Latest / Becker’s Healthcare Podcast / Tanner White, FACHE, CEO of Altru Devils Lake
Transcript
- 0:00This is Laura Dierdahl with the Becker's Healthcare
- 0:02Podcast. I'm thrilled today to be joined by
- 0:04Tanner White,
- 0:06CEO of All True Devils Lake. Tanner, it's
- 0:08a pleasure to have you on the podcast
- 0:09today. Thank you, Laura, for having me.
- 0:12Absolutely. Now I'm excited for our conversation.
- 0:14I know we're gonna talk a lot about
- 0:16some of the cool things that you're doing
- 0:17at Ultra Devil's Lake and how you're thinking
- 0:19about the future. But before we dive in,
- 0:21can you tell us a little bit more
- 0:22about yourself and the hospital?
- 0:24You bet. Excited to share what we have
- 0:26going on up here in Devil's Lake with
- 0:28Altru.
- 0:29But before we do that, just a little
- 0:31background on myself. So I was born and
- 0:34raised in the great state of North Dakota
- 0:36in a rural community with a population of
- 0:38only 1,200.
- 0:41My background is actually in kinesiology,
- 0:43which is unique for someone in a health
- 0:45care administrator role.
- 0:48But that
- 0:49background has allowed me to kind of see
- 0:51the human element of helping people on their
- 0:55journey to wellness and, you know, living healthier.
- 0:58So out of college, I started working at
- 1:00a local YMCA and then eventually started my
- 1:03own business known as Temple Training, where we
- 1:05offer personal training and health and wellness consulting
- 1:08services.
- 1:10So I I won't say that that got
- 1:12me, you know, looking at health care per
- 1:14se, but, again,
- 1:15kinda seeing the the human side of things.
- 1:17And I I think I like to share
- 1:19that just for context kind of where I
- 1:21came from. And And in 2017,
- 1:24I had the opportunity to sell my business
- 1:27to Avera St. Luke's Hospital in Aberdeen, South
- 1:29Dakota, which is part of the Avera Health
- 1:32Network.
- 1:33And I joined that team to develop a
- 1:35human performance center that aimed to promote a
- 1:38healthier community
- 1:39and focus on prevention to reduce hospital visits.
- 1:42And so that shift in my career
- 1:45opened my eyes to the health care field,
- 1:47and I quickly realized that I wanted this
- 1:50to be my career and my calling.
- 1:52And so I went back to school, earned
- 1:54my MBA in health care management,
- 1:56became a fellow of the American College of
- 1:59Health Care Executives.
- 2:00And then when COVID nineteen came, like many
- 2:03of us in this industry, our roles evolved.
- 2:05And so that gave me a chance to
- 2:07take on new leadership responsibilities.
- 2:10I gained experience in,
- 2:12excuse me, therapy services,
- 2:14business development,
- 2:15philanthropy,
- 2:16and then network operations where I supported critical
- 2:19access hospitals,
- 2:21in the region we served. And so it
- 2:23was in that role that I got to
- 2:25see the importance of rural health care delivery.
- 2:28And I told my wife I wanted to
- 2:30someday run my own critical
- 2:32access hospital.
- 2:33But where we were at, she kinda gave
- 2:35me a four hour window. And I think
- 2:37she probably wanted me to move further south,
- 2:40but yet we did not. We went the
- 2:42opposite direction and ended up here in Devil's
- 2:44Lake where I serve as CEO. And for
- 2:46those of you who don't know, Devil's Lake
- 2:48is just south of the Canadian border.
- 2:51And,
- 2:52a little bit about our hospital here, we
- 2:54are a critical access hospital, so 25 beds.
- 2:57We serve a population of around 25,000
- 3:00known as the Lake Region.
