dr. nels lindberg - you cannot improve what you do not measure
TRANSCRIPT
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
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
My good friend George Burns!
Confidential – Not for Distribution
Confidential – Not for Distribution
Confidential – Not for Distribution
Confidential – Not for Distribution
million20.4
15%
cattle placed on feed in 2015
PAC
(USDA)
Confidential – Not for Distribution
2.5 million placements
22% mass treated(5% mass treated twice)
11% re-vaccinated
in 2015
Confidential – Not for Distribution
million active head
morbidity mortality
1.73
January 2016
29,157 3,817
I have 100% Death Loss!!
Start Healthy….
In our industry, that is virtually impossible in most all cattle unless they are yearlings..
Challenges Before We Get the Cattle
Challenges Outside of Our Control
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!!
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?
Challenges with Cattle and with People
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?
FDA’s Case Definition is….
PAC is aiding in redefining case definition.
We must redefine case definition.
Shouldn’t we at least listen to their lungs to diagnose respiratory disease?Dr. Traylor – Deputy Commissioner of the FDA
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."
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
Knowledge Is Power!
Confidential – Not for Distribution
Single yard example Multiple yard example
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
But where we fail at most often.. Including me!
PeopleAnd
Leadership!
Processes
Focus on daily processes not outcomes or even data.
I focused on the $$...
Momentum Thereom
It All Starts With Communication and Oversharing
#1 IssueHauntingLeadersToday!!
The GAP!
• Where have you been?
• Where are we headed?
• What is your vision?
• What are your goals?
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!
Servant Leadership! Do you have a servant mindset?
I challenge you to be awesome servant leaders and to
GROW MORE LEADERS.
We need YOU! NOW!
Follow Us On..
AMC Facebook @MyAMCVets @NelsLindbergDVM
PAC @PACVets