Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Tuesday, September 15, 2020

Arthur Mathisen, President, Memorial Hospital

 


Today’s guest is Art Mathisen, the President of Memorial Hospital in North Conway, New Hampshire. Memorial Hospital is part of the MaineHealth system, the largest integrated healthcare system in Maine. Memorial Hospital is the only member hospital not located in Maine. Art had a first career in the US Army as a Medical Service Corps officer, and retired after twenty years as a lieutenant colonel. In this podcast we talk about his military career, his transition to civilian leadership, and his experiences with Bon Secours Health System in Virginia, his time as CEO of Copley Hospital in Vermont, and his leadership at Memorial Hospital, and what it is like leading a critical access hospital that is part of a larger healthcare system.

Links to the Podcast: 

Anchor:  

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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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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Tuesday, August 20, 2019

Sean Stevenson, SVP of Operations, Genesis HealthCare



Today’s guest is Sean Stevenson. Sean a Senior Vice President for Operations with Genesis HealthCare, and responsible for Genesis’s 110 skilled nursing facilities in New England. Sean is an alumnus of the University of New Hampshire and holds a degree in Health Management and Policy, which of course is my department. In this interview, Sean talks about his journey in the long-term care field and all the rewards and challenges it presents. Sean and I both share the opinion that the long-term care field is underappreciated for the opportunity it represents to young people who are interested in a meaningful career in healthcare. 


Anchor: 



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



Podcast Outline (Applies to full-length recording)
Time     Topic
0:01:28 Majoring in health management - a vision of managed care
0:05:38 discovering long term care by accident
0:11:06 starting in Long Term Care as a business office manager
0:14:57 pursuing an Adminstrator in Training (AIT) opportunity
0:17:08 what is an AIT
0:21:21 organizational structure of a skilled nursing facility
0:24:43 first role as an Administrator - empty briefcase
0:29:01 learning by experience and mistakes - learning to hold people accountable
0:30:40 how should young leaders establish credibility
0:33:18 categories of patients
0:38:27 industry shift from custodial care to rehabilitation
0:40:52 70-80% of patients are on Medicaid
0:43:01 traditional long term care - activities of daily living (ADLs)
0:45:09 memory support/dementia care
0:45:36 mental health/behavioral units and recovery
0:47:16 skilled nursing vs. assisted living
0:49:01 moving up to managing multiple facilities
0:53:36 developing a skill at improving organizations - "API"
0:57:31 moving on, becoming a regional vice president with 6 buildings
1:01:42 adding multiple states to his portfolio - policy and culture diversity - 18 buildings
1:05:18 how did leadership style evolve with a larger portfolio
1:08:43 surviving corporate acquisitions - acquired by Genesis
1:11:10 promoted to senior vice president with Genesis - 110 buildings
1:14:43 standardization efforts within the system
1:17:50 using management metrics
1:19:16 a day in the life of Sean Stevenson
1:21:22 how his role fits into Genesis's other operations
1:23:29 consolidation trends in long term care
1:25:16 financial challenges of LTC despite demographics
1:30:34 being creative around labor
1:33:58 what keeps him up at night
1:35:59 shaping corporate culture
1:39:58 leadership philosophy
1:44:12 why long term care as a career?


Links to Topics Discussed

Genesis HealthCare

Health Management and Policy

Winning by Jack Welch




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Friday, February 15, 2019

Heather Staples Lavoie, President of Geneia


Today’s guest is Heather Staples Lavoie, the President of Geneia in Manchester, New Hampshire. I had the opportunity to hear Heather speak recently at a UNH CEO forum during which she described the exciting work Geneia is doing in the health analytics field, so I invited her to be on the program to share both her journey as a serial healthcare entrepreneur, and Geneia’s story, too.

In the podcast we discuss Heather’s career and how she discovered a passion for healthcare analytics. We then talk about the various products and services Geneia has developed to help improve the delivery of healthcare and mitigate provider burnout (we talk about the Physician Misery Index Geneia has developed to measure the pain clinicians feel from the array of administrative tasks that take them away from providing care).

