Latest / Becker’s Healthcare Podcast / Stabilizing Operations and Workforce at Henry Ford Health with Emily Moorhead
Transcript
- 0:01This 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
- 0:10speakers to Chicago, April 13 through the sixteenth.
- 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,
- 0:22visit beckershospitalreview.com
- 0:25and click on the events tab in the
- 0:26upper right. We're looking forward to hosting you
- 0:29in Chicago.
- 0:31This is Laura Dierda with the Becker's Healthcare
- 0:34Podcast. I'm thrilled today to be joined by
- 0:36Emily Moorhead, president of the Macomb Market at
- 0:38Henry Ford Health. Emily, it's a pleasure to
- 0:40have you on the podcast today. Thank you
- 0:42so much, Laura. It's a pleasure being
- 0:44here. Absolutely. Now this is an exciting, time
- 0:47in health care right now. I know there's
- 0:49a lot going on. I'm particularly looking forward
- 0:51to our conversation because,
- 0:53getting your perspective on some of the cool
- 0:54things you're doing at Henry Ford as well
- 0:56as
- 1:01how you're thinking about the future will be,
- 1:01really, really beneficial for our broader audience. But
- 1:01before we dive in, can you tell us
- 1:03just a little bit more about yourself and
- 1:04the health system?
- 1:06Yeah. I would love to. So I'm the
- 1:08president of Henry Ford Macomb, as you stated,
- 1:11which is a large tertiary hub within the
- 1:14Henry Ford health system in Southeastern Michigan.
- 1:17We're actually one of the fastest growing counties
- 1:21in Michigan. So Macomb County actually has 11
- 1:24people moving into the county
- 1:26every single day.
- 1:28So it's a very fast growing county.
- 1:31It's the third largest in Michigan,
- 1:34and we really have a
- 1:36highly diverse population.
- 1:39So the Macomb market, I'm responsible
- 1:42for a full range of acute and ambulatory
- 1:45services here.
- 1:47And, I've been with the health system for,
- 1:50gosh, it's been over six years now. I've
- 1:53only been at the Macomb market and servicing
- 1:55Macomb for the last six months.
- 1:58Prior to that, I had the honor and
- 2:00privilege of serving as the president of the
- 2:03Jackson market in Jackson, Michigan,
- 2:05which is more South Central Michigan,
- 2:09but also with Henry Ford. So it's an
- 2:11absolute pleasure. It's a wonderful organization, and it's
- 2:14a a true honor to to have this
- 2:16opportunity to serve this population.
- 2:19That makes a lot of sense. And, you
- 2:20know, it's, so incredible to have that kind
- 2:23of community around you, and I can imagine
- 2:25a lot of the folks,
- 2:26living with the community and grow up there,
- 2:29end up working at the hospital and caring
- 2:31for their own neighbors and community members, which
- 2:33is always such a special culture to be
- 2:35able to build.
- 2:36Oh, you you hit the nail on the
- 2:38head. That is definitely something that is very
- 2:40special.
- 2:42Macomb seems although it's a little bit more
- 2:44of an urban population than what I served
- 2:47in Jackson, Michigan, which was a little bit
- 2:49more rural,
- 2:51similar culture,
- 2:52like you said, where you have people that
- 2:55are servicing
- 2:56a a community that they live in and
- 2:58they play in. And so it's their friends,
- 3:00their neighbors,
- 3:02and it it's really a tight knit team.
- 3:05It's it's definitely not a job. It's more
- 3:07of a calling.
- 3:09Absolutely. And it's so is so much of
- 3:11health care. Now when you think about the
- 3:13last year or so, could you tell us
- 3:14about an initiative that you led? What did
- 3:16you do, and what were the results?
- 3:18Oh, goodness. Yes.
- 3:20You know, I think the most impactful initiative,
- 3:24and it's it's not over. It's gonna be
- 3:26continuing into 2026,
- 3:28is really more on the operational
- 3:31stabilization.
- 3:33And I'm gonna add another one around workforce
- 3:35stabilization
- 3:36and and workforce sustainability.
