Friday, April 1, 2016

Dr. Joseph Pepe, MD, President and Chief Executive Officer of CMC Healthcare System




Today's guest is Dr. Joseph Pepe, MD, President and Chief Executive Officer of Catholic Medical Center Healthcare System. Dr. Pepe has served the CMC Healthcare System since 1990, first as a staff physician, then as Chief Medical Officer, and since 2012 as the system President and CEO. The advice he gives early careerists entering the field of administration is to volunteer for additional responsibility, and that positions will follow. His own career reflects that fact. In the interview, Dr. Pepe describes his choice to become a primary care physician, and how his interest in improving the operations of the practice resulted in him being "volun-told" that he would be the Chief Medical Officer. After thirteen years of successful leadership as the Chief Medical Officer, Dr. Pepe was selected to lead CMC as the CEO and president. We discuss strategy and how Dr. Pepe is working with the board and senior management to ensure CMC's success in a rapidly changing health care environment, while remaining true to CMC's Catholic identity. We conclude with a discussion of leadership and mentorship.

I really enjoyed this interview because Dr. Pepe made it clear that CMC’s identity as a faith-based organization goes beyond just a historical origin; it is critical to the organization’s mission today, and influences its strategy on an ongoing basis. 


Links to the Podcast:
Soundcloud: https://soundcloud.com/healthleaderforge/dr-joseph-pepe-md-president-and-chief-executive-officer-of-cmc-healthcare-system
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
Transcript

Podcast Outline


Time
Topic
0:02:23
Educational background, wanting to become a physician
0:04:48
Medical school at Tufts
0:06:45
Residency in internal medicine
0:07:37
The “Physician Identity”
0:08:46
Working at Catholic Medical Center (CMC) after residency
0:09:50
The community of Manchester, New Hampshire
0:11:10
History and mission of CMC
0:15:04
Size of CMC
0:16:03
Being a hospital-employed physician at CMC
0:17:34
Transitioning from clinical practice into hospital administration
0:20:05
Role as Chief Medical Officer at CMC
0:21:37
Organization of CMC’s medical staff, peer review
0:24:13
Helpfulness of CMO experience in the CEO role, conflict resolution
0:26:34
Day in the life of a hospital CEO
0:27:34
Advantages of being a physician-administrator, moving to value-based reimbursement
0:29:26
Do you see patients as the CEO?
0:30:09
What metrics do you track?
0:31:26
For people outside of healthcare: what’s it like to run a hospital?
0:32:34
Function, responsibilities, and composition of the CMC Board of Trustees
0:35:54
Most difficult part of being the CEO
0:37:46
CMC’s partnerships with other hospitals, external entities
0:39:48
Biggest surprise upon becoming the CEO, growing into the position
0:42:39
Strategic planning processes at CMC
0:46:22
Adapting to value-based reimbursement at CMC
0:48:26
Growth opportunities in healthcare
0:50:12
Partnerships and reimbursement in “population health”
0:52:38
Personal leadership philosophy
0:54:17
What makes a good leader? Why?
0:56:52
Hiring and evaluating good leaders
0:59:41
Personal mentors
1:00:51
Developing leaders within an organization
1:03:21
Membership in professional organizations, professional career development
1:05:30
Importance of involvement in professional organizations, networking
1:07:22
Advice for young clinicians and others looking into a career in healthcare administration


Links to Topics Discussed:

Catholic Medical Center

St. Anselm College

Tufts School of Medicine

Granite Health

Tufts Health Freedom Plan

Thanks to Sameer Panesar for production support!


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Tuesday, March 15, 2016

Gerald J. "Gerry" Vicenzi, President, Synernet Inc.



Today’s guest is Gerald “Gerry” Vicenzi, the President of Synernet, Inc. Synernet is a for-profit provider of a broad portfolio of administrative and management services to healthcare organizations including workers compensation administration, clinical engineering, credentialing, coding, and transcription. Gerry has been the President of Synernet since 1999, and under his leadership, Synernet has grown from 25 to more than 270 employees. Gerry brought a wealth of experience with him when he moved from Cleveland, Ohio to Portland, Maine where Synernet is headquartered. Starting out his his career as an industrial engineer and it is fascinating to hear how his engineering background influenced his management approach. He shares his successes and struggles over his forty three year career. We discuss organizational leadership and mentorship, and close on the importance of networking through professional organizations such as ACHE.


I was particularly interested in interviewing Gerry because Synernet represents a very different kind of organization than we have had on the podcast so far. It was fascinating to listen to how he made strategic decisions to adjust the portfolio of services over the years in response to changes in the marketplace, changes in technology, and changes in the competitive environment for his clients.



