Latest / Becker’s Healthcare Podcast / Van Ton-Quinlivan, CEO of Futuro Health
Transcript
- 0:02This is where health care leadership comes together.
- 0:04Becker's sixteenth annual meeting brings more than 3,500
- 0:07hospital and health system executives and nearly 800
- 0:11speakers to Chicago April.
- 0:14This year's event includes keynote conversations with Dallas
- 0:17Cowboys legend Troy Aikman and former president George
- 0:20w Bush. For the agenda and event details,
- 0:23visit beckershospitalreview.com
- 0:25and click on the events tab in the
- 0:27upper right. We're looking forward to hosting you
- 0:29in Chicago.
- 0:32Hello, everyone, and welcome to the Becker's Healthcare
- 0:34podcast. I'm Scott King joined by a very
- 0:37special guest today, Von Thome Quinlivan,
- 0:40CEO
- 0:41of Futura Health. Von, how are you doing
- 0:43today? Thanks so much for joining us.
- 0:45Delighted to be here, Scott.
- 0:47So good to have you. I know we
- 0:48have a lot to talk about. We're really
- 0:50gonna kinda get into, I think, fixing healthcare's
- 0:53workforce crisis.
- 0:55And, before I do that, before we jump
- 0:58into the conversation, can you just tell us
- 1:00a little bit about yourself and your background?
- 1:04Well, Scott,
- 1:05my career has spanned the private sector, the
- 1:08public sector, and now non profit sector. Expertise
- 1:11is workforce development. And when I was recently
- 1:14approached by,
- 1:15well, five years ago when I was approached
- 1:17by Kaiser Permanente and its partners to found
- 1:20Vitora Health and bring some best practices into
- 1:22this space,
- 1:24to address critical shortages on healthcare workers, I
- 1:27have to say,
- 1:29it was it was quite a thought to
- 1:30think, well, I was running a billion dollar
- 1:32organization
- 1:33previously,
- 1:35with the California Community Colleges,
- 1:38which is the largest system of higher education
- 1:40in the country. Do I want to,
- 1:42found a new nonprofit?
- 1:46Is that the way to go?
- 1:48And
- 1:49when I thought about it and reflected on
- 1:52it and especially
- 1:53the fact that I had come to The
- 1:55United States,
- 1:57at the age of six,
- 1:59out of
- 2:00a war torn situation in Vietnam.
- 2:02I was so
- 2:04pleased to have the opportunity,
- 2:07to have education that unlocked opportunities
- 2:10for me. And so in this role, in
- 2:13this and the last role, it's all about
- 2:15unlocking opportunities from others.
- 2:17So really delighted to be here.
- 2:20Appreciate you sharing your background
- 2:23info there, Vaughn, and and your career journey.
- 2:26The you know, I've we hear a lot
- 2:28about
- 2:30the employee
- 2:31shortage and and workforce shortages
- 2:34in healthcare right now. It seems like an
- 2:35issue that's kind of been going on for
- 2:37a long time. I was on a call
- 2:39with nine COOs
- 2:40of of different health systems, all kinds of
- 2:42different
- 2:43makes and sizes yesterday, talking about what the
- 2:45issues they're still having.
- 2:47So do you think it's a good idea
- 2:49for
- 2:50employers to try to solve these workforce surges
- 2:52on their own or is there another approach
- 2:54they can take?
- 2:56Well, you know, Scott, I was talking with,
- 2:59folks from McKinsey and, and company, the management
- 3:02consulting company.
- 3:03And they they say healthcare leaders come to
- 3:06them frequently asking whether they should build a
- 3:08university to address the shortage, the many shortages
- 3:12in workforce,
- 3:13that is facing healthcare. We know about the
- 3:15massive shortages in doctors and nurses and other
- 3:18workforce shortages.
- 3:20But what about the 65%
- 3:22of the allied health roles that everyone needs?
- 3:26Already, you know, 85%
- 3:27of US, healthcare facilities report a shortage in
- 3:30these critical workers that we all need like
- 3:33surgical tech, medical assistance, imaging techs, and so
- 3:36on.
- 3:37And so Scott, you know, it's a myth
- 3:39that organizations
- 3:40need to do workforce development on their own.
