Latest / Becker’s Healthcare - Clinical Leadership Podcast / Dr. Hoda Asmar, System Chief Clinical Officer of Clinical Enterprise at Providence
Transcript
- 0:00- This is Laura Dedo with the Becker's Healthcare Podcast.
- 0:03I'm thrilled today to be joined by Dr.
- 0:05Hoda Asmar system Chief Clinical Officer at Providence. Dr.
- 0:09Asmar, it's a pleasure to have you on the podcast today.
- 0:13- Good morning, Laura. It's, um, uh, great to talk to you
- 0:17and be able to join you this morning.
- 0:20- Now I'm looking forward to our conversation
- 0:22and really learning more about how you're looking at growth
- 0:25and development for Providence's clinical teams.
- 0:27But before we dive into my broader discussion,
- 0:30can you tell us a little bit more
- 0:31about yourself and your background?
- 0:33I know you've had a fascinating, uh, career,
- 0:35and so I'm looking forward to making sure you're able
- 0:37to share that with our audience too.
- 0:40- Great. Uh, so, uh,
- 0:42I'm currently the Chief Clinical Officer
- 0:44for Providence Health.
- 0:45I've been with Providence for a few years,
- 0:48and I'd love to talk a little bit about Providence.
- 0:51Um, is, um, it's a, um, a faith-based organization.
- 0:55And, uh, we, um, our operation span seven states,
- 1:00and we cover the entire spectrum
- 1:02of the care delivery and beyond.
- 1:04My personal background, um,
- 1:07as a clinician is infectious disease,
- 1:10and I'm someone who started, um,
- 1:12originally in my training in the Middle East
- 1:15and, um, did few years in Europe, in France
- 1:18before coming to the US
- 1:19and finishing, um, my, um, clinical training
- 1:23and got into leadership roles a little bit by accident.
- 1:27You know, people ask you to do things and you say yes,
- 1:29and then you say yes, and things start moving.
- 1:32But I have held several leadership roles in, um, uh,
- 1:37different provider based organizations,
- 1:39but also with private equity,
- 1:41pharmacy management and public health.
- 1:43Um, I would say my focus is always on
- 1:48who benefits from our work, which is the patients
- 1:51and our communities.
- 1:52So patient outcomes, a clinical
- 1:54and operational transformation,
- 1:56and making sure that we are caring, uh, for the people
- 2:00who deliver care, our physicians, our clinicians,
- 2:03and our caregivers.
- 2:07- That's amazing to hear,
- 2:08and certainly a, a great way to, um, look at your role in
- 2:12what you're doing, no matter what type
- 2:13of organization you're working in.
- 2:16Now, considering your role
- 2:17as the system chief clinical officer at Providence,
- 2:20what are some of the biggest issues
- 2:21that you're following in healthcare for 2024?
- 2:25- Um, you know, there is a lot happening
- 2:28and, uh, you know, many of us have for post pandemic,
- 2:32the pandemic and post pandemic world,
- 2:33but I would, I would say there are two angles
- 2:37or two ways of thinking of all the issues we are facing.
- 2:41And I see some of the issues, you know,
- 2:43how opportunities come in, challenges, some
- 2:45of it we may see it as maybe has a negative angle,
- 2:48but I see a lot of positive and opportunity for change.
- 2:52So the two things are the future of care models.
- 2:56Um, the thinking is we want to transform our future
- 3:01and transform the care models
- 3:03and move away from traditional thinking
- 3:06with a focus on giving the patients and the clinicians
- 3:11and caregivers choice, autonomy and control.
- 3:13I think some of the dynamics related to workforce
- 3:17that started during the pandemic is continuing to be present
- 3:21labor challenges set in very specific shortages
- 3:24and some clinical areas.
- 3:26We are seeing a workforce that is more vocal in a good way,
- 3:30wanting to partner, wanting things
- 3:32that are different at the same time.
- 3:36Also for the first time,
- 3:38I think we are at this great juncture
- 3:41where I am sensing technology
- 3:44and generative AI may play a bigger role
- 3:48in how we do things.
- 3:49So in summary, the future of care models,
- 3:51but with a very specific thinking of
- 3:55how is it gonna improve patient outcomes,
- 3:58how is it gonna benefit the patients and the communities
- 4:01and our physicians, clinicians
- 4:03and caregivers, which is very, very important to me.
- 4:07The second big issue is the sustainability
- 4:10of the current healthcare ecosystem.
- 4:13So this is not just a financial sustainability.
- 4:16We see a lot in the healthcare news about
- 4:19the financial challenges many provider systems are facing,
- 4:23but I see it as a bigger issue of
- 4:25where we want this health system to be as an ecosystem,
- 4:29not just providence as provider side
- 4:32and how we gonna assure that financial,
- 4:34but also outcome sustainability.
