The Health Leader Forge: NH

Monday, February 15, 2016

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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Tuesday, September 15, 2015

Phil Alexakos, Chief of Environmental Health and Emergency Preparedness

For today’s interview I return to the Manchester Health Department to talk with Phil Alexakos, the Chief of Environmental Health and Emergency Preparedness Division, about how he and his department plan and prepare for public health crises. As we remembered the 14th anniversary of the tragic events of September 11th, 2001 just a few days ago, Phil’s division’s focus has expanded from naturally occurring public health threats like pandemic flu to responding to bioterrorism. The interview is fascinating because Phil and his colleagues focus on developing capabilities to respond to a wide array of unknown and unknowable events by finding ways to repurpose existing infrastructure in diverse ways. The podcast concludes with how government organizations like the Health Department cannot do this mission alone – they need the help of an army of volunteers. While Phil talks about some of the volunteer programs specific to New Hampshire, listeners should consider what opportunities they have to help make their communities more robust.

Links to the Podcast:

Anchor: https://anchor.fm/healthleaderforge/episodes/Phil-Alexakos--Chief-Of-Environmental-Health-And-Emergency-Preparedness-egra92

Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/40479354&af_web_dp=https://www.stitcher.com/episode/40479354

iTunes: https://podcasts.apple.com/us/podcast/phil-alexakos-chief-of-environmental-health/id981989377?i=1000352240222

Podcast timeline:

Time	Topic
0:01:35	background and early career
0:10:45	organization of emergency public health in NH
0:15:27	shifting planning, post-9/11
0:20:46	Manchester's anthrax history
	anthrax at UNH
0:24:53	data surveillance for public health emergency detection
0:28:49	mass treatment - Points of Dispensing (PODs)
0:36:29	formal partners for emergency planning
0:42:03	planning for shelter operations
0:49:40	the planning group and role of the health care system
0:55:39	incident command, the EOC and the MACE
0:58:02	planning for MED Surge - accordion planning
1:05:15	integrating community based groups
	Medical Reserve
	CERTs

Links discussed and for further reading:

Manchester Health Department http://www.manchesternh.gov/Departments/Health

NH Responds: New Hampshire Emergency System for Advance Registration of Volunteer Health Professionals https://www.nhresponds.org/

Medical Reserve Corps https://www.medicalreservecorps.gov/HomePage

Community Emergency Response Teams (CERT) http://www.fema.gov/community-emergency-response-teams

FEMA Incident Command Training https://training.fema.gov/nims/

CDC - Public Health Preparedness Capabilities:National Standards for State and Local Planning http://www.cdc.gov/phpr/capabilities/index.htm

Pandemic and All Hazards Preparedness Act http://www.phe.gov/Preparedness/legal/pahpa/Pages/default.aspx

National Health Security Strategy http://www.phe.gov/preparedness/planning/authority/nhss/Pages/default.aspx

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