Eileen Keefe, Chief Nursing Officer, Parkland Medical Center

Today's guest is Eileen Keefe, the Chief Nursing Officer at Parkland Medical Center in Derry, New Hampshire. Parkland Medical Center is part of the country's largest for-profit health system, HCA Healthcare. 

This interview was special because Eileen is interviewed by her daughter Sara Elmendorf, a junior in Health Management and Policy here at UNH. Sara and Eileen talk about Eileen's career, starting as a nurse at Beth Israel Hospital , up through her role with Parkland. They conclude with a discussion of leadership, and Eileen gives advice to young people interested in pursuing a career in healthcare. 

(Sara and Eileen)

Links to the Podcast: 

Anchor: https://anchor.fm/healthleaderforge/episodes/Eileen-Keefe--CNO--Parkland-Medical-Center-egra61

iTunes: https://anchor.fm/healthleaderforge/episodes/Eileen-Keefe--CNO--Parkland-Medical-Center-egra61

Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/67113065&af_web_dp=https://www.stitcher.com/episode/67113065

YouTube: https://youtu.be/5nd2CTxTlhg

Podcast Outline

Time       Topic

0:01:33 Boston College for Nursing
0:04:19 1st job at Beth Israel - "primary nursing"
0:06:02 making the transition to practice
0:07:50 med surge to ER
0:10:12 coming to Parkland
0:13:25 masters degree in nursing leadership at UNH
0:15:16 about Parkland Medical Center and HCA
0:18:03 difference between for-profit and non-profit hospitals
0:19:33 competition in healthcare
0:21:10 how has healthcare and nursing evolved during her career
0:22:37 transition from direct patient care to leadership
0:23:45 merger trend in healthcare
0:25:28 moving from nurse educator to VP of quality
0:26:24 mentoring and mentorship
0:29:16 becoming the CNO of Parkland
0:30:41 scope of the CNO
0:31:33 a day in the life of the CNO
0:35:08 working with the senior leadership team
0:36:15 management metrics for the hospital
0:39:41 greatest challenges facing the CNO
0:40:37 what are the big changes in healthcare coming?
0:43:05 advanced practice nurses (APRNs)
0:45:11 policy changes for access to care
0:45:59 career goals, pursuing a DNP
0:47:55 leadership philosophy
0:51:10 organizational culture
0:53:47 leadership lesson learned the hard way
0:55:11 professional organizations
0:56:44 for a career in health, why nursing and/or nursing leadership
0:58:17 book recommendation for early careerists
1:00:30 advice to young people seeking a career in healthcare graduating from college

Links to Topics Discussed

Parkland Medical Center

HCA Healthcare

Beth Israel Hospital

Boston College Nursing

University of New Hampshire Nursing

Gawande, The Bell Curve

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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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Sheila Woolley, RN, NEA-BC, BSN, MPH, CNO and VP of Patient Care Services at Wentworth-Douglass Health System

Today’s guest is Sheila Woolley, the Chief Nursing Officer and Vice President of Patient Care Services at Wentworth-Douglass Health System in Dover, New Hampshire. Wentworth-Douglass Health System includes Wentworth-Douglass Hospital, a 178-bed non-profit, acute-care hospital that employs 2,300 individuals with 1,700 FTEs, has 50,000-visits annually, and is a Level III Trauma Center. The Health System also includes Wentworth Health Partners, which include 23 primary care and specialty practices, and two express care facilities. As we discuss during the podcast, although Wentworth-Douglass is a community hospital, it has clinical affiliations with world-class academic medical centers that enable patients to access some of the best physicians in the region while staying at home on the New Hampshire Seacoast.

In this podcast we discuss Sheila’s career in nursing, the role of the CNO, how the nursing profession has evolved, and conclude with a discussion about leadership.

This is a valuable interview for any aspiring healthcare leader to listen to because Sheila really demonstrates through her career how leadership in healthcare transcends parochial roles, and the future of healthcare delivery will require a team-based approach.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/sheila-woolley-cno-and-vp-wentworth-douglass-health-system

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

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

Podcast Outline

Time	Topic
0:02:15	Educational background, choosing to major in nursing
0:04:23	Initial mentors in nursing
0:05:55	Initial impressions about the nursing profession
0:07:03	Work as a staff nurse at Stanford Medical Center
0:08:55	Obtaining a BSN at UCSF
0:09:37	Pursuing a MPH at Boston University, value of the MPH degree
0:11:57	Work in administration at Dialysis Associates
0:13:16	Work as an administrative nurse at the University of California
0:14:53	Importance of having a good mentor
0:16:15	Work as a nursing director at the Children’s Medical Center of Dallas
0:22:28	Transition from patient care to administration and management
0:23:27	Lessons learned from the transition
0:24:31	Responsibilities as the director of the cardiothoracic division
0:26:51	Transition to the CNO and VP roles at Wentworth-Douglass   Health System
0:27:46	Why Wentworth-Douglass?
0:28:55	Wentworth-Douglass’s geography, size, location, history, and clinical affiliations with Mass General and Dartmouth-Hitchcock
0:34:02	Role of the Chief Nursing Officer
0:36:19	What it means to “promote a professional nursing practice”
0:39:10	Advantage of having baccalaureate nurses
0:40:45	Defining “shared governance”
0:42:39	Performance Improvement at Wentworth-Douglass
0:44:13	Defining and implementing “Patient-Centered Care”
0:48:13	Relationships with nurses outside of the department
0:50:10	Evolution of the nursing profession
0:52:12	Role of the Vice President of Patient Care Services
0:56:55	Senior Executive Team at Wentworth-Douglass, Board of Trustees Meetings
1:00:39	How the “Triple Aim” frames the future of healthcare
1:04:16	Personal leadership philosophy
1:06:24	Learning a leadership lesson the hard way
1:08:41	Leadership lessons you are proud of
1:10:35	What do you look for when you hire leaders?
1:14:20	The importance of organizational culture
1:16:00	How do leaders shape organizational culture?
1:17:24	Mentorship at Wentworth-Douglass
1:18:33	Advice for students looking to enter healthcare, nursing, or healthcare administration

Links to Topics Discussed:

Wentworth-Douglass Health System

Children's Health

The Triple Aim


Thanks to Sameer Panesar for production support!

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