Latest / Becker’s Healthcare - Clinical Leadership Podcast / Stacey-Ann Okoth on Nursing Leadership and Workplace Safety at CommonSpirit Health Mountain Division
Transcript
- 0:02The most important health care decisions don't happen
- 0:05in isolation.
- 0:06They happen when leaders come together.
- 0:08Becker's sixteenth annual meeting brings together more than
- 0:113,500
- 0:12hospital and health system executives this April in
- 0:15Chicago.
- 0:16With 800 speakers from Ascension,
- 0:18Cleveland Clinic, CommonSpirit and more, the conversations get
- 0:22real. Leaders will share how their scenario planning
- 0:24for policy shifts, breaking through value based care
- 0:27barriers, and building clinical teams that translate new
- 0:30ideas into real world care.
- 0:32Join top decision makers in the room April
- 0:3513 through the sixteenth.
- 0:37For the agenda and event details, visit beckershospitalreview.com
- 0:41and click on the events tab in the
- 0:43upper right.
- 0:45This is Laura Duda with the Becker's Healthcare
- 0:47podcast. I'm thrilled today to be joined by
- 0:49Stacy Ann O'Koth, chief nursing executive officer at
- 0:53the Mountain Region of CommonSpirit Health. Stacy Ann,
- 0:55it's a pleasure to have you on the
- 0:56podcast today.
- 0:57Laura, it's great to join you today.
- 1:00Absolutely. Now I'm excited for our conversation because,
- 1:02you know, it's such a interesting and dynamic
- 1:05field in health care. And so to get
- 1:06a sense of how you've been able to,
- 1:08you know, pivot it and be successful in
- 1:10the last year as well as what you're
- 1:12doing to prepare for the future will be
- 1:13helpful. But before we dive into all of
- 1:15that, can you tell us a little bit
- 1:17more about yourself and CommonSpirit Health?
- 1:19Sure.
- 1:20So as you mentioned, I'm doctor Stacy Ann
- 1:23O'Kath,
- 1:24and I serve as the regional chief nursing
- 1:26officer for Common Spirit Health's Mountain Region.
- 1:30Prior to joining this wonderful organization 2025,
- 1:34I held various executive leadership roles in various
- 1:38settings from the East Coast to the West
- 1:40Coast
- 1:41and then back to the East Coast.
- 1:43Our region is vast. It encompasses 20 hospitals
- 1:47across three states, Colorado,
- 1:50Kansas, and Utah,
- 1:52along with about 250
- 1:54clinics and practices
- 1:56and 60 ambulatory care sites.
- 1:59I'm proud to lead a team of approximately
- 2:016,000 nurses
- 2:03across our region
- 2:05who make up about a third of our
- 2:07entire organization.
- 2:08So we're focused on delivering compassionate, high quality
- 2:11care to all the communities we serve.
- 2:14Yeah. That's great to understand. And, you know,
- 2:16it's,
- 2:17so cool to see how huge your region
- 2:20is and especially, I know, unique populations, I'm
- 2:22sure, in every place. And so,
- 2:25you know, great to have that perspective. Now
- 2:27when you think about the last year or
- 2:29so, could you tell us about the most
- 2:30important initiative that you led? What did you
- 2:32do, and what were the results?
- 2:34Sure.
- 2:35So one of the most critical initiatives we
- 2:38prioritized in 2025
- 2:41really focused squarely on maintaining a safe environment
- 2:45for all of our team members.
- 2:47We know regrettably
- 2:49that health care workers are significantly
- 2:51more prone to workplace violence
- 2:54than those in most other professions.
- 2:57I'm leading our region's comprehensive
- 2:59workplace violence prevention initiatives.
- 3:02So for instance, this past year, we significantly
- 3:05strengthened our structure
- 3:07and approach by adding dedicated committees at all
- 3:10of our facilities,
- 3:11implementing enhanced tools for our team members to
- 3:14report incidences,
- 3:16and increasing our security leadership and protocols.
- 3:20This prevention program is designed to be proactive
- 3:24to identify risks,
- 3:26foster a culture of continuous improvement,
- 3:29and provide critical support to our teams.
- 3:32Because we understand that by doing this,
- 3:35we are fundamentally
- 3:36improving safety, not just for our caregivers
- 3:39but also for our patients and their families.
- 3:43A specific example of this commitment
- 3:45is how we're refining
- 3:47our approach to visitor management.
- 3:50We're piloting a new visitor management system across
- 3:52six of our hospitals initially.
- 3:55This initiative will strengthen our ability to control
- 3:58access,
- 3:58particularly in sensitive areas,
- 4:01and ensure we consistently know who is within
- 4:04our facilities.
- 4:06This helps protect our caregivers,
- 4:08but it also designed to build trust and
- 4:11transparency with patients and their families
- 4:13regarding security.
