The Health Leader Forge: nursing

Showing posts with label nursing. 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)

Links to the Podcast:

Anchor: https://anchor.fm/healthleaderforge/episodes/Eileen-Keefe--CNO--Parkland-Medical-Center-egra61

iTunes: https://anchor.fm/healthleaderforge/episodes/Eileen-Keefe--CNO--Parkland-Medical-Center-egra61

Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/67113065&af_web_dp=https://www.stitcher.com/episode/67113065

YouTube: https://youtu.be/5nd2CTxTlhg

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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Saturday, July 15, 2017

Joni Spring, Director of Outpatient Nursing and Clinic Operations for DHMC

Today’s guest is Joni Spring, the Director of Outpatient Nursing and Clinic Operations for Dartmouth-Hitchcock Medical Center. Dartmouth-Hitchcock Medical Center is a large academic medical center, and Joni’s responsibilities include all of the outpatient nursing operations.

Joni has had over 30 years of experience as nurse, most of that time as a nurse leader and nurse executive. In this podcast we talk about Joni’s passion for nursing, a field she always knew was going to be her life’s work from the time she was a small child.

I really enjoyed talking with Joni because she is clearly an authentic leader. She is quite candid in the interview about her many successes as well as some of her most difficult failures. Her story is well worth listening to. I hope you enjoy it as much as I did.

Links to the Podcast

Soundcloud:

Edited: https://soundcloud.com/healthleaderforge/joni-spring-director-of-outpatient-nursing-and-clinic-operations-for-dhmc-edited

Full Length: https://soundcloud.com/healthleaderforge/joni-spring-director-of-outpatient-nursing-clinic-operations-dhmc

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

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

YouTube: https://youtu.be/WFxDnzWBOgs

Podcast Outline (applies to full length interview)

Time Topic

0:01:34 education and background
0:04:34 Pediatrics at the Albert Einsteen Medical Center
0:07:51 learning about boundaries with patients
0:13:16 pediatric unit vs. pediatric intensive care
0:14:11 coming back to NH - the Elliot Health System
0:16:34 about the Elliot, growth into a "system"
0:18:29 clinical identity
0:19:34 hiring for the "shining eyes"
0:21:04 transitioning to clinical nurse manager
0:22:54 taking on first management role while pregnant
0:26:01 from colleague to supervisor
0:27:56 physician-nurse relationship
0:32:27 the art of nursing - being and knowing
0:34:57 from clinical nurse manager to director of EMS
0:37:49 becoming a senior leader - broadening scope
0:40:02 developing emotional intelligence
0:43:05 moving from first line supervisor to manager - letting go
0:45:29 director of patient care services
0:47:49 learning to manage areas without having expert knowledge
0:50:08 CNO and VP of Patient Care Services at The Elliot
0:52:48 Organizational politics at the top
0:55:28 Points of pride as CNO
0:59:09 recovering from professional setbacks
1:02:08 Norris Cotton Cancer Center, DHMC
1:04:55 referral to the NCCC
1:06:26 joining the DHMC team - a professional hug
1:08:47 promoted to director of outpatient nursing and clinical operations
1:11:02 how does role fit into nursing structure at DHMC
1:11:36 bringing health policy down to the practice level
1:14:54 population health projects at DHMC
1:16:55 practicing at the top of one's license
1:20:15 how has nursing changed over her career - advanced practice nurses
1:22:37 advice to her early careerist self
1:23:28 leadership philosophy
1:28:15 characteristics of a good leader - always share the "why"
1:31:02 a difficult leadership lesson learned the hard way
1:32:51 what does she look for in a leader?
1:33:24 organizational culture - must be intentional
1:36:59 what does a good mentor do?
1:38:37 formal mentoring at DHMC
1:40:52 book recommendations for early careerists
1:44:14 advice to early career healthcare leaders

Topics Discussed:

Dartmouth-Hitchcock Health System

Norris-Cotton Cancer Center

The Elliot Health System

Einstein Medical Center

The Art of Possibility - Ben Zander

Interview with Karen Clements

University of New Hampshire Department of Nursing

We are now using TinyLetter to send out announcements related to the podcast!

You can subscribe by entering your e-mail address below.

We will send out no more than one e-mail each week.

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Friday, January 1, 2016

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