Dennis Kain, FACHE, Senior Vice President, Tyler & Company

Today’s guest is Dennis Kain, Senior Vice President at Tyler & Company, an executive search firm specializing in the placement of healthcare, academic, and life sciences executives. Dennis has been involved in executive search for twenty years. Prior to working in executive search, Dennis was involved in healthcare delivery, working his way up through various leadership roles in a national hospital management firm, and ultimately serving as CEO of Lower Bucks Hospital, a community hospital in Bristol, Pennsylvania.

In this podcast I talk with Dennis about his career, and how his leadership experiences in healthcare delivery inform his work in executive search today, and how executive search firms work with their clients to find the right executives to fill the right jobs. We conclude with a discussion about leadership and Dennis offers advice for early careerists.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/dennis-kain-fache-svp-tyler-co

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

iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

YouTube: https://youtu.be/u0EQrM6qEUI

Interview transcript is pending. Please come back in a few days to access the transcript.


Podcast Outline

Time        Topic

0:01:40 background and education - coming to healthcare

0:03:23 Warminster Hospital - Administrative Resident to COO

0:07:06 MEDIQ

0:12:46 becoming permanent CEO of Lower Bucks

0:13:21 about Lower Bucks

0:15:20 preparation for the CEO role

0:16:19 biggest changes implemented as CEO

0:19:30 strategic issues faced as CEO

0:22:02 transitioning to executive search

0:25:04 retained vs. contingent search

0:29:05 what makes a good executive recruiter

0:31:22 advice on internet presence for professionals

0:32:44 the search process

0:36:04 executive coaches

0:37:10 the importance of fit

0:39:22 working with the search committee to clarify the needs

0:40:50 what commonly goes wrong during  search process

0:42:01 what do executive search consultants have to educate clients on most

0:43:55 what do candidates need to be educated on about the process

0:45:27 about Tyler & Co.

0:47:16 when to contact an executive search company

0:49:16 do candidates reach out to search companies

0:51:24 the impact of LinkedIn and social media on search

0:53:14 the importance of developing networking skills

0:55:32 recommendation for maintaining and growing your network

0:57:40 leadership philosophy

0:59:34 characteristics of a good leader

1:02:03 what is organizational culture?

1:03:09 mentorship

1:04:05 recommendations for early careerists

Links to Topics Discussed:

Tyler & Company

Lower Bucks Hospital

MEDIQ

The First 90 Days

The Second Curve

What Color is Your Parachute

Top Grading

Why are Some People Healthy and Others Not?

Levittown, PA

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Michael D. Peterson, FACHE, President of Androscoggin Valley Hospital

Today’s guest is the Michael Peterson, the President of Androscoggin Valley Hospital in Berlin, New Hampshire. Androscoggin Valley Hospital is part of North Country Healthcare, a system of four critical access hospitals in the North Country of New Hampshire.

In this podcast, I talk with Mike about his career, which included 28 years of service to the Eastern Maine Health System, where he worked his way up from part time work while in college, through being a licensed social worker, moving into information systems, and then back to operations, to ultimately being the chief operating officer at Sebastacook Valley Health before coming to Androscoggin in 2015.

I really enjoyed talking with Mike and I think you will especially enjoy his insights about leadership and the experience of being a new hospital president. I have produced an extended version of the interview that covers Mike’s career leading up to and including his work at Androscoggin. An abridged version of the interview begins with his work at Androscoggin.

Links to the Podcast:

Soundcloud: 

Extended Version: https://soundcloud.com/healthleaderforge/michael-peterson-president-of-androscoggin-valley-hospital

Abridged Version: https://soundcloud.com/healthleaderforge/abridged-michael-peterson-president-of-androscoggin-valley-hospital

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

iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

YouTube: https://youtu.be/I-tgf-g1ZVQ

Interview transcript is available here.


