Latest / Becker’s Healthcare Podcast / AI Innovation and Strategic Growth at Allegheny General Hospital with Dr. Imran Qadeer
Transcript
- 0:02The most important health care decisions don't happen
- 0:05in isolation.
- 0:06They happen when leaders come together.
- 0:08Becker's sixteenth annual meeting brings together more than
- 0:113,500
- 0:12hospital and health system executives this April in
- 0:15Chicago.
- 0:16With 800 speakers from Ascension, Cleveland Clinic, CommonSpirit
- 0:20and more, the conversations get real. Leaders will
- 0:23share how their scenario planning for policy shifts,
- 0:26breaking through value based care barriers, and building
- 0:28clinical teams that translate new ideas into real
- 0:31world care.
- 0:32Join top decision makers in the room April
- 0:3513 through the sixteenth.
- 0:37For the agenda and event details, visit beckers
- 0:40hospital review dot com and click on the
- 0:42events tab in the upper right.
- 0:45This is Laura Dirdle with the Becker's Healthcare
- 0:47podcast.
- 0:48I'm thrilled today to be joined by Imran
- 0:50Kadir, president and chief executive officer at Allegheny
- 0:53General Hospital. Imran, it's a pleasure to have
- 0:55you on the podcast today.
- 0:56Thank you for inviting me to speak here
- 0:58today.
- 0:59Absolutely. And, you know, I'm excited for our
- 1:01conversation because I know we'll be spotlighting some
- 1:04of the cool things you're doing at Allegheny
- 1:05General Hospital as well as your perspective on
- 1:07the future. There's so many changing dynamics right
- 1:10now that is truly, truly,
- 1:12a fascinating conversation. But before we dive in,
- 1:15can you tell us a little bit more
- 1:16about yourself and the hospital?
- 1:18Sure.
- 1:19I'm doctor Imran Kadir.
- 1:21I serve as the president and CEO of
- 1:24the leading academic level on trauma and transplant
- 1:28center here in Pittsburgh, Pennsylvania.
- 1:30We're a proud part of Highmark Health and
- 1:32Allegheny Health Network
- 1:34system,
- 1:35comprising of 14 hospitals
- 1:37submitting to world class integrated health care to,
- 1:41to our community and beyond. We have a
- 1:43specialized center of excellence handle the most complex
- 1:46medical cases and are at the forefront of
- 1:48medical innovation.
- 1:50Got it. That's helpful context to know. And,
- 1:53you know, in jumping into our conversation here,
- 1:55could you tell us a little bit more
- 1:56about the most important initiative that you led
- 1:59in the last year or so?
- 2:00What did you do, and what were the
- 2:02results?
- 2:03I'm proud of our team work in many
- 2:06areas last year,
- 2:07including quality, safety, patient experience,
- 2:11population health, growth and strategy.
- 2:14You know, this question kind of asked, like,
- 2:16you know, who's your best child here? But
- 2:18I'll do my best here. I think our
- 2:20one of our most in important initiative last
- 2:23year was the implementation and scaling of our
- 2:25integrated
- 2:26AI driven virtual nurse model called Care AI
- 2:30and, Ambient Listening partnering with Abridge
- 2:34for our clinician.
- 2:35It offers a transformative
- 2:37approach to health care delivery
- 2:39by leveraging artificial intelligence.
- 2:42These solutions aim to optimize workflow,
- 2:45enhance patient safety, and free clinicians to focus
- 2:48on direct
- 2:49patient interaction.
- 2:50And a little bit about care.ai,
- 2:53it's a proactive
- 2:55detection system for bedside.
- 2:58We have cameras installed in the patient's room
- 3:02and has the ability to continuously monitor patients'
- 3:05vital signs, activity levels, and other key indicators
- 3:09in patient's room. Can detect
- 3:11subtle changes that might involve otherwise go unnoticed.
- 3:15And so one of the couple of the
- 3:17areas that we have
- 3:18used care.ai
- 3:20for that we started to use are using
- 3:23virtual nurses.
- 3:25So our nurses,
- 3:26are doing admission and discharges,
- 3:30and freeing our bedside nurses to per to
- 3:33focus on,
- 3:34you know, hands on care.
