Latest / Becker’s Healthcare Podcast / Driving Value Through Strategic Supply Chain Leadership at RWJBarnabas Health
Transcript
- 0:00This is Laura Dierda with the Becker's Healthcare
- 0:02podcast. I'm thrilled today to be joined by
- 0:04Bob Taylor, senior vice president and chief supply
- 0:07chain officer at RWJBarnabas
- 0:09Health. Bob, it's a pleasure to have you
- 0:10on the podcast today.
- 0:11Thank you very much, Laura. I appreciate the
- 0:13opportunity.
- 0:14Absolutely.
- 0:15Now I'm excited for our conversation because I
- 0:17know supply chain is a very dynamic space.
- 0:19And especially right now, there's a lot of
- 0:21things happening, within the supply chain function. And
- 0:24so I'm looking forward to learning a little
- 0:25bit more about what you're doing at RWJBarnabas
- 0:28Health as well as how you're thinking about
- 0:29the future. But before we dive in, can
- 0:31you introduce yourself and just tell us a
- 0:33little bit more about the health system?
- 0:35Sure. Absolutely.
- 0:37So Bob Taylor. I have been at RWJBarnabas
- 0:40Health now for approaching ten years in total.
- 0:45And in the industry,
- 0:47kind of a shocking number for me, but
- 0:49I've
- 0:50on my thirty ninth year
- 0:52of health care supply chain
- 0:54and I've worked in a variety of different
- 0:57settings and and locations as far as for
- 1:00profit, not for profit, academic medicine,
- 1:03over the course of my total career.
- 1:06RWJBarnabas
- 1:07Health
- 1:09is the leading health care system
- 1:12in the state of New Jersey.
- 1:13It's a New Jersey is the most densely
- 1:17packed state
- 1:18in the country based on the number of
- 1:21people per square mile
- 1:23and our new VAJBarnabas
- 1:24Health hospitals
- 1:26are located in the northern half of the
- 1:28state, which is the most densely packed portion
- 1:31of the state.
- 1:32So we are in a a very crowded
- 1:34market as far as the number of people
- 1:37and it's a very competitive market with other
- 1:40large health systems
- 1:42that are also in the space in the
- 1:43Northern New Jersey market.
- 1:45At the moment, we are 12 acute care
- 1:48hospitals. We have a specialty
- 1:50children's hospital,
- 1:52a behavioral health hospital,
- 1:55about 400
- 1:57physician practice locations,
- 1:59and a very sizable joint venture,
- 2:02portfolio with many providers across the state of
- 2:05New Jersey.
- 2:07And we are
- 2:08in the process and it has been announced,
- 2:10so it's not confidential
- 2:12of acquiring our thirteenth
- 2:14acute care hospital in the state of New
- 2:17Jersey,
- 2:17which could be,
- 2:19twenty twenty seven when that transaction closes.
- 2:23Wow. That's a a ton of, you know,
- 2:26building and growing that you've been able to
- 2:28do over the last few years and and
- 2:30still for the future. So that's exciting to
- 2:32hear, and I know you have a really
- 2:34great patient population and community that, you know,
- 2:37you are serving in New Jersey. And so,
- 2:39when you think about the last year or
- 2:41so, could you tell me about the most
- 2:42important initiative that you led? What did you
- 2:44do and what were the results?
- 2:46So we've actually had several. I always like
- 2:48to qualify that when I say I may
- 2:50have led an initiative,
- 2:52it's always important to realize that the person
- 2:54at the front doesn't necessarily have,
- 2:57sole and exclusive responsibility
- 2:59nor should they take sole and exclusive,
- 3:01accountability
- 3:02for the results. So we've had a couple
- 3:05of very big initiatives this year that we've
- 3:07worked on in collaboration
- 3:09with the rest of the organization.
- 3:11We have
- 3:13this is in the first year. We have
- 3:15assumed
- 3:16a
- 3:17much more full responsibility
- 3:19for contracting in the IT space
- 3:21and that's been a great partnership with our
- 3:24IT,
- 3:25business partners where we bring the rigor and
- 3:28the contracting diligence that supply chain generally brings
- 3:31to the rest of the organization
- 3:33for supplies and services and equipment.
- 3:36And we have brought that and partnered with
- 3:38IT to put that same rigor in place.
- 3:41And results of this just in the in
- 3:44the past twelve months have been in excess
- 3:46of $10,000,000
- 3:47worth of savings
- 3:49that we've been able to facilitate and help
- 3:52realize for the organization
- 3:54through a much more rigorous and strategic,
- 3:57process of going through the contracting
- 4:00steps.
