Inside Killeen
Inside Killeen is a podcast about news, events and politics in the Killeen-Fort Hood area. A production of KDH News, the podcast is recorded weekly from the Newsroom of the Killeen Daily Herald. Read more about the articles we talk about at kdhnews.com. Email us at news@kdhnews.com.
Inside Killeen
Seton Medical Center Harker Heights CEO Mandy Shaiffer
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Mandy Shaiffer, originally from Missouri, began her career as a nurse in the 1990s. In December, she became CEO of Seton Medical Center Harker Heights, leading hundreds of employees at a hospital that includes robots and a wide variety of medical services.
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Hello, welcome to the Inside Kleen Podcast from KDH News. My name is Hamida Botchwoy, one of the hosts of Inside Kaleen, a podcast about news, events, and politics in Killeen, Fort Hood area. This episode is sponsored by Anne Nails. Treat yourself. Enjoy$10 off jail nails with Ann Nails because you deserve it, located at 4110 South Clear Creek Road in Killeen, Texas. We'd also like to thank Guiding Light Concepts. Empowerment is at the heart of Women's History Month, and it's at the heart of our sponsor, Guiding Light Concepts. Just as we celebrate women who uplift our community, Guiding Light Concepts empowers Killeen's children diagnosed with autism. Their expert team champions children with autism by providing highly individualized ABA therapy, behavior reduction, and IAP support. To help your child build independence and thrive, visit GuidingLightConcepts.com or call 254-432-7041 today. And our final sponsor, WDF Express. Relax, let us do your laundry. At WDF Express, we understand that life is busy, but your laundry doesn't have to be. We offer free pickup and delivery as well as drop-off service, conveniently located only one mile from the Clear Creek Gate in Winfield Plaza. Quick, easy, stress-free. Mention KDH and receive$10 off your wash and fold service. Fast, affordable, and reliable here at WDF Express. This month we are featuring prominent women in Killeen Fort Hood area. As part of Women's History Month, I'm joined by co-host Jacob Brooks.
SPEAKER_00Hey, Amida.
SPEAKER_01Today's guest is Mandy Schaefer, CEO and CNO of Seton Medical Center in Harker Heights. And she was appointed in December. Thanks for being here. Thank you for having me.
SPEAKER_02So can you just tell us a little bit about yourself? Sure. So I came to the Central Texas area back in 2021, and I've been employed at Seton Medical Center in Harker Heights since then. I initially arrived as the chief nursing officer there. And as you stated earlier, was appointed this CEO position back in December of last year. So I live in the area, I'm local and become very fond of the communities we serve here.
SPEAKER_01That's nice. And what's your favorite thing about being CEO?
SPEAKER_02You know, I think probably my favorite thing is having an influence over all of the culture of the organization and being able to help drive what we do in the communities and the decisions we make that will ultimately help us better serve the communities? Are we meeting the needs of healthcare that's in the communities we serve? And you'll see with a lot of our growth that we're doing right now that that's exactly where, you know, our direction is headed.
SPEAKER_00Your and your background is in nursing. It is.
SPEAKER_02So I've worked at every level in a hospital, and I think it really helps. I mean, my particular leadership approach to things of really understanding the staff and and what it's like to be on staff at a hospital.
SPEAKER_01Being a CEO at that level is usually a male-dominated field. What do you think you bring to the table as being a woman?
SPEAKER_02Well, I think it's interesting that in leadership, I think it's important that we're looking at the qualities of their leadership and the mission and direction of whatever organization you're leading. And in healthcare, a lot of times we can say that nursing is a lot a female-dominated profession in the field. So I don't I think that we're gonna see that as more and more common. What we're learning in healthcare is oftentimes clinical leaders can transition very well into also business side leaders, especially ones that have been in that system for a long time. So I think the leadership qualities are really what we look for now. And I think that that's probably the most important aspect, especially in healthcare.
SPEAKER_00What are, you know, w what are good leadership qualities? Like if you're if you're if you're looking to hire a new leader in a one of your departments, what kind of skill like leadership skills are you looking for?
