Sunday, November 15, 2015

Daniel L. Andrus, Fire Chief for the City of Concord, New Hampshire



Are you a leader? How much do you trust your subordinates? Enough to let them strap you to a litter and let them lower you on a rope over the side of a 30 story sky scraper? Daniel Andrus, the Fire Chief for the City of Concord, New Hampshire, let his subordinates do exactly that. In today’s podcast, Dan tells the story of his 37 year career as a firefighter. Dan has a long list of credentials including master’s degrees in public administration and economics. He is, as he puts it, a continual learner. In addition to his role as fire chief, he serves on the boards of a number of non-profit organizations. This was one of the most educational podcasts for me that I have done so far because I knew very little about the organization and operations of the fire service. The fire service is a critical community resource that every health care executive should have an understanding of, so I was very pleased Dan took the time to share his story and I hope it is useful to health care executives as they think about emergency preparedness.

Links to the Podcast:
Soundcloud
        Unabridged: https://soundcloud.com/healthleaderforge/daniel-l-andrus-fire-chief-for-the-city-of-concord-nh
        Abrdiged: https://soundcloud.com/healthleaderforge/abridged-daniel-andrus-fire-chief-city-of-concord-nh
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377


Podcast Outline

Time Topic
0:01:46 a family tradition of firefighting, early career with Salt Lake City Fire Department
0:07:55 formal education
0:11:57 firefighter/paramedic
0:15:47 early leadership - promoted to fire lieutenant
0:19:05 public information officer to Fire Chief for Salt Lake City
0:24:28 becoming a manager - fire captain
0:29:02 Battalion Chief, Emergency Management and Technical Services Division, Salt Lake City
0:33:47 Fire Marshal, Salt Lake City - 2002 Winter Olympics
0:38:16 Battalion Chief, Operations Bureau, Salt Lake City
0:40:47 Deputy Fire Chief, Administrative Bureau (including Airport Bureau and EMS)
                   Board of Community Health Center
                   pursuing an MPA, MS Econ
0:53:28 Coming to Concord
0:56:59 the job of Fire Chief, Concord Fire Department
1:05:14 interfacing with the direct health care and public health systems
1:07:33 involvement in community organizations - knowing your customers
1:12:41 innovative health care delivery with EMS assets - Mobile Integrative Health Care
1:15:14 organizational culture
1:17:45 role of women and minorities in firefighting
1:20:27 why do people join and why do people stay?
1:22:44 leadership
1:28:40 advice about pursuing a career in firefighting and EMS


Links to Topics Discussed:

Fire Department, Concord, NH

Fire Department, Salt Lake City, UT

New Hampshire Fire Academy







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Sunday, November 1, 2015

Jill Gravink, Founder and Executive Director of Northeast Passage


Today’s guest is Jill Gravink, the Founder and Executive Director of Northeast Passage. Jill founded Northeast Passage in 1990 as a means of bringing Recreational Therapy out of the inpatient setting and into the community. Northeast Passage works with people who have physical and mental disabilities, using sport and leisure activities to improve the quality of the client’s life and to, as they say at Northeast Passage, “Live beyond disability.” Northeast Passage works with everyone from children to combat veterans, treating more than 3,000 clients last year. In this podcast Jill tells the story of how Northeast Passage came to be, and what it took to grow the organization from just her operating out of the trunk of her car to where it is today. We also discuss how organizations like Northeast Passage are well poised to contribute to the future of health care as the industry shifts to outcomes and value-based reimbursement, and conclude with a discussion about leadership.


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

Podcast Outline

Time
Topic
0:01:34
Educational background
0:02:47
Defining recreational therapy
0:05:16
Art of recreational therapy, about NEP
0:06:36
History of recreational therapy
0:08:03
Getting certified in recreational therapy
0:08:40
First job after graduation
0:10:45
Use of aquatics in physical therapy
0:11:40
Starting NEP and initial vision
0:14:46
NEP’s first clients
0:17:11
NEP initial funding and sponsors
0:18:00
Coming back to UNH to teach
0:19:57
NEP’s early days, lessons learned, partnerships
0:23:24
Defining “universal design”
0:24:44
Growth of NEP in clients and funding, future NEP sustainability
0:27:52
Beginning to charge clients fees for service, NEP financial difficulties
0:29:58
Development of recreational therapy at NEP, associated grants
0:33:21
Learning to manage an organization
0:36:21
Merging NEP with UNH
0:38:13
Defining and using “strength-based” in therapy
0:39:31
Importance of integrating therapy within the community
0:44:04
Role group dynamics play in therapy
0:45:00
Receiving veterans’ adaptive sports grant, addressing veterans’ therapy needs
0:50:00
Long term relationship with Veterans’ Affairs after grant, current work with VA
0:52:10
Broader healthcare reimbursement trends away from FFS towards outcome and value-based payments
0:54:58
Change in role as executive director with UNH merger
0:56:38
The future of NEP
0:58:55
Changes in strategy and vision of NEP over time
1:00:41
NEP’s current organizational structure, working with UNH students
1:02:27
Changes in personal leadership style over time, lessons learned
1:05:46
How to find the right people for leadership positions
1:06:57
Philosophy on leadership and its challenges and opportunities
1:11:35
Importance of organizational culture
1:13:47
Early career mentors, importance of mentorship
1:16:47
Advice for people who want to address social needs
1:19:05
Advice for people interested in a career in recreational therapy



Topics Discussed:

Northeast Passage

American Thereapeutic Recreation Association

Adaptive Sports






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Thanks to Sameer Panesar for production support.