Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Friday, May 15, 2020

Quarantine Graduation Special



A special edition of the Health Leader Forge dedicated to the University of New Hampshire Health Management and Policy Class of 2020 and all of the future health leaders who are graduating this spring. In this podcast, I go back through the archives and gather advice for early careerists from nine previous guests. I then share a little advice of my own, and close with a reading of a passage from Henry David Thoreau's Walden.

Links to the Podcast: 
Soundcloud: https://soundcloud.com/healthleaderforge/quarantine-graduation-special/
YouTube: https://youtu.be/WOmapf0wnpo 
Stitcher: https://www.stitcher.com/podcast/the-health-leader-forge
Podcast Outline

Time       Topic

19:10       Bonica's 3 Pieces of Advice
26:06       "I left the woods", from Henry David Thoreau's Walden


Links to Topics Discussed









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Location: 105 Main St, Durham, NH 03824, USA

Wednesday, January 15, 2020

LTC Amy Thompson, Division Surgeon, 101st Airborne Division



Today’s guest is Lieutenant Colonel Amy Thompson, the Division Surgeon for the 101st Airborne Division. The 101st Airborne Division is one of the Army’s most storied units, having played critical roles during World War II on D-Day, the Battle of the Bulge, and other history changing moments. The 101st is currently located at Ft. Campbell, Kentucky, but its units are deployed all around the world.  

 LTC Thompson is a board-certified pediatrician with a fellowship in adolescent medicine, focused on young adults. As she notes in the podcast, more than half of the Army is under 25, so her specialty is actually perfect for her mission of taking care of soldiers. As you listen to LTC Thompson’s story, I think you will be struck by the level of commitment she has demonstrated to her mission of taking care of soldiers, volunteering to serve in challenging and dangerous environments when she could easily choose to remain in a hospital or clinic. In the podcast the themes of mission, service, and endurance repeat, and we conclude with a discussion of servant leadership. 

Links to the Podcast:

Time       Topic
0:01:44 Pre-Med/Biology at UC Berkley
0:04:55 medicine to make a difference
0:06:30 joining the Army - ROTC
0:08:55 HPSP scholarship for medical school
0:12:47 Kansas City University of Biosciences and Medicine
0:15:16 choosing pediatrics
0:16:53 pediatrics residency at Madigan Army Medical Center
0:19:14 developing the physician identity
0:20:29 chief of pediatrics at Ft. Irwin
0:26:17 impact of having children on being a pediatrician
0:27:34 fellowship in adolescent medicine
0:30:50 volunteering for first deployment to Afghanistan - battalion surgeon
0:37:13 reflecting on deployment on her development as an officer and military physician
0:38:44 Brigade Surgeon, Ft. Riley, Kansas
0:42:21 second deployment - Kuwait
0:43:34 planning medical support
0:45:26 staff time at the Defense Health Agency
0:51:05 101st Airborne Division
0:53:26 planning for medical support of the division
0:55:45 roles of care
0:56:57 coordinating higher levels of care in support of division
0:59:26 planning for non-battle injuries and disease
1:03:27 planning for 100,000 visits/year
1:08:35 most gratifying aspect of practice of medicine
1:11:13 managing careers as a dual military couple
1:15:42 leadership philosophy
1:17:22 leadership role models
1:21:42 mentors for her
1:24:06 being a mentor to others
1:25:49 what does she look for in a leader
1:28:40 a book recommendation for early careerists
1:31:01 why military medicine


 Links to Topics Discussed

 101ST AIRBORNE

 Kansas City University of Biosciences and Medicine

 Madigan Army Medical Center

 THE NATIONAL TRAINING CENTER AND FORT IRWIN

 U.S. ARMY FORT RILEY

 Defense Health Agency

 Roles of Medical Care

 THE STORY OF SPC ROSS A. MCGINNIS


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Tuesday, October 15, 2019

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

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





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Location: 311 Service Rd, East Sandwich, MA 02537, USA

Friday, March 15, 2019

Alex Walker, Executive Vice President and COO, Catholic Medical Center


Today’s guest is Alex Walker, the Executive Vice President and Chief Operating Officer for Catholic Medical Center in Manchester, New Hampshire. Alex took an unusual route to senior leadership in the healthcare field. Prior to joining Catholic Medical Center in 2012, he spent more than twenty years practicing corporate law and litigation at one of New Hampshire’s largest and most prestigious law firms.

In the podcast we talk about Alex’s journey from his early experiences in the Marine Corps, to what it was like to rise to become President of Devine and Millimet, and ultimately his decision to change careers and industries and join the team at Catholic Medical Center.

What I thought was especially interesting about Alex’s story was how he described the experience of joining a mission driven non-profit hospital, and how important that was to him. I hope you enjoy this conversation as much as I did.



