Latest / Becker’s Healthcare - Clinical Leadership Podcast / Karen Uttaro, Senior Director of the Professional Practice, Quality, and Regulatory Departments at UMass Memorial Medical Center
Transcript
- 0:00Welcome everyone to the Becker Health care podcast
- 0:02series. I'm am Mariah Muhammad, writer and moderator
- 0:05with Becker Healthcare care, and I'm thrilled to
- 0:06have with me today Karen Utah, Senior Director
- 0:09of the professional practice, quality and regulatory Department
- 0:12of Nursing at the uma Mass Memorial Medical
- 0:15Center. Karen is very nice to have you
- 0:16on the podcast today, to get a started
- 0:18would you mind, please introducing yourself and telling
- 0:20us a bit about your background.
- 0:22Absolutely. And thank you so much, Mariah for
- 0:24this opportune,
- 0:26I am Karen Utah, and in my senior
- 0:29director role here at the Medical Center.
- 0:31I have the opportunity to collaborate with many
- 0:35nurses and inter professional colleagues to really drive
- 0:38exceptional practice. And just to give you a
- 0:41little background on my journey, I have had
- 0:43the fortune to spend my entire career here
- 0:46at uma Mas Memorial Medical Center. I actually
- 0:48started as a a Pc here many moons
- 0:52ago and have worked my way up and
- 0:54reinvented myself. And I think that's really what
- 0:56the joy of nursing is all about is
- 0:59that, you know, you grow and learn and
- 1:01have that commitment to life, long learning. So
- 1:04I was at the bedside as a critical
- 1:06care and acute care nurse and then had
- 1:09an inkling that education was my passion and
- 1:12went to,
- 1:13get my masters with a focus in advanced
- 1:16practice
- 1:17education and worked in
- 1:20development for a number of years, became director
- 1:22of that
- 1:24department. And then during the pandemic, there was
- 1:26this role became available, and I was tapped
- 1:30to lead this work. So for the last
- 1:334 years, I've been working as the senior
- 1:37director.
- 1:38Wonderful. Wonderful. Thank you so much for giving
- 1:40us that that background on your experience. So
- 1:43was everything going on nowadays
- 1:45in everything that you're doing within the organization,
- 1:48what are are the biggest issues you're following
- 1:50health care in... For this year?
- 1:53Great question. So the greatest things that I'm
- 1:56following right now is really around caregiver engagement,
- 1:59and how that links to patient, safety and
- 2:02quality,
- 2:03and really,
- 2:05leadership development because I think they're leaders
- 2:08if they're developed and have the tools and
- 2:10sources, they can really foster that caregiver engagement,
- 2:14which really ultimately drives quality and patient safety.
- 2:18So Yeah. Yeah. Absolutely. Thank you for giving
- 2:20us that insight. Is there anything that you
- 2:23are excited about or anything that is making
- 2:25you nervous in regards to what you're seeing
- 2:28on the news, anything you're hearing within health
- 2:30care or anything that you're working on?
- 2:33Absolutely. So I think when I'm most is...
- 2:35Excited about is really the innovation and
- 2:38collaboration that I see. Really across health systems
- 2:41and our national organizations such as, you know,
- 2:44the American, you know,
- 2:46organization of nurse leaders,
- 2:49the association of nurses and national development and
- 2:52really seeing academic medical centers coming together to
- 2:55really share
- 2:56best practices,
- 2:58so that others can learn and just not
- 3:02have groundhog day when we're doing the same
- 3:04things over and over again. I would say
- 3:07what makes me the most nervous
- 3:09is really the complexities of health care.
- 3:12Patients are sicker than they've ever been before.
- 3:15And so really
- 3:17driving our delivery model of care to address
- 3:20those needs is really
- 3:23concerning. I also worry about the resiliency of
- 3:25what I they call human capital.
- 3:27I think that is 1 of our most
- 3:29precious resources is our caregivers,
- 3:31and it's
- 3:33because of the complexity, it is really challenging
- 3:36out there on the units.