- 3:43And especially when it comes to these important
- 3:45allied health rules,
- 3:47it may be better to collaborate than to
- 3:50go solo.
- 3:51And so this is why, Kaiser Permanente and
- 3:54its its partners launched for Total Health, my,
- 3:56national nonprofit,
- 3:58five years ago using community
- 4:00benefits dollars,
- 4:02to share to set up a shared capacity
- 4:05to grow
- 4:06and address this shortage in, allied health workers
- 4:10and set up the Total Health to help
- 4:12the industry. And it's working. I mean, we
- 4:14additionally, you know, we have Stanford Health, Packard
- 4:17Health, Dignity Health, Broward Health,
- 4:20UCSF.
- 4:22You know, over,
- 4:24the the,
- 4:25the last five years, we've been able to
- 4:27bring
- 4:28over 10,000
- 4:29untapped talents from communities,
- 4:32who have gotten their credentials and qualifications
- 4:35to enter their first and next,
- 4:38allied health careers through us.
- 4:41And now Futura Health is a shared resource,
- 4:44to grow local health care talent. You know,
- 4:46there's so many people who wanna be of
- 4:49service. There are untapped talents in our communities.
- 4:51And when we did a focus group to
- 4:53figure out why they couldn't find their way
- 4:55into health care,
- 4:56there were a number of reasons
- 4:58that we've, set up to address. And so
- 5:00we're really proud
- 5:02that in the nine states
- 5:04as well as DC, which we have,
- 5:06sponsorship to operate,
- 5:08all these individuals are coming out debt free
- 5:11and are entering work,
- 5:14these important roles
- 5:16now, today,
- 5:18in allied health roles.
- 5:20Oh, by the way, Scott, in a Yeah.
- 5:22We
- 5:23this is our fifth year anniversary.
- 5:26Not only were we asked to share our
- 5:28best practices with the WHO,
- 5:31yes, last
- 5:32year, we were also featured on CMS Innovation
- 5:35Day,
- 5:36featured with the National Governors Association,
- 5:39and our scholars,
- 5:41were featured in the BBC,
- 5:43Caring with Courage,
- 5:45series
- 5:46that that, launched this year. So a lot
- 5:49a lot of good things, and we're looking
- 5:51forward to working with
- 5:52additional partners,
- 5:54to bring out these best practices and solutions.
- 5:57Well, big congratulations, not just the anniversary, but
- 6:00all those well deserved accolades. That's tremendous. That's
- 6:03the way to go. That's great. And, you
- 6:05know, I, I, it sounds like you're seeing
- 6:07a lot of positive results for how you're,
- 6:09and Futero
- 6:11is addressing that workforce shortage. It sounds like
- 6:13it just kind of requires a, a shift
- 6:15in mindset and hopefully,
- 6:17you know, we can see more of that
- 6:18in healthcare.
- 6:19And Vaughn, I want to get to, you
- 6:21know, something you actually said. You've described the
- 6:24current hiring and graduation mismatch
- 6:27as a fire hose versus a garden hose
- 6:30problem. Can you kind of unpack that metaphor
- 6:33and what it means for healthcare workforce planning?
- 6:37Well, Scott, you know, your listeners know that
- 6:40all of us who have been in, in
- 6:42roles of employers,
- 6:44put out jobs in a drip drip drip
- 6:47format like a garden hose we put out
- 6:49one job, two job, five jobs. We never
- 6:51put out 30 jobs or 20 jobs at
- 6:54a time, right?
- 6:55But now think about how higher education
- 6:58works and they put out their graduates in
- 7:00a big old gush,
- 7:02like 30 graduates in May or 20 graduates
- 7:05in May. So it's really like a fire
- 7:07hose phenomenon
- 7:09and they can't do one person, two person
- 7:12and especially when then you ask Scott, oh,
- 7:15can you,
- 7:17change your curriculum, set up new labs, you
- 7:19know,
- 7:20do the following things.
- 7:23Their economics is one where if they don't
- 7:25have enough enrollment,
- 7:27courses get canceled. Right?