- 4:36How we gonna address some of the things we identified
- 4:39as priorities during the pandemic, such as health equity,
- 4:44also societal impact.
- 4:45So these are the two issues I'm always focused on,
- 4:48and I think of my action plans
- 4:51and how my team delivers the work is,
- 4:54are we addressing these two issues?
- 4:58- That's such a great point,
- 4:59and certainly, you know, fascinating to think through
- 5:02what all of this change means
- 5:04and how care transformation is happening, especially
- 5:06as you talked about through, uh, technology, generative ai,
- 5:10and then some of the different, um,
- 5:12shifts within the workforce.
- 5:13So that, that's really interesting.
- 5:15Um, how are you thinking about growth
- 5:17and modernization of Providence's
- 5:19clinical team specifically?
- 5:22- Um, for me, growth, there is two angles of it.
- 5:26Um, as a faith-based system that is
- 5:30approaching two centuries of history, um,
- 5:34the sister founders, um, started about 175 years ago.
- 5:38Uh, the origins, um, the first sites of our system.
- 5:42So I see growers as significantly connected to our mission.
- 5:45So our mission is to serve all,
- 5:47especially the poor and vulnerable.
- 5:50So I see growth as a prerequisite to live our mission
- 5:54because we wanna continue to serve, serve more patients,
- 5:58serve more people in need, serve more communities,
- 6:01and expand how we deliver care
- 6:03for our current, uh, communities.
- 6:05So that commitment is very important to see the growth
- 6:08for us to that commitment and that mission lens.
- 6:12Then there is, um, how I think of growth as a leader.
- 6:16To me, growth helps to thrive not just
- 6:20to survive, but to thrive.
- 6:21It brings new ideas, new concept, new talent,
- 6:25it challenges the status quo,
- 6:27and it's like an engine that keeps running and self charges.
- 6:31So to me, it's very important for us as an organization
- 6:34to always think about that and have very specific plan
- 6:38and work towards growth.
- 6:40On the modernization, it's a little bit connected to
- 6:43what I talked about earlier on the future
- 6:46of care models modernization.
- 6:49I put under it there is the transformation
- 6:52of the clinical operations,
- 6:54but also the role of automation, the role of ai, the role
- 6:58of new discoveries, again, with the goal is
- 7:02what is the impact?
- 7:03It's not technology for the sake of technology.
- 7:06It's for example, technology to reduce waste, to simplify,
- 7:09to create better access, better experience, better outcome,
- 7:15and to truly help our clinicians, physicians workforce
- 7:20to be able to continue to deliver the care
- 7:22and feel that we are taking care of them
- 7:25and reducing the burden on them.
- 7:27So it's connected in that way, that way.
- 7:30And again, that filter off modernization to have a bigger,
- 7:34more important impact on what matters most to our patients
- 7:38and our clinicians and caregivers.
- 7:42- Fantastic. Keeping, keeping those patients, clinicians,
- 7:45caregivers front
- 7:46and center, um, seems to make a lot of sense
- 7:48and certainly I know it's not an easy task to, um, make some
- 7:52of those transformational changes in the modernization
- 7:55and really reconfiguring
- 7:56how we're thinking about healthcare delivery,
- 7:58but certainly rewarding.
- 8:00What are you most excited about
- 8:02for the next year and what makes you nervous? I
- 8:05- Would say I'm always excited about our work
- 8:07on quality and safety.
- 8:09Um, we, we are always scanning the environment
- 8:13for our opportunity to improve.
- 8:15We're very focused on chasing zero harm,
- 8:18on reducing mortality,
- 8:19and we have done a great work in the space of reducing, uh,
- 8:24mortality related to sepsis.
- 8:26We are reducing hospital acquired infection,
- 8:29hospital hospital acquired complications,
- 8:31and we continue on that journey.
- 8:33So, to me, every time I look our at our trajectory,
- 8:36our results, what we have done and what we are planning
- 8:39and where we are going, it's, it's a lot of excitement
- 8:42and lots of gratitude to all the people
- 8:44who focus on quality and safety.
- 8:46Um, the other thing is, um, you know,
- 8:49we talked a little bit about growth.
- 8:51The second thing we are doing some interesting work
- 8:53in the surgery space.
- 8:55Peri-op space, again, focusing on that modernization
- 9:00automation and empowering, um, our clinicians
- 9:04and adding tools.
- 9:06Uh, so we just with in the middle of implementing a,
- 9:09an AI tool in the surgical space that gives, uh,
- 9:14our surgeons and their teams
- 9:16and our patients an easier way to access us
- 9:19and choose us as a place where they wanna have,
- 9:22um, their surgeries.