SPEAKER_02I actually love that question. And one reason I love that question is that one of my passions as a leader is I do love to mentor other leaders. So a lot of times when you say, What qualities are you looking for in a leader in your hospital? A lot of times I don't even have to look outside the walls. A lot of times we have good leadership qualities in existing staff we have. And it's one of my passions to grow people who have the potential into leaders. But to be specific to your question, as far as leadership qualities, there are people who a lot of times have kind of a servant leadership mentality. We are in a service industry. We our leaders are in healthcare need to be empathetic. They they need to be able to be compassionate and caring and ethical. And just like in other businesses, they also need to be able to make good decisions and use critical thinking and have a passion to lead others and motivate other people.
SPEAKER_01And I know you've improved the department's, the emergency department's wait time. Has there been any other improvements since then?
SPEAKER_02Yeah, great question. We we have made a lot of growth as far as making the wait times lower in our emergency department, but we've made a lot of other improvements across the board. We have risen the level of recognition we get for accreditations in our chest pain programs, taking care of those patients. We've achieved accolades in our stroke program as well, that we have high quality there. And for now, 11 times running, we've received a Leapfrog A rating, which is a top rating from a national company that benchmarks your safety ratings in the hospital. So we've really had a strong focus and done a really good job over the last few years. Is the teams there are incredible? They are, they are just as excited as the leadership is to say, you know, we are one of the safest and high quality patient care you can get right here in their community. That's pretty good.
SPEAKER_01And what kind of departments do you guys have?
SPEAKER_02We have most of the general, you know, as far as hospital basic departments, you know, emergency rooms and inpatient care, but we also have a lot of specialty services. We have a very advanced wound care center with hyperbaric capabilities for therapies. We have very busy surgical services at our hospital. And we really strive to give all those baseline services that you would need in a community and really try to pick the services that we pick based on the needs of the community we're in. And a lot of that has to do with our recent growth, which is access, and what we call ambulatory services in primary care, in imaging services, more access to urgent cares and emergency departments. So we do give a full gamut of what you need as far as healthcare experience. So I know a lot of hospitals have robots. Yes. Do you guys have any of those? We do. We have what a lot of people would consider the main surgical robot that can do a lot of, you know, abdominal-based surgeries laparoscopically, which is a DaVinci. So our general surgeons make use of that instrument quite often. It's it's not just a fancy preference for a surgeon to use, it actually helps promote safety and quicker healing in our patients. So it's a great standard of care to carry your surgical services in your hospital. We also have a couple of robots that are based on also other assistive procedures. And so for total joints in our facility, we do have a robot that assists in making very precise measurements and helps with doing implants for total joints. And so we're again just geared towards making sure your patients get the best and safest outcomes possible.
SPEAKER_01That's pretty good. And then, and since it's Women's History Month, are there any women or a certain woman that has really helped you in your career or just inspired you? Oh wow, that's a great question.
SPEAKER_02You know, I I've had a lot of great mentors in in the past. I could don't know that I could name just one. I think that something that I've done in my career is you get influenced by both positive experiences in leadership and negative ones. And I think that we run into both for a reason that we learn what we can from both of them. And something I try to teach my leaders is you know, you want to try and take the best from anybody that you interact with, and you want to try and take what you can learn from that situation. So not one particular woman. I've really been around a lot of women. And in our company, Ardent, that is the parent company of our organization, we have a great bit of great leaders and a lot of female leaders in that group as well. So I feel like I'm constantly surrounded by in healthcare a lot of great leadership peers. So don't know that name just one.
SPEAKER_01That's nice. So I know it's the hospital's growing really fast. Is there anything you want to address to the community about your hospital?
SPEAKER_02Yeah, absolutely. What I hope that the community knows about our organization is that we really pay attention to what we our role of providing services the community needs. We really try to pay attention and access to health care, not just for here, but nationwide, is something that we want to make sure we're doing a good job at. Access to primary care, access to urgent care, access to immediate care and specialty care. So that's been a really big part of our strategy. You mentioned our growth, and we have we have new services in Belton with the new advanced imaging center. We realize it can be very difficult for people to get in, get services done. And those don't always have to be based at a hospital, but you can get a hospital quality level of care. So that's what we've done in Belton along with the urgent cares. And then we've expanded our primary care into South Temple, and that's going really well. And we've paired that with a urgent care that's in the same building. So we've got more than one level of care and immediate access and additional providers. Continuing that, really exciting for us this year. We're in the middle of construction for a South Campus, and that's on I-35 South, and it's it's South Belton and near Saledo. And we're hoping to expand emergency care for that area. We feel like there's a need. So we'll have a freestanding emergency department, and also we'll have a large well stone health care clinic. It will have primary care. And then we will also rotate some of our specialty care physicians through there as well to just create more access points for the community. So really excited about that.