- 7:30So the biggest complaint from employers in trying
- 7:33to activate education to come to come to
- 7:35this common cause of addressing workforce shortages is
- 7:38that they're slow. And this is because it's
- 7:41a fundamental mismatch between the fire hose and
- 7:43the garden hose. And so when we think
- 7:46about workforce development, we're trying to reconcile
- 7:49this mismatch,
- 7:52in order to facilitate a collaboration where each
- 7:54party does what it does best.
- 7:57And so for for providers,
- 7:59this means bringing
- 8:01kind of unusual allies
- 8:03to come together and play together,
- 8:06in a space where healthcare systems may be
- 8:09fiercely competitive for talent. Right?
- 8:12So instead
- 8:13of dripping out, you know, five pharmacy techs,
- 8:17if you could pull together the needs across
- 8:19all of these,
- 8:21employers and providers, maybe it comes 25 or
- 8:23with Futura Health because we're working
- 8:26at some scale, we can ask, you know,
- 8:28we can secure at 75,
- 8:31sterile processing tax, for example.
- 8:33And because we're working with multiple health systems,
- 8:36we'd have volume,
- 8:38right? We can ask for a larger tuition
- 8:41discounts, better working,
- 8:43better hours, study hours for working adults,
- 8:46group learning situations for cohorts,
- 8:50and and also double clicking on
- 8:54an education journey that incorporates
- 8:57our human touch health care,
- 8:59coursework, which has gotten a net promoter score
- 9:02of 79.
- 9:04Excellent.
- 9:05Not only the the the learners love it,
- 9:08but the employers love it because it's really
- 9:10drilling down on cultural competence and,
- 9:14teamwork collaboration, all the essential skills for health
- 9:17care.
- 9:19And
- 9:20what it also does is it builds adult
- 9:23learner confidence
- 9:24to,
- 9:25engage in color, in learning
- 9:28to get in order to get their, credentials
- 9:30and qualifications.
- 9:31So, you know, we normally think about competing
- 9:33for talent, but in the case
- 9:36of workforce development, you wanna grow the talent
- 9:38pool together
- 9:40rather
- 9:41than compete in a shallow pool, which only
- 9:43drives up the prices for, you know, the
- 9:45the wages for talent.
- 9:47That sounds great, Fawn. And you I actually
- 9:49wanna ask you
- 9:51about Futura Health's model because it brings employers,
- 9:55educators, and community organizations
- 9:57to the same table.
- 9:59How does the the alignment there actually work
- 10:02in practice and what makes it different from
- 10:04traditional workforce development approaches?
- 10:08Right. So, you know, the the the traditional
- 10:11talent approach is one maybe, if you're getting
- 10:14to a a point where you're posting and
- 10:16praying and not sure that you're actually going
- 10:18to have a talent pool to draw from,
- 10:20it's time to do to make the investment
- 10:23in workforce development. And I will also say
- 10:25to you that if you only have a
- 10:28strategy that is going out into high schools,
- 10:30it is not enough
- 10:32because that population is shrinking almost in all
- 10:36communities across the
- 10:38the country.
- 10:39So where the action is is really adults
- 10:42how to bring untapped talent
- 10:44into the health care and they're very very
- 10:45interested but they need to find a way.
- 10:46So you know,
- 10:50so, you know, like we were featured on
- 10:52CMS innovation,
- 10:54day
- 10:54because it,
- 10:57we can we have situations
- 10:58like, let me tell it in in the
- 11:00story of like the individual themselves. So maybe
- 11:03you have,
- 11:04a security guard,
- 11:06like Tamika
- 11:08who,
- 11:09took care of her mother
- 11:11who had cancer
- 11:12and thought maybe I
- 11:14would like a caregiving role. And it was
- 11:17when she found a flyer at her hospital,
- 11:20that she signed up with Futura Health, and
- 11:22the employer had already sponsored a scholarship so
- 11:26that she she could attend, debt free.
- 11:28So she came out of a phlebotomist,
- 11:30and she's now a phlebotomist
- 11:33working in health care today. Or it's a
- 11:36situation like Justice who,
- 11:39had been laid off during the pandemic. He
- 11:41wanted to become a nurse,
- 11:43but was trying to
- 11:45earn money. And so he was working at
- 11:47a ramen noodle shop
- 11:49when he found a flyer, from his aunt,
- 11:53who had worked at a hospital and said
- 11:54you should really give Fatura Health a try.
