaders in integrated behavioral health, which is the focus of the interview.

Future podcasts already in the queue include an interview with the Heather Lavoie, President of Geneia, a healthcare analytics company located in Manchester, New Hampshire, and Brian Martin, President and CEO of Loring Community Hospital, a critical access hospital in Sac City, Iowa.

We're excited to bring you more interviews about the careers of healthcare leaders and their organizations - please subscribe and give us reviews on your favorite podcast app!



YouTube: https://www.youtube.com/channel/UCkUYyqD0z6a5jRSZL7wNB3g  

Monday, June 4, 2018

Podcast on Hiatus

Dear Friends,

It's been an amazing couple of years sharing the career stories and leadership advice of senior healthcare leaders, however, I will be putting the podcast on hiatus for the near future. The interviews already completed will continue to be available.

Hopefully we'll be back some time in the future.

Respectfully,

Mark

Sunday, April 15, 2018

Jeffrey Hughes, Chief Strategy Officer, Wentworth-Douglass Hospital


Today's guest is Jeff Hughes, the Chief Strategy Officer for Wentworth-Douglass Hospital (WDH) in Dover, New Hampshire. In this podcast, Jeff talks about his career in planning and strategy in a wide variety of healthcare organizations from community hospitals to teaching hospitals to health systems and even a medical school. Wentworth-Douglass has recently gone through the process of becoming an affiliate of Massachusetts General Hospital, and Jeff talks about the lengthy process WDH went through to decide on this strategy. The podcast is a fascinating insight into the reasoning behind the industry-wide trend in consolidation. 

Links to the Podcast

Soundcloud:

Full length interview:  https://soundcloud.com/healthleaderforge/jeffrey-hughes-chief-strategy-officer-wentworth-douglass-hospital/

Abridged interview: https://soundcloud.com/healthleaderforge/jeffrey-hughes-chief-strategy-officer-wdh-abridged/ 
(The abridged interview starts with Jeff's position at WDH, the full length interview includes his work history leading up to WDH.)

Podcast Outline Time       Topic
0:01:03 education - finding direction
0:03:14 Yale program in health services administration and epidemiology
0:05:33 Healthcare Administration Residency
0:08:35 first role as planning coordinator for Newport Hospital
0:09:22 moving to Danbury Hospital, becoming director of operations
0:10:34 becoming a manager
0:12:11 meshing together strategy and operations
0:12:26 Price Waterhouse Coopers consulting
0:16:19 what do consultants do?
0:18:12 returning to direct care, starting own consulting practice
0:28:41 recruited by WDH
0:29:44 starting at VP of Planning at WDH
0:31:03 redesigning the strategic planning process at WDH
0:34:21 creating strategic questions
0:36:36 moving from process measures to outcomes measures
0:37:39 about WDH
0:38:41 what were the strengths and skills he developed leading up to WDH
0:40:54 Affiliating with Massachusetts General Hospital/Partners Health Care
0:45:04 strategic affiliation analysis
0:46:22 examining options: NH-based system vs. Mass Gen
0:48:47 negotiating from a position of strength
0:50:25 the NH option - horizontal vs. vertical merger
0:53:21 clinical affiliations - what are the benefits?
0:56:25 the future of telehealth
0:59:00 what are the strategic challenges in healthcare now?


Links of Interest:




Thursday, March 15, 2018

Dr. Teresa Leverett, DO, Freedom Family Practice


Today's guest is Dr. Teresa Leverett, the founder of Freedom Family Practice in Portsmouth, New Hampshire. Freedom Family Practice is a family practice clinic that runs under a model called Direct Primary Care (DPC). In this podcast, we talk about what DPC is, and how it is allowing physicians and patients alike to have a different health care delivery experience. Recent UNH graduate Sameer Panasar returns to guest host this episode.

Links to the Podcast





Podcast Outline 
Time       Topic
0:03:38 schooling
0:07:06 deciding to pursue family medicine
0:09:05 Residency at Eastern Maine Medical Center
0:10:55 when did she know she was a physician
0:11:53 clinical career before Freedom Family Practice
0:18:08 breaking with practicing in a large physician group, looking for something else
0:21:44 Founding Freedom Family practice - what is direct primary care?
0:24:18 panel size, what patients want from direct primary care
0:26:52 small businesses as customers of DPC
0:34:06 growing the practice
0:37:11 running a lean business
0:39:21 challenges of starting a practice
0:41:46 policy challenges of DPC - regulatory status
0:46:41 Specialists who are starting DPC-like businesses
0:49:04 DPC - "Back to the Future" model of healthcare
0:53:50 At year 3 of her practice - goals?
0:55:05 would like to teach medical students about how to grow a practice
0:56:12 thoughts on the primary care crisis
1:01:38 DPC helps her feel like a doctor

Links of Interest:







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