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

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