- 4:01We've also implemented
- 4:02and executed,
- 4:05similar rigor
- 4:06in a lot of our capital investments.
- 4:09So we have
- 4:11standardized many of our capital categories, capital equipment
- 4:15categories across the organization
- 4:17where if we are going to go to
- 4:19the market, we're gonna get a piece of
- 4:20imaging equipment.
- 4:22We have entered into very long term contracts
- 4:25with strategic vendors
- 4:27and suppliers to make sure that we are
- 4:29standardizing
- 4:30our equipment portfolio
- 4:32and we're doing that in exchange for the
- 4:34greatest value
- 4:36that the suppliers are able to offer for
- 4:39that extended and broad commitment.
- 4:42And we are up to probably about 50
- 4:44different categories of capital equipment
- 4:48that we've developed standards and standards range from,
- 4:52vendor specific all the way down to model
- 4:55specific and configuration
- 4:57specific.
- 4:58In some cases, where we have worked with
- 5:00clinicians to develop
- 5:02a standard, for example, for beds and stretchers
- 5:05for the organization
- 5:07in exchange for favorable pricing.
- 5:10And I think the third
- 5:12very large initiative that is still ongoing, it's
- 5:14not completed,
- 5:16but we went through an RFP process
- 5:20and partnered with our group purchasing organization
- 5:23to look at
- 5:24how we might wanna engage
- 5:27with one of the companies in the space
- 5:29to manage support services.
- 5:31So specifically the management of food service, environmental
- 5:35services, and patient transportation,
- 5:37and that was a very long process that
- 5:40culminated in a decision
- 5:43and a preliminary
- 5:45award in December. Now we're going through the
- 5:47implementation process
- 5:49to standardize all of those services
- 5:52into a single relationship with a single industry
- 5:55provider.
- 5:56So I think some of those are some
- 5:58of the biggest
- 5:59notable projects that,
- 6:02either help lead or was at the forefront
- 6:05of bringing forward for the organization.
- 6:08I love that. And it's so apparent that
- 6:11having, you know, those processes in place and
- 6:13and really taking the right kind of rigor
- 6:16into not only the contracts that you're working
- 6:18with, but also
- 6:19any other capital investments have made a big
- 6:21difference,
- 6:22for how, you know, you're able to create
- 6:24savings for the health system overall and then
- 6:26create better processes and procedures. I think, you
- 6:29know, when you're looking at those two things,
- 6:32and as you mentioned at the beginning, you
- 6:34know, all of them are are team and
- 6:35group efforts.
- 6:36How do you really begin the process of
- 6:39start planning and then, you know, actually go
- 6:42to implementation of standardizing these types of things?
- 6:46What do you have to
- 6:48figure out with your broader executive team and
- 6:50what discussions are important to have at that
- 6:51level before actually,
- 6:53jumping in and making some of these changes?
- 6:56The first thing I think we've learned over
- 6:58time
- 6:59is we have to be very, very connected
- 7:01to the business partners and the business owners.
- 7:04So supply chain
- 7:05is
- 7:06a
- 7:07serves a very key role for the organization,
- 7:10but I think the most effective supply chain
- 7:13is the one that is partnered with the
- 7:15business owners who are ultimately the experts.
- 7:18They're the folks that know the most about
- 7:21either the technology, the software, the solution, whatever
- 7:24it is that we may be looking to
- 7:26acquire.
- 7:27And they're also the ones that once the
- 7:29decision has been made
- 7:31and a contract has been executed, we'll be
- 7:35using the equipment software
- 7:37or supply for the ultimate
- 7:40purpose of improving patient care.
- 7:42So I think the partnership is really what
- 7:44has become one of the most important things.
- 7:46It's just making sure that
- 7:48supply chain does not go out contract
- 7:51in a a solo a silo or without
- 7:55the engagement of the business owners. We partner
- 7:57with the business owners
- 7:59to make sure that we're bringing
- 8:01the best terms, conditions, value, and pricing
- 8:04that meets the requirements
- 8:06of the business owners that have helped operate
- 8:09the health care system.
- 8:12Yeah. That's helpful to understand and, you know,
- 8:14what a great point, when you're thinking about
- 8:16the organization on the whole. Now looking ahead,
- 8:19what are some of the biggest priorities as
- 8:20well as headwinds that you're focused on for
- 8:222026?
- 8:24So I think from priorities and headwinds, I
- 8:26did mention that we will have a thirteenth
- 8:28hospital coming into the system probably very late
- 8:31this year. We'll begin a lot of the
- 8:32planning process. We still have to get through
- 8:35some of the legal preamble work that has
- 8:37to be conducted for that to be an
- 8:39approved transaction.
