Tuesday, September 15, 2015

Phil Alexakos, Chief of Environmental Health and Emergency Preparedness



For today’s interview I return to the Manchester Health Department to talk with Phil Alexakos, the Chief of Environmental Health and Emergency Preparedness Division, about how he and his department plan and prepare for public health crises. As we remembered the 14th anniversary of the tragic events of September 11th, 2001 just a few days ago, Phil’s division’s focus has expanded from naturally occurring public health threats like pandemic flu to responding to bioterrorism. The interview is fascinating because Phil and his colleagues focus on developing capabilities to respond to a wide array of unknown and unknowable events by finding ways to repurpose existing infrastructure in diverse ways. The podcast concludes with how government organizations like the Health Department cannot do this mission alone – they need the help of an army of volunteers. While Phil talks about some of the volunteer programs specific to New Hampshire, listeners should consider what opportunities they have to help make their communities more robust.

Links to the Podcast:
Anchor: https://anchor.fm/healthleaderforge/episodes/Phil-Alexakos--Chief-Of-Environmental-Health-And-Emergency-Preparedness-egra92
Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/40479354&af_web_dp=https://www.stitcher.com/episode/40479354
iTunes: https://podcasts.apple.com/us/podcast/phil-alexakos-chief-of-environmental-health/id981989377?i=1000352240222

Podcast timeline:

Time
Topic
0:01:35
background and early career
0:10:45
organization of emergency public health in NH
0:15:27
shifting planning, post-9/11
0:20:46
Manchester's anthrax history
anthrax at UNH
0:24:53
data surveillance for public health emergency detection
0:28:49
mass treatment - Points of Dispensing (PODs)
0:36:29
formal partners for emergency planning
0:42:03
planning for shelter operations
0:49:40
the planning group and role of the health care system
0:55:39
incident command, the EOC and the MACE
0:58:02
planning for MED Surge - accordion planning
1:05:15
integrating community based groups
Medical Reserve
CERTs



Links discussed and for further reading:

Manchester Health Department http://www.manchesternh.gov/Departments/Health

NH Responds: New Hampshire Emergency System for Advance Registration of Volunteer Health Professionals https://www.nhresponds.org/

Medical Reserve Corps https://www.medicalreservecorps.gov/HomePage

Community Emergency Response Teams (CERT) http://www.fema.gov/community-emergency-response-teams

FEMA Incident Command Training https://training.fema.gov/nims/

CDC - Public Health Preparedness Capabilities:National Standards for State and Local Planning http://www.cdc.gov/phpr/capabilities/index.htm

Pandemic and All Hazards Preparedness Act http://www.phe.gov/Preparedness/legal/pahpa/Pages/default.aspx

National Health Security Strategy http://www.phe.gov/preparedness/planning/authority/nhss/Pages/default.aspx




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Tuesday, September 1, 2015

Bridget Stewart, Vice President for Physician Services, Elliot Health System



Today’s guest is Bridget Stewart, the Vice President for Physician Services at the Elliot Health System in Manchester, New Hamsphire. Bridget’s career spans a wide variety of hospitals and clinical activities, but always focused on operations management. She has worked at several world famous Boston hospitals such as Brigham and Women’s, Boston Children’s and most recently before coming to the Elliot, as the Vice President for Operations at the Joslin Diabetes Center. In addition to earning her Bachelor’s degree from Health Management and Policy here at the University of New Hampshire, she holds an MBA and a Doctor of Law and Policy. In this podcast she talks about her career journey and some of the differences between the organizations she has worked for, and concludes with advice to early careerists. This full-length podcast is approximately 84 minutes in length – an abridged version of the podcast is available that only focuses on her roles at Joslin and the Elliot. 

Links to the Podcast:
Anchor: 
                     Unabridged: https://anchor.fm/healthleaderforge/episodes/Bridget-Stewart--Vice-President-for-Physician-Services--Elliot-Health-System-egraac
                 
                      Abridged:  https://anchor.fm/healthleaderforge/episodes/AbridgedBridget-Stewart--Vice-President-for-Physician-Services--Elliot-Health-System-egra7b
iTunes: https://podcasts.apple.com/us/podcast/bridget-stewart-vice-president-for-physician-services/id981989377?i=1000351059011

(the following times apply to the unabridged version of the podcast )

  Time                                    Topic
0:01:28
-
0:10:32
education at HMP and MBA
0:10:32
-
0:12:40
University of Iowa Medical Center, Division of Cardiology
0:12:40
-
0:19:07
Brigham and Women's Hospital, Department of Medicine
0:19:07
-
0:36:43
Boston Children's Hospital, Department of Cardiology, management grand rounds, management of philanthropic funds
0:36:43
-
0:41:12
earning a Doctorate of Law and Policy, coordination of electronic medical records
0:41:12
-
0:50:29
Vice President for Operations, Joslin Diabetes Center
0:50:29
-
0:55:49
reflecting on the Boston health care community
0:55:49
-
1:11:31
Vice Preseident for Physician Services, The Elliot Health System
1:11:31
-
1:15:43
thoughts on leadership
1:15:43
-
1:19:47
mentorship and networking
1:19:47
-
1:21:52
advice to early career women leaders
1:21:52
-
1:24:02
advice to administrative interns
1:24:02
-
1:26:09
advice to early careerists

