Leading with Quality and Culture from the CEO Seat with Les Hirsch
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In this episode of the Becker's Healthcare Podcast, Laura Deirdre sits down with Les Hirsch, President and CEO of St. Peter's Healthcare System in New Brunswick, New Jersey, to discuss how leadership, culture, and mission drive quality and patient safety in healthcare. Hirsch emphasizes that St. Peter's, as a single-hospital, independent Catholic health system with over 120 years of history, has cultivated a deeply rooted family-like culture centered on service, compassion, and clinical excellence. He shares his personal experience with a post-surgical infection, which deepened his commitment to patient safety and quality, and explains how he leads from the top by making quality a daily priority—reviewing infection metrics each morning and holding leaders accountable. The conversation highlights St. Peter's distinction as one of only six hospitals worldwide to achieve seven consecutive Magnet designations with distinction, underscoring the organization’s nursing excellence as a cornerstone of its culture and patient outcomes. Hirsch also discusses the future of St. Peter's culture, noting ongoing investments in technology—including an upcoming Epic electronic health record implementation and AI tools—to support staff and improve care delivery. He stresses the importance of transparency, psychological safety, and continuous improvement, rejecting the idea of 'victory' in quality and instead embracing a mindset of perpetual growth. The organization remains committed to strategic partnerships and expanding its ambulatory care network while preserving its unique identity and mission-driven values. The episode concludes with Hirsch expressing a strong belief in sharing knowledge and helping other healthcare systems improve through collaboration.
Leadership must be personally invested in quality and patient safety—Hirsch reviews daily infection metrics and responds within 15 minutes of any alert.
A strong, mission-driven culture—rooted in Catholic values and a 'family' ethos—fuels sustained excellence in patient care and staff engagement.
Achieving seven consecutive Magnet designations with distinction is a rare global achievement, reflecting deep commitment to nursing excellence and clinical quality.
Personal experience with patient harm (Hirsch’s own infection) transformed his leadership approach and reinforced the human cost of quality failures.
Technology investments like Epic and AI tools are being implemented to enhance staff efficiency and care delivery, not replace human judgment.
…and 2 more takeaways available in PodZeus
Introducing St. Peter's Healthcare System and Its Mission
Les Hirsch introduces himself and St. Peter's Healthcare System, highlighting its location in New Brunswick, NJ, its status as a single-hospital, independent, Catholic health system, and its 120-year history. He emphasizes its academic affiliation with Rutgers University, its teaching hospital status, and its strong mission to serve vulnerable populations.
The Foundation of Culture: Family, Service, and Mission
“They're not here by accident. They're here because we thought they would fit well with our culture and that they will meet many people that have been here for many years.”
CEO Leadership in Quality and Patient Safety
“If I see a one on that report when I wake up in the morning... they're going to hear from me with a question. What happened and how's the patient doing?”
Magnet Designation and Clinical Excellence as a Cultural Anchor
“We're only the second one to do it with distinction... that's a real core issue for us and a core competency here at St. Peter's.”
The Future of Culture: Technology, Growth, and Continuous Improvement
Hirsch discusses the future of St. Peter's culture, including the upcoming Epic EHR implementation, AI tools, and expansion into ambulatory care. He reaffirms the organization’s commitment to independence, strategic partnerships, and continuous improvement over 'victory' in quality.
“If I see a one on that report when I wake up in the morning... they're going to hear from me with a question. What happened and how's the patient doing?”
“We're only the second one to do it with distinction... that's a real core issue for us and a core competency here at St. Peter's.”
“They're not here by accident. They're here because we thought they would fit well with our culture and that they will meet many people that have been here for many years.”
Host
Guest
St. Peter's Healthcare System
organization
Les Hirsch
person
Magnet Designation
other
New Brunswick
place
Rutgers University
organization
Epic
product
HCAHPS
other
ACC Nursing
organization
Joint Commission
organization
U.S. News and World Report
other
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