- 11:56And so he became a medical assistant for
- 11:58us,
- 11:59debt free.
- 12:01And not only did he,
- 12:04do well in his first job, but he's
- 12:05already been promoted into the second job. And
- 12:08so,
- 12:09again, he's working in health care today
- 12:12and,
- 12:13on his way to, becoming,
- 12:16a nursing student.
- 12:18So there's many stories like that where there
- 12:21are individuals who want to get into health
- 12:23care, but the navigation to get in and
- 12:26the debt load
- 12:27for those who make it in just keeps
- 12:29them on the first rung. And we need
- 12:31to be able to bring people in from
- 12:32the community and grow them because that will
- 12:35not only improve
- 12:37retention and loyalty,
- 12:39but in the end, improve outcomes for patients
- 12:42because you have
- 12:44a culturally concorded workforce.
- 12:46That was incredible story about how someone's journey
- 12:49into healthcare started. Thanks for sharing that, Fawn.
- 12:53What are the biggest misconceptions
- 12:55employers have about building a talent pipeline,
- 12:58and how does your model help address them?
- 13:03The biggest misconception
- 13:04is that it's an individual sport.
- 13:08Building a talent pipeline is actually a team
- 13:10sport where each player does what it does
- 13:13best. So the most important thing for employers
- 13:15is that,
- 13:17the providers and health plans, and we have
- 13:19a situation with Health Net right now, which
- 13:22is a health plan
- 13:23that is underwriting,
- 13:26scholarship seats
- 13:27so that
- 13:29the all the providers in its network in
- 13:32a rural rural regions,
- 13:34have the ability to send some of the
- 13:36frontline
- 13:36staff to skill up and get a next
- 13:38credential.
- 13:39Alright. So there's many roles that people could
- 13:42play, but community benefits dollars from a health
- 13:45plan
- 13:46or operational dollars,
- 13:47I'm sorry, community benefits dollars from a health
- 13:50system
- 13:51or their operational dollars,
- 13:54or health plan can unlock dollars. These are
- 13:57all ways in which we can braid efforts.
- 14:00So there's someone funding the scholarships.
- 14:03There's,
- 14:04our work is to set up all the
- 14:06education programs to the quality and and standards,
- 14:10and we have 41 education providers with a
- 14:13108,
- 14:15campuses,
- 14:16partner campuses fully integrated,
- 14:20to match with what,
- 14:22providers need and what where the workers are.
- 14:26So exciting to be able to reduce the
- 14:28workload,
- 14:31on the,
- 14:32on on the employers
- 14:34because building this ecosystem so that it's simple
- 14:38for our community members to get in is
- 14:40is,
- 14:41a heavy undertaking, and we simplify all of
- 14:44that.
- 14:45Yeah. I think so many great resources
- 14:48available there will definitely reduce that that workload.
- 14:51Can Von, can you share a specific example
- 14:53where
- 14:54collaboration rather than isolated efforts led to a
- 14:57breakthrough solution
- 14:59for a health system or regional market?
- 15:03You know, I would love to talk about,
- 15:05like,
- 15:06doctor, Lawrence Sher at the Palo Verdes Medical
- 15:09Group.
- 15:10So he took on
- 15:12a clinical student,
- 15:13that is a scholar.
- 15:15And where
- 15:17employers can lean in is of course, where
- 15:19competition can occur between,
- 15:22providers is really at the point of hiring
- 15:25or the point of clinical.
- 15:26So let's not compete,
- 15:28at the beginning,
- 15:29we'll collaborate to build that talent pool and
- 15:31then compete at the
- 15:33point of clinicals and or the board of
- 15:35hiring. So Doctor. Lawrence Sher was very, very,
- 15:37very pleased,
- 15:39to receive a scholar
- 15:40who was, who was trained through us, debt
- 15:43free, to be a medical assistant.
- 15:45And what he said was, we was particularly
- 15:48pleased, I'm gonna give you a quote, Futura
- 15:50Health can show a student how empathy should
- 15:52be shown, I couldn't have been more impressed.
