Wednesday, March 15, 2017

Warren K. West, MBA, FACHE, CEO, North Country Healthcare



Today’s guest is Warren West, the CEO of North Country Healthcare. North Country Healthcare is a newly founded system of four critical access hospitals in the North Country of New Hampshire. North Country Healthcare is a unique system because it does not include a larger community hospital or medical center as an anchor.

Warren started his career in healthcare at the age of sixteen when he became a housekeeper at Children’s Specialized Hospital in New Jersey, a rehabilitation hospital where he would eventually rise to vice president for administration. In this podcast we talk about Warren’s career, about his leadership philosophy, and the challenges of providing comprehensive healthcare in a rural setting in a time of massive change in the healthcare industry.

Links to the Podcast
Soundcloud: 
Extended version: https://soundcloud.com/healthleaderforge/warren-k-west-ceo-north-country-healthcare
Edited version: https://soundcloud.com/healthleaderforge/warren-west-ceo-north-country-healthcare-edited
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/rEz9dFkyssc

Podcast Outline
(this outline applies to the full length version)

Time         Topic
0:01:40 starting out in housekeeping at Children's Specialized
0:03:10 Public Service Administration at Waynesburg
0:04:01 Switching to Healthcare Administration, MPA at Seton Hall
0:04:53 returning to Children's Specialized Hospital - security guard to intern
0:05:38 about Children's Specialized Hospital
0:06:37 transition to Assistant Administrator, Children's Specialized Hospital
0:08:30 VP of Administration, decision to leave Children's 
0:09:10 recruited by Healthsouth to be CEO of HealthSouth Meridian Point Rehabilitation Hospital
0:09:52 for-profit vs. not-for-profit healthcare
0:12:04 the transition to CEO
0:13:00 Vice President-Rehabilitation, Neurosciences and Occupational Health Services, Saint Barnabas Healthcare System 
0:14:24 setting goals - personal and professional
0:17:30 President and CEO of Copley Hospital and Health System - lessons learned up till then
0:19:01 challenges at Copley
0:21:16 converting Copley to Critical Access status
0:23:10 Federally Qualified Health Clinic look-alike status 
0:25:51 President and CEO of Littleton Regional Healthcare
0:29:50 the impact of geography on Copley vs. Littleton Regional
0:32:45 Certification of Need (CON) programs
0:36:27 coming in at the top - senior leadership transitions
0:39:08 challenges when taking over Littleton Regional
0:43:30 financing growth - getting access to capital
0:44:26 being the leader of the largest not-for-profit in the region
0:45:24 how does the CEO and the hospital interact with the business community
0:46:34 focus on population health and risk contracting 
0:48:23 North Country Healthcare
0:50:07 the benefit of the affiliation - size, scale, quality
0:51:54 risk based contracting
0:53:09 the genesis of North Country Healthcare
0:55:28 who were the major stakeholders that had to buy in
0:56:12 transition to CEO of North Country Healthcare
0:57:04 board structure of North Country Healthcare and its affiliates
0:59:24 System CEO to hospital presidents
1:00:32 system level efficiencies
1:01:22 ACO participation and "Community Care Organization" or "CCO"
1:04:42 being a fellow of the American College of Healthcare Executives
1:06:18 leadership philosophy
1:07:33 characteristics of a good leader - no "carpet administrators"
1:08:59 leadership lessons learned the hard way
1:10:14 the time limit on leadership
1:10:59 what he looks for in a leader
1:12:31 what does it mean to be a mentor
1:14:31 what does a good mentor do
1:15:21 book recommendation for early careerists
1:15:56 why healthcare administration?


Topics Discussed:

North Country Healthcare

Littleton Regional Healthcare

Copley Hospital

Health Center Program Look-Alikes

Saint Barnabas HealthcareSystem

HealthSouth Meridian PointRehabilitation Hospital

Children's SpecializedHospital

FarleighDickinson University MBA

Seton Hall MPA, Health Care Administration

Waynesburg College



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Wednesday, March 1, 2017

Brigadier General Jeffrey J. Johnson, Commander, Brooke Army Medical Center


Today’s guest is Brigadier General Jeffrey J. Johnson, the commanding general of Brooke Army Medical Center in San Antonio, Texas. Brooke Army Medical Center (BAMC) serves as the largest and most robust military healthcare organization within the Department of Defense (DOD). Both inpatient and outpatient services are provided by approximately 8,500 staff members, including active duty military personnel from each of the uniformed services, federal civilian employees and contractors. Brooke is a Level I Trauma center, and includes a forty bed burn center. It is also a hub for graduate medical education, with more than 30 graduate medical education programs.

General Johnson is a board certified family medicine physician and has served in and commanded a wide range of units, from traditional clinics and hospitals to Special Forces units and the legendary 82nd Airborne, and has deployed in support of the Army’s missions around the world. 

Links to the Podcast
Soundcloud: 
Extended version: https://soundcloud.com/healthleaderforge/brig-gen-jeffrey-j-johnson-commander-brooke-army-medical-center
Edited version: https://soundcloud.com/healthleaderforge/bg-jeffrey-j-johnson-commander-brooke-army-medical-center
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube:  https://youtu.be/f3CE_P6h1OE

Podcast Outline (this timeline refers to the extended version)


Time       Topic 
0:01:55 Evangel university, ROTC
0:05:15 medical School at U of CO Health Sciences Center
0:06:03 what was surprising about medical school
0:07:11 clinical stereotypes - cultures of specialties
0:08:07 confirming his interest in primary care
0:09:10 keeping options open 
0:10:05 Family Medicine residency at Madigan Army Medical Center
0:12:28 Family Medicine vs. Internal Medicine
0:13:08 Why Madigan?
0:14:23 the physician identity
0:16:32 Clinic Command
0:19:17 lessons learned from first command
0:20:09 support from higher command
0:21:27 battalion and group surgeon, 7th Special Forces
0:25:53 observations of healthcare delivery in deveoping countries
0:26:46 director of resident training for Family Medicine
0:28:03 how did prior experience prepare him to run a residency program
0:29:53 life-long learning
0:31:24 challenges and enjoyment of the residency director role
0:33:44 making the decision to continue in the military
0:35:51 division surgeon for 82nd Airborne
0:37:42 comparing roles at 82nd and 7th
0:38:55 combined command surgeon in Baghram, Afghanistan
0:42:36 working with Afghan allies and the Afghan medical system
0:44:12 Commander (CEO) of Irwin Community Hospital
0:45:19 the complexity of the CEO role - comfort with not knowing everything
0:48:29 developing the organization's vision
0:51:15 advisor role in Saudi Arabia
0:53:52 44th Medical Brigade
0:55:50 Office of The Army Surgeon General 
0:57:26 Surgeon, Korea
0:58:20 Brooke Army Medical Center
0:59:45 the difference between an Army Community Hospital and an Army Medical Center
1:00:53 organizational transitions and coming in as the senior leader
1:03:52 senior staff of the organization
1:06:55 the advantages and challenges of having a physician as commander
1:09:13 leadership philosophy
1:11:39 characteristics and behaviors of a good leader - servant leadership
1:13:17 mentorship
1:15:15 advice to early careerists about leadership


Links to topics discussed:


Brooke Army Medical Center


44th Medical Brigade

Irwin Army Community Hospital
Faculty Development at the University of North Carolina-Chapel Hill


Madigan Army Medical Center Family Medicine Residency Program


University of Colorado Health Sciences


Evangel University





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