Links to Topics Discussed:

Health Management and Policy

St. Ambrose University MBA

University of Iow Medical Center

Brigham and Women's Hospital

Boston Children's Hospital

Joslin Diabetes Center

The Elliot Health System





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Saturday, August 15, 2015

Jay Couture, CEO/Executive Director, Seacoast Mental Health Center


Today’s interview is with Jay Couture, the Executive Director and CEO of the Seacoast Mental Health Center, a non-profit community mental health center in Portsmouth, New Hampshire. Jay received master’s degree from the Department of Health Management and Policy here at UNH. Jay knew early on that she wanted to work in mental health, but thought she would be a provider. In this podcast we talk about Jay’s thirty years in the mental health industry working her way up from being an administrative assistant to CEO, and her more than twenty years at Seacoast Mental Health. We also discuss the variety of services provided by a community mental health center, the wide variety of skill sets that are required to deliver those services, the challenges and opportunities facing mental health organizations today, and conclude with a discussion of opportunities for the early careerist who might be interested in pursuing a career in mental health. The full length podcast is approximately 78 minutes. An abridged version is also available that only focuses on Seacoast’s organization and services.


Links to the Podcast:
Anchor: 
Unabridged: https://anchor.fm/healthleaderforge/episodes/Jay-Couture--Executive-DirectorCEO-of-Seacoast-Mental-Health-Center-Unabridged-egra6h
Abridged: https://anchor.fm/healthleaderforge/episodes/Jay-Couture--CEO-and-Executive-Director-of-Seacoast-Mental-Health-Center-Abridged-egraa2
Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/40150699&af_web_dp=https://www.stitcher.com/episode/40150699
iTunes: https://podcasts.apple.com/us/podcast/jay-couture-executive-director-ceo-of-seacoast/id981989377?i=1000349692016

(the following times apply to the unabridged version of the podcast )

  Time                                    Topic
0:01:41
-
0:03:50
background and education
0:03:50
-
0:10:18
early career
0:10:18
-
0:11:41
Portsmouth, NH
0:11:41
-
0:40:03
Community mental health at Seacoast Mental Health Center
0:40:03
-
0:47:24
Associate Director
0:47:24
-
0:53:41
becoming the CEO
0:53:41
-
1:00:07
defining leadership
1:00:07
-
1:02:59
the role of the Board of Directors
1:02:59
-
1:05:16
mentorship
1:05:16
-
1:07:15
organizational culture
1:07:15
-
1:12:32
advocacy for mental health policy
1:12:32
-
1:16:43
how mental health has changed
1:16:43
-
1:19:48
advice to early careerists


Links to Topics Discussed:

Seacoast Mental Health Center

UNH Human Development and Family Studies

UNH Cooperative Extension

Community Partners

NH Drug and Mental Health Courts

UNH Health Management and Policy






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Saturday, August 1, 2015

Patricia Cummings, Administrator, The Edgewood Centre

Today’s interview is with Tricia Cummings, the Administrator of The Edgewood Centre, a 150 bed family owned nursing home in Portsmouth, New Hampshire. Tricia received both her bachelor’s and master’s degrees from the Department of Health Management and Policy here at UNH. Tricia’s career story shows how early job experiences often generate skills that become critical later in one’s career, and that working hard every step of the way has its payoffs. In this podcast we talk about the road Tricia took to find her true passion – taking care of older adults. We also discuss how someone becomes a licensed nursing home administrator, the services offered by long term care facilities, the challenges and opportunities facing long term care today, and conclude with a discussion of opportunities for the early careerist who might be interested in pursuing a career in long term care.


Links to the Podcast:
Anchor: https://anchor.fm/healthleaderforge/episodes/Patricia-Cummings--Administrator-of-The-Edgewood-Centre-Unabridged-egra90
Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/39991564&af_web_dp=https://www.stitcher.com/episode/39991564
iTunes: https://podcasts.apple.com/us/podcast/patricia-cummings-administrator-of-the-edgewood/id981989377?i=1000348507636

The following times apply to the unabridged version of the podcast:

Time                               Topic
0:01:43
-
0:07:52
background and education
0:07:52
-
0:18:11
early career
0:18:11
-
0:29:17
Edgewood Centre
0:29:17
-
0:34:44
becoming a Licensed Nursing Home Administrator
0:34:44
-
0:57:48
Edgewood Structure and Services
0:57:48
-
1:11:33
Challenges of payment and Medicare/Medicaid
1:11:33
-
1:16:12
Thoughts on leadership and Culture
1:16:12
-
1:20:27
Thoughts on mentorship and growth
1:20:27
-
1:25:10
advice to early careerists



Links to Topics Discussed:

Department of Health Management and Policy

Harvard Pilgrim

MedBill

The Edgewood Centre

Tricia mentions previous guest, Kevin Callahan, CEO of Exeter Health Resources

New Hampshire Board of Nursing - Licensed Nursing Assistant (LNA)