- 8:41I think the other priorities and this is
- 8:44becoming a little bit more interesting, I think,
- 8:46for the supply chain is to become more
- 8:48proactive.
- 8:49So a lot of this is now looking
- 8:52to out
- 8:53and not necessarily
- 8:55reacting
- 8:56to either supplier proposals or
- 9:00reacting to
- 9:03past events, but really trying to be proactive
- 9:06and look at forward events.
- 9:08So an example would be there's been a
- 9:09lot of press lately, a lot of information
- 9:12in the news. Everybody's aware about
- 9:15tariffs coming into place and
- 9:17coupled with that are the increase in the
- 9:21build out of,
- 9:23data centers
- 9:24mostly for artificial intelligence, which is now creating
- 9:27a strain
- 9:28on the supply chain
- 9:30for those particular assets. So
- 9:33now we're starting to have conversations
- 9:35about what does the future look like, what
- 9:38are our anticipated needs,
- 9:41And do we need to be a little
- 9:42bit more proactive and forward looking about making
- 9:45those acquisitions now to support
- 9:48our technology needs, for example,
- 9:51in light of the expectation of tightening in
- 9:53the market both in
- 9:55availability and then increases in price just because
- 9:58of the normal supply and demand reaction.
- 10:01So I think that that's gonna be one
- 10:03of the bigger areas of focus.
- 10:06And then I think the other one and
- 10:08probably everybody
- 10:09looks at this is artificial intelligence.
- 10:12It's it's a buzzword.
- 10:14I think we have a lot of automation
- 10:16that we have deployed. I don't know if
- 10:17I would always categorize it as artificial intelligence.
- 10:21Sometimes it's just spot automation,
- 10:23But I think looking for how can artificial
- 10:26intelligence be applied meaningful
- 10:29or in a meaningful way for supply chain
- 10:31to drive
- 10:32efficiency and value for the organization. So I
- 10:35think those are some of the bigger things
- 10:36we'll focus on this year.
- 10:39Absolutely. I think that makes a lot of
- 10:40sense. I mean, you'll fascinating to hear about
- 10:42that,
- 10:43discussion around, you know, the supply chain on
- 10:45the technology side and how you're trying to
- 10:47grow,
- 10:48the technology business, but also seeing potentially some
- 10:51of those shortages come up, for the materials
- 10:53you need in in that space, for example,
- 10:56with the data centers or other,
- 10:58technologies. Can you just for a moment,
- 11:00talk a little bit more about that? What
- 11:02are some of the,
- 11:04materials or supplies that you're focused most on?
- 11:06You know, what are some of the the
- 11:08areas that you think you'll be, potentially purchasing
- 11:11more of this year as you're anticipating,
- 11:14you know, potential shortages or tariffs for the
- 11:16future?
- 11:17So I think some of it, is still
- 11:19an evolving
- 11:21agenda for us. We did make some commitments
- 11:23in the imaging space,
- 11:25in order to head off and
- 11:28forego future price increases with our imaging partner.
- 11:31We're looking to expand that with a second
- 11:33imaging partner in a different space where we
- 11:36can make some longer term commitments
- 11:39with a little bit more specificity
- 11:42and a little bit more of upfront commitment
- 11:45that may span several years
- 11:47in order to
- 11:48negotiate more favorable terms and pricing.
- 11:52A lot of this is I think generated
- 11:54by looking at just what's in the news
- 11:57and taking advantage of whether it's Wall Street
- 12:00Journal or some of the some of the
- 12:02other publications that are out there that provide
- 12:05insight that
- 12:07can now be gleaned in order to
- 12:10determine how that's gonna impact us so that
- 12:12we can be in front of it rather
- 12:14than reacting to it as an organization.
- 12:17So I think those are some some of
- 12:19the the best things we can be doing
- 12:21looking forward.
- 12:23Got it. That's helpful to understand. Thank you
- 12:25so much for explaining a little bit deeper
- 12:28there. Now what do you think the hardest
- 12:30thing you'll have to do in the coming
- 12:31year will be?
- 12:33So I think health care is interesting because,
- 12:35health care is never an easy year
- 12:38and the agendas may change a little bit
- 12:40from year to year, but I think we
- 12:42continue as the supply chain to look for
- 12:44ways to drive value for the organization.
