Stephanie Nadolny, VP of Hospital Operations, Spaulding Rehabilitation Hospital Cape Cod

Today’s guest is Stephanie Nadolny. Stephanie is the Vice President of Hospital Operations, Spaulding Rehabilitation Hospital Cape Cod and the Vice President of Ancillary Services, Spaulding Rehabilitation Network. Stephanie started her career in therapeutic recreation and has worked in rehabilitation services for thirty years. In this podcast we talk about Stephanie’s journey from an entry-level clinician to running a 60 bed rehabilitation hospital and helping to lead a rehabilitation services network. I really enjoyed talking with Stephanie not just because she happens to be a two-time UNH alumna, but also because she is a truly authentic leader.

Anchor:

Abridged version: https://anchor.fm/healthleaderforge/episodes/Stephanie-Nadolny--VP-of-Hospital-Operations--Spaulding-Rehabilitation-Hospital-Cape-Cod-abridged-egra7h

Full length version: https://anchor.fm/healthleaderforge/episodes/Stephanie-Nadolny--VP-of-of-Hospital-Operations--Spaulding-Rehabilitation-Hospital-Cape-Cod-full-egra5r

iTunes: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/64604933&af_web_dp=https://www.stitcher.com/episode/64604933

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

YouTube: https://youtu.be/JKVR7F0B_T4 

Interview Outline (full-length)
Time      Topic
0:01:24 UNH and Therapeutic Recreation
0:06:45 health reform and Therapeutic Recreation (TR)
0:09:38 beginning in TR in education
0:11:04 TR Thereapist at Spaulding Rehabilitation Hospital in Boston
0:12:54 becoming a supervisor - "finding your legs"
0:15:41 Masters in Healthcare Administration at UNH
0:17:49 MHA vs. MBA
0:18:54 administrative director, Burbank Spaulding Rehabilitation Center
0:22:49 expanding beyond clinical leadership, moving into role of 2nd level manager
0:26:14 coming to the Cape
0:28:56 formalizing into a division of post-acute care under Partners
0:30:02 what is a rehabilitation hospital
0:34:44 the rehab team
0:35:54 the discharge decision
0:38:34 reimbursement for rehab hospitals
0:40:44 nursing home vs. rehab hospital
0:42:25 local market
0:43:03 relationship with the Spaulding Network
0:44:19 Stephanie's roles at Spaulding Rehabilitation Hospital Cape Cod
0:46:54 taking on services that she had never worked in
0:50:29 VP of Clinical Services for the Spaulding Network
0:53:17 what is rewarding about the rehabilitation space
0:53:30 trends in rehabilitation
0:54:51 adaptive sports
0:58:39 outpatient operations at Spaulding Cape Cod
1:00:03 what keeps Stephanie up at night
1:01:24 leadership philosophy
1:02:35 what makes a good leader
1:03:59 what does she look for when hiring leaders
1:05:39 how did mentors help her
1:07:39 what is her mentoring approach
1:08:54 a leadership lesson learned the hard way
1:10:11 organizational culture
1:12:04 professional organizations
1:13:05 book recommendations for early careerists
1:14:24 for an early careerist, why rehab?

Links to Topics Discussed

Spaulding Rehabilitation Hospital Cape Cod

Northeast Passage

Therapeutic Recreation Major at University of New Hampshire

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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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Karen F. Clements, RN, FACHE, Associate Chief Nursing Officer, Dartmouth-Hitchcock Medical Center

Today’s guest is Karen Clements, the Associate Chief Nurse for Ambulatory and Primary Care Nursing, Emergency and Patient Placement Services, and Care Management and Psychiatric Services for the Dartmouth-Hitchcock Health System, or as her staff prefers, she is the Associate Chief Nurse for Team Awesome.

Despite its rural location, Dartmouth-Hitchcock Medical Center is the largest hospital in New Hampshire, taking referrals from over forty other hospitals in New England. It is also a major teaching hospital associated with Dartmouth College’s Geisel School of Medicine.

Karen is also the President of the Northern New England Association of Healthcare Executives, one of the sponsors of this podcast.

Karen is a nurse-executive whose roots are in emergency and trauma nursing. Her career began with an active duty tour in the Army’s Nurse Corps, then she returned home to Bangor, Maine where she progressed through the nursing ranks to become the Chief Nursing Officer of Acadia Hospital, a 100 bed freestanding psychiatric hospital. After 23 years with the Eastern Maine Healthcare System, she followed professional and personal opportunity to Dartmouth-Hitchcock, where her leadership skills quickly led her to the Associate Chief Nurse position.

In this podcast we talk about Karen’s career leading up to her current position at Dartmouth-Hitchcock, how Dartmouth-Hitchcock is changing to meet the challenges of an evolving health system, and how nursing is playing a role in that transition. We then talk about leadership, and Karen’s role in the Northern New England Association of Healthcare Executives and conclude with Karen’s recommendations for early careerists.

Links to the Podcast:

Soundcloud: https://soundcloud.com/healthleaderforge/karen-f-clements-rn-fache-associate-chief-nursing-officer-dartmouth-hitchcock-health-system

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

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

Transcript of the interview available here. 


