Latest / Becker’s Healthcare - Clinical Leadership Podcast / Maura Nazario, MSN, RN, SANE, Vice President of Clinical Operations for Home-Based Services & Hospital at Home at AdventHealth

Transcript

Maura Nazario, MSN, RN, SANE, Vice President of Clinical Operations for Home-Based Services & Hospital at Home at AdventHealth · Becker’s Healthcare - Clinical Leadership Podcast

• 0:00
  Welcome everyone to the Becker's Healthcare podcast series.
• 0:02
  I'm Ryan Mohammed, writer and moderator of Becker's
• 0:05
  Healthcare. And I'm thrilled to have with me
• 0:07
  today,
• 0:08
  Maura Nazario,
• 0:09
  vice president and chief nursing officer at Home
• 0:12
  Based Services and Hospital at Home and Hospice
• 0:15
  at AdventHealth.
• 0:16
  Maura, welcome to the podcast. We're very excited
• 0:18
  to have you join us today. To get
• 0:20
  us started, would you mind please introducing yourself
• 0:22
  and telling us a bit about your background?
• 0:24
  Yes. Hi, Maura. Thank you so much for
• 0:26
  having us. Super excited to be here today.
• 0:28
  So, yes, I'm Maura Nazario, vice president and,
• 0:31
  chief nursing officer here at AdventHealth for the
• 0:33
  Hospital at Home and Home Health and Hospice
• 0:35
  programs.
• 0:37
  I am a nurse by background, of course,
• 0:40
  and I am newer to AdventHealth. I've been
• 0:42
  here approximately seven months,
• 0:45
  and I, prior to that, was a nurse
• 0:47
  administrator on the nurse executive team for the
• 0:50
  Mayo Clinic, where I oversaw their hospital command
• 0:53
  center, nursing practice transformation,
• 0:55
  and some virtual care and home hospital programs.
• 0:58
  So, I'm really excited to be here today,
• 1:02
  and, of course, love talking about health care
• 1:04
  innovation.
• 1:07
  Yes. Yes. Absolutely. And I was doing a
• 1:09
  a little bit of research on you and
• 1:10
  the organization earlier today,
• 1:12
  kinda in preparation and saw that hospital at
• 1:15
  home program has obviously been a really amazing,
• 1:18
  thing for the patients and the organization alike.
• 1:20
  Is that one of your top priorities for
• 1:22
  the rest of the year? And if you
• 1:24
  know if that's not, what other, areas of
• 1:26
  focus do you have for 2025?
• 1:29
  Yeah. So I would say absolutely.
• 1:32
  Hospital at home here at AdventHealth is is
• 1:34
  forefront,
• 1:35
  at our minds. We're we're certainly looking to
• 1:38
  always expand on how we deliver whole person
• 1:41
  care, which is,
• 1:42
  in essence our,
• 1:44
  you know, our mission here at AdventHealth to
• 1:46
  deliver whole person care through the healing ministry
• 1:48
  of Christ.
• 1:50
  And really the next year, I'll be looking
• 1:52
  to continue to drive innovation
• 1:54
  within care models that really align to our
• 1:57
  patient center outcomes and operational efficiencies.
• 2:01
  And so when I say that, I think,
• 2:03
  think right patient, right place, at the right
• 2:06
  time model.
• 2:07
  And more specifically,
• 2:09
  with hospital at home, I really plan to
• 2:11
  leverage our technology and data
• 2:13
  and enhance our interdisciplinary
• 2:16
  collaboration
• 2:17
  and provide that holistic care model, really in
• 2:20
  theory putting that patient back in the driver's
• 2:23
  seat, having them drive their care plan, and
• 2:26
  really give them some sense of autonomy back.
• 2:29
  And also, you know, part of that goal
• 2:32
  is really reducing the variability in treatments,
• 2:35
  and still focusing on those patients' individualized needs
• 2:39
  and increasing the quality outcomes. There's a significant
• 2:42
  amount of studies that are out there right
• 2:44
  now that say patients do heal better in
• 2:47
  the comfort of their own home surrounded by
• 2:50
  their loved ones and areas that are familiar
• 2:52
  to them.
• 2:54
  And so really that is is something that
• 2:55
  we're thinking about.
• 2:57
  Certainly another focus within hospital at home and
• 3:00
  any virtual care models that we have here
• 3:02
  at AdventHealth
• 3:03
  will be really optimizing our logistics and supply
• 3:07
  chains to achieve those operational
• 3:09
  efficiencies,
• 3:10
  and using the right type of technology for
• 3:13
  the right program,
• 3:15
  but ultimately
• 3:16
  developing
• 3:17
  a data driven process,
• 3:19
  to capture improvement opportunities.
• 3:22
  And first and foremost, building that trust and
• 3:24
  communication with between our acute care teams
• 3:28
  as well as our patients.
• 3:30
  Yeah. Absolutely. That totally makes sense, and thank
• 3:32
  you so much for sharing that information.
• 3:35
  It it definitely makes sense that patients heal
• 3:37
  better when they're in the comfort of their
• 3:38
  own home.
• 3:39
  I know some areas, you know, getting to
• 3:41
  a hospital is troublesome for a patient.
• 3:45
  Is there any programs or initiatives that were
• 3:47
  the most needle moving for you or the
• 3:49
  organization,
• 3:51
  in last year, 2024?
• 3:54
  Yeah. I think, you know, when I joined
• 3:56
  the organization in 2024,
• 3:58
  so, again, newer here, but,
• 4:01
  really took that responsibility
• 4:02
  of implementing the hospital at home program, pulling
• 4:05
  from my previous experience
• 4:07
  over the greater of the last four years
