From HTM to CSuite Rehman Syed BE MS

From HTM to C-Suite Rehman Syed, BE, MS, CBET, CCE Katherine Navarro, CCE

About the Speakers • Rehman Syed, (Syed) BE, MS, CBET, CCE ▫ ▫ ▫ ▫ Director, Clinical Engineering. Health and Hospital Corp. NYC Employed by Crothall HTS Compass Group Two decades of Clinical Engineering Experience Member of ACCE, BOK Committee and ACCE FDA Task Force AAMI’s National Coalition for Alarms Management safety committee AEHIT Education Committee ACHE NJ Diversity Committee

About the Speakers • Katherine Navarro, CCE ▫ Staff Biomedical Engineer for the South Texas Veterans Health Care System, San Antonio, TX ▫ 10 years experience in the HTM/CE field ▫ Started career in VA through the Technical Career Field (TCF) Program for Biomedical Engineers ▫ Became a Certified Clinical Engineer in 2015 ▫ Currently Chair of the Body of Knowledge Committee for the ACCE

Disclaimer • There is NO DEFINED PROCESS on how to get from HTM to CSuite • We are only sharing ADVICE! • Our advice is based on our experience and the experience of professionals who made the journey to the C-Suite • Please hold your questions until the end of the presentation

The Professionals Interviewed • From the VA: ▫ Lucas Marsh – Chief, Healthcare Technology Management Service, Charleston VA Hospital ▫ Jennifer Defrancesco – Resident Regional Manager, Health Technology Solutions (previously the Associate Director of the Dayton VA Hospital) ▫ Jason Newman – Deputy Director VHA Non-Expendable Program, Department of Veterans Affairs • Private Sector: ▫ ▫ ▫ VP of Procurement NYC COO Hospital NY CMO, CTO, CEO, 2 CNO NYC Corporate Director Converged Technology NYC Two Executive Associate Directors (Clinical services and Support Services) �They act as COO and report to CEO

Questions: Who in the audience wants to be a member of a hospital C-Suite team? Why would it be good to have a C-Suite executive with HTM background?

Benefits of HTM in C-Suite • Benefits of having hospital executive leaders with clinical engineering backgrounds: ▫ ▫ ▫ Stays current on new clinical technologies Key player in equipment life-cycle management Experience in healthcare technology acquisition Have knowledge of and experience working with many other services Understand clinical & technical aspects of a healthcare organization Patient-focused & technology-focused perspectives

From HTM to C-Suite • Career Advancement Roles • • • HTM Supervisor – supervise staff HTM Manager – manage resources (human and financial) HTM Director – direct the course of a department / service Vice President of Converged Technologies – lead multiple services (Biomed, IT apps, IT Technologies) Senior Vice President or CTO – lead services / hospital strategies Chief Executive Officer – lead organization in community

From HTM to C-Suite • Know your organization’s path • STEPS: A traditional path VA TCF Program Education & Training BME Graduate BME/CE Director C-Suite …And Beyond! Education, Training, Experience, other Qualifications

The VA TCF Program • What is it? ▫ Technical Career Field (TCF) Trainee Program ▫ 2 year program that develops Biomedical Engineers to be effective Program Managers in the VA ▫ Full-time position with GS-7/9/11 salary progression and benefits • Who is eligible? ▫ ▫ ▫ Engineering degree from an ABET accredited engineering program Degree in Bioengineering, Biomedical Engineering or Clinical Engineering is preferred Must be a US Citizen Must be willing to travel and relocate Must commit to VA for 5 years • How to apply? ▫ https: //www. usajobs. gov ▫ Search for “Biomedical Engineer” or “TCF” ▫ Application open in April

The VA TCF Program • What do you do? ▫ Train under an experienced Clinical Engineer (CE) ▫ Learn and perform various CE tasks in the VA �Evaluating medical equipment �Managing the medical equipment maintenance program �Coordinating new medical technology implementations ▫ Attend focused trainings and conferences ▫ After 2 years, secure permanent position within VA • What are the benefits? ▫ Learning with a “safety net” ▫ Get exposed to many tasks/responsibilities to help determine best permanent position: �Staff BME, Chief BME, Networking/IT BME, VACO BME, etc. ▫ Many of the TCF graduates climb the ladder quickly in the VA �All of the VA professionals interviewed went through the TCF program