- 3:39We really do need to do a reset
- 3:42in health care. We we have a lot
- 3:44of burnout.
- 3:45There's inconsistency.
- 3:47I think
- 3:48prior to us starting, we were talking a
- 3:50little bit about all the headwinds that health
- 3:53care is experiencing right now. And just that
- 3:56lack of clarity around priorities,
- 4:00is definitely something that I've I've had to
- 4:03slow down to speed up, if you will,
- 4:05in the last year where
- 4:08we need to take a step back. We
- 4:09really need to make sure that we're working
- 4:12on the right things,
- 4:13that
- 4:14we're okay with saying, okay. We can't do
- 4:17that right now. We're gonna put that on
- 4:19the back burner so that we can really
- 4:21stay focused
- 4:22on the things that are really gonna make
- 4:24an impact,
- 4:26around staffing, throughput,
- 4:28discharge processes,
- 4:30and really creating that leadership
- 4:33sustainability
- 4:34and that leadership visibility,
- 4:36so that frontline teams feel supported.
- 4:40And, we can make sure that we stop
- 4:42the the turnover rates,
- 4:45that health care has been experiencing in recent
- 4:47years and and really create more,
- 4:50retention and cultures of belonging.
- 4:53I love that. And I think it's so
- 4:54critical to have that type of mindset when
- 4:57you're thinking about the workforce and when there's
- 4:59so many stressors out there today,
- 5:01and especially
- 5:02not only for clinicians and others when they're
- 5:05thinking about caring for patients, but also just
- 5:07knowing how much is changing about the workforce
- 5:09and how work is done in the health
- 5:11care space, I can imagine it's a lot
- 5:13to take in. And so when you are
- 5:15taking that lens and trying to build in
- 5:17some additional,
- 5:19ways to support the frontline teams and and,
- 5:22stop some of the turnover,
- 5:24how do you see yourselves doing that, or
- 5:26what's been the most successful ways? You know,
- 5:28how can you
- 5:29obviously build the culture that you want, but
- 5:31at the same time,
- 5:32change
- 5:33with the times and leveraging all the different
- 5:36opportunities and possibilities to keep the right access
- 5:38to care and quality and all those kinds
- 5:40of things for patients?
- 5:42Yeah. I I think really a focus on
- 5:44metrics,
- 5:46and making sure that we're heading in the
- 5:48right direction
- 5:49and being okay to even celebrate our failures.
- 5:52Right? If if something's not working around our
- 5:56throughput process, for example, we have to
- 5:59be courageous
- 6:01in our leadership,
- 6:02from my level all the way down to
- 6:05the supervisory
- 6:07level
- 6:07to take a step back and say, hold
- 6:09on. Something's not working, and we're gonna have
- 6:12to tweak that.
- 6:13You know, I think the engagement and the
- 6:15belonging scores has been a huge focus,
- 6:19you know, not just in the last year,
- 6:21but definitely
- 6:22in the last year and and definitely into
- 6:242026.
- 6:25Really slimming down those initiatives
- 6:27and making sure that we're not jumping to
- 6:30the next shiny thing, that we're not getting
- 6:32too distracted with everything that's hitting us. It's
- 6:35really easy to
- 6:37get very busy. You'll see my air quotes,
- 6:40if we're on video,
- 6:42but not necessarily
- 6:44making progress. That's why we need to have
- 6:47clear measures
- 6:49of outcomes,
- 6:50and really making sure that there's clear ownership
- 6:53as well.
- 6:55There's nothing worse than when you think that
- 6:57somebody's got the ball and is is running
- 6:59towards,
- 7:01some improvement opportunities. And then the next meeting
- 7:04comes around and everybody's looking and and saying,
- 7:06oh, yeah. We should do that. And and
- 7:08nobody's actually owned it. So really making sure
- 7:10that we're getting back to the basics of
- 7:13who's owning what, how are we gonna measure
- 7:15success,
- 7:16and making sure that we're also circling back
- 7:18and celebrating those successes. As minute as they
- 7:22are, baby steps is still progress.