- 15:54And this was,
- 15:57an adult learner who would not have otherwise
- 16:00participated. She had always wanted to go into
- 16:03health care, but life got in the way,
- 16:04which is often the situation
- 16:06of many adults.
- 16:08And we were able to unlock that, rebuild
- 16:10her confidence to to begin the journey.
- 16:13And,
- 16:15it's a great story
- 16:16in terms of her success with,
- 16:19with the Palo Verdes medical group.
- 16:21And then we have, Health Net Health Plan
- 16:23with Centene. They're underwriting a whole,
- 16:26set of, seats for medical assistance.
- 16:30For rural providers, we have, Sutter Health
- 16:34underwrote 300
- 16:36medical assistance seats using the community benefits dollars,
- 16:39and those are all located in geographies
- 16:42where they have facilities.
- 16:44And so those are strategic ways in which,
- 16:47they work with us and we go and
- 16:50we connect the community, the source the education
- 16:52partners,
- 16:53provide the success coaching,
- 16:57to individuals
- 16:59so that they can easily navigate the education
- 17:02journey process.
- 17:03As a matter of fact, Scott, you know,
- 17:05many of these adults, they don't even talk
- 17:08about the free,
- 17:09tuition that they get from us. They talk
- 17:12about how our success coaches were there for
- 17:14them in those moments when they thought they
- 17:16couldn't make it through. So it's very important
- 17:19working with the adult population,
- 17:22to be able to navigate all of these
- 17:24complexities of life so that they can get
- 17:26their credentials and qualification. But there's so many
- 17:29success stories.
- 17:31I think it's a great point about having
- 17:32those those coaches available. It's one thing to,
- 17:35you know, get the opportunity and it's another
- 17:37to kinda get coached in the in the
- 17:39right way to proceed on your journey.
- 17:41Ivana, the last thing I wanna ask you,
- 17:43as you look ahead, what structural changes do
- 17:46we need across education,
- 17:48policy,
- 17:49and employer engagement to meaningfully fix the health
- 17:53care workforce
- 17:54crisis?
- 17:56Yes. So I stare I chair our,
- 17:59state council on health care workforce training and
- 18:01education. And certainly, yes, you go down the
- 18:04list of all the occupations, major occupations in
- 18:07health care. There's a shortage, there's a shortage,
- 18:09there's a shortage.
- 18:11So,
- 18:12you know, there are,
- 18:15alternative paths, but it does take intentionality.
- 18:18And so I really appreciate,
- 18:19Becker's healthcare
- 18:21getting the word out that there's a different
- 18:23way. There's a different way of being able
- 18:25to solve the workforce development problem,
- 18:28but, fix the healthcare workforce crisis, but it
- 18:31does take intentionality
- 18:33and it does take,
- 18:34teamwork. And and maybe, lastly, I'll say there
- 18:37is a win win win solution out there.
- 18:40You know, it's
- 18:41it's not only the win is from growing
- 18:43the workforce
- 18:44locally
- 18:45because
- 18:46those who are local in the community are
- 18:48more likely to
- 18:50stay. It's a win because
- 18:52there's goodwill
- 18:53from the community
- 18:55as
- 18:56health health systems are bringing opportunity to their
- 18:59community.
- 19:01There's also the win of the five zero
- 19:02one c three status,
- 19:04which I know the healthcare leaders know has
- 19:07been debated,
- 19:09continues to be
- 19:10in debate,
- 19:11and so this is a way to express
- 19:14community benefit.
- 19:15And then of course most importantly is that
- 19:18with
- 19:19a workforce that is reflective of the communities
- 19:22being served,
- 19:23we all can improve the outcomes for patients
- 19:26and best serve patients.
- 19:28So with intentionality,
- 19:32we can collectively
- 19:33deliver on a reliable, diverse, and skilled workforce
- 19:37that's day one ready.
- 19:40Vaughn, thanks so much for all your great
- 19:41insight on the workforce crisis in health care
- 19:43and the tremendous things Futura Health is doing
- 19:46to deal with it. I appreciate you joining
- 19:47us and look forward to working with you
- 19:49again soon.
- 19:50Thank you so much, Scott.