Podcast Outline

Time Topic
0:01:27 Becoming a Marine - growing up, diversity
0:08:34 coming home, Umass Boston - first in family to go to college
0:13:55 law school at Northeastern
0:18:13 joining the firm of Divine Millimet in Manchester, NH
0:22:27 the partnership model of law firms
0:25:47 commercial litigation
0:27:11 defending Catholic Medical Center during de-merging
0:31:25 becoming Chairman of Divine Millimet
0:35:29 what do people misunderstand about the practice of law
0:38:06 coming to CMC
0:42:24 about CMC
0:46:37 from general counsel to COO
0:51:17 inernal focus of the COO
0:53:27 Granite One System
0:58:32 Affiliation with Dartmouth-Hitchcock Health
1:03:40 leadership philosophy
1:04:55 how did leadership style change coming from law to healthcare
1:06:37 influences on his leadership style
1:11:23 organizaitonal culture
1:13:53 importance of mentors
1:16:15 advice to early careerists



Links to topics discussed:




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Monday, January 14, 2019

We're back!

Greetings, friends! After an 8 month hiatus, the Health Leader Forge is back with new interviews. Tomorrow, January 15th we will release the first podcast of the new year. It is an exciting interview with Joel Hornberger, the Chief Strategy Officer and National Training Director for Cherokee Health Systems, headquartered in Knoxville, Tennessee. Cherokee Health Systems is a large, combined FQHC and CMHC, and they are leaders in integrated behavioral health, which is the focus of the interview.

Future podcasts already in the queue include an interview with the Heather Lavoie, President of Geneia, a healthcare analytics company located in Manchester, New Hampshire, and Brian Martin, President and CEO of Loring Community Hospital, a critical access hospital in Sac City, Iowa.

We're excited to bring you more interviews about the careers of healthcare leaders and their organizations - please subscribe and give us reviews on your favorite podcast app!



YouTube: https://www.youtube.com/channel/UCkUYyqD0z6a5jRSZL7wNB3g  
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Monday, January 15, 2018

Mary Lowry, Administrative Director, Center for Telehealth, DHMC



Today’s guest is Mary Lowry, the administrative director of Dartmouth-Hitchcock health system’s Center for Telehealth. The Center for Telehealth is Dartmouth-Hitchcock’s consolidated telemedicine program, and in this podcast we talk about the variety of services and support that Mary’s team provides across New Hampshire and Vermont. It’s a fascinating look at the future of medicine, even though as Mary notes, telemedicine isn’t new, I think it is just now coming of age, and as we continue to transition away from a fee for service model in healthcare and towards the provision of value based care, we are only going to see greater levels of telemedicine utilization.

Links to the Podcast
Soundcloud: https://soundcloud.com/healthleaderforge/mary-lowry-administrative-director-center-for-telehealth/
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/w4K5nXEUwqQ
Transcript is available here: http://healthleaderforge.blogspot.com/p/mary-lowry-transcript.html

Podcast Outline 
Time       Topic
0:01:15 introduction - about Dartmouth-Hitchcock
0:03:12 Mary's background, role of the administrative director
0:04:56 Connected Care Center
0:05:42 Telemedicine and Transfer Management
0:06:38 history of the program
0:07:38 Services - Telestroke & Teleneurology
0:10:11 which hospitals contract for telemedicine services and why
0:11:24 critical access hospitals, night coverage at PPS hospitals
0:18:35 partnership with Specialists on Call
0:19:47 reimbursement
0:21:40 the business case for telemedicine - keeping patients
0:23:25 protocol for treatment with telehealth
0:24:08 other inpatient telehealth services
0:25:26 tele-emergency medicine
0:28:50 challneges of quantifying the business case
0:30:18 tele-intensive care (tele-ICU)
0:31:48 "wired bed"
0:36:11 tele-ICU - complement, not substitute
0:37:51 the tele-ICU stations team
0:38:56 revenue stream for tele-ICU, ROI
0:40:50 tele-pharmacy
0:42:36 tele-psychiatry
0:45:40 why not ambulatory tele-psychiatry
0:47:50 ambulatory services
0:50:35 billing for home telehealth visits
0:51:45 pediatric specialty services - efficiency
0:52:45 strategy implications of telemedicine
0:56:30 synergies between services
0:57:20 identifying gaps in care and bringing resources to patients
0:58:05 building the business, seeking profitability
0:59:46 role of telemedecine and value based care
1:01:26 what are the limits on growth for telemedicine
1:04:06 future visions for telemedicine
1:05:35 business to business vs. business to consumer
1:09:25 closing thoughts


 Topics Discussed:

 Connected Care Center


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Location: Lebanon, NH, USA

Sunday, October 15, 2017

Samantha O'Neill, VP of HR, The Elliot Health System


Today's guest is Samantha O'Neill, the Vice President of Human Resources for the Elliot Health System in Manchester, New Hampshire. Sam has served in senior HR roles in software, information technology consulting, high-tech, manufacturing companies, and most recently healthcare.

Sam is interviewed by Kayli Mathews and Nicole Bishop, juniors in the Department of Health Management and Policy at the University of New Hampshire. In this podcast, they explore Sam's diverse career, talk about the various functions of HR, and close on a discussion of Sam's leadership style.