- 3:04That's amazing to hear. And, you know, what
- 3:05a unique journey that you've had throughout your
- 3:07life and career, but always kind of coming
- 3:10back to this rural space and
- 3:12being part of the wellness and health care
- 3:14and taking care of the community. So that's
- 3:16really cool to hear and, what a unique,
- 3:19kind of foundation that you've got in order
- 3:21to be in this current role. So I'm
- 3:24curious. If you think back for the last
- 3:26year or so, what were some of the
- 3:28most important initiatives that you led? What did
- 3:29you do, and what were the results?
- 3:31Yeah. You bet. So I had the unique
- 3:33opportunity
- 3:34to lead an organization through an acquisition
- 3:37process
- 3:38where CHI Saint Alexis, Devil's Lake,
- 3:41own which was owned by CommonSpirit
- 3:43was acquired by AltruHealth
- 3:45based out of Grand Forks, North Dakota,
- 3:48and that transition went live on March 1.
- 3:50So,
- 3:51two months ago.
- 3:53And so it's been a busy couple of
- 3:54months, you know, learning new processes, integrating our
- 3:57services, and we implemented a new EMR
- 4:01switching from Meditech to Epic.
- 4:03So, yeah, been a heavy lift, but I'm
- 4:05super grateful for our team members who have
- 4:08they just have never wavered in in their
- 4:10compassion
- 4:11while providing health care, for the Lake Region
- 4:13residents during this transition.
- 4:16Absolutely. And, you know, that is a huge
- 4:18transition to make. I know there's so much
- 4:20that comes with that type of,
- 4:23kind of acquisition, but then, you know, like
- 4:25you said, having to switch EHR systems and,
- 4:29be in a process of where you're learning
- 4:31a new organization and figuring out what's going
- 4:33to work,
- 4:35the best for
- 4:37the hospital and the community. So,
- 4:39from a leadership perspective,
- 4:41what do you do in order to just
- 4:43make sure that the team is ready for
- 4:44these types of transitions and can carry forward
- 4:47the needed changes, but also, you know, making
- 4:49sure you keep the local culture of the
- 4:51hospital and what works well, you know, front
- 4:54and center for the patients.
- 4:56Yeah. It well said, Laura. And it's been
- 4:58a challenge, you know, that when you throw
- 5:01people through change, you know, not we don't
- 5:03like change. And so that's it's been a
- 5:05huge,
- 5:06evolution,
- 5:07yet we've always tried to maintain our core
- 5:10identity, you know, of of the health care
- 5:12services we provided to the Lake Region. So
- 5:14I think just walking that path with our
- 5:17teens, knowing that they're, you know, not in
- 5:19it alone, utilizing the resources that we have,
- 5:23in front of us. You know, now we
- 5:24have our flagship hospital
- 5:2690 miles down the road. So we have,
- 5:29you know, resources and support that we have
- 5:31never had before.
- 5:33So we're just trying
- 5:34to endure the change,
- 5:36you know, make the necessary
- 5:38improvements that are out there, but also giving
- 5:40our teams time to adapt
- 5:43and and get ready for the journey that
- 5:45we are on.
- 5:48That makes a lot of sense. And, you
- 5:50know, it seems like it's,
- 5:52by and large going to be a,
- 5:54transition that, you know, you'll be able to
- 5:56come out of. And it and it seems
- 5:58like, like you said, have more resources and
- 6:00support, for the future. So as you're looking
- 6:03ahead, what are some of your big priorities
- 6:05and headwinds that you're focused on for the
- 6:06next twelve months or so?
- 6:09So as we are beginning this journey, we
- 6:11have two themes
- 6:12guiding us, and that's keeping care close to
- 6:15home and building our culture.
- 6:17So we do plan to bring specialty providers
- 6:20back to this region so folks don't have
- 6:22to travel to get care. We also want
- 6:24to increase the number of acute and swing
- 6:26bed patients,
- 6:27within our care. But to do those things,
- 6:30you need the right people on your team.