SPEAKER_01And can you tell me a little bit about the virtual nursing pilot?
SPEAKER_02Oh, I'd love to. So something exciting. And, you know, I know that technology is a topic in lots of industries. It's no different in healthcare. We have technology grows a lot too. We think a lot of important access happens face to face, but we also think that we can supplement our workforce and their workloads with some technology and virtual assistance as well. And so we did a pilot this last year where we had our nurses who work very hard and we want them at the bedside with our patients. We don't want them always staring at screens or we don't want patients to wait to get assistance. We were fortunate enough to have a virtual nursing pilot where we had a nurse who had a computer set up, essentially, and and we kind of got used to televisits and things like that during COVID, right? And so not unlike that, but we made it available in the hospital setting where when we had things that required what should be uninterrupted attention, we had nurses designated to help with discharges and admissions and things where we wanted to make sure those were important to the patient. They were important to us, very time consuming and taking time maybe away from other duties that we wanted to make sure we could focus. And we found that that was very successful for us to have a nurse that was dedicated to those duties. And it allowed the nurses who were taking care of other patients to do that as well. So sharing a workload from a different perspective, very interesting. It worked out very well.
SPEAKER_00It's called virtual nursing program or pilot.
SPEAKER_02Yes, we did a virtual nursing pilot. And actually, our company has done in many other of our locations across the country have done some similar pilots with virtual nursing and actually moving forward enterprise-wide with some solutions this year that we'll see a permanent installation of being able to support nurses, whether it's somebody doesn't need to be in a room alone, and we want to have, you know, somebody help sitting with them virtually, and they're and available if they need help and helps prevent falls so people can be reminded not to get up without help. Lots of things.
SPEAKER_00But what does it look like? Is it like a computer screen and they're there I mean, how does it what is it?
SPEAKER_02Most of those systems are run through one or both methods. We used a mobile method with an iPad on a stand for for our pilot. There'll be some more later coming later this year will be some more permanent solutions and in-room solutions. Or it involves smart TVs and cameras, and not unlike a setup you would see at home for for maybe your webcams and and those type of things, but on a secure platform for a hospital, obviously.
SPEAKER_00And the and the patient is at the hospital or at home?
SPEAKER_02At the hospital.
SPEAKER_00At the hospital. Yes. Okay. And um and uh and and then it just allows the iPad or whatever it is, will just the nurse will just be able to watch the the patient or before. They can interact.
SPEAKER_02Okay. They can interact. We use it a lot for education. You know, there's especially if patients get new diagnosis or new medications. It's very important we take the time to to make sure the patients know and understand so they can help take care of themselves when they leave, or that if or if they have other needs we need to identify before they leave to get them resources so they can take the time and interact that way so they can interact visually and verbally.
SPEAKER_00Okay. That's pretty cool. Yeah. Because um, like in my experience, if you're in the hospital, you gotta press the button and then wait, wait for the nurse or whoever to sh show up. But this is this would be a lot faster.
SPEAKER_02It's is it instantaneous or you know, it will be in we don't have our full setup, our permanent solution yet. Like I said, we just completed a pilot, but we are getting a full solution um later this year. It will be where there's an immediately somebody available if needed. And particularly we can assign we don't want to just watch our patients all the time, right? We don't want to invade their privacy. But having somebody immediately available, yes, if if needed, you know, if a nurse can't get out of another room to that room immediately, we've got a virtual assistant there that's who's who's competent and a nurse and able to help her interact. And also able to, you know, implement, you know, a rapid response or something if needed.
SPEAKER_01So you guys use a lot of technology. Do you guys use any AI or anything?
