Showing posts with label executive. Show all posts
Showing posts with label executive. Show all posts

Saturday, February 15, 2020

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)

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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Location: 1 Parkland Dr, Derry, NH 03038, USA

Friday, December 15, 2017

Stephen Kasabian, Chief Administrative Officer, Maine Medical Partners


Today's guest is Stephen Kasabian, Chief Administrative Officer for Maine Medical Partners (MMP) in Portland, Maine. Maine Medical Partners is a large, multi-specialty practice with over 500 physicians and is a subsidiary of Maine Medical Center. Steve was MMP Employee #1, and has overseen the growth of the organization since its inception.

Steve is a graduate of our own HMP program, and in this podcast we trace his career from UNH through to his leadership at MMP. We discuss the challenges and opportunities faced by healthcare organizations, and those in and around southern Maine. We conclude with a discussion about leadership. 

 Steve is interviewed by HMP junior Bridgette Carrier and HMP senior Shayna Murphy.


Links to the Podcast
Soundcloud: 
            Full-length: https://soundcloud.com/healthleaderforge/stephen-kasabian-chief-administrative-officer-maine-medical-partners/
 Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/jIW8ArQjxvs

 Podcast Outline 

Time       Topic
0:01:54 Choosing health management as a major
0:02:44 Internship at Exeter Hospital - the beginning of a career
0:04:56 First job at Goodall Hospital, learning to be a manager
0:08:53 Transition to consulting
0:11:21 key skills - relationship building and listening
0:13:56 what did he enjoy most about consulting
0:15:26 becoming a senior manager and deciding to leave consulting
0:16:27 moving into practice management
0:18:44 comparing practice management to hospital management
0:19:42 Leading a practice merger
0:20:57 the formation of Maine Medical Partners
0:23:30 working with a PHO when the concept was new
0:24:55 employee 1 - starting Maine Health's Medical Service Organization (MSO)
0:27:09 organziation as it was in 1995
0:28:29 building relationships with the physicians
0:29:26 what are the challenges of building a multi-specialty practice
0:30:50 what does it mean to be a multi-specialty group
0:33:21 MMP process for acquiring or opening a practice
0:35:49 challenges of rapid acquisition
0:37:00 hiring a physician president, becoming Chief Administrative Officer (CAO)
0:38:57 being half of a dyad
0:40:20 division of labor in the physician-administrator dyad
0:41:38 pros and cons of dyad leadership
0:42:07 MMP's major services
0:43:50 MMP's current structure
0:46:06 small number of direct reports
0:47:15 longevity of leadership team is a strength
0:48:39 MMP corporate strategy linked to Maine Medical Center
0:51:07 making the jump from individual practice to system level
0:52:37 MMP mission - to care for patients regardless of ability to pay
0:54:34 challenges of recruiting physicians
0:56:01 dealing with an aging population
0:57:45 impact of the ACA - lowering bad debt
0:58:30 impact of not expanding Medicaid
0:59:57 operational excellence, Gemba walks
1:03:40 Gemba walks help with employee engagement
1:04:53 what keeps him up at night - finding the resources to provide the services needed
1:06:34 what are the skills necessary to become a CAO
1:07:32 advice to his 20 year old self
1:08:33 leadership philosophy
1:10:04 the characteristics of a good leader - listening
1:11:09 who inspired his leadership style
1:11:54 a leadership lesson learned the hard way
1:13:56 what to look for when choosing leaders
1:16:21 the common mistakes of junior leaders - impatience
1:17:23 organizational culture
1:18:41 how to shape organizational culture - live it
1:19:56 the role of the mentor
1:22:11 book recommendation for early careerists
1:23:20 advice to early careerists


Topics Discussed:




Goodall Hospital (now SMHC)





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Location: 272 Congress St, Portland, ME 04101, USA

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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Monday, August 1, 2016

Katie Fullam Harris, SVP of Government Relations and Accountable Care Strategy, MaineHealth


Today's guest is Katie Fullam Harris, the Senior Vice President of Government Relations and Accountable Care Strategy for MaineHealth, in Portland, Maine. Katie oversees the development, implementation and coordination of state and federal advocacy on behalf of the MaineHealth System, and also leads the development and implementation of strategy that supports improved access and value for health care consumers and purchasers and the alignment of incentives for providers in the MaineHealth System. Prior to coming to MaineHealth, Katie worked in a variety of not-for-profit, government, and for-profit institutions.