How can we get from HTM to C-Suite? HTM C-Suite

HTM to C-Suite: 4 FOCUS AREAS • Area 1: Education, Certifications, and Training • Area 2: Mentoring, Relationships, Networking and Recruiting/Search Firms • Area 3: Experience, Image, Performance and Excelling • Area 4: Think like a C-Suite

FOCUS AREA 1: Education, Certifications, and Training

FOCUS AREA 1: Education • Continuing Education (CEU’s)– healthcare and technology ▫ Webinars, training videos • MBA (healthcare concentration) or MHA ▫ The Master of Health Administration (MHA or M. H. A. ), or Master of Healthcare Administration, is a master's-level professional degree granted to students who complete a course of study in the knowledge and competencies needed for careers in health administration, involving the management of hospitals and other healthcare facilities

FOCUS AREA 1: Education • LEAN/Six Sigma ▫ Process improvement methodologies • LEAN: Methodology based on the removal of unnecessary waste • Six Sigma: Methodology based on statistical analysis to improve processes with unknown problems ▫ Six Sigma DMAIC process: Define, Measure, Analyze, Improve, Control • Many organizations offer education and certification ▫ https: //www. msicertified. com/certifications. html ▫ https: //www. 6 sigma. us/six-sigma-training. php • Certification levels ▫ ▫ ▫ White belt Yellow belt Green belt Black belt Master Black belt

FOCUS AREA 1: Certifications • CCE – Certification in Clinical Engineering • CHTM – Certified Healthcare Technology Manager • FACHE – Fellow of the American College of Healthcare Executives

FOCUS AREA 1: Certifications: CCE • Certification in Clinical Engineering from ACCE ▫ Examination administered by HTCC ▫ Provides formal recognition of individual competence in Clinical Engineering • Certification process ▫ Application review – qualifications and references – due by 7/19/19 ▫ Written exam – 2 weeks in the Fall ▫ Oral exam – during annual AAMI conference • Certification renewal every 3 years • https: //accenet. org/CECertification/Pages/Default. aspx

FOCUS AREA 1: Certifications: CHTM • Certified Healthcare Technology Manager from AAMI Credentials Institute (ACI) • Covers 2 major areas: ▫ Management of Healthcare Technology operations ▫ Management of personnel • Certification Process: ▫ Application and fee due 15 days before test date ▫ Written exam – May/November 2019 • Recertification – every 3 years • https: //www. aami. org/professionaldevelopment/content. aspx? itemnu mber=1134&nav. Item. Number=577

FOCUS AREA 1: Certifications: FACHE • Fellow of the American College of Healthcare Executives • Considered a Gold standard Credential for Healthcare executives • Reference book link ▫ https: //www. ache. org//media/ache/fache/bogexamreferencemanual. pdf

FOCUS AREA 1: Certifications: FACHE • 10 Knowledge Areas tested in the FACHE exam: ▫ ▫ ▫ ▫ ▫ Healthcare Management and Leadership Finance Human Resources Quality and Performance Management Business Healthcare Technology and Information Management Laws and Regulations Professionalism and Ethics Governance and Organizational Structure

FOCUS AREA 1: Certifications: FACHE • The following requirements must be met before qualifying to take the Board of Governors Exam: ▫ Current ACHE Membership with three (3) years minimum tenure ▫ Masters or other post graduate degree ▫ You currently hold an executive healthcare management position and have a minimum of five (5) years executive experience ▫ Completion of 36 hours continuing education ▫ Participation in two (2) healthcare and two (2) community/civic volunteer activities ▫ Two (2) references

FOCUS AREA 1: Training • VA leadership trainings ▫ LDI ▫ GHATP ▫ HCLDP • Hospital-level leadership trainings ▫ BTL and ELC • Professional Organization leadership trainings ▫ ACHE ▫ AAMI ▫ HIMSS/CHIME