• 4:09
  within Mayo Clinic, but also learning from others
• 4:12
  in the industry,
• 4:14
  was really to immerse myself into the organizational
• 4:17
  culture here at AdventHealth
• 4:19
  and integrate that new model of care into
• 4:21
  our existing operations.
• 4:23
  I think something that is really important that
• 4:26
  is not a one size fits all model.
• 4:28
  So what works for one organization
• 4:31
  may not necessarily
• 4:32
  work seamlessly within another.
• 4:35
  AdventHealth is a very large organization. We have
• 4:38
  a hundred thousand employees, just that in itself.
• 4:41
  We have about 55 hospitals,
• 4:44
  across approximately
• 4:45
  nine states. So we have a really large
• 4:48
  footprint. And so I had to thoughtfully think
• 4:50
  through what makes the most sense,
• 4:53
  really keeping that safety and quality at the
• 4:56
  forefront of everything we do with the needs
• 4:58
  of our patients first here.
• 5:00
  But so we started a little bit small
• 5:03
  and and we're slowly growing from there. But
• 5:06
  that's really so that we can understand what
• 5:08
  our patients, specifically at AdventHealth, are looking for.
• 5:12
  And then certainly from there, we will grow.
• 5:14
  So that's the most needle moving, I would
• 5:16
  say,
• 5:17
  is really you have to build that structure
• 5:20
  and really truly infrastructure
• 5:22
  to ensure that when you're developing these models
• 5:25
  that you understand
• 5:26
  the demographics,
• 5:28
  the landscape,
• 5:29
  and being the large vast of states and
• 5:32
  and,
• 5:33
  regions that we cover,
• 5:34
  that also in turn may look even a
• 5:37
  little bit further different within each region. So
• 5:40
  that's another thing that we're still currently doing
• 5:43
  is evaluating what makes sense within each region
• 5:46
  of the company.
• 5:48
  Got it. Yeah. Thank you so much for
• 5:50
  sharing that. And and, Maura, the last question
• 5:52
  I have for you is how are you
• 5:54
  thinking about growth,
• 5:56
  and or member experience for this year?
• 5:59
  Yeah. I mean, everything we do here at
• 6:01
  AdventHealth is really thinking about that member and
• 6:04
  consumer experience for our patients,
• 6:06
  but really the consumer overall.
• 6:09
  And growth has to,
• 6:10
  grow along with what our patients and consumers
• 6:13
  need,
• 6:14
  but also what we,
• 6:16
  are doing in the organization.
• 6:18
  So for at Hospital at Home, we're really
• 6:20
  looking at those economies of scale within the
• 6:22
  program,
• 6:24
  again, ensuring those operational
• 6:26
  efficiencies and never compromising on the quality of
• 6:29
  care that we provide at AdventHealth, which is
• 6:31
  exceptional.
• 6:33
  So we'll be continuously
• 6:34
  evaluating
• 6:35
  the programs as we slowly scale,
• 6:38
  and for the consumer experience,
• 6:41
  ensuring that that personalized care is aligning with
• 6:44
  our AdventHealth mission and values, and that we're
• 6:47
  creating seamless transitions for the patient
• 6:50
  with engagement and then education.
• 6:53
  And by continuously
• 6:54
  seeking and then evaluating
• 6:56
  feedback from our consumers, both internally and externally,
• 7:00
  it will allow us to mold those care
• 7:02
  models to what matters most for our consumers,
• 7:06
  again, which may differ a little bit within
• 7:08
  each region.
• 7:09
  And then when we think about our home
• 7:11
  health and hospice programs, I think that we
• 7:13
  are ensuring that we are placed across the
• 7:16
  entirety of our AdventHealth footprint
• 7:18
  and have a presence in every market where
• 7:21
  we currently exist
• 7:22
  and then furthermore
• 7:23
  plan to exist in the future. So it's
• 7:26
  all about growing with our consumers and growing
• 7:28
  within the organization
• 7:30
  and continuing that profound care that we are
• 7:33
  really proud of at this organization.
• 7:35
  I think that, that is one of the
• 7:38
  beauties of AdventHealth
• 7:39
  is that, you know, our mission really aligns
• 7:42
  with,
• 7:43
  meeting the needs of our communities and meeting
• 7:46
  those needs of our consumers.
• 7:48
  And, you know, over time, we've learned a
• 7:50
  lot throughout the pandemic and others about the
• 7:54
  benefits of telemedicine.
• 7:56
  So we're incorporating those types of models within
• 7:59
  our primary care models,
• 8:01
  also within the actual traditional brick and mortar
• 8:04
  as thinking about building our hospitals of the
• 8:07
  future and integrating all of those technologies
• 8:10
  and really
• 8:12
  focusing on that consumer feedback
• 8:14
  and making sure as as a consumer, it
• 8:16
  feels seamless. So those are some of the
• 8:19
  things that we're thinking about in the future.
• 8:22
  Perfect. Yeah. Thank you so much for sharing
• 8:24
  that information, and thank you so much for
• 8:26
  those final thoughts. It's definitely been, an informative
• 8:28
  discussion. So I wanna thank you so much
• 8:30
  for coming on Pecker's Healthcare, especially for the
• 8:32
  first time.
• 8:33
  I look forward to connecting with you again
• 8:35
  soon. Yes. Thank you so much again, and
• 8:38
  and appreciate you taking the time to learn
• 8:40
  more. Of course.