SPEAKER_02Yeah, we actually do. So again, in an effort to reinforce supporting the workforce in in healthcare, our Wellstone clinic physicians, some of them started this last year, and there's some of some more of them will be signing on this year. We actually work with a program where a lot of what you see now when you go into a doctor's office is your doctor walks in and they don't necessarily sit down and talk face to face. They have a computer, right? They're looking at their computer, they're trying to verify your information, and they're they're trying to keep up with the visit on computer. So something we assist them with is we use a program now that is a listening AI, and it allows the physician to go into the room and have a conversation like I'm having with you now, and be able to listen and filter out regular, maybe small talk conversation, but really make sure and capture the important things in that conversation between the physician and the patient. Their attention is on the patient, and it helps summarize that at the end of the visit. Now, a physician obviously has to review that documentation, add things to it, but it's capturing a lot of that for him and and and putting it into a report form so that they can put their attention on the patient and the interaction.
SPEAKER_00So it's like kind of taking the notes of the whole conversation and then here's what's most important, here's what you need to know for the diagnosis or whatever. Trevor Burrus, Jr.
SPEAKER_02Exactly. And not unlike maybe meeting minutes or notes that people use that purpose for. Obviously, you have to have the professional in there to review and make sure it's all correct and accurate, but it does allow them to interact on a more personal level rather than sitting at a keyboard. Trevor Burrus, Jr.
SPEAKER_00Will it allow doctors or nurses or who have medical to see more patients faster?
SPEAKER_02Could they could they increase the can be more efficient on because what we've done is helped on their workflow with that documentation piece. You know, instead of having to initiate all that through clicks or through dictating into a microphone and kind of essentially repeating that conversation, it's being captured and they are they are able to just have that starting point. So yes, it does allow them to be more efficient. It does help increase access in another way.
SPEAKER_01I really like that because I know a lot of people kind of get discouraged when the doctor is just on the computer the entire time. Yes. So them having that face-to-face conversation is really nice.
SPEAKER_02Absolutely.
SPEAKER_01Yeah. Since you you've had an incredible journey at SETAN since well, before being a CEO and since then. So moving from chief nursing office, or just do our now that you're overseeing the entire hospital, how does the nurse's heart influence big executive decisions?
SPEAKER_02Oh, that's a great question. You know, I said earlier that leaders in healthcare have to be empathetic. And clearly, just because other CEOs in healthcare don't don't come from a nurse background, doesn't mean they're not those kind of leaders either. But I think it it brings I think it brings a certain increased bit of visibility and approachability, maybe for the entire stretch of employees. I'm able to speak with a physician or a nurse on a clinical level that and they know that I can understand what they're saying on a clinical level. So I think sometimes it's an ability to bridge the gap to say, you know, we have to take care of our business so we can take care of our employees and so that we're contributing to the economy in our communities while we're able to serve and help just show them that the that balance is there. And a lot of times if you can do the right thing and support your people who are taking care of the people in your community, that the business site works out too, right? So I think sometimes communication-wise, it can bridge a gap of we can all be on the same mission to keep a healthy organization and to take great care of the people in our community. And and maybe if anything, the advantage is, like I said, a a comfort with being out there on the units and interacting with staff and physicians and people at all levels. I'm very comfortable doing that. So I'm a very visible leader. And so I would hope that it would it would bring an approachability.
SPEAKER_01That's really good. I think having a leader that's very approachable is very good for the environment of the hospital. Yeah. And what kind of mark would you like to leave? As a leader? Yeah.
SPEAKER_02Oh I I would like to be known as a leader who helped create other leaders. I would like to be known as someone who made a difference in the culture and an organization in such a way that it inspired other people to want to do the same thing. Somebody who saw potential in people, led them to that potential, and ultimately, you know, able to help drive and encourage people that want to see good things happen, who want to help others, who want to mentor other leaders after them, right? So I think really that that's where I want to leave my mark is I want to be somebody who could have been counted on to make things better, to to grow and innovate, and ultimately to make other leaders.
SPEAKER_01I love that.
SPEAKER_00Now Cent Medical Center Harker Heights, I want to say it was built in 2010.
SPEAKER_02We are 2013? 12. 2012.
SPEAKER_002012. 2012. And it was a big deal in Harker Heights because Harker Heights did not have a hospital before that.
SPEAKER_02Right.
SPEAKER_00So you're very visible on I-14 there. And how many about how many employees do you have?
SPEAKER_02Between Wellstone and the hospital, so the clinics in the hospital, around 500 employees.
SPEAKER_00And can you explain kind of the relationship between Seaton and Wellstone?