FOCUS AREA 1: VA Training: LDI • VISN 17 Leadership Development Institute (LDI) ▫ ▫ ▫ Oldest VISN-wide leadership training program Leadership development and networking Highly competitive program for GS 11 – GS 14 Application-based selection process LDI Program: �Three week commitment (one week every other month) �Complete assigned between-session projects �Select a mentor and adhere to recommended mentor meeting schedule �Complete a Personal Development Plan (PDP) �Complete a High Performance Development Model (HPDM) 360 assessment

FOCUS AREA 1: VA Training: GHATP • Graduate Healthcare Administration Training Program (GHATP) ▫ Masters in health administration or MBA with concentration in healthcare (completed within last 2 years) ▫ 1 -year program to prepare for health care management career ▫ Work for the director of the hospital ▫ Shadow and follow various services ▫ Complete project presented at ACHE conference ▫ Successful completion – placed in GS-11 position ▫ https: //www. vacareers. va. gov/Careers/Students. Trainees

FOCUS AREA 1: VA Training: HCLDP • Health Care Leadership Development Program ▫ 1 -year program to prepare high-potential management professionals for executive positions in the VA ▫ Builds leadership competencies with face-to-face training, virtual assignments, and coaching ▫ Curriculum Overview: �Personal Leadership �Leadership Agility and Leading Others �Organizational Leadership • http: //vaww. succession. va. gov/Employee_Development/HCLDP /Site. Pages/default. aspx

FOCUS AREA 1: Training: BTL and ELC • Building Tomorrow’s Leadership (BTL) • The Emerging Leadership Council (ELC) ▫ I used to be an active member of The Emerging Leadership Council (ELC) of one of my previous employer ▫ Focuses on career development and growth of health care professionals ▫ Offers networking opportunities of like minded peers ▫ Provides visibility to senior leaders of the organization ▫ Membership open to all employees who have their manager’s approval • Find this organization and join • What if my organization does not have it?

FOCUS AREA 1: Training: ACHE • American College of Healthcare Executives • Career. EDGE ▫ To help you navigate this evolving marketplace ▫ Unique, interactive and comprehensive tool for planning and managing your career ▫ Complimentary benefit to ACHE members ▫ Includes assessments, a strategic career planning framework, job site links and more

FOCUS AREA 1: Training: ACHE • Strategic Career Planning: A Pathway to Success (video) ▫ ACHE's Healthcare Executive Resource Center ▫ Members-only guided presentations to assist you with your healthcare management career development

FOCUS AREA 1: Training: ACHE • Executives Coaches Directory ▫ Offers personalized support to individuals pursuing professional growth ▫ Search this directory to quickly identify and assess the qualifications, methods and fees of an array of executive coaches

FOCUS AREA 1: Training: ACHE • Career Learning Center ▫ Guided presentations to assist ACHE members with healthcare management career development ▫ Topics covered include �Advance Your Career �Develop Your Network �Build Your Personal Brand

FOCUS AREA 1: Training: ACHE • ACHE Chapters ▫ Each of ACHE’s 78 chapters provides educational programs, local information, and volunteering and networking opportunities to help you develop crucial leadership skills and stand out in this dynamic healthcare environment ▫ Chapters also provide opportunities for established leaders to give back to the profession ▫ You’ll have access to local education programs that qualify for ACHE face-to-face education credits

FOCUS AREA 1: Training: AAMI/CHIME • AAMI/CHIME HTM Leadership Academy ▫ To help cultivate leaders within healthcare technology management ▫ One-day leadership academy ▫ The inaugural program, ran concurrently with the AAMI 2018 Conference & Expo ▫ Specifically designed to address HTM professionals’ day-to-day challenges—and to position them to have a seat at their respective organization’s "big" table ▫ Help current and aspiring HTM leaders become fully integrated members of the healthcare delivery team and have significant influence in the management of all healthcare technology