In this podcast, Katie and I discuss her career journey, then transition to talk about what it’s like to manage government relations and health policy for the largest integrated health system in the state of Maine, and the challenges of trying to move a large system towards paying for value. We conclude with a discussion about influence and leadership.


We cover a lot of ground in this interview, especially around the recent evolution of health policy. I think early careerists in particular will get a sense of the importance of integrating proactive government relations in a large healthcare organization.
Transcript: A transcript of the podcast is available here.

Podcast Outline

 0:02:05 Educational background
0:02:54 Government relations, Planned Parenthood of Northern New England
0:07:30 Maine Department of Mental Health, Mental Retardation, and Substance Abuse Services
0:13:07 Director of Development, Sweetser
0:15:53 Program Director, Maine Development Foundation
0:18:57 Director of Government Relations, Anthem Blue Cross and Blue Shielf of Maine
0:25:27 MaineHealth overview
0:27:55 impact of Maine's geography and demographics
0:30:15 efforts toward population health
0:31:32 primary care and case management program for underinsured
0:32:24 Government Relations at MaineHealth
0:34:20 Employer Relations at MaineHealth
0:36:55 promoted to Senior Vice President - developing risk-based contracts
0:44:07 "accountable care movement"
0:46:03 Effect of the ACA on MaineHealth
0:52:30 a day in the life of Katie Fullam Harris
0:53:38 working with the MaineHealth affiliates
0:58:13 importance of bringing government relations in early
1:00:02 concerns about the future
1:01:19 leadership philosophy
1:02:01 characteristics of a good leader
1:03:16 organizational culture
1:04:59 career mentors and what they do
1:09:37 where do early careerists go wrong?
1:12:18 most frequent advice to early careerists?
1:13:28 read anything by Atul Gawande
1:14:16 opportunities in health administration


Links to Selected Topics Discussed

MaineHealth

MaineHealth Strategic Plan

Planned Parenthood of Northern New England

Sweetser

Maine Development Foundation

Anthem Blue Cross and Blue Shield of Maine

Atul Gawande

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Location: 110 Free St, Portland, ME 04101, USA

Friday, July 15, 2016

Nirav Shah, MD, MPH, Senior VP and COO for Clinical Operations, Kaiser Permanente Southern California



Today's guest is Dr. Nirav Shah, the Senior Vice President and Chief Operating Officer for Clinical Operations for Southern California in the Kaiser Foundation Health Plan and Hospitals, in Pasadena, California. Nirav oversees the health plan and hospital quality, service, accreditation, regulatory compliance, and licensure, as well as nursing, the continuum of care, and the effective use of technology, data, and analytics to produce better patient health outcomes for $24B region serving 4.2M members.

Prior to coming to Kaiser, Nirav served as the Commissioner of Health for the State of New York, administering a $60B budget and was responsible for public health insurance programs covering 5 million New Yorkers as well as regulating the state's hospitals and nursing homes among other responsibilities.

Nirav completed an internal medicine residency at Yale, followed by a fellowship in epidemiology at Stanford. Before moving into leadership roles, he worked as a physician researcher at Bellevue Hospital in New York City and at the Geisinger Clinic in Pennsylvania.

I really enjoyed listening to Nirav's journey from physician researcher to large organization leader. Perhaps more than any other guest, Nirav talks about the importance mentors have played in his career, and how he seeks out support and guidance to help him solve his problems, while at the same time reaching out to return the favor.


Transcript: A transcript of the podcast is available here.



