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Welcome everyone to the Becker's Healthcare podcast series.

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I'm Ryan Mohammed, writer and moderator of Becker's

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Healthcare. And I'm thrilled to have with me

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today,

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Maura Nazario,

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vice president and chief nursing officer at Home

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Based Services and Hospital at Home and Hospice

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at AdventHealth.

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Maura, welcome to the podcast. We're very excited

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to have you join us today. To get

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us started, would you mind please introducing yourself

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and telling us a bit about your background?

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Yes. Hi, Maura. Thank you so much for

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having us. Super excited to be here today.

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So, yes, I'm Maura Nazario, vice president and,

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chief nursing officer here at AdventHealth for the

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Hospital at Home and Home Health and Hospice

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programs.

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I am a nurse by background, of course,

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and I am newer to AdventHealth. I've been

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here approximately seven months,

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and I, prior to that, was a nurse

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administrator on the nurse executive team for the

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Mayo Clinic, where I oversaw their hospital command

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center, nursing practice transformation,

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and some virtual care and home hospital programs.

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So, I'm really excited to be here today,

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and, of course, love talking about health care

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innovation.

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Yes. Yes. Absolutely. And I was doing a

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a little bit of research on you and

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the organization earlier today,

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kinda in preparation and saw that hospital at

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home program has obviously been a really amazing,

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thing for the patients and the organization alike.

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Is that one of your top priorities for

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the rest of the year? And if you

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know if that's not, what other, areas of

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focus do you have for 2025?

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Yeah. So I would say absolutely.

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Hospital at home here at AdventHealth is is

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forefront,

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at our minds. We're we're certainly looking to

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always expand on how we deliver whole person

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care, which is,

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in essence our,

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you know, our mission here at AdventHealth to

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deliver whole person care through the healing ministry

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of Christ.

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And really the next year, I'll be looking

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to continue to drive innovation

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within care models that really align to our

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patient center outcomes and operational efficiencies.

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And so when I say that, I think,

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think right patient, right place, at the right

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time model.

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And more specifically,

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with hospital at home, I really plan to

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leverage our technology and data

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and enhance our interdisciplinary

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collaboration

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and provide that holistic care model, really in

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theory putting that patient back in the driver's

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seat, having them drive their care plan, and

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really give them some sense of autonomy back.

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And also, you know, part of that goal

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is really reducing the variability in treatments,

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and still focusing on those patients' individualized needs

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and increasing the quality outcomes. There's a significant

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amount of studies that are out there right

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now that say patients do heal better in

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the comfort of their own home surrounded by

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their loved ones and areas that are familiar

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to them.

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And so really that is is something that

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we're thinking about.

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Certainly another focus within hospital at home and

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any virtual care models that we have here

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at AdventHealth

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will be really optimizing our logistics and supply

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chains to achieve those operational

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efficiencies,

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and using the right type of technology for

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the right program,

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but ultimately

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developing

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a data driven process,

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to capture improvement opportunities.

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And first and foremost, building that trust and

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communication with between our acute care teams

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as well as our patients.

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Yeah. Absolutely. That totally makes sense, and thank

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you so much for sharing that information.

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It it definitely makes sense that patients heal

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better when they're in the comfort of their

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own home.

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I know some areas, you know, getting to

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a hospital is troublesome for a patient.

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Is there any programs or initiatives that were

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the most needle moving for you or the

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organization,

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in last year, 2024?

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Yeah. I think, you know, when I joined

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the organization in 2024,

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so, again, newer here, but,

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really took that responsibility

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of implementing the hospital at home program, pulling

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from my previous experience

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over the greater of the last four years

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within Mayo Clinic, but also learning from others

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in the industry,

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was really to immerse myself into the organizational

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culture here at AdventHealth

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and integrate that new model of care into

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our existing operations.

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I think something that is really important that

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is not a one size fits all model.

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So what works for one organization

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may not necessarily

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work seamlessly within another.

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AdventHealth is a very large organization. We have

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a hundred thousand employees, just that in itself.

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We have about 55 hospitals,

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across approximately

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nine states. So we have a really large

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footprint. And so I had to thoughtfully think

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through what makes the most sense,

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really keeping that safety and quality at the

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forefront of everything we do with the needs

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of our patients first here.

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But so we started a little bit small

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and and we're slowly growing from there. But

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that's really so that we can understand what

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our patients, specifically at AdventHealth, are looking for.

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And then certainly from there, we will grow.

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So that's the most needle moving, I would

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say,

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is really you have to build that structure

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and really truly infrastructure

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to ensure that when you're developing these models

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that you understand

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the demographics,

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the landscape,

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and being the large vast of states and

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and,

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regions that we cover,

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that also in turn may look even a

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little bit further different within each region. So

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that's another thing that we're still currently doing

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is evaluating what makes sense within each region

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of the company.

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Got it. Yeah. Thank you so much for

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sharing that. And and, Maura, the last question

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I have for you is how are you

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thinking about growth,

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and or member experience for this year?

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Yeah. I mean, everything we do here at

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AdventHealth is really thinking about that member and

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consumer experience for our patients,

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but really the consumer overall.

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And growth has to,

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grow along with what our patients and consumers

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need,

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but also what we,

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are doing in the organization.

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So for at Hospital at Home, we're really

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looking at those economies of scale within the

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program,

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again, ensuring those operational

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efficiencies and never compromising on the quality of

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care that we provide at AdventHealth, which is

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exceptional.

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So we'll be continuously

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evaluating

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the programs as we slowly scale,

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and for the consumer experience,

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ensuring that that personalized care is aligning with

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our AdventHealth mission and values, and that we're

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creating seamless transitions for the patient

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with engagement and then education.

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And by continuously

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seeking and then evaluating

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feedback from our consumers, both internally and externally,

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it will allow us to mold those care

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models to what matters most for our consumers,

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again, which may differ a little bit within

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each region.

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And then when we think about our home

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health and hospice programs, I think that we

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are ensuring that we are placed across the

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entirety of our AdventHealth footprint

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and have a presence in every market where

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we currently exist

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and then furthermore

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plan to exist in the future. So it's

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all about growing with our consumers and growing

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within the organization

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and continuing that profound care that we are

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really proud of at this organization.

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I think that, that is one of the

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beauties of AdventHealth

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is that, you know, our mission really aligns

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with,

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meeting the needs of our communities and meeting

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those needs of our consumers.

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And, you know, over time, we've learned a

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lot throughout the pandemic and others about the

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benefits of telemedicine.

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So we're incorporating those types of models within

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our primary care models,

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also within the actual traditional brick and mortar

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as thinking about building our hospitals of the

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future and integrating all of those technologies

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and really

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focusing on that consumer feedback

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and making sure as as a consumer, it

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feels seamless. So those are some of the

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things that we're thinking about in the future.

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Perfect. Yeah. Thank you so much for sharing

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that information, and thank you so much for

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those final thoughts. It's definitely been, an informative

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discussion. So I wanna thank you so much

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for coming on Pecker's Healthcare, especially for the

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first time.

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I look forward to connecting with you again

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soon. Yes. Thank you so much again, and

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and appreciate you taking the time to learn

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more. Of course.