FOCUS AREA 1: Training: CHIME & ACHE • CHIME & ACHE have created gold standard exam for executive roles in healthcare • Only we as HTM can convince the stakeholders to create the much needed roles and career of Chief Clinical Engineering Officer or Chief HTM Officer • Recommend that HTM professional organizations collaborate to get a C-Suite executive title for HTM

FOCUS AREA 1: Training: HIMSS • Healthcare Information and Management Systems Society (HIMSS) ▫ Global, cause-based, not-for-profit organization focused on better health through information and technology ▫ Leads efforts to optimize health engagements and care outcomes using information and technology ▫ Serves the global health IT community ▫ Provides a unique forum for its members to collaborate on programs and initiatives that contribute to the common good ▫ Funds activities which enable individuals and groups to gain consensus on best/common practices, equip stakeholders with tools and resources to transform healthcare within a care setting, learn from each other and create positions �Examples include Integrating the Healthcare Enterprise (IHE), the Alliance for Nursing Informatics, our senior IT executive community, our Global Conference & Exhibition and our Women in Health IT Roundtable.

FOCUS AREA 1: Training: CHIME • The College of Healthcare Information Management Executives (CHIME) ▫ Professional organization for Chief Information Officers and senior healthcare IT leaders ▫ Members and business partners collaborate, exchange ideas, develop professionally ▫ Advocate the effective use of information management to improve the health and care in the members’ communities • CHIME membership is designed for CIOs, senior IT leaders, Clinical Informaticists, and their direct reports serving healthcare organizations ▫ $375 CHIME only membership ▫ $575 CHIME-HIMSS membership • CHIME specialized sister organizations ▫ The Association for Executives in Healthcare Information Security (AEHIS) ▫ The Association for Executives in Healthcare Information Applications (AEHIA) ▫ The Association for Executives in Healthcare Information Technology (AEHIT)

FOCUS AREA 2: Mentoring, Relationships, Networking and Recruiting/Search Firms

FOCUS AREA 2: Mentoring • Have many mentors AND mentor many people ▫ Wide variety – different positions, backgrounds ▫ Someone in a position you are aspiring to • Gain insight and broaden perspective • How to get a mentor/mentee ▫ Your organization ▫ Professional Society mentor programs

FOCUS AREA 2: ACCE Mentoring Program • Help clinical engineers advance in their profession or outside their profession in the healthcare field • Paired with experienced member of ACCE • Benefits: ▫ Personal growth ▫ Professional growth ▫ Job enrichment • Mentoring chair: ▫ Larry Fennigkoh, Ph. D, PE, CCE, FAIMBE, FACCE, Professor of biomedical engineering, Milwaukee School of Engineering ▫ Email: mentoring. chair@accenet. org • https: //accenet. org/Membership/Pages/Mentorship. aspx

FOCUS AREA 2: ACHE: Mentoring Connection 2019 • ACHE Diversity Forum’s New Mentoring Connection (MC) ▫ Will build upon the ACHE Leadership Mentoring Network, with a 1: 1 virtual mentoring experience ▫ The Forums’ MC will add social-identity mentoring features to enhance the mentor-mentee connection • 2019 Forum Mentoring Connection Schedule: ▫ ▫ March-April: Mentor and Mentee application period May: Mentoring matches confirmed and activated June-November: 6 -month Mentoring Connection active December: Program wrap-up and debriefing • Become a Forum MC Mentor ▫ Benefit from fresh perspectives, learn about yourself as a leader, derive satisfaction from supporting another’s career development, and contribute to advancing diversity in healthcare management ▫ To qualify: Current ACHE Member with at least 10 years healthcare management experience and demonstrated interest in the Forum’s mission • Become a Forum MC Mentee ▫ Connection with an experienced professional who can personally identify with your opportunities and challenges ▫ To qualify: Diversity Forum member, not a student, and currently employed in an healthcare-related position at any career level • For more information, contact diversity@ache. org or visit ache. org/Mentoring