- 7:24So we have to make sure that we're
- 7:26celebrating the things that we're doing,
- 7:29around the patient experience, around staff engagement,
- 7:32really making sure that people are feeling supported,
- 7:36and empowered
- 7:37to stop the line, to say, hey. This
- 7:40isn't working the way that we thought it
- 7:42was going to, and that's okay, and let's
- 7:44tweak along the way as we go.
- 7:47I think we need to get more nimble
- 7:49in health care, and that's something that we're
- 7:50really working on here.
- 7:52That makes a lot of sense, and I
- 7:54appreciate you, you know, explaining that a little
- 7:56bit further and helping us understand, you know,
- 7:58how, you're you're thinking through these things and
- 8:01what, is gonna make a difference for 2026.
- 8:03And speaking of that, I know you mentioned
- 8:06some big headwinds ahead.
- 8:08Which ones are you most focused on? What
- 8:09are your top priorities? How are you thinking
- 8:11about the next year?
- 8:13Yeah. I would say it kinda
- 8:15boils down to three main things, or I
- 8:18will boil it down to three main things,
- 8:20which, you know, number one has to be
- 8:22financial
- 8:23sustainability.
- 8:24The headwinds around
- 8:26reimbursement trends and,
- 8:29access and insurance,
- 8:32accessibility,
- 8:34health care navigation and access, we have to
- 8:36be financially sustainable. So that's number one.
- 8:40That workforce resilience
- 8:41and in workforce retention,
- 8:44we really need to make sure that we
- 8:47have a stable workforce,
- 8:49in the years ahead.
- 8:51And then I would just say execution discipline,
- 8:54really making sure that we have clear owners,
- 8:57clear measures,
- 8:58not too many initiatives that we're we're making
- 9:01sure that we're prioritizing
- 9:03appropriately.
- 9:04You know, I think that
- 9:06oftentimes
- 9:07when we look at our cost models,
- 9:10they're misaligned.
- 9:12Labor and supply costs are continuing to rise,
- 9:15and yet the reimbursement
- 9:17lags.
- 9:18And then, you know, patient
- 9:20expectations are continuing
- 9:21to change,
- 9:23in the years ahead.
- 9:25The the health care model
- 9:27of the past of the traditionalist and the
- 9:30baby boomer boomers is shifting,
- 9:34with different expectations of our consumers, and and
- 9:37we need to be nimble and
- 9:39evolve with that.
- 9:41Absolutely. And that's such a great point because
- 9:43I think, you know, when you look at
- 9:44the
- 9:45side of it when,
- 9:47you know, there's the patient
- 9:48expectations, the health care consumer trying to understand
- 9:51what this, you know, next generations of of
- 9:54high consumers and their families, quite frankly, are
- 9:56gonna want and need from their health care
- 9:58space.
- 9:59How do you make those evolutions,
- 10:02match up within, you know, looking ahead, like,
- 10:05to those plans, but then knowing kind of
- 10:07the financial constraints that exist today and the
- 10:10the potential challenges that are ahead,
- 10:13and and just being smart about resource allocation.
- 10:15I think that's one of the things that
- 10:17comes up time and time and again when
- 10:18I'm speaking with leaders. And so how do
- 10:21you keep your teams grounded,
- 10:24but also, you know, making sure that you're
- 10:26not getting,
- 10:27stuck into the past or or a place
- 10:29where, you know, you're gonna be left behind,
- 10:32as health care continues to evolve.
- 10:34Yeah. Yeah. Gosh.
- 10:36And I I think it's a it's a
- 10:38big challenge,
- 10:40and we're gonna have to
- 10:42reassess
- 10:43constantly because
- 10:45driving
- 10:46productivity
- 10:48by asking to do more with less, it
- 10:51it just isn't gonna work. And we're seeing
- 10:54that, and that's why the high burnout and
- 10:56the high turnover rates,
- 10:58that we've been battling for years. So it's
- 11:01really around smarter care models.
- 11:03In my mind that we are consistently
- 11:07reassessing
- 11:08the way that we're doing the work,
- 11:10This means everything from, do we have the
- 11:13right skill set
- 11:15in the right roles?