Links to the Podcast:
Soundcloud: https://soundcloud.com/healthleaderforge/gerald-gerry-vicenzi-president-of-synernet-inc
Stitcher: http://www.stitcher.com/podcast/health-leader-forge/the-health-leader-forge/e/gerald-gerry-vicenzi-president-of-synernet-inc-43177697
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Transcript is available here.

Podcast Outline


Time         Topic
0:02:13 training in industrial engineering
0:06:35 Rhode Island Hospital Administration
0:09:35 joining Health Information Management Society
0:10:04 consulting with Medicus Systems in Chicago
0:11:23 Medicus moves Gerry to Cleveland, begins relationship with Mt. Sinai
0:13:36 Saudi Arabia
0:15:21 transition to employment at Mt. Sinai
0:15:57 trying out recruiting
0:17:44 back to Mt. Sinai - rising to Vice President
0:19:36 resiliency - dealing with being layed off
0:22:11 creating a consulting practice
0:23:16 VP for Material Management Services, Greater Cleveland Hospital
                        Association
0:29:24 leadership roles with the Health Industry Group Purchasing Association
0:30:43 recruited to lead Synernet, coming to Maine
0:37:23 revitalizing Synernet - refocused vision and mission
0:44:27 acquisition by Maine Health
0:51:30 expanding the Synernet portfolio, adding credentialing
0:57:13 expanding the Synernet portfolio, adding coding
0:58:26 summary of changes of the Synernet portfolio
1:03:13 discussion of the current strategic direction of Synernet
1:08:23 the hard decisions as CEO - not strategy, people
1:10:59 role of the President/CEO
1:20:42 leadership philosophy
1:22:00 characteristics of a good leader
1:25:16 organizational culture
1:26:50 mentorship
1:34:53 the influence of ACHE

1:38:49 advice to early careerists



Links to Topics Discussed:





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Tuesday, March 1, 2016

Kevin Donovan, CEO, Mt. Ascutney Hospital and Health Center



Today’s guest is Kevin Donovan, FACHE, FACMPE, the CEO of Mt. Ascutney Hospital and Health Center in Windsor, Vermont. Mt. Ascutney Hospital is a critical access hospital in rural Vermont and in this podcast Kevin explains the role the hospital and hospital CEO play in a small town where it is the largest employer and major part of the social safety net for the local community. Mt. Asctuney is such an important part of the community fabric that it won the American Hospital Association’s Foster G. McGaw Prize for demonstrated exceptional commitment to community service.

Mt. Ascutney Hospital and Health Center made the strategic decision under Kevin’s watch to become an affiliate of the Dartmouth-Hitchcock Health System.  We discuss this critical decision, and how it was essential to the ongoing success of the organization, but also, surprisingly how a small, rural community hospital contributes value through its affiliation to one of the country’s best known research and teaching hospitals. One would expect the relationship to be one sided, given the size and influence of Dartmouth-Hitchcock in Northern New England, but it is clear from our conversation that the relationship is a win-win for both organizations.

As regular listeners will know after many interviews, most senior health care executives seem to come to the field through trial and error, almost discovering their destiny by accident. Kevin is one of the few I have interviewed who knew from the time he was a young man that he wanted to be a hospital CEO, and through dedication and hard work has accomplished that goal. We conclude the podcast with a discussion of leadership and mentorship, and Kevin gives advice for early careerists who want to follow his path.


Links to the Podcast:
Soundcloud: https://soundcloud.com/healthleaderforge/kevin-donovan-ceo-mt-ascutney-hospital
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

0:00:00 introduction
0:02:44 education at Syracuse Univeristy, first exposure to healthcare admin
0:06:40 MHA at George Washington University
0:09:35 work as a practice manager
0:11:46 practice manager at DHMC Children's Hospital (CHAD)
0:13:32 becoming an ACHE Fellow
0:15:05 VP of Physician Services, Chief of Clinical Operations at The Elliott
0:22:59 Windsor, Vermont - home of Mt. Ascutney Hospital
0:26:18 recruiting skilled workers in a rural community
0:29:48 organizational structure of Mt. Ascutney Hospital
0:31:19 Mt. Ascutney as a critical access hosptial
0:34:05 becoming an affiliate of Dartmouth-Hitchcock Medical Center
0:44:21 employed physician network
0:45:52 Mt. Ascutney's accute inpatient rehabilitation program
0:49:45 strategic decision to close the skilled nursing facility
0:51:29 Mt. Ascutney's assisted living facility
0:53:29 Mt. Ascutney 's grant foundation
0:55:58 being the CEO
1:00:18 employment relationship with DHMC, responsiblilites to DHMC
1:03:25 the board of Mt. Ascutney Hosptial and strategic planning
1:08:38 population health
1:11:09 the Mt. Ascutney grant foundation and receiving the Foster G. McGaw prize
1:13:36 leadership - servant leadership
1:15:36 hiring and evaluating leaders
1:19:11 mentors and mentorship
1:23:46 advice to early careerists