SPEAKER_02Are they two is it two separate companies or it it it is, but we are owned by the same parent organization. So the the Wellstone is the business that is employs the physicians. Um it is a physician services organization where the hospital is An acute care hospital. So related, we have shared people, right? So we have some shared employees, our physicians who are employed by Wellstone, also are credentialed, and are on the active medical staff at the hospital. So it's it's two separate business titles, but they are the same organization.
SPEAKER_00And and then with the new facility, which y'all are calling the South Campus. Which and what we what will be the the formal title?
SPEAKER_02That will be Seton Medical Center, Harker Heights, South Campus.
SPEAKER_00South Campus. And and how many employees you think would be working there once it's all done?
SPEAKER_02You know, it it will be at a baseline initially, and it'll be based on on volume, basically. You know, we will have a 24-7 emergency department that will be fully staffed with to, you know, to whatever capacity and volume we need. And we're fortunate enough that, you know, if we needed to, we could share staff between campuses in order to make that happen. And primary care will have a baseline there as well. There'll be at least one primary care initially, hope, you know, but that will grow from there as well. We're gonna base it off the needs of the community and we'll we'll meet the need. But we will also have specialists that will go through that clinic as well. So some of our orthopedic surgeons or general surgery personnel, they'll be able to have clinic at that location as well in order to help support specialty services in that area.
SPEAKER_00And did Seton just see like a need? There was need for more medical services in that area, kind of south of Belton, uh north of Saledo.
SPEAKER_02Yeah, you know, there's uh there's a there's not a whole lot between us and and the temple area as far as that goes. And then obviously on I-35, there's a gap there until you get to about Gerald, right? There's there's certainly not an um, you know, a full service emergency room. So we saw a need for the access. There is nationally a need for in for additional primary care in communities, and so that's almost always a need. And so that's kind of been our growth model is trying to bring the access out into the communities we serve and not just expect everyone to come right to our central location.
SPEAKER_00What is a normal day for you like, a work day?
SPEAKER_02Oh goodness, that's a really interesting question. Well, you know, I'm I carry a couple roles, right, with the with the nursing leadership as well as CEO leadership. So that's a little different every day, but that's also what keeps the job very interesting and can appreciate it. It's very busy, but I start my day off. I actually like the way I start my day off because we start our day off every day at the hospital with a morning team huddle that really encompasses what we're about and that we are a team that works together taking care of these patients. It's not just nurses or doctors. Um we're an entire team of environmental service workers and nutrition and dietary services and physical therapists. I could go on and on, right? We are truly a multidisciplinary team taking care.
SPEAKER_00So you lead that huddle?
SPEAKER_02I do lead that huddle.
SPEAKER_00What's a huddle? What's a huddle like?
SPEAKER_02A huddle involves leaders and managers from every discipline of the care team that are helping take care of patients throughout our day. And what we do is we get together and we start our day with a reflection and a positive reflection by our chaplain. And then we talk about wins and recognitions and things that have gone really well. It's a good way to start your day, I think, any day. And then we follow with that with everybody getting their time from each discipline to talk about kind of what is the the state of the day? How are we starting our day? What is what is our, you know, what is our census? How is staffing going? It's a place for us to monitor safety items where we talk about certain things that are related to safety that we want to take care of during the day. What are we doing to prevent falls? What are we doing to prevent infections? You know, our hospital hasn't had any hospital-acquired infections for over three years. So I think the fact that we meet every day and and have that safety huddle and make sure everybody gets a chance to respond, it's a good place that you have all the people who need to help solve a problem in the room at the same time, right? So when people do have a safety question or concern in those huddles, you got the people there to make decisions and we get to leave with the solution most of the time. So it's a great way to start our day off as a team and a great way to leave that meeting recognizing we're all leaving for the same mission for the day, which is to take care of our patients and do it as safely as possible.
SPEAKER_00And I think you you're the first female CEO of Seton Medical Center, Harker Heights.
SPEAKER_02As far as I know.
SPEAKER_00Correct.
SPEAKER_02Yes.
SPEAKER_00And what would you know, if there's a maybe there's a young nurse out there somewhere listening to this, you know, what advice would if they have a dream, maybe they want to be a CEO of a medical center, what advice would you give that nurse?