- 12:47And I do use the word value as
- 12:49opposed to savings because savings
- 12:52is a a very thin arc. It's important,
- 12:55but it's not the totality of what we
- 12:57do. So the partnership with the clinicians in
- 13:00order to
- 13:01make better choices
- 13:03as in the aggregate for the care of
- 13:05the patients, partner with the business owners, and
- 13:07I think the the continuation
- 13:09of needing to drive that value for the
- 13:12organization
- 13:14while we have some of the other,
- 13:17activities that take place such as the acquisition
- 13:19and the m and a activity that's pending
- 13:22is gonna be some of the harder things
- 13:23that we have to do this year. It
- 13:25it does not get easier in this industry.
- 13:28Every year, it tends to get a little
- 13:29bit more challenging and the
- 13:31headwinds and the economic headwinds that we talk
- 13:34about
- 13:35for health care are also experienced
- 13:38by our key providers.
- 13:40So we have a lot of our external
- 13:43business partners
- 13:44have similar headwinds,
- 13:46and trying to find ways to create value
- 13:49collectively
- 13:51leads towards, a more strategic approach in those
- 13:54relationships.
- 13:56That makes a lot of sense, and I
- 13:57I think it's so helpful to have those
- 14:00strong relationships and be able to withstand,
- 14:03any kind of changes or,
- 14:06policy shifts that come our way. And I
- 14:08think especially,
- 14:09for a team like yours on the supply
- 14:11chain side, you know, I can imagine over
- 14:13the last several years, they've really grown to
- 14:15learn that nimbleness, flexibility, and resilience.
- 14:19How do you see those coming through in
- 14:21your leadership style? Is there anything that you're
- 14:22planning to do differently as you're heading into
- 14:24this next
- 14:26year? The supply chain here has grown pretty
- 14:28substantially over the past ten years. So I
- 14:30think we would look to figure out how
- 14:32can we continue to grow the team and
- 14:35drive value. Those two things come together because
- 14:37in order for us to grow the team,
- 14:39we have to have
- 14:41a return to the organization for that financial
- 14:43commitment.
- 14:45So I think those would be some of
- 14:46the things that we look for over the
- 14:48course of the year. I think we're always
- 14:49looking for ways how we can better partner
- 14:52with the business owners across the organization.
- 14:56Like many organizations as well, we focus on
- 14:58patient satisfaction. We look at employee satisfaction
- 15:02because those are key indicators
- 15:04for us and for what's going to drive
- 15:07improved quality, improved outcomes,
- 15:10and retention of our staff. So I think
- 15:12this is a
- 15:13pretty broad balance and a balanced scorecard type
- 15:16of an approach
- 15:18of where we need to focus all of
- 15:20our leadership activity. It's not just in a
- 15:22single area.
- 15:25Got it. And that is helpful and definitely
- 15:27makes a lot of sense. Now before we
- 15:29wrap up here, I wanted to talk about
- 15:30growth. Where do you see some of the
- 15:32best opportunities
- 15:33for growth within the supply chain? I know
- 15:35you've mentioned continuing to
- 15:37grow, in terms of your teams and how
- 15:40you add value.
- 15:41What does that look like for you in
- 15:42the next couple of years?
- 15:45I think growth in the supply chain, in
- 15:47many cases, predicated on, growth across the organization.
- 15:50So I think we continue to look for
- 15:53how we can leverage and aggregate
- 15:55all of the volume across the health system,
- 15:57the vendor relationships along with the internal business
- 16:00relationships
- 16:02and look for those ways where value is
- 16:04created
- 16:05And it's not just gonna be created through
- 16:07approved pricing. That's obviously one of the most
- 16:10tangible things that we look at,
- 16:12but it's also improving business processes, clinical care,
- 16:16and in some cases that may mean deeper
- 16:19partnerships with existing suppliers and in some cases
- 16:22that may mean new relationships
- 16:24with new suppliers.
- 16:26And I think that's what we'll work through
- 16:28over probably a never ending basis
- 16:31to try to advance the supply chain specifically
- 16:34here at RWJBarnabas.
- 16:37Fantastic. Bam, thank you so much for joining
- 16:39us on the podcast today. This has been
- 16:41a really fascinating conversation, and I look forward
- 16:43to connecting with you again soon. And I
- 16:45know that you'll be speaking at our annual
- 16:47meeting in April, and I'm excited to see
- 16:50you in person there. I think there'll be
- 16:52just so much to talk about it and
- 16:53many teams to continue to dig deeper into
- 16:55and, talk through. So I'm looking forward to
- 16:58that and, really just being able to to
- 17:01learn more from what you're doing at RWJ
- 17:02Bar Mitz Health.
- 17:04Very good. And I very much appreciate the
- 17:05opportunity to talk to you and share a
- 17:07little bit about what we're doing.