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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Saturday, July 15, 2017

Joni Spring, Director of Outpatient Nursing and Clinic Operations for DHMC


Today’s guest is Joni Spring, the Director of Outpatient Nursing and Clinic Operations for Dartmouth-Hitchcock Medical Center. Dartmouth-Hitchcock Medical Center is a large academic medical center, and Joni’s responsibilities include all of the outpatient nursing operations.

Joni has had over 30 years of experience as nurse, most of that time as a nurse leader and nurse executive. In this podcast we talk about Joni’s passion for nursing, a field she always knew was going to be her life’s work from the time she was a small child.

I really enjoyed talking with Joni because she is clearly an authentic leader. She is quite candid in the interview about her many successes as well as some of her most difficult failures. Her story is well worth listening to. I hope you enjoy it as much as I did.

Links to the Podcast
Soundcloud: 
Edited: https://soundcloud.com/healthleaderforge/joni-spring-director-of-outpatient-nursing-and-clinic-operations-for-dhmc-edited
Full Length: https://soundcloud.com/healthleaderforge/joni-spring-director-of-outpatient-nursing-clinic-operations-dhmc
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/WFxDnzWBOgs

Podcast Outline (applies to full length interview)

Time         Topic
0:01:34 education and background
0:04:34 Pediatrics at the Albert Einsteen Medical Center
0:07:51 learning about boundaries with patients
0:13:16 pediatric unit vs. pediatric intensive care
0:14:11 coming back to NH - the Elliot Health System
0:16:34 about the Elliot, growth into a "system"
0:18:29 clinical identity
0:19:34 hiring for the "shining eyes"
0:21:04 transitioning to clinical nurse manager
0:22:54 taking on first management role while pregnant
0:26:01 from colleague to supervisor
0:27:56 physician-nurse relationship
0:32:27 the art of nursing - being and knowing
0:34:57 from clinical nurse manager to director of EMS
0:37:49 becoming a senior leader - broadening scope
0:40:02 developing emotional intelligence
0:43:05 moving from first line supervisor to manager - letting go
0:45:29 director of patient care services
0:47:49 learning to manage areas without having expert knowledge
0:50:08 CNO and VP of Patient Care Services at The Elliot
0:52:48 Organizational politics at the top
0:55:28 Points of pride as CNO
0:59:09 recovering from professional setbacks
1:02:08 Norris Cotton Cancer Center, DHMC
1:04:55 referral to the NCCC
1:06:26 joining the DHMC team - a professional hug
1:08:47 promoted to director of outpatient nursing and clinical operations
1:11:02 how does role fit into nursing structure at DHMC
1:11:36 bringing health policy down to the practice level
1:14:54 population health projects at DHMC
1:16:55 practicing at the top of one's license
1:20:15 how has nursing changed over her career - advanced practice nurses
1:22:37 advice to her early careerist self
1:23:28 leadership philosophy
1:28:15 characteristics of a good leader - always share the "why"
1:31:02 a difficult leadership lesson learned the hard way
1:32:51 what does she look for in a leader?
1:33:24 organizational culture - must be intentional
1:36:59 what does a good mentor do?
1:38:37 formal mentoring at DHMC
1:40:52 book recommendations for early careerists
1:44:14 advice to early career healthcare leaders

Topics Discussed:

Dartmouth-Hitchcock Health System

Norris-Cotton Cancer Center

The Elliot Health System

Einstein Medical Center

The Art of Possibility - Ben Zander

Interview with Karen Clements

University of New Hampshire Department of Nursing



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Thursday, June 15, 2017

Major General Thomas R. Tempel, Jr., Commanding General of the U.S. Army Regional Health Command – Central


Today’s guest is Major General Thomas R. Tempel, Jr., the Commanding General of the U.S. Army Regional Health Command – Central, and the Chief of the US Army Dental Corps. The Regional Health Command - Central is one of four geographic commands in the US Army Medical Department. The Regional Health Command - Central is the largest geographic command, and covers from Louisiana to Minnesota in the east and Southern California to Idaho in the west. It includes fourteen subordinate commands, including 12 hospitals and outpatient clinics, as well as the Dental Command - Central and the Public Health Command - Central. The Command provides care for more than 440,000 military beneficiaries, and in 2016 delivered 5.8 million clinic visits, 7,600 live births, and 57,000 admissions. 

Major General Tempel is a third generation member of the Army Medical Department. He entered active duty in 1991 as an Army dentist, serving with a variety of operational units including the 1st Special Forces, and commanded the 464th Dental Company while deployed to Iraq in support of Operation Iraqi Freedom. He later served in a series of clinical leadership roles including the Commander of the US Army Dental Command and the Commander of the Western Regional Medical Command before coming to his current role.