I really enjoyed talking with Heather because her experiences in small firms are so different from mine, and I believe analytics, AI, and machine learning are going to transform healthcare.

Links to Podcast:

Anchor: https://anchor.fm/healthleaderforge/episodes/Heather-Staples-Lavoie--President-of-Geneia-egra6d 

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


Podcast Outline

Time Topic
0:01:27 education
0:03:57 moving to healthcare
0:06:17 early interest in health IT, HealthSource and Cigna
0:09:11 the draw to analytics
0:12:04 building Choicelinx, healthcare consumerism
0:19:07 "mid market customers"
0:19:40 Starting Choicelinx in a garage
0:20:18 taking the entrepreneurial leap
0:21:55 early days of a start up
0:22:34 angel and venture capital investors
0:23:57 pitching a start up to investors
0:25:32 circumstances beyond control - 9/11
0:27:32 deciding to sell Choicelinx
0:29:26 the sale to Cigna and transition to being a subsidiary
0:30:27 leaving Cigna for consulting
0:30:53 starting with Geneia, joining with Capital Blue Cross
0:32:42 the original vision for Geneia - Capial BC seeking diversification
0:35:20 what is a wholly owned subsidiary?
0:37:34 early stages of establishing the subsidiary
0:41:11 Geneia's products - Theon analytics
0:43:38 What is the value added to a community hospital?
0:48:32 argument for specialized firms doing analytics work
0:49:45 need for scale in the healthcare market, driven by payment models
0:50:51 management of client data
0:52:10 the Physician Misery Index
0:56:15 how Geneia's interface helps with decision making
0:57:46 remote patient monitoring services
1:04:46 other services
1:05:57 looking into the future - AI and Machine Learning
1:08:38 leading in an entrepreneurial organization
1:11:32 finding the right people
1:15:04 career opportunities in health analytics



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  

Sunday, April 15, 2018

Jeffrey Hughes, Chief Strategy Officer, Wentworth-Douglass Hospital


Today's guest is Jeff Hughes, the Chief Strategy Officer for Wentworth-Douglass Hospital (WDH) in Dover, New Hampshire. In this podcast, Jeff talks about his career in planning and strategy in a wide variety of healthcare organizations from community hospitals to teaching hospitals to health systems and even a medical school. Wentworth-Douglass has recently gone through the process of becoming an affiliate of Massachusetts General Hospital, and Jeff talks about the lengthy process WDH went through to decide on this strategy. The podcast is a fascinating insight into the reasoning behind the industry-wide trend in consolidation. 

Links to the Podcast

Soundcloud:

Full length interview:  https://soundcloud.com/healthleaderforge/jeffrey-hughes-chief-strategy-officer-wentworth-douglass-hospital/

Abridged interview: https://soundcloud.com/healthleaderforge/jeffrey-hughes-chief-strategy-officer-wdh-abridged/ 
(The abridged interview starts with Jeff's position at WDH, the full length interview includes his work history leading up to WDH.)

Podcast Outline Time       Topic
0:01:03 education - finding direction
0:03:14 Yale program in health services administration and epidemiology
0:05:33 Healthcare Administration Residency
0:08:35 first role as planning coordinator for Newport Hospital
0:09:22 moving to Danbury Hospital, becoming director of operations
0:10:34 becoming a manager
0:12:11 meshing together strategy and operations
0:12:26 Price Waterhouse Coopers consulting
0:16:19 what do consultants do?
0:18:12 returning to direct care, starting own consulting practice
0:28:41 recruited by WDH
0:29:44 starting at VP of Planning at WDH
0:31:03 redesigning the strategic planning process at WDH
0:34:21 creating strategic questions
0:36:36 moving from process measures to outcomes measures
0:37:39 about WDH
0:38:41 what were the strengths and skills he developed leading up to WDH
0:40:54 Affiliating with Massachusetts General Hospital/Partners Health Care
0:45:04 strategic affiliation analysis
0:46:22 examining options: NH-based system vs. Mass Gen
0:48:47 negotiating from a position of strength
0:50:25 the NH option - horizontal vs. vertical merger
0:53:21 clinical affiliations - what are the benefits?
0:56:25 the future of telehealth
0:59:00 what are the strategic challenges in healthcare now?