- 9:24The third thing is, um, the core caring virtual care model.
- 9:29So we, we've been hearing a lot about different systems,
- 9:32different providers engaging in virtual care model.
- 9:35Our model, we tested it last year with the great results.
- 9:39So this is a combination of the care team on the unit,
- 9:43but in addition supported by other members
- 9:46of the care team 24 7 virtually.
- 9:49And it's a model that was developed
- 9:51by the care team in the frontline,
- 9:54and we are now expanding it.
- 9:56So by the end of this year, we'll have, uh, close
- 9:59to 35 units, uh, with that model.
- 10:02And, uh, we are monitoring the results
- 10:04and we are very pleased with the progress As far
- 10:07as being nervous, um, I'm someone who has to admit that
- 10:11I don't get nervous much,
- 10:13but I do have a little bit of an anxiety about the role
- 10:18of technology and also in particular ai.
- 10:21Um, so I'm someone who just stated, I want to progress,
- 10:24I want transformation.
- 10:26Uh, I definitely wouldn't suggest we need
- 10:29to stifle pro progress,
- 10:31but I worry about how we can address the governance
- 10:36around ethics, um, around decision making,
- 10:39about who's gonna drive the AI and who's gonna benefit,
- 10:42and are we gonna have the scientific rigor,
- 10:45and again, are we gonna focus on advancing technology
- 10:50and AI in a way that has had the direct impact on patient
- 10:54outcomes, which is the most important
- 10:57element in the work I do.
- 10:58So I feel, um, part of my commitment, part of my anxiety is
- 11:03around how we can, uh, manage and govern
- 11:06and address the progress in that space.
- 11:10- Well, that's such a great point,
- 11:12and certainly having that mindful implementation
- 11:15of technology and artificial intelligence is so important.
- 11:18You know, healthcare, um, can stand, um, to,
- 11:21to have too many issues, you know, with that kind of thing.
- 11:25And so I, I love the way you put that
- 11:26and really stated it simply,
- 11:28but also helpfully in terms of, you know, wanting
- 11:31to move forward, making sure that we're continuing
- 11:33to look at, uh, helpful advancements,
- 11:35but also being mindful about that.
- 11:37Um, before we wrap up here, we've talked about a lot
- 11:40of changes in the healthcare space, whether it's related
- 11:42to technology or,
- 11:43or patient expectations in, in other issues.
- 11:46What do you feel that most effective healthcare leaders will
- 11:49need in order to be successful over the next two
- 11:51to three years as the healthcare industry changes?
- 11:55- I think there is two things I I think of,
- 11:58and then maybe one more of a, of a caution.
- 12:01The third element. So, um,
- 12:03I call it being a challenger spirit.
- 12:06Um, someone who also has a flexible mindset,
- 12:10a challenger spirit in the sense, um,
- 12:13challenging the status quo, asking difficult questions, uh,
- 12:16being open to new ideas, new ways of doing things
- 12:20that we wanna take, um, our healthcare system, uh,
- 12:24as a nation somewhere better.
- 12:26Um, somewhere where we potentially could face the next big
- 12:31pandemic or the next big thing.
- 12:33Um, the second thing is, um, focus on partnerships.
- 12:38For us to be able, for all of us in any role we are, this is
- 12:41beyond the provider role, to be able to move onto
- 12:45that future and have really transformational,
- 12:49um, a change.
- 12:50It's very important to partner, uh, partner with others
- 12:54and people who come from maybe different angles, partner
- 12:56with our workforce, partner with our physicians,
- 12:59with those two lenses of the patients and the impact
- 13:02and the care team and the clinicians.
- 13:05And last, I would say the caution,
- 13:07which I touched base on earlier, is, um, I would say
- 13:12do not underestimate the role of technology in AI
- 13:17and make the commitment to understand, educate yourself
- 13:21and engage in it a deeper level so we can understand
- 13:24and we can guide, um, that progress
- 13:27and make sure it's delivering on the set promises,
- 13:31uh, of that progress.
- 13:36- What a great reminder
- 13:37and certainly I love all the things you mentioned, having
- 13:39that flexible mindset, but then also challenging status quo
- 13:42to really make healthcare better, having the partnerships,
- 13:45um, and evolving those partnerships and being creative.
- 13:48And then two, not underestimating technology
- 13:51and AI for what the potential could be.
- 13:53Dr. Asmar, thank you so much for joining us, um,
- 13:55on the podcast today.
- 13:56This has been such a fascinating and helpful conversation
- 13:59and I look forward to connecting with you again soon.
- 14:02- Thank you very much. Thank you.
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