- 11:17When we have attrition and retirements,
- 11:20it's a wonderful time to take a step
- 11:21back and say, instead of just replacing that
- 11:24position as is,
- 11:26do we need a different level?
- 11:28Do we need an a
- 11:31an advanced practice practitioner to replace a physician,
- 11:35or do we need a physician to replace
- 11:37the advanced practice practitioner,
- 11:40because we're seeing different disease states or, an
- 11:43aging population or different disparities of care.
- 11:47I really think that we need to start
- 11:51tackling
- 11:52avoidable variation.
- 11:55There's there's waste in health care.
- 11:57We
- 11:59need to make sure that we're being courageous
- 12:02leaders,
- 12:03in our organizations
- 12:04and saying,
- 12:06do we really need to be doing that
- 12:07test every
- 12:09day or every four hours?
- 12:11Is there
- 12:13different ways that we can be utilizing our
- 12:15resources?
- 12:16Is that test going to change the diagnosis
- 12:19or the treatment plan?
- 12:21And not just checking the box because we've
- 12:24always done it. I think that we need
- 12:26to be asking ourselves why
- 12:28are we doing this,
- 12:30who's doing the work,
- 12:32and then, you know, making sure it's not
- 12:34a popular thing for a hospital president to
- 12:37say. But
- 12:38we really want to make sure that people
- 12:41are getting care in the right location,
- 12:44which oftentimes, unless you're really sick and need
- 12:48ICU care or surgery
- 12:50or there's been a trauma,
- 12:52we really need to be driving more access
- 12:54to the outpatient world, which is the lower
- 12:57cost
- 12:58place to be getting your care anyway.
- 13:01How do we start leveraging the home environment
- 13:04more, leveraging technology with with telehealth,
- 13:08opportunities
- 13:09and,
- 13:10mail order and people coming into the home
- 13:13as opposed to having to have a lot
- 13:16of expensive bricks and mortar.
- 13:19That is fascinating to hear. And I think,
- 13:21certainly, you know, kind of the age old
- 13:23question,
- 13:24especially in these days is you're trying to
- 13:26figure out how to make the dollar stretch
- 13:28more. You know, it it it almost seems
- 13:30like,
- 13:32just a huge challenge. And then looking at
- 13:34quality of care too, how do you create
- 13:36that access and create that experience that patients
- 13:39want with the same quality,
- 13:41you know,
- 13:42in knowing that the payment might not match
- 13:44up as it did when everything was in
- 13:45the inpatient hospital. So I think that's so
- 13:48critical and and a fascinating kind of,
- 13:51you know,
- 13:52thing that that hospital leaders are having to
- 13:54deal with right now.
- 13:56Mhmm. Absolutely.
- 13:57Absolutely. And, you know, something that definitely comes
- 14:00to mind or it's front and center because
- 14:03earlier today,
- 14:04we had a leadership forum where we were
- 14:09it was it was more of a town
- 14:11hall that was led by our emergency management
- 14:14department,
- 14:15really talking about what are the things that
- 14:17keep you up at night. And a theme,
- 14:20and this is something that definitely makes me
- 14:22toss and turn at night, is around the
- 14:25aggressive patient behaviors that we're seeing.
- 14:29It is rare for a day to go
- 14:31by on our safety huddle not to hear
- 14:34about someone being hurt at work.
- 14:36And those you should be never events.
- 14:40It's never okay to be hurt at work,
- 14:43whether that's a a physical
- 14:46abuse or a verbal abuse or, god forbid,
- 14:50a a a sexual abuse.
- 14:53In our frontline workers
- 14:55are in such a vulnerable space
- 14:58right now,
- 14:59and it's it's something that we heard all
- 15:02departments,
- 15:03all all units.
- 15:05It's on the top of everybody's mind and
- 15:08how to make sure that we're we're creating
- 15:11that zero tolerance
- 15:13environment.
- 15:14Yes. The expectations of our patients are changing,
- 15:17and
- 15:18it's not okay that we're
- 15:20allowing folks to continue to,
- 15:23abuse the people that are caring for them.