- 3:37And lastly, I would say,
- 3:39the production pressure and the peace,
- 3:42really thinking about capacity constraints. You know, it's
- 3:45not uncommon for us to have many borders
- 3:48in our emergency departments, and we are using
- 3:52care spaces that I never thought in my
- 3:54career, we would, you know, have patients boarding
- 3:56in. And so when I think about the
- 3:59work that I do around professional practice and,
- 4:02you know, our residency program, really, how do
- 4:05we
- 4:05give our caregivers,
- 4:07you know, the tools that they need to
- 4:10address that pace
- 4:11because it is exhausting.
- 4:14Yeah. Yeah. Absolutely. And Karen, thank you so
- 4:17much for explaining that Before I let you
- 4:19go The last thing I want to ask
- 4:20you, what was the most effective health leaders
- 4:23need in order to be successful in the
- 4:25next 2 to 3 years that you think?
- 4:27Yep. That's a great question. I think the
- 4:30first
- 4:31foundation and really sort of the vision would
- 4:33be that they have a commitment to developing
- 4:35a healthy work culture. Right? I think that
- 4:38is really
- 4:39needs to be celebrated
- 4:40and really worked on. Really, the first step
- 4:43in that is really fostering
- 4:45relationships with caregivers
- 4:46because that trust
- 4:48that comes from that relationship is really the
- 4:51foundation of psychological safety,
- 4:53which is paramount to really promote patient safety
- 4:58for everyone. I think the second is really
- 5:00shared decision making. Right? That is a really
- 5:03important strategy to empower our frontline caregivers
- 5:07to address and input when there's ethical concerns
- 5:10that are going on or they have a
- 5:11clinical practice challenge. And then, lastly, I'm a
- 5:14big fan of, proactive
- 5:17transformation, rather than reactive
- 5:20transformation. So thinking about,
- 5:22we are opening a new building to address
- 5:24our capacity needs and really, an example of
- 5:28it is that we are going to over
- 5:30hire. Right, For our summer cohort to address
- 5:33our hiring needs so that we have
- 5:36you know, the most precious human capital to
- 5:38care for our patients. So rather than waiting
- 5:41and realizing that we need to hire expensive
- 5:44contract labor,
- 5:46you know, we're doing,
- 5:47our recruitment strategies now even though the building's
- 5:50is not opening till January.
- 5:52I'm most excited about the evolution of our
- 5:55new Grad residency program that we have here
- 5:58at the medical center that was created back
- 6:00in 2007,
- 6:01and
- 6:02because of the commitment of our leadership
- 6:05team here over the years.
- 6:07We have really
- 6:08successfully seen that through national accreditation through the
- 6:12Pt tap program.
- 6:13And have 1 of the strongest retention rates
- 6:16that we've, you know, ever had and is
- 6:19compared to, you know, our national average. So
- 6:22here at the medical center our 1 year
- 6:24retention rate hover between 90 and 95 percent
- 6:28in comparison to the national average, which is
- 6:31hovering around 70
- 6:32turnover with at the 1 year, Mark, and
- 6:35really,
- 6:36the commitment of our organization to
- 6:40you know, fund and support this program. We
- 6:42know that new grads need
- 6:45support as they transition to practice.
- 6:47And that has been validated in many periodic
- 6:51and evidence based practice.
- 6:53And so this program
- 6:56really gives the new novice nurses, the
- 7:00support that they need to safely
- 7:03transition to practice this. It's a 1 year
- 7:05program.
- 7:06And what our new grads tell us is
- 7:09that they can't imagine transitioning from academia without
- 7:12this program.
- 7:13Got it. Got it. Thank you so much
- 7:15for sharing those final thoughts Karen. This has
- 7:17definitely been in informative discussion. So, again, I
- 7:19wanna thank you so much for coming on
- 7:20Becker Health care. When I look forward to
- 7:22connecting with you again soon.
- 7:24Alright. Thank you so much.