FOCUS AREA 2: Professional Coach • Professional Coach, Executive Coach or Career Coach ▫ Working with a coach is one of the most impactful ways to cultivate further strengths and improve on weaknesses ▫ Leaders at any level can benefit from a coach’s feedback �Even great leaders that are successful and seem to have little room for improvement • Benefits ▫ Help us recognize patterns in our behavior we would otherwise be unaware of ▫ Guide us in developing new ways of handling emotions in ourselves and in our relationships ▫ Help us “unstick” unproductive habits and provide motivation as we encounter roadblocks ▫ Skilled and trained in helping you create a personalized plan designed to meet your goals ▫ Get advice and information tailored specifically to your needs

FOCUS AREA 2: Relationships • Supervisor ▫ Let him/her know your career goals • C-Suite members ▫ Get to know your organization’s C-Suite • Leaders in the HTM or healthcare industry • Professional Organizations ▫ Active volunteer

FOCUS AREA 2: Relationships • Relationship Management ▫ ▫ C – Communicate L - Lead E - Educate R – Recognize • Characteristics of Relationships ▫ Help others succeed ▫ Foster teamwork ▫ Honest, dependable, ethical, etc. • Mentors ▫ Provide direction, support and can be very instrumental in your career path • Engage Stakeholders Superiors External: patients Internal: Clinicians Subordinates

FOCUS AREA 2: Networking and Recruiting/Search Firms • Networking ▫ Merriam-Webster Dictionary defines networking as “the exchange of information or services among individuals, groups, or institutions…specifically: the cultivation of productive relationships for employment or business” ▫ Networking avenues: �Social Media (i. e. Linked In) �Society/Organization membership �Conferences/Events • Recruiting/Search Firms ▫ A way for employers to find qualified people to fill executive positions ▫ Can help you in your executive job search

FOCUS AREA 2: Recruiting/Search Firms • When hiring senior executive-level talent (C-suite, VP, etc. ), a client (hiring organization) may retain an executive search firm to help them find the very best talent to fill the position • Search firms: ▫ Specialized management consulting firms ▫ Executive search: find attract candidates �Find top executive candidates who fill gaps in their client’s leadership teams �Offer industry-specific knowledge and expertise to ensure the most qualified and appropriate candidate is selected �Involves in-depth research, private networking, exhaustive screening and a methodically thought-out selection process to gain a prosperous outcome for the client ▫ Other benefits: �Assessing an organization and its culture �Assimilating a new leader for optimum success �Advising executive leadership and boards

FOCUS AREA 2: Recruiting/Search Firms • Since the type of searches handled by executive search firms are not usually advertised on job boards, executives must ensure that they are visible to be considered for these opportunities • A few ways executives can ensure their visibility to executive search firms include: ▫ Speaking at relevant industry events or participating in conference panels ▫ Publishing thought leadership on online platforms to showcase your industry expertise ▫ Actively participating in your industry or professional association

FOCUS AREA 3: Experience, Image, Performance and Excelling

FOCUS AREA 3: Experience • “Past performance is an indicator of future performance” • What experiences make you ready to handle future challenges? ▫ Evaluate yourself or have your mentor evaluate you on your experience ▫ If you successfully manage 5 employees – chances are you can successfully manage 50 ▫ Have you successfully handled a variety of challenges �Doesn’t always need to be learned/handled at work ▫ If you successfully handle a $50 k budget, chances are you can successfully manage a $10 M budget ▫ What goals / objectives have you successfully achieved? • Job Descriptions ▫ What is required, what would be nice to have ▫ Look on-line if you have to • Read bio of present leaders

FOCUS AREA 3: Image (Brand Management) • We all have our own brand ▫ How do your colleagues, boss, etc. describe you �Are you refreshing (like a soda), great to work with or a drain, complainer, etc. �Are you seen as the person deserving to be promoted? ▫ Without saying – have you labeled others you work with? • The higher on the career ladder – less opportunities ▫ The more stringent it could get: supply & demand • Do you have a different image in your mind for what a supervisor could look like versus what you expect a C. E. O. to look like?

