Latest / Becker’s Healthcare Digital Health + Health IT / Gulshan Mehta, Chief Digital and Information Officer at Blanchard Valley Health System
Transcript
- 0:00Welcome everyone to the Becker's Healthcare podcast series.
- 0:02I'm Ryan Mohammed, writer and moderator with Becker's
- 0:05Healthcare. And I'm thrilled to have with me
- 0:07today, Golshan Mehta, chief digital and information officer
- 0:10at Blanchard Valley Health System. Sir, welcome to
- 0:13the podcast. We're very excited to have you
- 0:14join us today. To get it started, would
- 0:16you mind telling us a bit about you,
- 0:18the health system, and kinda what makes it
- 0:20unique?
- 0:21For sure. Good morning, Mariah.
- 0:24Again, just like you said, my name is
- 0:26Gulshan Mehta. I'm the chief digital and information
- 0:28officer at
- 0:30Blanchett Valley Health System.
- 0:32I've been with the organization
- 0:33a little over a year at this point.
- 0:36I've spent much of my career within healthcare
- 0:40technology.
- 0:41I
- 0:42feel like I've had a front row seat
- 0:44over the course of the last twenty plus
- 0:46years in terms of the digitization of health
- 0:48care, and, the innovation that it has brought
- 0:51about within the industry in general
- 0:53with a good part of my time that,
- 0:55I spent at Cerner.
- 0:57And
- 0:59over the last seven years or so, I've
- 1:01had IT leadership roles within
- 1:03healthcare, you know, health systems,
- 1:06pediatric healthcare for the first six years of
- 1:09those,
- 1:10within,
- 1:11you know, in Washington, DC,
- 1:13as well as the last year or so
- 1:15has been within community healthcare over here within
- 1:17Ohio.
- 1:19The organization I work with is Blanchard Valley
- 1:21Health System, and, it is a,
- 1:24medium sized,
- 1:26regional health system out here in Northwest Ohio.
- 1:28Serves roughly a eight county region here.
- 1:32It's about an hour south of Toledo, about
- 1:35an hour and a half
- 1:36west of Columbus, Ohio.
- 1:39It is truly a special place because,
- 1:42I know you mentioned, what's the uniqueness of
- 1:44it. It,
- 1:46being medium sized, it kinda has the, you
- 1:48know, the size and the scale and the
- 1:50ambitions of being able to drive innovation. So
- 1:53it kinda thinks big when it comes to
- 1:55the use of technology and being able to
- 1:57leverage innovation as a strategic asset. While at
- 2:00the same time,
- 2:01it also affords the ability to be more
- 2:04nimble with the size, and being able to
- 2:06be more adaptable to change that innovation and
- 2:09transformation, especially related to health care, can bring
- 2:11about. So it's pretty neat, in that sort
- 2:14of a sense.
- 2:15It, punches above its weight when it comes
- 2:17to,
- 2:18the breadth of services that it,
- 2:21offers within the region.
- 2:23So from a standard,
- 2:25you know, wellness and ambulatory care services that
- 2:29it has, along with the inpatient care, as
- 2:32well as post acute care services that it
- 2:33offers within the region. It kind of serves
- 2:35as the primary health and wellness destination for
- 2:39those that live within the community.
- 2:41It's extremely
- 2:42community focused,
- 2:44you know, prides itself in terms of, a
- 2:46very
- 2:47high touch and,
- 2:49high quality care,
- 2:51which is why it continues to get rated,
- 2:53you know, in the upper quartiles when it
- 2:55comes to patient experience and quality of care.
- 2:58So, it's, it's indeed, you know, a very
- 3:01exciting,
- 3:02health system in terms of, what it offers
- 3:04to the community. And, you know, it it
- 3:06nothing beats the fact that, you know, you
- 3:09can, you can kind of walk down the
- 3:10street over here and
- 3:12see the impact that it makes just in
- 3:14terms of,
- 3:15the, you know, the fate that the community
- 3:17has within the services that it offers, as
- 3:19well as, you know, the longevity that it
- 3:21has within the, within the area in terms
- 3:23of, the population that it has served for,
- 3:26so well.
- 3:28Yeah. Thank you so much for sharing that.
- 3:30As an Ohioan and someone that, went to
- 3:32Ohio State and the Columbus community,
- 3:34it was very nice to hear some of
- 3:36those things. Is there an accomplishment
- 3:39that you would think that you're most proud
- 3:41of for the last year?
- 3:43Yeah.
- 3:44So like I said, I've been here a
- 3:46little over a year,
- 3:47and,
- 3:48we as an organization, as well as our
- 3:50leadership team, we saw it as an opportunity
- 3:53to,
- 3:54get back to fundamentals, if you would,
- 3:57from
- 3:59the IT organization. So as we look at
- 4:02what we want to build on going forward,
- 4:04we needed to do an assessment of where
- 4:07we are currently in terms of the capabilities
- 4:09that we bring to the organization.
- 4:12You know, there is
- 4:13a certain inclination
- 4:15of maybe bringing greater speed to value in
- 4:18terms of,
- 4:19new work that could be introduced. But at
- 4:21the same time, I think that was a
- 4:22realization
- 4:23that let's make sure that we build this
- 4:25on a foundation of trust. So making sure
- 4:28that reliability
- 4:29was front and center,
- 4:31before we started talking about the scalability, if
- 4:33you would, going forward. So,
- 4:35much of the work that, we've accomplished over
- 4:37the last year has been,
- 4:39again, goes back to, fundamentals
- 4:42mindset
- 4:43of, improving our IT service management and delivery
- 4:47capabilities.