Podcast Outline

Time Topic
0:02:36 background, Army Nurse Corps
0:08:08 working up through the ranks, Eastern Maine Medical Center
0:18:49 Chief Nursing Officer, Acadia Hospital
0:25:34 coming to Dartmouth-Hitchcock Medical Center
0:30:52 Associate Chief Nursing Officer, Dartmouth-Hitchcock
0:33:55 role of Chief Nursing Officer and practice of nursing
0:37:44 use of advanced practice nurses (APRNs) at Dartmouth-Hitchcock
0:39:22 structure of nurses in the facility
0:40:18 Karen's professional growth at Dartmouth-Hitchcock
0:43:38 strategy
0:47:25 the future of health care and Dartmouth's approach
0:50:00 leadership
0:53:57 mentorship
1:00:32 women in leadership
1:05:30 ACHE/NNEAHE
1:10:36 advice to early careerists

Links to Topics Discussed:

Dartmouth-Hitchcock Health System

Dartmouth-Hitchcock Nursing

we joke about Karen following her husband Peter, a previous guest, to Dartmouth-Hitchcock. 

Eastern Maine Medical Center

Acadia Hospital

Army Nurse Corps - see also my interview with the Chief of the Army Nurse Corps 

Northern New England Association of Healthcare Executives (NNEAHE)

American College of Healthcare Executives (ACHE)

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Bridget Stewart, Vice President for Physician Services, Elliot Health System

Today’s guest is Bridget Stewart, the Vice President for Physician Services at the Elliot Health System in Manchester, New Hamsphire. Bridget’s career spans a wide variety of hospitals and clinical activities, but always focused on operations management. She has worked at several world famous Boston hospitals such as Brigham and Women’s, Boston Children’s and most recently before coming to the Elliot, as the Vice President for Operations at the Joslin Diabetes Center. In addition to earning her Bachelor’s degree from Health Management and Policy here at the University of New Hampshire, she holds an MBA and a Doctor of Law and Policy. In this podcast she talks about her career journey and some of the differences between the organizations she has worked for, and concludes with advice to early careerists. This full-length podcast is approximately 84 minutes in length – an abridged version of the podcast is available that only focuses on her roles at Joslin and the Elliot. 

Links to the Podcast:

Anchor: 

                     Unabridged: https://anchor.fm/healthleaderforge/episodes/Bridget-Stewart--Vice-President-for-Physician-Services--Elliot-Health-System-egraac
                 
                      Abridged:  https://anchor.fm/healthleaderforge/episodes/AbridgedBridget-Stewart--Vice-President-for-Physician-Services--Elliot-Health-System-egra7b

iTunes: https://podcasts.apple.com/us/podcast/bridget-stewart-vice-president-for-physician-services/id981989377?i=1000351059011

(the following times apply to the unabridged version of the podcast )

  Time                                    Topic

0:01:28	-	0:10:32	education at HMP and MBA
0:10:32	-	0:12:40	University of Iowa Medical Center, Division of Cardiology
0:12:40	-	0:19:07	Brigham and Women's Hospital, Department of Medicine
0:19:07	-	0:36:43	Boston Children's Hospital, Department of Cardiology, management grand rounds, management of philanthropic funds
0:36:43	-	0:41:12	earning a Doctorate of Law and Policy, coordination of electronic medical records
0:41:12	-	0:50:29	Vice President for Operations, Joslin Diabetes Center
0:50:29	-	0:55:49	reflecting on the Boston health care community
0:55:49	-	1:11:31	Vice Preseident for Physician Services, The Elliot Health System
1:11:31	-	1:15:43	thoughts on leadership
1:15:43	-	1:19:47	mentorship and networking
1:19:47	-	1:21:52	advice to early career women leaders
1:21:52	-	1:24:02	advice to administrative interns
1:24:02	-	1:26:09	advice to early careerists

Links to Topics Discussed:

Health Management and Policy

St. Ambrose University MBA

University of Iow Medical Center

Brigham and Women's Hospital

Boston Children's Hospital

Joslin Diabetes Center

The Elliot Health System

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Colonel David Bitterman, Chief of Staff, Southern Regional Medical Command

Today’s guest is Colonel David Bitterman, Chief Operating Officer of the US Army Southern Regional Medical Command. The Southern Regional Medical Command is the Army’s largest Regional Medical Command and consists of 15 Army medical treatment facilities located in the southeast quadrant of the continental United States from Texas to Georgia, and north to Oklahoma through Tennessee. The Command provides comprehensive health care services for over 490,000 beneficiaries with an operating budget of over $1.4 billion, and has more than 18,000 employees. Colonel Bitterman holds a Masters in Health Administration from Baylor University, and a Masters of Strategic Studies from the Army War College. He is also a fellow of the American College of Healthcare Executives, and is a recipient of that organizations Career Achievement and Distinguished Service Awards.

Links to the Podcast

Anchor: https://anchor.fm/healthleaderforge/episodes/Colonel-David-Bitterman--Chief-of-Staff--US-Army-Southern-Regional-Medical-Command-egra84

Stitcher: http://www.stitcher.com/s?fid=63805&refid=stpri

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

YouTube: https://youtu.be/6RAaoq365kA?list=PLWAR9LUGZi4mT4d01Lo_VqU4TxJKoW0Fu

Transcript of the interview available here.


    Time                 Topic
    1:33 - 17:10       Early Career
  17:11 - 53:24       Transition to executive leadership and command
  53:25 - 1:02:23    Role as Chief of Staff, SRMC
1:02:24 - 1:12:32   Thoughts on leadership and mentorship


Links:

Southern Regional Medical Command

American College of Health Care Executives

About the US Army Medical Command

Medical Service Corps Home page

Army-Baylor Graduate Program in Health and Business Administration

Servant-Leadership