Betsey Rhynhart, Executive Director, New Hampshire Accountable Care Partners

Today’s guest is Betsey Rhynhart, the Executive Director of New Hampshire Accountable Care Partners, an Accountable Care Organization or ACO headquartered at Concord Hospital in Concord New Hampshire. New Hampshire Accountable Care Partners was formed as a partnership between four community health systems in Southern New Hampshire: Concord Hospital, The Elliot Health System, Southern New Hampshire Health System, and Wentworth-Douglas Health System. In this podcast Betsey talks about her career, and how her education in public health and her background in insurance and strategy merge in her current role leading the ACO’s efforts. She talks about how the ACO is a learning organization that is helping the participating partners move toward a strategy of providing value-based care, a recurring theme we have been hearing from a number of leaders in recent interviews. Betsey provides an inside view of how the ACO was formed, how it operates, what the organization’s goals and objectives are, and what the participating organizations hope to gain from their collaboration. Betsey’s career and current role are great examples of how public health and direct care are beginning to merge as direct care delivery systems become more involved in population health models.

Links to the Podcast:

Soundcloud

        Unabridged: https://soundcloud.com/healthleaderforge/betsey-rhynhart-executive-director-new-hampshire-accountable-care-partners

        Abrdiged: https://soundcloud.com/healthleaderforge/abridged-betsey-rhynhart-executive-director-new-hampshire-accountable-care-partners

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

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

Podcast Outline

Time		Topic
0:02:00		Education and early career
0:17:50		Concord Hospital
0:21:02		Executive Director of Accountable Care
0:24:28		About the ACA, the Triple Aim, and the Triple Problem
0:37:04		New Hampshire Accountable Care Partners
0:41:15		Establishing the ACO
0:45:25		The broad strategy of moving to value
0:53:07		Medicare and CHIP Reauthorization (MACRA) Act of 2015
0:57:16		How are beneficiaries assigned to an ACO?
1:01:31		Primary Care in an ACO Medical Home
1:04:15		Generating shared savings
1:14:05		Listening to the data - the importance of analytics
1:22:17		Shared learning, sharing best practices
1:25:24		Sharing the shared savings, evolving to achieve success
1:30:44		Leadership, mentorship, and advice to early careerists

Links to Topics Discussed:

Concord Hospital

New Hampshire Accountable Care Partners

CMS on Accountable Care Organizations

Medicare and CHIP Re-authorization Act (MACRA)

County Health Rankings and Roadmaps

Boston University's Masters of Public Health

Being Mortal: Medicine and What Matters in the End

American's Association of Health Plans (AHIP)

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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:

Anchor: 

        Unabridged: https://anchor.fm/healthleaderforge/episodes/Daniel-L--Andrus--Fire-Chief-for-the-City-of-Concord--NH-egraa1

        Abrdiged: https://anchor.fm/healthleaderforge/episodes/Abridged-Daniel-Andrus--Fire-Chief--City-of-Concord--NH-egra5e

Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/41266021&af_web_dp=https://www.stitcher.com/episode/41266021

iTunes: https://podcasts.apple.com/us/podcast/daniel-l-andrus-fire-chief-for-the-city-of-concord-nh/id981989377?i=1000357158632

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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