I really enjoyed talking with Major General Tempel about his unusual career. We conclude with a brief discussion about his leadership philosophy, but I think you will get a sense of the kind of leader he is throughout the interview.

Links to the Podcast
Soundcloud: 
Edited: https://soundcloud.com/healthleaderforge/mg-thomas-r-tempel-jr-cg-of-the-regional-medical-command-central-1
Full Length: https://soundcloud.com/healthleaderforge/mg-thomas-r-tempel-jr-cg-of-the-regional-medical-command-central 
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/Pj7A_9c-k0c

Podcast Outline (applies to full length interview)

Time      Topic
0:02:14 Gettysburg College, pre-dental
0:04:16 being an Army brat, the influence of ROTC on his future
0:07:08 Family history in military medicine
0:08:27 dental school at U of MD
0:09:14 surprises about dental school
0:10:28 establishment of clinician identity
0:11:55 coming on active duty
0:14:48 residency in general dentistry
0:15:56 examples of specialties included in the residency
0:16:30 training and selection for the special forces
0:19:59 selection and Q course
0:21:24 role of the dental surgeon with the Special Forces
0:23:59 leadership lessons from Special Forces experience
0:26:51 unique clinical experiences working with the Special Forces
0:30:16 providing dental support in Iraq during OIF
0:33:10 first experience of command
0:35:53 Command of Ft. Meade DENTAC - transition from operational (TOE) units 
                        to fixed facility (TDA) units
0:38:54 Commander, Northern Regional Dental Command
0:40:49 adjusting leadership for a geographically dispersed organization
0:44:21 Commander, US Army Dental Command
0:46:49 scope of the US Army Dental Command
0:47:35 "Go First Class"
0:52:47 Chief of the Army Dental Corps
0:55:19 what do most people misunderstand about dentistry?
0:57:51 what doe people misunderstand about military dentistry?
0:58:27 Commander, Western Regional Health Command
1:00:12 scope of Central Medical Command
1:03:15 structure of the Central Medical Command headquarters
1:04:52 how does the regional structure add value
1:06:18 role of the Commander
1:06:54 a day in the life of the Commander
1:08:22 most important metrics tracked
1:09:21 what keeps him up at night
1:10:55 what is he most excited about in the future of Army medicine
1:12:18 leadership philosophy
1:15:41 advice for early careerists


Topics Discussed:

Major General Thomas R. Tempel, Jr. Biography

Regional Health Command - Central

Gettysburg College

University of Maryland School of Dentistry

Army Dentistry

US Army Special Forces Training

Ft. Meade DENTAC




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Monday, May 15, 2017

Gregory A. White, CPA, CEO of Lamprey Health Care


Today's guest is Gregory A. White, CPA. the CEO of Lamprey Health Care. Lamprey Health Care is a federally qualified health clinic (FQHC) with locations in New Hampshire: Nashua, Raymond, and Newmarket. Federally qualified health clinics are community-based healthcare providers that provide primary care and a range of other services to clients regardless of ability to pay. As a result they are often safety net care providers in a community.

In this podcast Greg tells us about his journey from being an auditor in a public accounting firm to a career in healthcare, coming up through the finance and accounting side of healthcare delivery organizations. One of the unique aspects of Lamprey Health Care is each of its locations are in very different communities.

This podcast was guest-hosted by University of New Hampshire students Regan Judge and Caroline Sweny.


Links to the Podcast
Soundcloud: https://soundcloud.com/healthleaderforge/gregory-a-white-cpa-ceo-of-lamprey-health-care
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/aoetUX55Io8
Podcast Outline

Time                Topic
0:01:15 studying accounting at Babson College
0:02:02 becoming a CPA, entering the non-profit sector though auditing
0:04:12 Greater Lawrence Family Health Center
0:06:49 building a Family Medicine residency program within an FQHC
0:10:32 Manchester Community Health Center - benefits of being in a small organization
0:11:57 making the jump to executive ranks
0:13:38 financing growth at a FQHC
0:16:11 Lowell Community Health Center
0:18:17 Lamprey Health Care
0:19:18 mission of Lamprey
0:20:06 making the transition to the CEO role
0:21:51 how did previous roles prepare for CEO role
0:22:28 Lamprey senior leadership team
0:23:02 what is the workplace culture like at Lamprey
0:24:07 metrics used to evaluate the health of the organization
0:26:11 what external issues does he track
0:30:16 moving toward population health and the opioid crisis
0:32:05 what is the role of the board of Lamprey Health Care
0:32:53 strategic planning
0:34:27 motivating employees
0:35:40 most important thing learned from role of CEO
0:36:31 what was most surprising about the role of CEO
0:37:36 what keeps him up at night
0:38:13 what is the thing people outside of healthcare least understand about FQHCs
0:39:03 making the transition from a large town like Lowell to a small town like Newmarket
0:39:45 how did the community served change
0:40:55 how has healthcare changed
0:41:35 leadership philosophy
0:42:57 characteristics of a good leader
0:44:08 leadership role models
0:45:29 difficult leadership lesson
0:47:03 what does he look for when hiring leaders
0:48:04 what is organizational culture
0:49:43 how do leaders shape organizational culture
0:50:29 mentors
0:52:30 what does a good mentor do
0:53:54 how important is the mentor relationship
0:54:43 the importamce of professional organizations
0:55:29 get experience by watching senior leaders
0:56:50 why work at an FQHC
0:58:03 what to study to get into leadership at an FQHC