Podcast Outline

Time       Topic
0:01:57 education background - deciding on healthcare
0:06:48 early experience in healthcare
0:07:48 1st full time job in healthcare - Aspen Ledge and Acadia Hospital
0:09:09 moving into project management through information management
0:11:54 Y2K project manager for Eastern Maine Healthcare (predecessor of Eastern Maine Health)
0:14:55 what was Y2K --> disaster drills
0:18:47 learning large scale project management
0:20:17 the origin of the Eastern Maine Health System
0:22:07 moving to Eastern Maine Medical Center - director of surgical and imaging systems
0:26:52 cultural conflicts between administrative and clinical 
0:28:49 Director of e-Business of EMHS
0:33:15 Corporate Director for Information Systems, EMHS
0:35:10 Chief Administrative Officer of Sebastacook Valley Hospital
0:39:34 learning to ask the right questions
0:41:03 detecting problems when you are not the expert
0:43:01 responsibilities of being part of the senior executive team
0:44:00 Lean management
0:48:41 promotion to COO of Sebastacook
0:49:55 Androscoggin Valley Hospital and Berlin, NH
0:55:08 the North Country Healthcare - a unique affiliated system of four critical access hospitals
1:01:42 governance and the Board of Androscoggin Valley Hospital
1:06:17 the work of the Board of Trustees
1:07:19 strategic planning at Androscoggin Valley Hospital
1:08:47 how does the Board evaluate the President
1:10:31 challenges of running a hospital in a rural environment?
1:12:42 payer mix
1:14:38 what are the skills required to be president of a critical access hospital
1:16:15 how did COO experience prepare for the President role?
1:17:41 what was surprising about becoming the President of a hospital?
1:20:59 what keeps you up at night?
1:22:05 leadership philosophy
1:22:41 what are the characteristics of a good leader
1:24:32 leadership lesson - letting people make mistakes
1:27:57 where do junior leaders make mistakes?
1:29:05 leadership advice to junior leaders
1:30:08 mentors and mentorship
1:32:04 being a mentor
1:33:21 role of professional organizations in development
1:35:10 book recommendations
1:36:42 advice for early careerists

Topics Discussed:

Androscoggin Valley Hospital

North Country Healthcare

Eastern Maine Health System

Sebastacook Valley Health

Eastern Maine Medical Center

Acadia Hospital

Lincoln on Leadership

The Servant

If Disney Ran Your Hospital

American College of Healthcare Executives

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Kevin Donovan, CEO, Mt. Ascutney Hospital and Health Center

Today’s guest is Kevin Donovan, FACHE, FACMPE, the CEO of Mt. Ascutney Hospital and Health Center in Windsor, Vermont. Mt. Ascutney Hospital is a critical access hospital in rural Vermont and in this podcast Kevin explains the role the hospital and hospital CEO play in a small town where it is the largest employer and major part of the social safety net for the local community. Mt. Asctuney is such an important part of the community fabric that it won the American Hospital Association’s Foster G. McGaw Prize for demonstrated exceptional commitment to community service.

Mt. Ascutney Hospital and Health Center made the strategic decision under Kevin’s watch to become an affiliate of the Dartmouth-Hitchcock Health System.  We discuss this critical decision, and how it was essential to the ongoing success of the organization, but also, surprisingly how a small, rural community hospital contributes value through its affiliation to one of the country’s best known research and teaching hospitals. One would expect the relationship to be one sided, given the size and influence of Dartmouth-Hitchcock in Northern New England, but it is clear from our conversation that the relationship is a win-win for both organizations.

As regular listeners will know after many interviews, most senior health care executives seem to come to the field through trial and error, almost discovering their destiny by accident. Kevin is one of the few I have interviewed who knew from the time he was a young man that he wanted to be a hospital CEO, and through dedication and hard work has accomplished that goal. We conclude the podcast with a discussion of leadership and mentorship, and Kevin gives advice for early careerists who want to follow his path.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/kevin-donovan-ceo-mt-ascutney-hospital

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

iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Transcript of the interview.

Podcast Outline

0:00:00 introduction
0:02:44 education at Syracuse Univeristy, first exposure to healthcare admin
0:06:40 MHA at George Washington University
0:09:35 work as a practice manager
0:11:46 practice manager at DHMC Children's Hospital (CHAD)
0:13:32 becoming an ACHE Fellow
0:15:05 VP of Physician Services, Chief of Clinical Operations at The Elliott
0:22:59 Windsor, Vermont - home of Mt. Ascutney Hospital
0:26:18 recruiting skilled workers in a rural community
0:29:48 organizational structure of Mt. Ascutney Hospital
0:31:19 Mt. Ascutney as a critical access hosptial
0:34:05 becoming an affiliate of Dartmouth-Hitchcock Medical Center
0:44:21 employed physician network
0:45:52 Mt. Ascutney's accute inpatient rehabilitation program
0:49:45 strategic decision to close the skilled nursing facility
0:51:29 Mt. Ascutney's assisted living facility
0:53:29 Mt. Ascutney 's grant foundation
0:55:58 being the CEO
1:00:18 employment relationship with DHMC, responsiblilites to DHMC
1:03:25 the board of Mt. Ascutney Hosptial and strategic planning
1:08:38 population health
1:11:09 the Mt. Ascutney grant foundation and receiving the Foster G. McGaw prize
1:13:36 leadership - servant leadership
1:15:36 hiring and evaluating leaders
1:19:11 mentors and mentorship
1:23:46 advice to early careerists