- 6:31And so that's where our second team comes
- 6:33in in improving our culture through trust and
- 6:36transparency
- 6:37so that folks want to join us in
- 6:39our mission,
- 6:40and stay with us in in our mission
- 6:42to make a difference for those we serve.
- 6:45As far as headwinds are concerned, that's you
- 6:47know, up here in Devil's Lake, that's not
- 6:49really something we deal with, actually.
- 6:53Obviously, Joe.
- 6:56Rural health care, like all health care, faces
- 6:58major challenges, you know, rising costs, inflation,
- 7:03workforce shortages, regulatory hurdles. I could go on
- 7:06and on. And we are actually designated as
- 7:08a frontier rural area,
- 7:10so I believe these challenges are even more
- 7:12significant for us.
- 7:14Fortunately,
- 7:15now that we are part of the Altru
- 7:16family, we do have reasons to be optimistic.
- 7:20It's the people we have, the independence we
- 7:22maintain, and the integration of our services now
- 7:26will enable us to effectively handle all the
- 7:28challenges that are ahead of us.
- 7:32That's helpful to understand. And like you've mentioned,
- 7:34always good to have a a strong partner,
- 7:37on your bench when you're kind of going
- 7:38through these. And one of the things you
- 7:40mentioned,
- 7:41really struck me in particular in talking about
- 7:43obviously keeping care close to home and,
- 7:46bringing in additional specialty providers to the region.
- 7:49I know that's something that a lot of,
- 7:51hospitals, rural or not, are are trying to
- 7:54figure out what to do in order to
- 7:56attract,
- 7:57specialists and, you know, keep some of those
- 7:59services in. So,
- 8:01is there anything that you found
- 8:03already that works well, or or what are
- 8:05your, I guess, plans as you're thinking about,
- 8:07how you want to bring additional folks in
- 8:10to,
- 8:11really attract them to the region and then,
- 8:13you know, make sure that they stay?
- 8:15Yeah. Great question. We have had some early
- 8:17success,
- 8:18in the month of April. We,
- 8:20had a a hand specialist come out and
- 8:23and do a couple procedures, which is really
- 8:25our launch into this space. So,
- 8:28it just really comes down to building the
- 8:30right teams,
- 8:32making sure that we have a welcoming environment.
- 8:35You know, our core values at Altru are
- 8:37to win as a team, go above and
- 8:39beyond,
- 8:40be kind to one another. And so when
- 8:43you have, again, the flagship hospital just down
- 8:45the road, you're pretty close. And so,
- 8:49just thankful for the providers willing to give
- 8:51it a try to come out here and,
- 8:54get them to understand,
- 8:55you know, what our patients need and make
- 8:58sure that those services are provided to them.
- 9:01That's a great example. And definitely, it seems
- 9:03like a a good start, to many more
- 9:07specialty procedures,
- 9:08being able to come out to the hospital
- 9:10there. Now,
- 9:12I know, you know,
- 9:15headwinds are are definitely deep in in, you
- 9:17know, some of the regulatory hurdles you mentioned.
- 9:19I I think our audience is all too
- 9:21familiar with, as well as the other
- 9:23financial and and, just industry challenges. So what
- 9:26do you think the hardest thing you'll have
- 9:27to do in the coming year will be?
- 9:29Yeah. There's just so much, you know, coming
- 9:31at us. And while I am optimistic about
- 9:34our ability to handle those challenges, it certainly
- 9:36won't be easy. This is certainly tough work
- 9:39we do, but the health care industry is
- 9:41resilient, and I know we will get through
- 9:43this. If I had to identify the most
- 9:45difficult challenge that keeps me up at night,
- 9:48it's hiring quality staff, retaining them, and reducing
- 9:52our dependence on locums and travelers. Because really
- 9:55when it comes to providing good quality care,
- 9:57you want people who are, you know, tied
- 9:59to our mission, you know, from the community,
- 10:02and are you know, provide consistent quality health
- 10:05care.
