>> I'm [inaudible] and I'm senior vice president of Population Health Management.
I'm responsible for the health care of three hospitals in Virtua,
we're a four-hospital system in south New Jersey so I run three of the four hospitals,
a large job, have over 3000 employees as well as caring for several thousand people a day.
Every day can be very unpredictable.
You go in like probably most professionals expecting that your day's mapped out for you
and in the business I'm in things can evolve pretty rapidly.
It's not uncommon in bad weather in winter to have a school bus accident
and suddenly you have 15, 20, 30 children that you didn't expect to be with you
and then their parents and their grandparents showing up scared.
While we've had those in the past kids haven't gotten hurt seriously so that's thankful,
but that kind of blows up your day when you have those kinds of unexpected events.
Performance issues are brought to my attention.
Usually they're the bigger issues.
We have a very sophisticated large management staff that deals
with most of the day to day stuff.
It's usually the hot button issues and a lot of times the ones that are specifically tied
to physician behavior, that's usually the ones I get most aware of and most involved in.
Or as people are paying more out of their own pocket
for their health care they're becoming more selective so less are the days of someone goes
to because you're the closest facility.
It's got to be you're good at what you do, quality measures.