SPEAKER_02You know, I d do what you're passionate about, right? It's that out it's it's probably a common saying, but you know, if if you do what you love, then then work is something that it's not so much work every day. And I would say look for people who want to mentor you, look for people who care about growing other leaders. Surround yourself with people who want to work as a team. And you know, it it's okay to start all the way at the beginning. I'm proof that you can work progressively through an organization and work your way up to this type of role. So stick with it and find good mentors.
SPEAKER_00Do you need a college degree to be a CEO?
SPEAKER_02You do. And and I have I actually know I have my master's degree and it initiated my education initiated in in nursing and then expanded into administration and management.
SPEAKER_00Were you a nurse before well a nursing there is like a a degree program for for a nurse. And were you did you get all your education first and then get into the field or was it progressive?
SPEAKER_02It was progressive. And again, very happened very organically for me. I I initially got a two-year nursing degree and got into the field and learned more, and then started looking at at management and leadership, and so got, you know, completed it, took my next degree. Correct. And so, you know, and and nursing is a great field where there are a lot of ways that you can continue your education in the academic field while you're continuing your education in the experience of your profession. And I think both are equally important. We encourage others and in our organization to continue that path. We have tuition assistance programs for for our staff, and we encourage people to grow both in their skill set in our facility and then also academically.
SPEAKER_01Before we end, I have one more question. So, do you watch a lot of medical shows?
SPEAKER_02Funny, I don't really. I I I used to when I was younger and I was first getting into the profession. Kind of a fascination can start there even with healthcare, right? I don't watch a lot of them now just because I think so many years you spend a lot of your life working in that healthcare system, you can spot the things that are off so quickly. So that you spend your time paying attention to the details rather than the storyline. So yeah, I don't think that's the same for everybody in healthcare. I think some people in healthcare still love to watch all those healthcare shows.
SPEAKER_00I'm just not but they're more entertaining rather than real life.
SPEAKER_02A lot of them are, yeah. So you'd say they're not really accurate. There's different levels of accurate, I guess. There's you run into those kind of personalities in every kind of workplace, right? And so I think all TV shows kind of protect portray different personalities. Of course, there's a lot of things that they do that are very good job, and clearly they've got people consulting to do some accurate things on TV, healthcare wise, but there's always some things that are off too.
SPEAKER_01So anything else you wanted to add or uh address?
SPEAKER_02No, I mean y'all are just really appreciate y'all having us today, and I and I think we want to be involved in our community. We serve on boards in our community, and we want to make sure that we are providing services, and this is a great way for us to stay connected. You know, we've very different businesses that we have, but still serving the community. And I think that partnering as much as we can can keep us on the right track and make sure we're doing our best.
SPEAKER_01Jacob?
SPEAKER_00Thank you, Mandy. It's been a pleasure.
SPEAKER_02Saying my pleasure. Appreciate it.
SPEAKER_01Thank you. I really appreciate you coming on. So thank you for listening, everyone. Inside Clean Podcast is brought to you by KDH News. This episode is produced by me. Watch for more podcast episodes featuring prominent women in March as KDH News celebrates Women's History Month. You can also read feature stories about local women in the Wednesday and Sunday editions of Clean Daily Herald at KDHnews.com. This episode is sponsored by Anne Nails. Treat yourself. Enjoy$10 off jail nails with Anne Nails because you deserve it, located at 4110 South Clear Creek Road in Killeen, Texas. We'd also like to thank Guiding Light Concepts. Empowerment is at the heart of Women's History Month, and it's at the heart of our sponsor, Guiding Light Concepts. Just as we celebrate women who uplift our community, Guiding Light Concepts empowers Killeen's children diagnosed with autism. Their expert team champions children with autism by providing highly individualized ABA therapy, behavior reduction, and IEP support. To help your child build independence and thrive, visit GuidingLightConcepts.com or call 254-432-7041 today. And our final sponsor, WDF Express. Relax, led us to your laundry. At WDF Express, we understand that life is busy, but your laundry doesn't have to be. We offer free pickup and delivery as well as drop-off service. Conveniently located only one mile from the Clear Creek Gate in Winfield Plaza. Quick, easy, stress-free. Mention KDH and receive$10 off your wash and fold service. Fast, affordable, and reliable here at WDF Express. Thanks for listening.