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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