- 3:36On average,
- 3:38by doing those admission and discharge, it's saving
- 3:41an average of about fifty minutes,
- 3:43per nurse on their shift.
- 3:46The other area we've used CareEye is the
- 3:48use of virtual sitters,
- 3:50freeing our nurses and patient care technicians to
- 3:53take care of sicker patients,
- 3:56while virtually
- 3:57nurses
- 3:58or PCTs and monitoring patients.
- 4:01In the future,
- 4:02we plan to unlock other AI driven tools,
- 4:05that CareEye has to offer, including reducing alarms
- 4:08and,
- 4:09an alert fatigue.
- 4:11For ambient listening,
- 4:12we partner with Abridge.
- 4:14And what it is is it's a voice
- 4:16to text clinical note generation.
- 4:19And being listened accurately
- 4:20transcribes
- 4:22clinician patient conversation
- 4:24directly into the electronic health record,
- 4:27capturing the nuances of the interaction,
- 4:30reducing the time a clinician has to spend
- 4:33documenting
- 4:34manually
- 4:35into chart and search for information.
- 4:38We've seen anywhere from one to two hours
- 4:41of safe time per day allowing clinicians to
- 4:43spend more time with patients in charting.
- 4:46This also, I believe, and we haven't measured
- 4:49this yet, but reduce burnout, alleviating
- 4:52documentation burdens and alert fatigue
- 4:54that contributes to a less stressful work environment,
- 4:58potentially reducing clinician burnout.
- 5:00And the other things I I I think
- 5:02it will show us
- 5:03in future is that enhanced team collaboration.
- 5:06With more accurate and timely documentation,
- 5:10interdisciplinary teams can communicate more effectively
- 5:13and make more informed decisions,
- 5:15reduce medical errors,
- 5:17no more accurate documentation,
- 5:19and proactive monitoring can lead to reduction in
- 5:22medical errors related to communication or oversight.
- 5:25And lastly,
- 5:27it does have a potential
- 5:29to enhance revenue capture and billing accuracy,
- 5:33reduce documentation
- 5:34and quoting errors
- 5:36leading to less denial. We expect about 5%
- 5:39increase in claim submission
- 5:41and reduction in denials.
- 5:43That's fascinating to hear, and I know that's,
- 5:45you know, a huge, huge undertaking to bring
- 5:48on those different technology platforms and partners and
- 5:51really leveraging,
- 5:53you know, AI in a different way than
- 5:55it ever has been before, whether it's some
- 5:57of the clinical applications on the bedside,
- 6:00inpatient safety applications, or if you're looking at
- 6:03virtual nursing. And then two,
- 6:05the ambient technology, it seems like it's been
- 6:07a game changer in so many different ways.
- 6:09And so, you know, when you're going through
- 6:11a huge transformations like this and bringing the
- 6:13technology really into the workflows and embedding it
- 6:15into the broader hospital in in culture within
- 6:19the the organization,
- 6:21how do you make sure that the team
- 6:23is doing everything they can to leverage the
- 6:25potential and possibility as well as, you know,
- 6:28finding new ways to keep transforming,
- 6:31within this space? Because I know, you know,
- 6:32it takes so much effort and resources to
- 6:34bring technology in. How do you make sure
- 6:37it's actually optimized and in creating that value
- 6:39that you hope it would, you know, when
- 6:41you make that,
- 6:42decision to move forward with it?
- 6:44Yeah. I think the team does a great
- 6:46job of,
- 6:48implementing the technology, making sure
- 6:51the users understand what the technology
- 6:54is aiming to accomplish,
- 6:56to the obviously, there's a lot of education
- 6:58and hands on,
- 7:00training
- 7:01for our frontline staff,
- 7:04but also a continuous monitoring for results that
- 7:07we are aiming to achieve. So, you know,
- 7:09we're constantly looking at, is the technology delivering
- 7:13on the promise that
- 7:15that it's set to do. So very result
- 7:18oriented,
- 7:20launch of these products.
- 7:23I love that. That's so important and so
- 7:25critical, especially as I know every dollar in
- 7:28health care is precious. So from your perspective,
- 7:30looking into the future too, what are some
- 7:32of the big priorities and headwinds that you're
- 7:34focused on in the next year?