- 4:16I love that. I I think it's so
- 4:18critical to have that type of focus and
- 4:20energy around making sure that the health care
- 4:22providers and team feel safe within,
- 4:25the the hospital and the organization. I I
- 4:27know that's something that so many different
- 4:30hospitals and systems unfortunately
- 4:32have to experience,
- 4:33for folks. And so, you know, it's cool
- 4:36to hear that you've got that structure strengthened
- 4:38and really are designing more programs around finding
- 4:41that risk and and making sure that there's
- 4:43improvement across the board.
- 4:45Is there anything from the last year that
- 4:47you found that worked particularly well or something
- 4:50that, you know, other organizations can should think
- 4:52about,
- 4:54doing similarly within their own systems?
- 4:58Well,
- 4:59absolutely.
- 5:00So the first thing is just making sure
- 5:02that they have a really good, visitor management,
- 5:06to make sure that we know who is
- 5:08in is in our hospitals.
- 5:10OSHA, that is one of their requirement,
- 5:13that we know in case of an emergency,
- 5:16we wanna make sure that we're able to
- 5:18rescue everyone in the building. And so that
- 5:20is a very important
- 5:22and basic,
- 5:25thing that all of our all facilities need
- 5:27to do.
- 5:28That's helpful to understand and a great, great,
- 5:31great place to start. Now looking ahead for
- 5:332026,
- 5:34what are some of the big priorities or
- 5:36pet ones that you're focused on?
- 5:38So, Laura, for 2026,
- 5:40the commitment is to strengthen and lead our
- 5:43workplace violence prevention initiatives.
- 5:46That's certainly has to be our ongoing priority.
- 5:50Beyond safety, we're intensely focused on continuing to
- 5:53elevate the experience of our patients when they
- 5:56come to us for care.
- 5:57So we've seen strong measurable momentum in recent
- 6:00months in the positive perception of our patients
- 6:04and
- 6:05our caregivers
- 6:06and the quality care,
- 6:07they're receiving from us.
- 6:09A key part of the success is our
- 6:11team's consistent and effective use of evidence based
- 6:14tactics,
- 6:15such as structured patient rounding, which ensures constant
- 6:18communication,
- 6:19proactivity,
- 6:21and comfort for every patient.
- 6:23That makes a lot of sense. And, you
- 6:25know, I I love that focusing on evidence
- 6:27based and the information, data, and communication that
- 6:30they have because, you know, being able to
- 6:33be more precise here seems like it would
- 6:35have
- 6:36a give a big advantage, in making sure
- 6:38everybody stays safe and understands, you know, the
- 6:40risks, going forward. That seems like a great
- 6:43great thing to have. You know, what do
- 6:46you you think is the hardest thing you'll
- 6:47have to do in the coming year will
- 6:48be?
- 6:50Well, Laura, the hardest thing will be navigating
- 6:52the challenging economic headwinds
- 6:55that the health care industry and our health
- 6:57system continues to face.
- 6:59We are confronting a significant triple threat,
- 7:02continued wage inflation
- 7:04and increases in supply costs,
- 7:07the changing landscape in regards to Medicaid reimbursement
- 7:12and increasing numbers of uninsured or underinsured patients.
- 7:17We're actively sharing concerns around potential Medicaid cuts
- 7:21both federally and within our own states, Colorado,
- 7:24Kansas, and Utah.
- 7:26Furthermore, as our three states prepare for the
- 7:29implementation of of measures like HR
- 7:32one, including potential work requirements and redetermination
- 7:35of benefits,
- 7:36we are anticipating
- 7:38further changes in maintaining enrollment for vulnerable populations.
- 7:43So given our deep roots in rural healthcare
- 7:45in the mountain region, we're deeply concerned about
- 7:48the financial sustainability
- 7:50of our rural partners.
- 7:52Healthcare is an ecosystem
- 7:54and we are all deeply reliant on one
- 7:56another to ensure that patients have access to
- 7:58care
- 7:59when and where they need it.
- 8:01Our hospitals are stepping up to provide increased
- 8:04financial assistance,
- 8:05but this combination of diminishing Medicaid reimbursements,
- 8:09rising costs, and a growing population
- 8:12of uninsured patients is increasingly challenging,
- 8:15and we must continue to be fierce advocates
- 8:18on behalf of our patients and communities to
- 8:20present to preserve
- 8:22the access to care that our neighbors deserve
- 8:25and expect.
