dr. nels lindberg - you cannot improve what you do not measure

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Start Healthy, End Strong Cattle or People? Both? New Orleans, LA Feb 26, 2016 Nels N. Lindberg DVM Veterinarian, Consultant, EntreLeader Production Animal Consultation Animal Medical Center Great Bend, KS

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Page 1: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Start Healthy, End StrongCattle or People? Both?

New Orleans, LAFeb 26, 2016Nels N. Lindberg DVM

Veterinarian, Consultant, EntreLeaderProduction Animal Consultation

Animal Medical CenterGreat Bend, KS

Page 2: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Dr. Wade Taylor, Kansas Dr. Tom Noffinger, Nebraska Dr. Doug Ford, Colorado Dr. Corbin Stevens, Kansas Dr. Nels Lindberg, Kansas Dr. Kip Lukasiewicz, Nebraska Dr. Jim Lowe, Illinois Dr. Shane Terrell, Nebraska Dr. Kev Sullivan, Australia Jose Valles, MS, Kansas Garrett Taylor, Kansas Lisa Taylor, Kansas Kelly Terrell, Nebraska

Animal Medical CenterProduction Animal Consultation

Dr. Nels Lindberg Dr. Matt Fehr Dr. Ty Brunswig Dr. Caitlyn Redding

Page 3: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

My good friend George Burns!

Page 4: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Confidential – Not for Distribution

Page 5: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Confidential – Not for Distribution

Page 6: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Confidential – Not for Distribution

Page 7: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Confidential – Not for Distribution

million20.4

15%

cattle placed on feed in 2015

PAC

(USDA)

Page 8: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Confidential – Not for Distribution

2.5 million placements

22% mass treated(5% mass treated twice)

11% re-vaccinated

in 2015

Page 9: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Confidential – Not for Distribution

million active head

morbidity mortality

1.73

January 2016

29,157 3,817

Page 10: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

I have 100% Death Loss!!

Page 11: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure
Page 12: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Start Healthy….

In our industry, that is virtually impossible in most all cattle unless they are yearlings..

Page 13: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Challenges Before We Get the Cattle

Page 14: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Challenges Outside of Our Control

Page 15: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Challenges Outside of Our Control – Part II!!As we get the cattle on entry…

12 Month Study 9 Feedyards – KS, NE, CO 2 Random Lots/Month, 20 Random Deep Nasopharyngeal Swabs/Lot on Entry Into the Yard

Isolated Pathogens on 34% of the Individuals. Of those pathogens – 14% were Multi-drug Resistant coming into the Yards!!

Page 16: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Part III!!SOP’s and Unintended Consequences

• Do they allow us to do the right thing for the cattle?

• Do they improve our integrity or help us lose it?

Page 17: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Challenges with Cattle and with People

Page 18: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

What we do focus on?

Things we can control Reduce any and all stressors possible

Acclimation of cattle Exercising cattle - Pen populations

Not just manage the animal, but manage our pathogens and antibiotics

Pathogen Management Antibiotic Preservation

What is the Case Definition?

Page 19: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

FDA’s Case Definition is….

PAC is aiding in redefining case definition.

We must redefine case definition.

Page 20: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Shouldn’t we at least listen to their lungs to diagnose respiratory disease?Dr. Traylor – Deputy Commissioner of the FDA

Nels Lindberg
Page 21: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Combining multiple objective diagnostic modalities improves case definition

accuracy

Confidential – Not for Distribution

No. dead

Percent of total deaths

(%)

False negative reduction (%) over

‘No fever’ case fatalities

False negative reduction (%) over

‘Whisper® LS 1’ case fatalities

No fever (<104.5) 608 43.5 -190%Whisper® LS 1 210 15.0 65%Whisper® LS 1 and no fever 102 7.3 83% 51%

T Noffsinger, K Brattain, G Quakenbush, and G Taylor. 2014. Field results for Whisper® stethoscope studies. Animal Health Research Reviews 15(2): 142-144.

“Animals categorized as likely to survive due to both absence of fever and Whisper LS 1 led to a decreased rate of cattle falsely predicted to survive by 83 or 51%, respectively, compared to the use of absence of fever or Whisper LS 1 alone.”1,339 case fatalities from 14,511 first-time BRD pulls across 8 feedlots

“This analysis indicates that the lung score is more likely to predict treatment outcomes than a thermometer, and that evaluation of lung score and identification of fever together most accurately predicts mortality."

Page 22: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Product comparison by case definition

Sex: Heifer Mass treatment: None Pull weight: 700-899 Pull DOF: 0-24 Lung score: 3 Temperature: 103-104

Confidential – Not for Distribution

First-time respiratory treatments from January 1, 2012 through February 9, 2016

Treatments Pulls Retreat rate Case fatality rateAdvocin 2 0% 0.0%Baytril 16 13% 0.0%Bio-Mycin 64 11% 1.6%Draxxin 981 22% 2.7%Excede 31 13% 6.5%Excenel 2 0% 0.0%Micotil 41 24% 2.4%Naxcel 11 27% 0.0%Noromycin 300 LA 40 5% 0.0%Nuflor 248 22% 4.0%Nuflor Gold 31 19% 0.0%Resflor Gold 11 18% 9.1%Zactran 58 33% 0.0%Zuprevo 5 0% 0.0%Grand Total 1,541 21% 2.7%

-Enhanced Antibiotic SelectionThru -Enhanced Case Definition

Page 23: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Knowledge Is Power!

Confidential – Not for Distribution

Single yard example Multiple yard example

Page 24: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Annual death loss

Confidential – Not for Distribution

2013 2014 20150

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

1.55% 1.89% 1.61%As % of population:

$10.5million

$19.7million $17.1

million

Mortality

Page 25: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

But where we fail at most often.. Including me!

PeopleAnd

Leadership!

Processes

Page 26: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure
Page 27: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Focus on daily processes not outcomes or even data.

I focused on the $$...

Page 28: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Momentum Thereom

Page 29: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

It All Starts With Communication and Oversharing

#1 IssueHauntingLeadersToday!!

The GAP!

Page 30: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure
Page 31: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

• Where have you been?

• Where are we headed?

• What is your vision?

• What are your goals?

Page 32: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

What Are Your Core Values?

Does Your Team Know Them?

Do Your Customers Know Them?

Highly successful, long term sustainable businesses have

NON-NEGOTIABLE CORE VALUES!

Tell them to everyone, post them for everyone

to see. It creates ACCOUNTABILITY!

Page 33: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Servant Leadership! Do you have a servant mindset?

Page 34: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

I challenge you to be awesome servant leaders and to

GROW MORE LEADERS.

Page 35: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

We need YOU! NOW!

Page 36: Dr. Nels Lindberg - You Cannot Improve What You Do Not Measure

Follow Us On..

AMC Facebook @MyAMCVets @NelsLindbergDVM

PAC @PACVets