- 15:27That's such an excellent point and, you know,
- 15:29very well said. A problem without an easy
- 15:31solution, I know.
- 15:32And, you know, speaking of that, what do
- 15:35you think the hardest thing you'll have to
- 15:36do in the coming year will be?
- 15:38Well, I think definitely addressing that that safety
- 15:42issue.
- 15:44You know, I think we also
- 15:46it it it's difficult decisions. That's what I'll
- 15:49group it into,
- 15:50because there's a lot in that.
- 15:53But we have to be comfortable, and I
- 15:55have to be comfortable making difficult, unpopular
- 15:59decisions.
- 16:00And that's everything from
- 16:02adhering to
- 16:04the administrative
- 16:05discharge policy, for example,
- 16:08in regard
- 16:10to any unacceptable
- 16:11behaviors from our patients.
- 16:13We really need
- 16:15to be able to be courageous and make
- 16:17that difficult decision that unless coming in through
- 16:21the ED,
- 16:22unless a trauma,
- 16:24that patients that have
- 16:26a track record of abuse,
- 16:29are going to have to
- 16:31get help elsewhere.
- 16:33I also think making sure that we're
- 16:36saying, you know, it's we gotta stop doing
- 16:39some things. And it's not because it's not
- 16:41important.
- 16:43It's because we have
- 16:45to
- 16:46prioritize
- 16:47our time, our resources,
- 16:50on things that are gonna give the biggest
- 16:52impact.
- 16:53Now that being said, we also need to
- 16:55keep a a tally and a running list
- 16:57of the things that need to be revisited
- 16:59on a regular basis, but
- 17:01I really think that
- 17:03the difficult decisions,
- 17:06challenging folks of we're not just gonna replace
- 17:09this position because we've always had it. We're
- 17:11not always going to
- 17:13have to provide these services
- 17:16at all of our locations. We're gonna have
- 17:19to make some tough decisions
- 17:21just because of the competency of our staff
- 17:23too.
- 17:24It's the right thing to do.
- 17:27And then, you know, kinda in gauging
- 17:29our
- 17:30community,
- 17:31I was meeting with some community leaders yesterday,
- 17:35and one of the, it was a trusted
- 17:37advisor group that I've set up and
- 17:40different community leaders, political leaders, etcetera.
- 17:44And one of the things that really struck
- 17:46struck me in the conversation
- 17:48was
- 17:49just the lack of trust that people have
- 17:52in health care today,
- 17:54and how do we regain that trust of
- 17:57our consumers
- 17:58and the reputation
- 18:00and making sure that people see us
- 18:03as a
- 18:04a service provider
- 18:05and,
- 18:07a a reliant
- 18:09team, not somebody that,
- 18:12is is being
- 18:13untruthful
- 18:14or,
- 18:16telling you that you need to get surgery
- 18:17when you don't really need surgery.
- 18:20We really need to regain our trust of
- 18:23our communities
- 18:24that we are their partner in health.
- 18:26Fascinating to hear. And, you know, I I
- 18:28think it's such, so interesting to get that,
- 18:31kind of,
- 18:33community focus and community based. I think, you
- 18:35know, when you talk about,
- 18:38being in that position where you have to
- 18:39potentially make cutbacks or do things that,
- 18:43you know,
- 18:44are not,
- 18:45necessarily,
- 18:47exciting for for the broader organization, but will
- 18:50be better to build, you know, the foundation
- 18:52for sustainability
- 18:53moving forward.
- 18:54How do you prepare leaders for that? What's
- 18:56the kind of communication that you have to
- 18:58do,
- 18:59to get ready for those kinds of things,
- 19:02and and try to make it go as
- 19:04smoothly as possible even though it's a, you
- 19:06know, a big challenge and and something that
- 19:08so many hospitals and systems are facing today.
- 19:11Yeah.
- 19:13And I would say that
- 19:15it comes down to culture,
- 19:18and it comes down to
- 19:20open
- 19:21and candid and honest
- 19:24conversation.
- 19:26We need to make sure and here at
- 19:29at Macomb, because I'm a new leader here,
- 19:32people are getting to know me after six
- 19:35months.