Topics Discussed:

Lamprey Health Care

Lowell Community Health Center

Manchester Community Health Center

Greater Lawrence Family Health Center

AAFPCPA

Babson College



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Monday, May 1, 2017

Richard W. Silveria, SVP of Finance and CFO of Boston Medical Center


Today's guest is Richard W. Silveria, the Senior Vice President of Finance and CFO of Boston Medical Center. Rich is the Senior Vice President for Finance and the Chief Financial Officer for Boston Medical Center. Boston Medical Center is a safety net hospital, with roughly 80% of its $1.2 billion revenues coming from Medicare and Medicaid. In addition to being a safety net hospital, it is an academic teaching hospital associated with Boston University’s medical school.


Rich has been the Chief Financial Officer since 2010. During his tenure he helped engineer a financial turnaround of the organization, and continues to strive to be a leader focused on driving change.


In this podcast we trace Rich’s career from a start in biology and education, through computer programming and financial systems through to today where he is a senior leader in the third largest health system in Massachusetts.


This is also our 50th interview on the Health Leader Forge! I'm very pleased to have such a distinguished guest to celebrate this milestone.

Links to the Podcast
Soundcloud: 
Abridged: https://soundcloud.com/healthleaderforge/richard-w-silveria-svp-of-finance-and-system-cfo-boston-medical-center-1
Full-length: https://soundcloud.com/healthleaderforge/richard-silveria-svp-of-finance-and-system-cfo-boston-medical-center-full-length
 Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/82VcxLe5xN4

Podcast Outline

Time       Topic
0:01:43 University of Massachusetts at Lowell
0:03:22 Choate Symmes Hospitals
0:04:35 transitioning to IT/financial systems
0:06:08 building home-grown computer-based financial systems
0:07:08 learning financial systems at the transaction level
0:08:09 financial systems manager
0:11:07 "Why don't you get an A in your job"
0:13:24 Lawrence General - financial crisis - building credibility
0:19:09 going from two to fifty employees - lessons in management
0:24:53 why MBA vs. MHA? Commitment to healthcare?
0:27:47 the difference between finance and accounting
0:29:45 moving up from Director of Patient Financial Services to VP of Managed Care
0:34:21 setting up the Lawrence General Physician Hospital Organization
0:35:34 challenges of taking on insurance risk without the tools
0:38:00 moving to Partners Healthcare - what is Partners?
0:41:11 Corporate Director of Revenue Finance
0:45:04 what was it like moving from a $125M organization to a $4B organization?
0:46:58 getting the Partner's job through networking
0:47:55 PT boat vs. a couple of battleships - an influence model, situational hierarchy
0:50:07 learning to listen better, becoming self-aware
0:51:31 Executive Director of the Compass Program - revenue cycle process integration
0:57:57 transition to Boston Medical Center (BMC)
1:02:47 Boston Healthnet affiliaiton
1:06:20 BMC Healthnet Plan/Wellsense - a Medicaid MCO
1:07:52 reporting structure for the CFO of BMC
1:08:40 relationship between the CFO and COO
1:11:50 CFO's staff
1:12:48 financial turn-around in 2010
1:13:23 supplemental dollars and cost shifting (cross-subsidization)
1:19:57 "You would never build this place based on net return on assets"
1:20:27 A day in the life of the CFO
1:23:33 what keeps him up at night - "in a word, uncertainty"
1:26:17 what do most people outside of finance misunderstand about finance?
1:27:12 healthcare finance has evolved to be a strategic asset
1:29:07 what do most people outside of finance misunderstand about finance?
1:31:04 leadership philosophy
1:35:25 what does he look for when hiring leaders?
1:37:14 a difficult leadership lesson learned the hard way
1:39:06 what advice we he give his early careerist self?
1:41:19 the importance of professional organizations
1:42:56 what do early careerists need to learn about finance?
1:44:07 why should young people pursue a career in healthcare finance?


Topics Discussed:










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