Latest / Becker’s Healthcare Podcast / Building Resilient Rural Healthcare Through Culture and Strategic Focus with Athena Minor
Transcript
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- 0:25This is Ella Jeffries
- 0:27reporting live at Becker's annual meeting twenty twenty
- 0:30six. With me, I have Athena Minor, chief
- 0:32nursing and clinical officer at Ohio County Health
- 0:35Care. Athena, thank you for joining us today.
- 0:37To start, could you play briefly introduce yourself,
- 0:40your role, and the scope of your organization,
- 0:42and what's currently commanding most of your attention
- 0:44as leader?
- 0:45Yes. My name is Athena Minor. As you
- 0:47said, I'm the chief nursing clinical officer at
- 0:49Ohio County Health Care. It is a,
- 0:52critical access hospital that is independent in the
- 0:55state of Kentucky and Western Kentucky in rural
- 0:57health.
- 0:58We're much larger than most, critical access hospitals
- 1:02are. We have robust
- 1:06surgical
- 1:07units, and we have a lot of specialties
- 1:09that most, independent critical access hospitals do not
- 1:13have.
- 1:14As far as what is shaping,
- 1:16my attention as a leader,
- 1:18it's, I think it's what everybody else is.
- 1:20It's it's just trying to,
- 1:23come to a realization of where we are,
- 1:25where we're going,
- 1:26what we need to focus on to be
- 1:29sustainable in the future,
- 1:30and,
- 1:31how we carry our workforce through the coming
- 1:34years. So those those are kind of what
- 1:36is,
- 1:37kind of capturing my attention on a day
- 1:39to day basis. Yeah. Very important things. I'm
- 1:42sure.
- 1:43Now any year marked by very rapid change,
- 1:45what recent decision or pivot required the most
- 1:48leadership conviction from yourself and particularly when it
- 1:51came to maybe aligning people, resources, or capabilities?
- 1:55You know, that's a tough one because there
- 1:56has been so much change and so many
- 1:58challenges that are coming and so many that
- 2:00are coming on the future,
- 2:02horizon. I think that probably for me,
- 2:06it is
- 2:07has been to identify
- 2:08what is necessary and what is not necessary
- 2:11within the organization
- 2:12as we have,
- 2:14rapid growth, but,
- 2:16problems with,
- 2:17fiscal security
- 2:19of what's coming down the pipe and how
- 2:21do you plan for that,
- 2:23making decisions that may not be the decisions
- 2:26you wanna make with your heart,
- 2:28but you now have to align the purpose
- 2:30of your organization
- 2:32Mhmm. With the resources you have available and
- 2:34how you outsource
- 2:36those things that you can't do well Mhmm.
- 2:39And focus on the things you can do
- 2:41well and just collaborate with with other organizations.
- 2:45So,
- 2:46making a strong decision about what we can
- 2:49take on and what we can't,
- 2:51sometimes was very difficult but very necessary. Mhmm.
- 2:54For sure. I bet.
- 2:56Now how did that moment challenge your assumptions,
- 2:58and what did it change about how you
- 3:00approach decision making, talent, or organizational readiness today?
- 3:04I think the understanding that you can't wait
- 3:07until
- 3:07there is a crisis to have a plan.
- 3:09Mhmm. You cannot wait until you have to
- 3:12make a decision to make that decision Mhmm.
- 3:15To try to prepare for what the contingencies
- 3:17are as they come
- 3:19to know and evaluate,
- 3:21your priorities, know what's important for you, know
- 3:23what,
- 3:24areas you can succeed in and have the
- 3:27best,
- 3:28ability
- 3:29to pursue.
- 3:30You know, I'm former military, and
- 3:32we used to have,
- 3:34a tent in the hospital
- 3:37called an expectant tent in when you're out
- 3:39in the field, and that's where they would
- 3:42send people that they did not have the
- 3:44resources
- 3:45to help. Mhmm. They knew they had to
- 3:47pull their resources
- 3:48into those people that they could help
- 3:51in order to be successful. Otherwise,
- 3:53you lose more Mhmm. By trying to divide
- 3:56your resources. So so I think that having
- 3:59that type of plan and that kind of
- 4:01conviction,
- 4:02before you're in a crisis
- 4:04is trying to be essential
- 4:06as you move forward as a leader. And
- 4:07and I feel like that that has really
- 4:09taught me
- 4:10how accurate that
- 4:12thought process is when it comes to leading
- 4:14in health care today. Definitely. I think that's
- 4:16a great piece of advice for anybody in
- 4:18the industry.
- 4:20Now as uncertainty has become the the new
- 4:22norm, what leadership habit or mindset has been
- 4:25most critical in keeping your organization and your
- 4:27people moving forward? I think our culture.
- 4:29You know, culture is so important, and health
- 4:32care comes with its own unique challenges,
- 4:36its own unique obstacles, and it can be
- 4:37very frustrating. It can be,
- 4:39people have burnout for multiple reasons. It's not
- 4:42just overwork. It's it's just mental stress sometimes
- 4:45that that is that burnout.
- 4:47And
- 4:48knowing why you're doing what you're doing
- 4:50can help you do what you do better.