FOCUS AREA 3: Performance • How well do you manage your resources ▫ 8 bucket dashboard (can differ for areas) �Inputs (staffing, equipment, financials, training) �Outputs (volume/census, quality, satisfaction, safety) • How well do you achieve your tasks / goals • How well do you problem solve and make decisions

FOCUS AREA 3: Excelling • Be the Go-To person ▫ Do your best at your current job ▫ Volunteer for tasks outside of your job ▫ Be willing to do everything and do it well • • Find unfulfilled needs and fill them Be a constant team-player Be persistent and share your vision Take acting positions in roles you are striving towards

FOCUS AREA 4: Think like a C-Suite

FOCUS AREA 4: Think like C-Suite • Connect with C-Suite Goals ▫ ▫ Strategic vision Revenue Patient access Customer experience • Know the performance metrics/trends • Global perspective ▫ Understand other services and how they function together ▫ Patient-focused

FOCUS AREA 4: Think like C-Suite • Emerging trends and how to address ▫ ▫ ▫ ▫ Cybernetics & Artificial Intelligence (AI) for healthcare Wearables Internet of Things Telehealth market growth Alexa in healthcare Secure “Bring Your Own Device” (BYOD) in Healthcare and voice applications • Healthcare & Digital Health Predictions For 2019 https: //www. brighttalk. com/webcast/5565/338876

BEYOND C-SUITE What’s next?

BEYOND C-SUITE Question: Who does the CEO report to?

BEYOND C-SUITE Board of Directors • Who does the CEO report to? ▫ The “Board of Directors” ▫ Join the hospital’s “Board of Directors” (Do not need to be C-Suite executive) • National Association of Corporate Directors (NACD) ▫ ▫ ▫ Recognized authority on leading boardroom practices Mission: Advancing exemplary board leadership Setting the standard for responsible board leadership for more than 40 years Empowering more than 20, 000 directors to lead with confidence in the boardroom Helps boards strengthen investor trust and public confidence by ensuring that today's directors are well prepared for tomorrow's challenges ▫ Elevate performance, gain foresight, and instill confidence ▫ Fosters collaboration among directors, investors, and governance stakeholders ▫ https: //www. nacdonline. org/

BEYOND C-SUITE Board of Directors • The American College of Corporate Directors (ACCD) ▫ A networking, educational and credentialing organization for directors of publicly held companies ▫ Mission: to provide members with the highest standard of instruction, theory and practice surrounding the important, complex, and timely issues facing public companies today ▫ A certification from The ACCD is an important credential for board leadership, and a useful tool for members interested in acquiring additional board seats ▫ https: //accdirectors. com/

BEYOND C-SUITE Pay it Forward! • Healthcare leadership organizations can help upcoming HTM leaders become healthcare executives through… ▫ ▫ Becoming a mentor Fundraising and Scholarships Executive internships Educational programs

Advice from the Professionals “Develop a good work-life balance. ” JN “Get mentors and a lot of them in different areas. ” JN “It’s a journey not a destination. ” LM “People are always watching, so whatever you do, make it the best!” JD

Advice from the Professionals “You can lead an unfamiliar department of operation by just learning the Work flows and the high level concepts and lead at the strategical level. ” CIO NJ “Look for opportunities in failures. ” CTO NYC “Do not reject a job offer until you see in writing the numbers and benefits. Sometimes title can be same but compensation can be as per your expectation. ” Sr Director NYC “Being a member of professional organization is good. For leadership results, you have to be a very active member of more than one professional org or societies. ” CEO NY

Advice from the Professionals “Develop new skills, especially the skills of the leaders who you inspire to become one day, like communications skills. ” CIO NJ “Do not be discouraged…If you fail you have the courage to try. If you succeed you beat all the odds. ” Sr Director. NY “Manage a department whose knowledge you do not have. This will lead to real leadership skills as you are completely dependent on your team. ” CIO NJ “When you are ready for the next step in your career, do not wait for your current employer to give you a chance. Instead find an employer who is ready to take a chance with you. ” CNO NYC

Questions?

Thank You! Rehman Syed 212 -939 -1940 Syed. Clinical. Engineer@gmail. com https: //www. linkedin. com/in/rehman-syed/ Katherine Navarro 210 -949 -3997 Katherine. Breffeilh@va. gov