Links to Topics Discussed:

Mt. Ascutney Hospital

Syracuse University 

MHA at George Washington

Dartmouth-Hitchcok Health System

Medical Group Management Association

American College of Healthcare Executives

CARF accredited

OneCare Vermont

Foster G. McGaw Prize 

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Patricia "Patsy" Aprile, Senior VP and COO, Southern Maine Health Care

Today’s guest is Patricia "Patsy" Aprile, FACHE, the Senior Vice President and Chief Operating Officer for Southern Maine Health Care in Biddeford, Maine. Patsy started her career on the clinical side as a medical technologist, working her way up through leadership positions in the laboratory, then clinical operations. In this podcast she talks about her experiences in a variety of organizations, including her time as CEO of Goodall Hospital during its merger with Southern Maine Health Care, as well as her role today. I think this podcast is especially useful for the insights Patsy offers on leadership and organizational culture, both in the context of leading through a merger as well as how she leads for operational excellence today. Patsy also talks about her service as the American College of Health Care Executives Regent for the state of Maine, and concludes with advice for early careerists.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/patricia-patsy-aprile-senior-vp-and-coo-of-southern-maine-health-care

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

iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Transcript of the interview.

Podcast Outline

Time Topic
0:01:42 welcome, educational background
0:03:32 beginning in leadership at The Elliot Hospital
0:05:02 Executive director of clinical services, Catholic Medical Center
0:06:42 Coming to Goodall Hospital, in Sanford, ME
0:07:37 VP of Operations at Goodall Hospital
0:18:32 Goodall Merger
0:22:09 CEO of Goodall Hospital
0:26:58 Governance during the merger
0:31:52 Working with the Goodall staff during the merger
0:33:35 Merging the cultures of SMHC and Goodall
0:35:17 Being part of Maine Health
0:37:17 Board composition at SMHC, role of physicians as trustees
0:38:33 SMHC locations and operations
0:41:26 Senior Vice President and COO of SMHC
0:43:01 Lean Daily Management
0:48:22 Leadership
0:55:50 Organizational culture
0:57:15 Mentorship
1:00:13 Experience as a woman leader
1:01:03 Being the ACHE Regent for Maine
1:04:09 Advice to early careerists

Links to Topics Discussed:

Southern Maine Health Care

Colby-Sawyer College

Elliot Hospital

Catholic Medical Center

American College of Healthcare Executives

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Kathy Bizarro-Thunberg, Executive Vice President, New Hampshire Hospital Association

Today's guest is Kathleen Bizarro-Thunberg, MBA, FACHE, Executive Vice President for the New Hampshire Hospital Association ("NHHA"). Kathy has worked at the New Hampshire Hospital Association for thirty years. In this podcast, Kathy tells how she worked her way up in the organization from data technician to Executive Vice President. We talk about how the Hospital Association works with member hospitals in the state to establish the organization's priorities and messages, and how the Hospital Association represents the interests of the member organizations at the state and federal level.

We also talk about leadership, and Kathy’s role as a leader both inside of her organization, as well as her role as a thought leader working with the organization’s membership, the state legislature, and other organizations and the similarities between those two forms of leadership.

We then discuss Kathy’s extensive leadership experience within the American College of Healthcare Executives where she currently holds a seat on the ACHE Board of Governors, a leadership position at the national level.

We conclude with Kathy’s recommendations for early careerists, and the importance of getting involved with a professional organization earlier rather than later.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/kathleen-a-bizarro-thunberg-executive-vp-new-hampshire-hospital-association

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

iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Transcript

Podcast Outline

Time               Topic
0:02:01 educational background, coming to NHHA
0:03:56 about the NHHA
0:04:42 early career at the NHHA
0:08:43 going back to school at Health Management and Policy
0:11:56 the Foundation for Health Communities
0:15:31 value proposition of the NHHA
0:16:53 establishing a common message for the membership
0:19:31 advocacy at the state level
0:24:29 advocacy at the federal level
0:28:49 internal organizational leadership
0:33:17 leading and influencing externally
0:35:41 mentorship, working with interns
0:39:00 being a woman and a leader, work-life balance
0:41:42 role in ACHE, national leadership on Board of Governors
0:46:20 importance of professional organizations
0:47:44 advice to early careerists

Links to Topics Discussed:

New Hampshire Hospital Association

NewHampshire Technical Institute

University of New Hampshire's Health Management and Policy

American College of Healthcare Executives

ACHE Board of Governors

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Karen F. Clements, RN, FACHE, Associate Chief Nursing Officer, Dartmouth-Hitchcock Medical Center

Today’s guest is Karen Clements, the Associate Chief Nurse for Ambulatory and Primary Care Nursing, Emergency and Patient Placement Services, and Care Management and Psychiatric Services for the Dartmouth-Hitchcock Health System, or as her staff prefers, she is the Associate Chief Nurse for Team Awesome.