- 19:36So there's been definitely a lot of storming
- 19:38and norming, if you will, relationship
- 19:41building,
- 19:42both in large groups as well as small
- 19:44groups, but also
- 19:46cross
- 19:47cross partnerships.
- 19:49So making sure that
- 19:51leaders of different units, different departments,
- 19:54different environments,
- 19:56the ambulatory world versus the hospital based world,
- 20:00and hearing what their initiatives are. Because what
- 20:03I love about health care and health care
- 20:05operations is that everything is so
- 20:08so linked,
- 20:09and that you you can pull a string
- 20:12or a lever in one area.
- 20:14And if you're not being mindful and intentional,
- 20:17it can cause a downstream,
- 20:20either positive or negative impact on a different
- 20:23department.
- 20:24So we've really done a lot of work
- 20:26around the transparency
- 20:28of the things that we're working on.
- 20:30It starts with executive leadership. My executive leadership
- 20:34team and I, we
- 20:35came together at the 2025,
- 20:39established our
- 20:41our vision for the future as well as
- 20:45our intention for 2026,
- 20:47the things that we're committed to
- 20:50as a leadership team and how we're gonna
- 20:52support them moving forward.
- 20:54And, then, consequently,
- 20:57we asked for each department
- 21:00to also create a plan,
- 21:04according to our strategic plan
- 21:06of the initiatives that they're gonna focus on.
- 21:09We challenged your each other on making sure
- 21:12that there was not
- 21:13500 different things on that list that were
- 21:16really focused
- 21:17and have measurable
- 21:19outcomes and metrics that are gonna be looked
- 21:22at, both leading indicators as well as the
- 21:24lagging indicators,
- 21:26so that we can make sure that we
- 21:29all are aware
- 21:30of the things that we're working on as
- 21:32well as
- 21:34engaging our frontline staff. It was really important
- 21:37to me,
- 21:39while we were developing our 2026
- 21:42plan that staff knew
- 21:44what was important to leadership, but also how
- 21:48when they show up to work every day
- 21:50and they're making their individual
- 21:52contributions,
- 21:53how that's leading
- 21:55to the outcome measures that we're reporting out
- 21:59on a monthly basis on our dashboards
- 22:02so that they can say, you know, I
- 22:03am making a difference.
- 22:05I'll just tell you a quick story.
- 22:09Yesterday,
- 22:10it was the the best day of of
- 22:13my week for sure.
- 22:15I had an opportunity to job shadow with
- 22:18food service.
- 22:20So I I did a a couple hours
- 22:22in the kitchen to see how
- 22:25the dishes were washed and that the trays
- 22:27were prepared.
- 22:29I rolled silverware.
- 22:31I I had the gear on. People started
- 22:33to see me as just a trainee.
- 22:37That's how I wanted to be treated.
- 22:39And then I spent the rest of the
- 22:41shift,
- 22:42actually passing
- 22:43trays to patients
- 22:45and and following around,
- 22:48one of our tray passers.
- 22:50And then the the very end of the
- 22:52shift, because all of the trays were passed,
- 22:54we started to take dinner orders and
- 22:56breakfast for the following day.
- 22:59And I will tell you,
- 23:02the woman that was training me, she looked
- 23:04at me in the elevator, and she said,
- 23:06I'm so nervous walking around with you because
- 23:11you are so important, and I am not.
- 23:14And I paused
- 23:16because it felt like just such a a
- 23:19punch to the stomach because I looked at
- 23:21her and I gave her the biggest hug,
- 23:23and I said,
- 23:24you are one of the most important people
- 23:27here.
- 23:28And I just so very appreciate you, and
- 23:31I don't want you to be nervous
- 23:33because you
- 23:34are making a difference in our patients' lives.
- 23:37And I see the smile on
- 23:40the faces that you're you're bringing in the
- 23:42food, and you're making them
- 23:44happy
- 23:45and, nourished,
- 23:47and they are getting to know you. And
- 23:49she was just beaming, and she said, you
- 23:51know, now that you say that, someone stopped
- 23:54me in the grocery store the other day
- 23:56and said, you brought me my food, and
- 23:58I just wanna give you a hug. And
- 23:59she said, I think you're right. I do
- 24:01make a difference.