- 8:27That's such a great point. I know access
- 8:29to care is, a huge challenge. And as
- 8:31you mentioned, because of some of these factors
- 8:33and headwinds, could become even more challenging in
- 8:36the future. And you mentioned, you know, thinking
- 8:38about concerns on sustainability,
- 8:40especially for rural health care, and and I
- 8:42can imagine that impacts a lot of the
- 8:44markets in in areas that you serve. And
- 8:46so, you know, when you're looking at all
- 8:48of that, is there anything that you are
- 8:51doing right now to prepare for that future,
- 8:53or is it more sharpening awareness and making
- 8:56sure you've got your systems and processes in
- 8:58place so that you can absorb changes that
- 9:01might come down the pipe?
- 9:02Yeah. Well, our organization,
- 9:04Laura, is being very proactive in engaging
- 9:08with state, federal,
- 9:10government officials,
- 9:12to make sure that
- 9:14they're passing common sense laws
- 9:17and also,
- 9:18tapping into the h r one
- 9:21rural funds that was promised in that bill.
- 9:25And then proactively as nurses, we're working with
- 9:28the,
- 9:29AACN
- 9:31in partnership with Johnson and Johnson
- 9:33to
- 9:35be proactive
- 9:36in
- 9:37understanding
- 9:38how
- 9:39we can partner with our rural communities to
- 9:42bring programs,
- 9:44to them instead of waiting for someone to
- 9:46do it for us.
- 9:48So we are launching our, cohort program in
- 9:51July.
- 9:53And so
- 9:54I would anticipate
- 9:56a lot of
- 9:57innovation coming out of that program.
- 10:01Absolutely. That's great to hear, and we'll definitely
- 10:03keep an eye out for that, you know,
- 10:05in in computing a logic closely. I I
- 10:06know it'll be certainly a model for
- 10:09solutions that hopefully others will be able to
- 10:12learn from and go from as well. Now
- 10:14when you look into the future, where do
- 10:16you see some of the best opportunities for
- 10:18both at Conner Spirit too?
- 10:21Well, we have two key areas of opportunity
- 10:23for organizational growth that are both strategic
- 10:27and mission critical.
- 10:29So first, we are proudly serving some fast
- 10:31growing communities,
- 10:33particularly in South Metro Denver,
- 10:35and we're excited to be growing along with
- 10:38them.
- 10:39This year, we will be breaking ground on
- 10:41a new health campus in this area that
- 10:44will ensure our neighbors have high quality,
- 10:46patient centered care conveniently located close to home.
- 10:51This campus will also serve as an important
- 10:53hub for innovation and compassionate care,
- 10:57connecting us to communities across the entire state.
- 11:00And then second,
- 11:01we view nurse recruitment and retention as a
- 11:04strategic growth imperative.
- 11:07We know the entire industry faces challenges in
- 11:10hiring enough nurses,
- 11:11and we're pleased to be at the forefront
- 11:13of efforts to recruit and retain the very
- 11:15best.
- 11:17We offer competitive compensation here at CommonSpirit,
- 11:21benefits, and expansive educational opportunities to help both
- 11:24new and veteran nurses thrive.
- 11:27Crucially, we offer
- 11:29programs to nurture new nurses such as our
- 11:31graduate nurse residency program that helps new graduates
- 11:35transition seamlessly into their roles.
- 11:38This systemic
- 11:39approach is working.
- 11:41Our nurse residency program as a common spirit
- 11:44system nationwide
- 11:46has led to an outstanding retention rate
- 11:49of ninety one percent for new nurses who
- 11:51complete the program.
- 11:54Oh, that's incredible. What a great results. And,
- 11:56you know, it's really cool to see having
- 11:58that type of pipeline and support for new
- 12:00nurses because I know
- 12:02in in many areas and for many organizations,
- 12:04that's a a place of,
- 12:06you know, that they're challenged because they don't
- 12:09have such a pipeline or or haven't been
- 12:11able to build, a program that successfully
- 12:13brings more folks into their organization in that
- 12:16way. And so, that's really neat that you
- 12:19have that type of success, and I think
- 12:20it makes sense that there's opportunities for additional
- 12:23growth there too. Yeah.
- 12:25We're really proud of our results.
- 12:27We know that retaining our nurses is is
- 12:30a huge priority for us because
- 12:32we can hire all day long, but at
- 12:34the end of the day, we have to
- 12:36retain our nurses.
- 12:38And this is a wonderful place,
- 12:41to do so. We have great nurses and
- 12:43a great team, and
- 12:45I know that we are going to continue
- 12:48to,
- 12:49contribute
- 12:50to growing this organization.
- 12:52Fantastic.
- 12:53Stacy, thank you so much for joining us
- 12:55on the podcast today. This has been such
- 12:57a fun conversation.
- 12:58I appreciate your time and expertise, and I
- 13:00look forward to seeing you as well at
- 13:02our annual meeting. I know you'll be speaking
- 13:03on a panel and talking more in-depth on
- 13:05many of the things we touched on today.
- 13:07So looking forward to seeing you there. Looking
- 13:10forward to it, Laura. Thank you.