Despite its rural location, Dartmouth-Hitchcock Medical Center is the largest hospital in New Hampshire, taking referrals from over forty other hospitals in New England. It is also a major teaching hospital associated with Dartmouth College’s Geisel School of Medicine.

Karen is also the President of the Northern New England Association of Healthcare Executives, one of the sponsors of this podcast.

Karen is a nurse-executive whose roots are in emergency and trauma nursing. Her career began with an active duty tour in the Army’s Nurse Corps, then she returned home to Bangor, Maine where she progressed through the nursing ranks to become the Chief Nursing Officer of Acadia Hospital, a 100 bed freestanding psychiatric hospital. After 23 years with the Eastern Maine Healthcare System, she followed professional and personal opportunity to Dartmouth-Hitchcock, where her leadership skills quickly led her to the Associate Chief Nurse position.

In this podcast we talk about Karen’s career leading up to her current position at Dartmouth-Hitchcock, how Dartmouth-Hitchcock is changing to meet the challenges of an evolving health system, and how nursing is playing a role in that transition. We then talk about leadership, and Karen’s role in the Northern New England Association of Healthcare Executives and conclude with Karen’s recommendations for early careerists.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/karen-f-clements-rn-fache-associate-chief-nursing-officer-dartmouth-hitchcock-health-system

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

iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Transcript of the interview available here. 


Podcast Outline

Time Topic
0:02:36 background, Army Nurse Corps
0:08:08 working up through the ranks, Eastern Maine Medical Center
0:18:49 Chief Nursing Officer, Acadia Hospital
0:25:34 coming to Dartmouth-Hitchcock Medical Center
0:30:52 Associate Chief Nursing Officer, Dartmouth-Hitchcock
0:33:55 role of Chief Nursing Officer and practice of nursing
0:37:44 use of advanced practice nurses (APRNs) at Dartmouth-Hitchcock
0:39:22 structure of nurses in the facility
0:40:18 Karen's professional growth at Dartmouth-Hitchcock
0:43:38 strategy
0:47:25 the future of health care and Dartmouth's approach
0:50:00 leadership
0:53:57 mentorship
1:00:32 women in leadership
1:05:30 ACHE/NNEAHE
1:10:36 advice to early careerists

Links to Topics Discussed:

Dartmouth-Hitchcock Health System

Dartmouth-Hitchcock Nursing

we joke about Karen following her husband Peter, a previous guest, to Dartmouth-Hitchcock. 

Eastern Maine Medical Center

Acadia Hospital

Army Nurse Corps - see also my interview with the Chief of the Army Nurse Corps 

Northern New England Association of Healthcare Executives (NNEAHE)

American College of Healthcare Executives (ACHE)

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Robert Mach, Executive Director for Operations, Littleton Regional Healthcare

Today’s guest is Robert Mach, the Executive Director of Operations for Littleton Regional Healthcare, and the New Hampshire Regent for the American College of Healthcare Executives. Robert has had a fascinating career starting out as an air traffic controller for the US Marine Corps, then transitioning to health care initially as a radiology technician, and working his way up into the executive ranks by, as he puts it, “putting his hand up.” In the podcast, Robert talks about his career, then shares some thoughts about his role as Regent and why ACHE is an important organization for an early careerist to consider becoming a member of.

Links to the Podcast:

Anchor: https://anchor.fm/healthleaderforge/episodes/Robert-Mach--Executive-Director-of-Operations--Littleton-Regional-Healthcare-egra75

Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/40678901&af_web_dp=https://www.stitcher.com/episode/40678901

iTunes: https://podcasts.apple.com/us/podcast/robert-mach-executive-director-of-operations/id981989377?i=1000353701553

Transcript of the interview.