- 24:02So I really think just
- 24:04we we gotta make sure that our staff
- 24:07are feeling loved and supported and
- 24:10realize
- 24:11the difference that they make each and every
- 24:13day,
- 24:15because it's the little things that are gonna
- 24:17get us to the big things.
- 24:19I love that story. I I I think
- 24:21it's so illustrative of, you know, what it
- 24:24takes in order to be actually at the
- 24:25front lines, actually taking care of patients and
- 24:28the little things that can make a big
- 24:29difference as as people are going through whatever
- 24:32health care journey they're going through, within the
- 24:35hospital. So I I love that. And and,
- 24:37certainly,
- 24:38being able to keep that priority and make
- 24:40sure that staff understands their role in the,
- 24:43creating that experience and the outcomes for patients
- 24:46is just incredible.
- 24:48Before we wrap up here, I just wanted
- 24:49to see, are there any other opportunities that
- 24:51you're looking at for growth in the next
- 24:53year or so?
- 24:55Oh, absolutely.
- 24:56With a growing county that I have the
- 24:59opportunity to serve in, I have to be
- 25:01looking at growth.
- 25:03And we have an aging population
- 25:05as well as a very mixed diverse population
- 25:08in terms of socioeconomic
- 25:10and ethnicity.
- 25:12So we are looking at growth in in
- 25:15lots of different areas,
- 25:17particularly in the tertiary,
- 25:19spaces,
- 25:21more complex advanced care.
- 25:23We're not just a community hospital. I think
- 25:26that as we're looking at access,
- 25:30opportunities
- 25:31and what needs to be done in the
- 25:33hospital,
- 25:34we're really making sure that people have access
- 25:36to those services close to home.
- 25:39We are never gonna be a quaternary center.
- 25:41That's what we have our downtown
- 25:44hospitals for.
- 25:46There are level ones.
- 25:48They're doing the transplants.
- 25:50But here at Macomb, we're really making sure
- 25:53that we're focusing
- 25:54on a lot of high complex surgeries.
- 25:57Cardiac is a huge growth opportunity for us
- 26:00as well as neurosurgery
- 26:02and and spine care,
- 26:04as well as, really making sure that people
- 26:07have access to primary care.
- 26:09I talked a little bit about variation in
- 26:11the beginning of our talk.
- 26:13I really think that the prevention
- 26:15and moving the care up stream
- 26:18is the wave of the future.
- 26:21And I personally am not celebrating when my
- 26:24ED volume is super, super high.
- 26:27I'm actually asking the question of how many
- 26:30of those ED visits could have actually been
- 26:33seen in the primary care visits or,
- 26:36could be going to a freestanding
- 26:38ED or an urgent care. So we're really
- 26:41looking at that information to make sure that
- 26:43people aren't coming to the hospital unnecessarily.
- 26:47So, really, that balance
- 26:49of the growth
- 26:51on the things that people need to be
- 26:53in the four walls for and then the
- 26:55decanting,
- 26:57for those services that should be done elsewhere
- 27:00is, is a huge focus area.
- 27:03That's so helpful to understand. Emily, thank you
- 27:05so much for joining us on the podcast
- 27:07today. This has been, an incredible conversation. I
- 27:10appreciate your candor and, you know, looking ahead
- 27:13at some of the great opportunities as well
- 27:14as challenges. So, thank you for your time.
- 27:17I look forward to seeing you at our
- 27:18annual meeting. I know you'll be speaking on
- 27:19a panel in April, and it'll be exciting
- 27:21to dig deeper into some of these themes
- 27:23as well as, just be able to connect
- 27:25with so many leaders from across the country.
- 27:27So I'm excited to see you there.
- 27:29Yes. I am looking forward to it as
- 27:31well, Laura. I'll see you in April. Thank
- 27:33you so much for the opportunity, and have
- 27:35a great rest of your day.