- 10:06So to achieve this, again, I keep going
- 10:08back to this. It's it's all about building
- 10:10our culture through trust and transparency, which takes
- 10:13time, And and we just need to make
- 10:15sure we do the right things to get
- 10:16there.
- 10:19Absolutely. I think that's helpful. And, you know,
- 10:22kind of talking about culture, I love that.
- 10:24And I'm so happy that you mentioned some
- 10:27of the core values you have at the
- 10:28hospital
- 10:29there. Is there anything else that you do,
- 10:32especially, I I think, in the,
- 10:34smaller communities that can be, so helpful
- 10:38to have a great culture?
- 10:39What really makes you unique from the culture
- 10:42perspective, and how do you maintain that?
- 10:44Yeah. We
- 10:46are working, internally,
- 10:48so I didn't really share the background of
- 10:49it. But the clinic here in Devil's Lake
- 10:51was actually already owned by Altru,
- 10:54and the hospital side was what was acquired.
- 10:57And so you got a culture, you know,
- 11:00integration
- 11:02between those two teams.
- 11:04You have the culture development between our community
- 11:07and now our hospital, and then you also
- 11:09got Devil's Lake
- 11:11Hospital and Clinic
- 11:12trying to build that culture
- 11:14with
- 11:15Grand Forks,
- 11:16Altru Hospital. So
- 11:18tons of moving parts.
- 11:20It all comes down to just being open
- 11:22with folks,
- 11:23building relationships.
- 11:25Again, it takes
- 11:26time. But, you know, one one of the
- 11:29initiatives that we think is gonna help us
- 11:31out,
- 11:32is developing what we're gonna call a community
- 11:35voice coalition,
- 11:36where we it's not not a governing,
- 11:39board, but a
- 11:40committee of community members who can come together
- 11:43monthly and share feedback,
- 11:45you know, what's working well, what's not. I
- 11:47just think it's so important for us to
- 11:49hear the voices of those we serve.
- 11:52And then subsequently of that too is having
- 11:54those types of, you know, groups,
- 11:57meeting together
- 11:58between our hospital clinic teams, between our hospital
- 12:01and Grand Forks, etcetera.
- 12:04That's such a great idea, and it really
- 12:06truly can help solidify,
- 12:08you know,
- 12:09that community focus within the hospital and ability
- 12:12to, have such a great culture across the
- 12:15board. Before we wrap up here, where do
- 12:17you see some of the best opportunities for
- 12:19additional organizational growth? Yeah. We have opportunities of,
- 12:22you know, bringing care close to home, as
- 12:24I mentioned, and the demand to account for
- 12:26it. In the next year, I foresee us
- 12:29adding specialty outreach such such as general surgery,
- 12:32ENT,
- 12:33maybe some cardiology services.
- 12:36Urology has been thrown in that mix. So,
- 12:38lots of opportunities and and excited that we
- 12:41have providers,
- 12:43within the Altru system who are willing to,
- 12:45you know, travel out this way to make
- 12:47sure that our Lake Region residents are cared
- 12:50for. From a strategic standpoint, our market actually
- 12:53is quite untapped to our West, so I
- 12:55do foresee us,
- 12:56hopefully gaining some market share in that area.
- 12:59And, additionally, I expect us to increase our
- 13:02average daily census, allowing residents
- 13:04of the Lake Region to stay close to
- 13:06home, where families can visit.
- 13:11I love that. Tanner, thank you so much
- 13:13for joining us on the podcast today. This
- 13:14has been such a fun conversation,
- 13:16so informative and and really full of ideas
- 13:19and passion for the health care you're providing.
- 13:22So thank you so much for your time
- 13:23today, and I look forward to connecting again
- 13:24soon. Yeah. Laura, thank you for the opportunity,
- 13:27and thank you and all your colleagues at
- 13:28Becker's for what you do for the health
- 13:29care industry.