Podcast Outline

Time	Topic
1:16-14:04	Early Career and transition to healthcare – Marine Corps Aviation to Radiology Technology and Administration
14:05-20:11	Coming to Littleton Regional Healthcare, about the facility
20:12-34:57	Career at Littleton – progression from administrator to executive staff
34:58-48:51	Leadership and Mentorship
48:52-55:31	ACHE and being the New Hampshire Regent
55:32-59:54	Advice to new careerists

Links to Topics Discussed:

Littleton Regional Healthcare

American College of Healthcare Executives

Northern New England Association of Healthcare Executives

Marine Corps Aviation

Rutland Regional Medical Center

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Bridget Stewart, Vice President for Physician Services, Elliot Health System

Today’s guest is Bridget Stewart, the Vice President for Physician Services at the Elliot Health System in Manchester, New Hamsphire. Bridget’s career spans a wide variety of hospitals and clinical activities, but always focused on operations management. She has worked at several world famous Boston hospitals such as Brigham and Women’s, Boston Children’s and most recently before coming to the Elliot, as the Vice President for Operations at the Joslin Diabetes Center. In addition to earning her Bachelor’s degree from Health Management and Policy here at the University of New Hampshire, she holds an MBA and a Doctor of Law and Policy. In this podcast she talks about her career journey and some of the differences between the organizations she has worked for, and concludes with advice to early careerists. This full-length podcast is approximately 84 minutes in length – an abridged version of the podcast is available that only focuses on her roles at Joslin and the Elliot. 

Links to the Podcast:

Anchor: 

                     Unabridged: https://anchor.fm/healthleaderforge/episodes/Bridget-Stewart--Vice-President-for-Physician-Services--Elliot-Health-System-egraac
                 
                      Abridged:  https://anchor.fm/healthleaderforge/episodes/AbridgedBridget-Stewart--Vice-President-for-Physician-Services--Elliot-Health-System-egra7b

iTunes: https://podcasts.apple.com/us/podcast/bridget-stewart-vice-president-for-physician-services/id981989377?i=1000351059011

(the following times apply to the unabridged version of the podcast )

  Time                                    Topic

0:01:28	-	0:10:32	education at HMP and MBA
0:10:32	-	0:12:40	University of Iowa Medical Center, Division of Cardiology
0:12:40	-	0:19:07	Brigham and Women's Hospital, Department of Medicine
0:19:07	-	0:36:43	Boston Children's Hospital, Department of Cardiology, management grand rounds, management of philanthropic funds
0:36:43	-	0:41:12	earning a Doctorate of Law and Policy, coordination of electronic medical records
0:41:12	-	0:50:29	Vice President for Operations, Joslin Diabetes Center
0:50:29	-	0:55:49	reflecting on the Boston health care community
0:55:49	-	1:11:31	Vice Preseident for Physician Services, The Elliot Health System
1:11:31	-	1:15:43	thoughts on leadership
1:15:43	-	1:19:47	mentorship and networking
1:19:47	-	1:21:52	advice to early career women leaders
1:21:52	-	1:24:02	advice to administrative interns
1:24:02	-	1:26:09	advice to early careerists

Links to Topics Discussed:

Health Management and Policy

St. Ambrose University MBA

University of Iow Medical Center

Brigham and Women's Hospital

Boston Children's Hospital

Joslin Diabetes Center

The Elliot Health System

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Colonel David Bitterman, Chief of Staff, Southern Regional Medical Command

Today’s guest is Colonel David Bitterman, Chief Operating Officer of the US Army Southern Regional Medical Command. The Southern Regional Medical Command is the Army’s largest Regional Medical Command and consists of 15 Army medical treatment facilities located in the southeast quadrant of the continental United States from Texas to Georgia, and north to Oklahoma through Tennessee. The Command provides comprehensive health care services for over 490,000 beneficiaries with an operating budget of over $1.4 billion, and has more than 18,000 employees. Colonel Bitterman holds a Masters in Health Administration from Baylor University, and a Masters of Strategic Studies from the Army War College. He is also a fellow of the American College of Healthcare Executives, and is a recipient of that organizations Career Achievement and Distinguished Service Awards.

Links to the Podcast

Anchor: https://anchor.fm/healthleaderforge/episodes/Colonel-David-Bitterman--Chief-of-Staff--US-Army-Southern-Regional-Medical-Command-egra84

Stitcher: http://www.stitcher.com/s?fid=63805&refid=stpri

Tunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

YouTube: https://youtu.be/6RAaoq365kA?list=PLWAR9LUGZi4mT4d01Lo_VqU4TxJKoW0Fu

Transcript of the interview available here.


    Time                 Topic
    1:33 - 17:10       Early Career
  17:11 - 53:24       Transition to executive leadership and command
  53:25 - 1:02:23    Role as Chief of Staff, SRMC
1:02:24 - 1:12:32   Thoughts on leadership and mentorship


Links:

Southern Regional Medical Command

American College of Health Care Executives

About the US Army Medical Command

Medical Service Corps Home page

Army-Baylor Graduate Program in Health and Business Administration

Servant-Leadership