New Hampshire Board of Examiners of Nursing Home Administrators

NHA Examination for Nursing Home Administrators

Medicare - Long term care coverage

NH DHHS Medicaid Medical Eligibility Determination for Long Term Care










Wednesday, July 15, 2015

Stephen Norton, Executive Director, New Hampshire Center for Public Policy Studies



Today’s interview is with Stephen Norton, the Executive Director of the New Hampshire Center for Public Policy Studies, a non-profit policy think tank that provides non-partisan analysis to decision makers in New Hampshire in both the public and private sectors. In this podcast Steve gives us a unique insider view into how the Center produces its analysis so that it is evidence based and as non-ideological as possible. Steve also shares his 25 years of experience working in public policy, both at the state and federal level, and concludes with recommendations for early careerists who might be interested in a career in health policy.


Links to the Podcast:
Anchor: https://anchor.fm/healthleaderforge/episodes/Stephen-Norton--Executive-Director--New-Hampshire-Center-for-Public-Policy-Studies-egra66
Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/39722935&af_web_dp=https://www.stitcher.com/episode/39722935
iTunes: https://podcasts.apple.com/us/podcast/stephen-norton-executive-director-new-hampshire-center/id981989377?i=1000347108535

Time                  Topic
1:11-17:05          Background and experiences at the Urban Institute
17:06-21:48        Transition to working for State of New Hampshire's Department of Health 
                               and Humans Services
21:49-29:41        New Hampshire Office of Planning and Research
29:42-38:51        Office of Medicaid Business and Policy
38:52-57:32        NH Center for Public Policy Studies
57:33-1:09:22     A discussion of public policy and health policy
1:09:23-1:11:10  Advice to early careerists in health policy


Links to Topics Discussed:

Weslayan University
The Urban Institute
New Hampshire Office of Medicaid Business and Policy
New Hampshire Center for Public Policy Studies
From Tailwind to Headwind: New Hampshire's Shifting Economic Trends

Wednesday, July 1, 2015

Major General Jimmie O. Keenan, Deputy Commanding General, US Army Medical Command


Today's interview is with Major General Jimmie O. Keenan, the Deputy Commanding General-Operations for the U.S. Army Medical Command, and the Chief of the Army Nurse Corps. To put Major General Keenan's accomplishments into perspective for listeners who are not familiar with the the military, the Army has approximately 492,000 active duty personnel, and only 309 general officers. Furthermore, Major General Keenan is one of only eight female major generals, and there are only four women in the Army who outrank her. In this podcast we discuss her fascinating career which ranges from time as a floor nurse to writing legislation as a congressional fellow to being second in command of one of the largest and most unusual health care systems in the United States.

Links to the Podcast:
Anchor: https://anchor.fm/healthleaderforge/episodes/MG-Jimmie-O-Keenan--Deputy-Commanding-General--Operations--US-Army-Medical-Command-egra8f
Stitcher: https://listen.stitcher.com/yvap/?af_dp=stitcher://episode/39565631&af_web_dp=https://www.stitcher.com/episode/39565631
iTunes: https://podcasts.apple.com/us/podcast/mg-jimmie-o-keenan-deputy-commanding-general-operations/id981989377?i=1000346078498

Time              Topic

1:20-14:59     Background, early career, Army Nurse Corps opportunities
15:00-27:19   Congressional Fellowship and Congressional Liaison
27:20-30:24   Command of Camp Bullis
30:25-32:52   Chief Nurse/Deputy Commander for Nursing, DeWitt Army Health System
32:53-34:44   Chief of Staff, Warrior Transition Command
34:45-43:46   Commander (CEO), Evans Community Hospital, Ft. Carson
43:47-45:43   Commander, US Army Public Health Command and Chief of the Army Nurse Corps
45:44-49:54   Commander, Southern Regional Medical Command
49:55-58:47   Deputy Commanding General-Operations
58:48-62:18   Leadership and Mentorship
62:19-69:55  Thoughts on Cheryl Sandberg's Lean In
69:56-71:24  Advice for early careerists


Links to topics discussed:

Henderson State University
Army Nurse Corps
Eisenhower Army Medical Center
Medical College of Georgia
Congressional Fellowship Program
Camp Bullis
Ft. Belvoir Community Hospital (Formerly DeWitt Army Health System)
Expose on Walter Reed Army Medical Center by Washington Post
Warrior Transition Command
Evans Army Community Hospital
Public Health Command
Southern Regional Medical Command
US Army Medical Command
Sandburg, Lean In
MG Keenan's Army Nurse Corps reading list
American College of Healthcare Executives (ACHE)
Sinek - Start with Why

Monday, June 15, 2015

NNEAHE Endorses the Health Leader Forge!



I am very pleased to announce that I received word today from the president of the Northern New England Association of Healthcare Executives, Karen F. Clements, RN, FACHE, that the board of NNEAHE has approved endorsing and co-producing the Health Leader Forge podcast.

NNEAHE is the local chapter of the American College of Healthcare Executives (ACHE). Future episodes will reflect the new affiliation.

I look forward to working with NNEAHE to continue to bring healthcare leadership education to our community and beyond.