Podcast Outline

 Time Topic
0:02:22 Upbringing in India
0:03:41 College experiences, deciding to go into medicine
0:05:06 Completing a dual M.D./M.P.H. program in chronic disease
0:06:15 Being in a Pass/Fail environment at Yale Medical School
0:07:47 Residency in Internal Medicine
0:08:30 Fellowship in Epidemiology
0:10:20 The “Physician Identity”
0:11:31 Early career at NYU Medical Center/Geisinger Health System
0:14:34 Balancing the demands of a clinical vs. research career
0:15:24 Early career mentors, privilege, and grit
0:19:00 Early interests in administrative and leadership work
0:21:13 Work as the Commissioner of the NY Department of Health (DOH)
0:25:00 The importance of having a political appointee as a Commissioner
0:27:27 The importance of building networks for future leaders
0:29:12 Role of the Commissioner of the NY DOH
0:31:30 Reforms to Medicaid at the NY DOH
0:33:30 Dealing with conflicts as the Commissioner
0:35:25 Difficulties of implementing reform
0:37:48 Relationship with Kaiser Permanente prior to and as Commissioner
0:39:25 Leadership lessons learned as the Commissioner of the NY DOH
0:40:33 Shift to working at Kaiser Permanente
0:42:55 Advantages of the Payer/Provider alignment at Kaiser
0:48:38 Size and scope of Kaiser Permanente and KP Southern California (KPSC)
0:50:22 Day-to-day life and responsibilities
0:51:36 Use of data and analytics to improve patient outcomes
0:54:43 Benefits of KPSC and hospital association
0:56:03 Relationship between corporate and regional KP organizations
0:58:15 Regional leadership team organization
0:59:15 What keeps you up at night?
1:00:40 How did prior experiences prepare you for Kaiser?
1:02:48 Common misconceptions of Kaiser
1:04:11 Are you currently practicing medicine?
1:05:23 Questions regarding leadership, personal mentors, and leadership experiences, hiring and evaluating leaders
1:10:25 Working with “inexperienced” leaders, evaluating performance
1:13:20 Importance of organizational culture
1:15:30 Advice for students in developing good mentor relationships
1:19:54 Importance of professional associations in career development

1:20:54 Advice for clinicians/students going into healthcare 


Links Discussed

Yale Medical School


Thanks to Sameer Panesar for production support.

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Location: Pasadena, CA 91188, USA

Sunday, May 15, 2016

Roderic Olvera Young, Executive Vice President, Chief Communications and Marketing Officer Dartmouth-Hitchcock Health


Today’s guest is Roderic "Roddy" Olvera Young, Executive Vice President, and Chief Communications and Marketing Officer Dartmouth-Hitchcock Health.

In this podcast, Roddy shares his nearly three decades of experience in communications and public relations in a wide variety of governmental and private organizations, among them including being the press secretary for NASA, as well as being a consultant for firms involved in public relations crises while working with MSL Group/TMG Strategies prior to coming to his current role at Dartmouth-Hitchcock.

This is a valuable podcast for any current or aspiring health leader to listen to because Roddy reveals some of the key mistakes leaders make when working with strategic communications and dealing with the press and provides insight on how to engage in a long term strategic messaging effort.

Links to the Podcast:
Soundcloud: https://soundcloud.com/healthleaderforge/roderic-young-interview
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Podcast Outline

Time Topic
0:01:47 Background, education, and coming to public relations
0:03:09 Press Secretary for Congressman Estaban Torres
0:09:54 Press Secretary for NASA
0:24:36 Comparing work on the Hill to work at NASA
0:25:56 public relations crisis management with MSL Group/TMG Strategies
0:46:47 transition to Dartmouth College, then Dartmouth-Hitchcock
0:48:45 about Dartmouth-Hitchcock Health System
0:52:20 about the communications and marketing team at DH
0:54:40 the difference between marketing and communicaitons
0:56:38 how his work history prepared him for his current role
0:57:30 WII-FM - telling meaningful stories to engage the audience
0:59:58 healthcare communications vs. other industries
1:02:33 managing communications for a diverse organization
1:05:10 branding and brand management in health care
1:07:12 strategic messaging
1:08:47 mistakes healthcare leaders make when dealing with the press
1:10:08 social media and the PR landscape
1:14:01 lessons learned the hard way
1:18:16 professional organizations
1:19:58 advice to early careerists interested in communications


Links to Topics Discussed:

Dartmouth-Hitchcock Health

Communications and Marketing at Dartmouth-Hitchcock

NASA



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