- 4:53And I think that the culture of what's
- 4:55our purpose for being here and
- 4:58having our people buy into that understanding that
- 5:01we're here for the patient. We're here to
- 5:03take care of people who can't take care
- 5:05of themselves.
- 5:06And everything we do in some form touches
- 5:09that patient. Mhmm.
- 5:10When you know that, it's easier to work
- 5:13through those things and overcome it. Mhmm. And
- 5:15I think that if we have that type
- 5:17of patient first culture and understanding of our
- 5:19purpose and our being and that we look
- 5:21out for one another Mhmm. That's gonna drive
- 5:24what we do in the future and help
- 5:25us be successful.
- 5:26Gotcha. Thank you for sharing that. Now when
- 5:28you think about the forces reshaping health care
- 5:31right now, where do you believe leaders need
- 5:32to be more decisive,
- 5:34especially when balancing both speed, risk, and having
- 5:37the right teams in place?
- 5:39I think
- 5:40there needs to be a shift to focus
- 5:42on frontline competency
- 5:44Mhmm.
- 5:45And frontline flexibility.
- 5:46Mhmm. Not doing things the way
- 5:49we've always done it just because they've worked
- 5:51in the past. Mhmm.
- 5:53But also understanding
- 5:54where our safety and our quality come from,
- 5:57and it's it's our people that we
- 6:01lead to that task
- 6:02and make sure that they have the tools
- 6:04that they needed and are competent in doing
- 6:06that. Because many times when you look at
- 6:08the challenges that we face, it's very easy
- 6:11to pull resources
- 6:12Mhmm. From those types of areas
- 6:14and put them into
- 6:16things that we feel like are the most
- 6:18important. Mhmm.
- 6:20You cannot
- 6:22support
- 6:23provider growth Mhmm. If you can't support employee
- 6:27growth. You can't support
- 6:30project expansion
- 6:31if you can't support
- 6:33the ancillary services that are gonna help you
- 6:35make those successful. Mhmm. So understanding there has
- 6:38to be a balance in that, but also
- 6:41focusing your resources where they are most needed
- 6:45and not necessarily on those things that you
- 6:47want to expand and improve, but look at
- 6:50the big picture Mhmm. And make sure that
- 6:51you have that whole
- 6:53support system
- 6:54supported.
- 6:55Yeah. That's definitely very important.
- 6:58And as labor markets remain tight and care
- 7:00demands continue to grow, how are you rethinking
- 7:02traditional workforce models, including, you know, maybe greater
- 7:05use of international or contingent talent to build
- 7:07resilience rather than just fill gaps?
- 7:10You know, we've actually employed our first international
- 7:13nursing pool. Mhmm.
- 7:15And we actually contracted that in during COVID.
- 7:19Oh. And we just now received that workforce.
- 7:22It has been that much of a delay.
- 7:24Wow. That's a lot.
- 7:25But it's been very beneficial for us, you
- 7:27know, and it it wasn't something that we
- 7:30thought of, oh, it's just gonna help us
- 7:32over the bump, but we did look into
- 7:34the future and say, you know, we're gonna
- 7:35have to expand our options here. We're gonna
- 7:37have to make sure that we have the
- 7:39resources needed to take care of things.
- 7:41So,
- 7:42I think, again, not closing doors on things
- 7:45today Mhmm. Because you can't see if they're
- 7:48needed tomorrow,
- 7:50maybe that may be a an issue. That
- 7:52may become a a problem down the road.
- 7:55So look at your options, see what you
- 7:57can do.
- 7:59I think health care models,
- 8:01being able to train people to be flexible
- 8:04and work in different areas as needed, not
- 8:06just to train them to do that, but
- 8:08help them buy into
- 8:10Mhmm. The the culture that this is how
- 8:12I'm gonna best help this organization. This is
- 8:14how I'm gonna best help my patients
- 8:16is to obtain those skills necessary for different
- 8:20areas so that I'm useful in different areas
- 8:22as needed. Mhmm.
- 8:24And reward them for that. Make sure that
- 8:26they understand that they're important and that's something
- 8:28that is needed. So look at those health
- 8:29care models, look at the flexibility of your
- 8:31health care, and look at the options of
- 8:33how you can recruit and retain people from
- 8:36from different areas.
- 8:38When we had first stated that we were
- 8:40going to,
- 8:41hire some international nurses, we got some negative
- 8:44feedback
- 8:45from people,
- 8:46who I don't think understood,
- 8:49but being able to explain to them the
- 8:52why and the purpose,
- 8:53And then some of those people were the
- 8:55most welcoming of our workforce when they came
- 8:57in.
- 8:58So just those different options, not shutting the
- 9:00door, not closing the door,
- 9:02looking to see where that is and,
- 9:06evaluating what you have and the resources you
- 9:08have and how you can utilize those resources,
- 9:11to their best ability and support them so
- 9:14that they can grow. Mhmm. Yeah. That's great.
- 9:17Thank you so much for sharing all these
- 9:18insights today. These are great advice,
- 9:21and we really thank you for joining us
- 9:23today at Becker's annual conference. Well, thank you
- 9:25for having me. I surely appreciate it. Great.
- 9:27Thank you.