Links of Interest:




Thursday, March 15, 2018

Dr. Teresa Leverett, DO, Freedom Family Practice


Today's guest is Dr. Teresa Leverett, the founder of Freedom Family Practice in Portsmouth, New Hampshire. Freedom Family Practice is a family practice clinic that runs under a model called Direct Primary Care (DPC). In this podcast, we talk about what DPC is, and how it is allowing physicians and patients alike to have a different health care delivery experience. Recent UNH graduate Sameer Panasar returns to guest host this episode.

Links to the Podcast





Podcast Outline 
Time       Topic
0:03:38 schooling
0:07:06 deciding to pursue family medicine
0:09:05 Residency at Eastern Maine Medical Center
0:10:55 when did she know she was a physician
0:11:53 clinical career before Freedom Family Practice
0:18:08 breaking with practicing in a large physician group, looking for something else
0:21:44 Founding Freedom Family practice - what is direct primary care?
0:24:18 panel size, what patients want from direct primary care
0:26:52 small businesses as customers of DPC
0:34:06 growing the practice
0:37:11 running a lean business
0:39:21 challenges of starting a practice
0:41:46 policy challenges of DPC - regulatory status
0:46:41 Specialists who are starting DPC-like businesses
0:49:04 DPC - "Back to the Future" model of healthcare
0:53:50 At year 3 of her practice - goals?
0:55:05 would like to teach medical students about how to grow a practice
0:56:12 thoughts on the primary care crisis
1:01:38 DPC helps her feel like a doctor

Links of Interest:







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Thursday, February 15, 2018

Colonel Jean M. Barido, Commander, Public Health Command - Central


Today’s guest is COL Jean Barido, the Commander of the US Army Public Health Command – Central. The Command provides public health leadership and evidence-based preventive medicine programs and veterinary services to optimize the health of military units, installation personnel, and animals within 20 states, the Caribbean, and Central America.

In this podcast we talk about COL Barido’s career as an Army Nurse Corps officer, starting in the reserves and then transitioning to active duty. We discuss her many roles in the military including deployments to Kosovo and Afghanistan, and then discuss her role as the Commander of a dispersed unit with many diverse missions. We conclude with a discussion of leadership.

Podcast Outline 
Time       Topic

0:01:24 introduction, education
0:02:40 working as an RN, joining the reserves
0:03:41 about the Army Reserves
0:06:17 balancing the Reserve duty with civilian full time job
0:07:43 deploying to Kosovo with reserve combat hospital
0:09:38 caring for local nationals in austere conditions
0:11:14 transition to active duty as an Army nurse
0:12:54 first jobs on active duty
0:13:29 deploying to Afghanistan
0:14:25 PROFIS units - how the Army staffs field units
0:16:54 the Afghan mission
0:21:06 return from deployment, becoming a nurse practitioner
0:22:26 Uniform Services University of the Health Sciences
0:24:21 work as a family nurse practitioner
0:26:24 moving to the Pentagon - working in Manpower and Reserve Affairs
0:28:38 Chief Nursing Officer, Moncrief Army Health Clinic, Ft. Jackson
0:29:28 Commander, Public Health Command - Central
0:32:25 defining public health - "one health" - people, animals, and the environment
0:34:24 composition of the command - units within the command
0:38:12 role of the Commander
0:45:06 role of Veterinary Corps
0:46:50 learning to lead in a distributed and diverse organization
0:47:57 the Army process for selecting commanders
0:48:54 what prepared her for this command
0:51:09 most pressing issues facing MHS from Public Health perspective
0:53:46 leadership philosophy - her 5 core values
0:55:11 characteristics of a good leader
0:55:58 her leadership role model - her father
0:56:39 what she is looking for in a leader
0:57:10 leadership lesson learned the hard way
0:59:30 organizational culture
1:01:48 her career mentors
1:02:46 what does a good mentor do
1:03:14 her role as a mentor
1:04:36 careers: why public health? Why nursing?
1:06:31 advice to future healthcare leaders


Topics Discussed:

Public Health Command - Central

399th Combat Support Hospital




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