- 7:36Yeah. Looking ahead to to 2026, and we're
- 7:39already month into it, our big priorities are
- 7:41centered around our mission and vision and being
- 7:44the leader in population health.
- 7:46How we are going to get there is
- 7:48by focusing on six pillars, including being employer
- 7:52of choice, which means addressing workforce challenges,
- 7:56being provider of choice, which means
- 7:59continuing to enhance clinical excellence,
- 8:02and fostering innovation,
- 8:04also growth, pioneering health solutions and business development
- 8:08to support exceptional growth,
- 8:10and
- 8:11leading in population health management with our enterprise
- 8:14strategy
- 8:15named Living Health Strategy,
- 8:18and lastly, financial sustainability.
- 8:20We believe if we work on the five
- 8:23pillars
- 8:24that we set for,
- 8:26the financial will follow, and we'll see great
- 8:28results. And we have seen that in 2025.
- 8:32The priorities,
- 8:34obviously, that's one in advanced digital health and
- 8:37telemedicine.
- 8:39The headwinds,
- 8:40I think, you know, we expect to continue
- 8:43to see the ongoing national shortage of nurses,
- 8:46physicians, and allied health professionals
- 8:49coupled with persistent burnout
- 8:51remains our most significant challenge. Recruiting and retaining
- 8:55top talent alongside developing robust wellness program will
- 8:58be paramount.
- 9:00Also, escalating costs and reimbursement pressures.
- 9:03We continue to face increasing operational costs,
- 9:07pharma pharmaceutical expenses, and pressure on reimbursement rates.
- 9:11Navigating
- 9:12this economic landscape while maintaining high quality care
- 9:16requires constant innovation and efficiency
- 9:19and value based care models.
- 9:22That makes a lot of sense. And I
- 9:24truly appreciate that focus on, you know, how
- 9:26you can be innovative looking at value based
- 9:29care and
- 9:30truly figuring out the ways that your organization
- 9:33is on a daily basis meeting the needs
- 9:35for their patients. I think, you know, one
- 9:38of the things that you mentioned is is
- 9:40just this evolving,
- 9:42economic landscape. And when you look into the
- 9:44future, where do you see, you know, the
- 9:47spaces where you're,
- 9:49trying to whether it's new avenues or current
- 9:52existing avenues to double down on, that will
- 9:55help
- 9:56ensure financial stability. Just how are you thinking
- 9:59about all of that when in knowing that
- 10:01there's so much uncertainty around some of the
- 10:03traditional reimbursement models, fee for service,
- 10:06and other, you know,
- 10:08ways that hospitals traditionally,
- 10:10were able to fund everything that they were
- 10:12doing.
- 10:13Yeah. I think,
- 10:15as I laid out earlier,
- 10:17our six pillars, five of them focused on
- 10:21being employer of choice,
- 10:23being provider of choice, addressing quality, safety, patient
- 10:26experience,
- 10:28population health,
- 10:30management,
- 10:30you know, focus on the value based care.
- 10:33And
- 10:34and it's paramount that we focus on
- 10:37innovation
- 10:38and growth.
- 10:40And I think those pillars
- 10:42get us to a financial
- 10:44sustainable model,
- 10:46that will be successful for years to come.
- 10:49Got it. That's helpful to understand. Now what
- 10:51do you think the hardest thing you're gonna
- 10:53have to do in the coming year will
- 10:54be?
- 10:55I think the hardest thing we'll have to
- 10:57do in the coming year will likely be
- 10:58making tough decisions regarding resource allocation in the
- 11:01face of
- 11:03ongoing economic pressures
- 11:05and expanding patient
- 11:06needs
- 11:07while simultaneously maintaining
- 11:10our commitment
- 11:11to innovation and growth.
- 11:13This will involve balancing
- 11:16competing priorities such as investing in new technologies,
- 11:20expanding
- 11:21crucial service lines,
- 11:22and adequately compensating
- 11:25our dedicated workforce,
- 11:27all within
- 11:28the constraints of a challenging financial environment.
- 11:31It required
- 11:32difficult conversations,
- 11:34strategic prioritization,
- 11:36and clear communication with all stakeholders.