Links to Topics Discussed:

Mt. Ascutney Hospital

Syracuse University 

MHA at George Washington

Dartmouth-Hitchcok Health System

Medical Group Management Association

American College of Healthcare Executives

CARF accredited

OneCare Vermont

Foster G. McGaw Prize 





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Monday, February 15, 2016

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:










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Monday, February 1, 2016

Kathy Bizarro-Thunberg, Executive Vice President, New Hampshire Hospital Association


Today's guest is Kathleen Bizarro-Thunberg, MBA, FACHE, Executive Vice President for the New Hampshire Hospital Association ("NHHA"). Kathy has worked at the New Hampshire Hospital Association for thirty years. In this podcast, Kathy tells how she worked her way up in the organization from data technician to Executive Vice President. We talk about how the Hospital Association works with member hospitals in the state to establish the organization's priorities and messages, and how the Hospital Association represents the interests of the member organizations at the state and federal level.

We also talk about leadership, and Kathy’s role as a leader both inside of her organization, as well as her role as a thought leader working with the organization’s membership, the state legislature, and other organizations and the similarities between those two forms of leadership.
We then discuss Kathy’s extensive leadership experience within the American College of Healthcare Executives where she currently holds a seat on the ACHE Board of Governors, a leadership position at the national level.


We conclude with Kathy’s recommendations for early careerists, and the importance of getting involved with a professional organization earlier rather than later.

Links to the Podcast:
Soundcloud: https://soundcloud.com/healthleaderforge/kathleen-a-bizarro-thunberg-executive-vp-new-hampshire-hospital-association
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Transcript

Podcast Outline

Time               Topic
0:02:01 educational background, coming to NHHA
0:03:56 about the NHHA
0:04:42 early career at the NHHA
0:08:43 going back to school at Health Management and Policy
0:11:56 the Foundation for Health Communities
0:15:31 value proposition of the NHHA
0:16:53 establishing a common message for the membership
0:19:31 advocacy at the state level
0:24:29 advocacy at the federal level
0:28:49 internal organizational leadership
0:33:17 leading and influencing externally
0:35:41 mentorship, working with interns
0:39:00 being a woman and a leader, work-life balance
0:41:42 role in ACHE, national leadership on Board of Governors
0:46:20 importance of professional organizations
0:47:44 advice to early careerists


Links to Topics Discussed:










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Friday, January 15, 2016

Dr. Kristy Fassler, ND, Co-Founder, North Coast Family Health


Today’s guest is Dr. Kristy Fassler, ND, co-founder of North Coast Family Health Integrative Medicine Clinic, a naturopathic practice in Portsmouth, New Hampshire. In this podcast Dr. Fassler and I discuss the training naturopathic doctors take, the philosophy behind naturopathy, and how naturopathic doctors work with patients to identify underlying dysfunction within the body and mind and correct it to promote healing from the inside out.

We also discuss how Dr. Fassler worked with her husband, other naturopaths, and the community to get the state of New Hampshire to recognize and license naturopathic doctors in the mid-1990s, and as a result she and her husband hold license numbers 2 and 3 in the state. 

This podcast was eye-opening for me because prior to talking with Dr. Fassler I had never spoken with a naturopathic doctor. I learned a lot about the field, and found many parallels between the naturopathic approach and the current movement in mainstream medicine toward a focus on wellness and patient centeredness – beliefs that naturopaths hold central to their practice. 



Links to the Podcast:
Soundcloud: 
https://soundcloud.com/healthleaderforge/dr-kristy-fassler-nd-co-founder-of-the-north-coast-family-health-integrative-medicine-clinic
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377

Podcast Outline

Time
Topic
0:01:50
undergraduate education and discovering naturopathy
0:05:03
Naturopathic Doctor training at Bastyr University
0:11:45
founding North Coast Family Health Integrative Medicine Clinic
0:14:59
lobbying to get state licensure for NDs
0:21:25
the practice of Naturopathic Medicine at North Coast, tick borne illnesses
0:29:20
what is being a new patient at North Coast like?
0:33:55
promoting healing from the inside out
0:36:02
homeopathic medicine
0:44:30
therapies offered at North Coast
0:48:31
challenges of practice - managing a business, the health care system
0:51:20
doctor as teacher
0:55:20
practice management
1:00:30
reflections on a career so far
1:03:10
advice for those interested in a career as an ND
1:04:16
Addendum and a correction


Links to Topics Discussed:

North Coast Family Health Integrative Medicine Clinic

Adelle Davis, Let's Eat Right to Keep Fit

Bastyr University

Lyme Disease






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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:
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 Nursing

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



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








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