Links to the Podcast
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377 
YouTube: https://youtu.be/KW0Sf7MCw6I

Podcast Outline 

Time             Topic
0:01:07 Start of Career Post Music Education Degree
0:01:55 Challenges as a Business Retirement Plan Specialist
0:03:25 Working with the Temp Agency - starting in HR
0:05:14 Senior HR of Ajalon- Reasons for staying in HR
0:06:47 Sam had little HR experience but someone took a chance on her - "baptism by fire"
0:07:33 Learning HR and taking a crash course
0:09:10 Success of making Senior VP in 12 years
0:10:11 Start of HR at TomTom (GPS)
0:11:48 How Sam learned to build an HR Department at Tom Tom
0:13:00 Sam's career in HR at Velcro
0:13:49 Why Sam took her posistion at Velcro
0:15:11 Understanding travel and requirements of a new CEO
0:16:56 Joining rhe Elliot Health Care System
0:18:43 What is the Elliot like as an organization
0:19:58 First Posistion at the Elliot: Director of HR
0:21:43 Genereal structure of the orgnization and how Sam fits in as VP of HR
0:22:24 Who Sam interacts with as VP
0:23:16 Compensation and Benefits 
0:25:00 How Sam knows and manages to stay within her market
0:25:33 How Sam and her team deliver support to other areas
0:27:28 Sam took initiative because HR was not appropriately staffed
0:30:40 HR in healthcare vs HR in other fields
0:32:02 Show you want to learn in the industry to be successful
0:33:48 Interaction with employed physcians 
0:35:20 Approaching the CEO about staffing issues in HR
0:36:37 Measuring employee outcomes and patient satisfaction
0:38:42 Patient and Department ratings
0:40:37 Transferable skills from HR
0:41:38 The draw of HR - seeing the value
0:43:47 Employee law, patience, judgement, and regulations
0:45:17 Confusion and Misunderstandings about HR Departments
0:47:14 Strategic Goals in HR 
0:48:26 Leadership Philosphy
0:49:55 Characteristics of a good leader
0:51:00 Leadership lesson learned the hard way
0:52:40 Being a woman in a senior executive posistion
0:53:55 Hiring for skill and fit
0:55:53 Organizational Culture
0:56:54 Mentors in earlier jobs and using previous knowledge
0:59:06 Developing leaders
1:00:58 Professional organizations
1:02:21 Advice to those starting a career in the health field

Topics Discussed:

The Elliot Health System

Westfield State

Tom Tom

Velcro

Society for Human Resource Management
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Location: 1 Elliot Way # 200, Manchester, NH 03103, 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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Saturday, April 15, 2017

Susan DeMarco, Director, Organizational Development, Exeter Health Resources


Today's guest is Susan Clay DeMarco, Director of Organizational Development for Exeter Health Resources. Exeter Health Resources is a healthcare system that includes the Exeter Hospital, a 100-bed community hospital, Core Physicians, a multispecialty physician group, and Rockingham VNA. 

In this podcast, Sue shares how she started in parks and recreation management, making a transition to organizational development and healthcare later in her career. She is a professional coach, certified by the International Coach Federation, and leads Exeter Health Resources' management and leadership development programs, working with individuals and groups within the organization.

Sue is interviewed in this podcast by University of New Hampshire students Carly Barber and Jessica Fucci. 


Links to the Podcast
Soundcloud: https://soundcloud.com/healthleaderforge/sue-demarco-director-of-organizational-development-exeter-hospital
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/ywim4i64X2Q

Podcast Outline

Time         Topic
0:01:34 background and education - parks and recreation, MPA
0:05:49 leadership in outdoor parks, learning HR by doing
0:07:28 healthcare as a second career
0:08:32 what is special about Exeter Hospital
0:10:29 senior education specialist - teaching management skills
0:13:37 what is organizational development (OD)
0:15:10 does every organizaiton have an OD specialist
0:16:04 Why OD?
0:16:56 Talent management and succession planning
0:18:53 favoirte part of being the director of OD
0:19:37 day-to-day responsibilities of the director of OD
0:22:26 working with individuals - coaching
0:24:20 behavioral coaching
0:25:37 new manager training program
0:28:45 onboarding for senior executives
0:34:01 Core Physicians
0:34:44 emotional intelligence
0:37:24 how to improve emotional intelligence
0:40:58 strengths based change and appreciative inquiry
0:43:35 executive coaching
0:47:03 which certifications were most valuable
0:49:58 characteristics of a good OD leader
0:50:56 leadership philosophy
0:52:45 characteristics of a good leader
0:54:06 who did she learn her leadership from
0:56:06 what are the challenges of teaching leadership
0:57:03 leaderhsip lessons the hard way
0:58:05 what does she look for in leaders
0:59:09 what is organizational culture
1:00:51 how do successful leaders shape organizational culture
1:02:06 Sue's mentors
1:04:59 what does a good mentor do
1:06:30 how important are mentors
1:07:05 does she mentor now
1:07:48 professional associations
1:08:52 book recommendation for early careerists
1:09:36 opportunities in organizational development field
1:10:58 advice for early careerists


Topics Discussed:

Exeter Health Resources (Exeter Hospital, Core Physicians)






also of interest:
Kevin Callahan, President and CEO of Exeter Health Resources
Chris Callahan, Vice President, Human Resources, Exeter Health Resources
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