- 11:40Absolutely. I think that's something, you know, so
- 11:43many different hospital CEOs are faced with today
- 11:46and trying to
- 11:47understand how they can make those right priorities,
- 11:49invest in the technologies that are gonna make
- 11:51the biggest difference as we talked about already
- 11:54today. And then, you know, your focus on
- 11:57clear communication as well,
- 11:59is just so, so important.
- 12:02How do you typically
- 12:03communicate with a broader organization as well as
- 12:05your executive team? What do you do to
- 12:07make sure that everyone's focused,
- 12:09in spending their time and energy in the
- 12:11right things that are going to get you
- 12:13into the stability you're looking for in the
- 12:15future?
- 12:17Yeah. I think, obviously, health care challenges
- 12:20abroad.
- 12:22That's why our focus and our goals,
- 12:26we have laid out in our starts from
- 12:29our CEO
- 12:31and president of Highmark
- 12:33Health, David Homburg, to the president
- 12:36of Highmark Health,
- 12:38Karen Hamlin,
- 12:40and,
- 12:41our, you know, our CEO at AHN,
- 12:45Mark Sefco. They've laid out a clear vision
- 12:49and goals and priorities for,
- 12:52not just this year, but through 2030.
- 12:56I think having a clear strategy
- 12:58and what our focus is gonna be is
- 13:00what's gonna drive
- 13:02that clarity and communication
- 13:04in in all levels of the organization.
- 13:08That makes a lot of sense. And, you
- 13:10know, having that type of alignment,
- 13:12at the top really then trickles down, it
- 13:13seems like, to the clarity that you need
- 13:15across the board.
- 13:17Before we wrap up here, I wanted to
- 13:18ask, what do you see as being some
- 13:20of the best opportunities for organizational growth when
- 13:22you look into the future as well?
- 13:25Yeah. I see the best opportunity opportunities for
- 13:27organizational growth in several key areas.
- 13:30I think one
- 13:32is strategic partnership and collaboration
- 13:35within Highmark and AHN.
- 13:37And our CEO has famously
- 13:39coined the term one AHN,
- 13:41you know, working truly as it's, you know,
- 13:43one system, one enterprise,
- 13:46leveraging the strength of broader Highmark Health and
- 13:49AHN
- 13:50system offers significant growth potential.
- 13:53This could involve joint ventures for new facilities,
- 13:56expanding access to our specialized care across the
- 13:59network,
- 14:00or collaborating on population health initiatives that drive
- 14:03referrals
- 14:04and improve community health outcomes.
- 14:06The other, you know, specialty service line expansion,
- 14:10our reputation as level one trauma and transplant
- 14:13center coupled with our academic mission
- 14:16positions us uniquely to expand highly specialized and
- 14:20complex care offering.
- 14:22This includes areas like
- 14:24advanced neurosciences
- 14:25and cardiovascular
- 14:26surgery, complex surgery, and complex oncology,
- 14:29which often serves at the broader regional and
- 14:32national population,
- 14:34and developing a center of excellence for AI
- 14:37and health care, given our success with predictive
- 14:39analytics
- 14:41and
- 14:42AI tools that I spoke about earlier, we
- 14:44have an opportunity
- 14:45to further solidify a position as a leader
- 14:47in applying AI to improve
- 14:50clinical care,
- 14:51operational efficiency,
- 14:53and even medical education,
- 14:55attracting top talent and research funding. I'm confident
- 14:59that by focusing on these strategies
- 15:01strategic priorities,
- 15:03navigating the challenges effectively, and continuing to foster
- 15:07a culture of innovation and excellence,
- 15:09we can achieve significant growth and continue to
- 15:12serve our community at the highest level.
- 15:15That I I think it's so critical to
- 15:17have all of that in mind and, you
- 15:19know, that technology analytics backbone to then drive
- 15:22forward everything else you're looking for, with the
- 15:24team, the talent,
- 15:26the, retention
- 15:28of great,
- 15:29team there at,
- 15:31Allegheny Health Network is just so critical.
- 15:34So thank you so much for your time
- 15:35today, Imran. This has been such a a
- 15:37great conversation, and I look forward to connecting
- 15:40with you as well later and continuing on
- 15:42with with, this conversation. Thank you, Lara. Thanks
- 15:45for having me.