- 4:48So putting in place the right people, process,
- 4:50and technology, the right structure of the organization
- 4:53that allows us to be successful,
- 4:55along with the right service management mindset that
- 4:58allows us to provide, more predictable and reliable
- 5:02service to the organization.
- 5:04That's been a keen focus on information security,
- 5:07making the transition from being defensive,
- 5:10alone to being a little bit more proactive
- 5:12as well in terms of, the work that
- 5:14we do. You know, the controlling the controllable
- 5:17side of things and being able to infuse
- 5:18that within the culture of the organization as
- 5:20well.
- 5:21And, road mapping, planning, and governance has been
- 5:24an essential part of this. So I think
- 5:26there was,
- 5:27a little bit of a sense of,
- 5:29lack of direction,
- 5:31if you would, in terms of
- 5:32what can IT truly do over what period
- 5:35of time.
- 5:36And, I think this was an opportunity for
- 5:38us to rebaseline
- 5:40in terms of the capabilities we can bring
- 5:42forward,
- 5:43in a more predictable fashion. So being able
- 5:45to start with a visioning exercise that allowed
- 5:47us to have the right balance
- 5:50of, you know, fixing the foundation while also,
- 5:53you know,
- 5:54working towards innovative solutions and innovative means of
- 5:57improving care delivery as well as efficiency.
- 6:00We created a road map, that was,
- 6:03that's something that the organization has had a
- 6:05chance to review and buy into, which now
- 6:07sets us up well for what the future
- 6:09holds. So those are, some of the, some
- 6:12of the more important things.
- 6:14You know, when it comes to tech, I
- 6:15mean, I think it's, it's really important to
- 6:17realize that it's not always about systems and
- 6:20tools.
- 6:21It is important that,
- 6:23we kind of ground a lot of this
- 6:25in trust, as I mentioned earlier.
- 6:27And,
- 6:28IT is seen as a partner. And I
- 6:30think when that happens, you know, with that
- 6:32partnership within the business community, as well
- 6:36as the clinicians over here, good things usually
- 6:39happen and progress
- 6:40follows. So that's our ability to, you know,
- 6:43kinda serve as launching pad going into the
- 6:45future.
- 6:46Yeah. Thank you so much for sharing all
- 6:48of those things. Are there,
- 6:50any big challenges that you're anticipating for this
- 6:53year or, let's say, the next four to
- 6:55five years?
- 6:56So with the opportunity
- 6:58for
- 6:59progress, as I mentioned right now,
- 7:02it also comes with some of the challenges,
- 7:05if you would, and we we keep a
- 7:06keen eye for that.
- 7:09One of those is obviously,
- 7:11related
- 7:12to just overall
- 7:14the workforce and their ability to adapt to
- 7:17change, and adapt to new technology and transformation,
- 7:21just because of, you know, where the industry
- 7:25itself has been maybe over the last four
- 7:26or five years since the pandemic.
- 7:29Burnout is real.
- 7:30You know, overwork is real.
- 7:33And, staffing related challenges
- 7:35continue to,
- 7:37pose a threat, if you would, in terms
- 7:38of, the adoption of some of the technology.
- 7:40You can only go so far
- 7:42without the right response
- 7:44from, from the staff,
- 7:46you know, in order to adopt some of
- 7:48this technology and make it actually successful and
- 7:50within the workflow. So we we manage this
- 7:52really well. It's a challenge, but, you know,
- 7:54this is this is something that we've mitigated
- 7:57through effective change management within our organization. So,
- 8:00you know, not only in terms of transparency
- 8:01for communication. So we talked about,
- 8:04you know, how we would build out the
- 8:06capabilities,
- 8:08you know, in terms of the road map
- 8:09and what we would deploy at what point.
- 8:11So having the appropriate communication
- 8:13is really important,
- 8:14and and being able to bring transparency to
- 8:16that is is really vital. But also, at
- 8:18the same time, being able to be as
- 8:20inclusive as possible as far as decision making
- 8:22goes in terms of what we work on
- 8:24and how we work on it in order
- 8:26to reduce the friction for the clinicians and
- 8:28the business in general is really, really vital
- 8:30for us. So I think that's one of
- 8:32the big challenge. You know, we can talk
- 8:34about the industry again at large, and we're
- 8:36probably not immune from it. Although, you know,
- 8:38we've been we've been able to weather the
- 8:40financial headwinds really well over the course of
- 8:42maybe the last couple of decades. But, right
- 8:45now, with the margin compression that's going on,
- 8:47I think there is a there's a keen
- 8:49realization for all of us that,
- 8:51you know, new projects and new solutions that
- 8:54we implement have to be grounded in a
- 8:57yield on that investment.
- 8:59And we're putting the right thought process in
- 9:01place in order to make sure that the
- 9:03the tools that we're implementing are going to
- 9:05yield us, you know, in the near term
- 9:07as well as in the long term in
- 9:08terms of some sort of a quantifiable benefits,
- 9:11especially knowing that, you know, we don't really
- 9:14have, too many, too many mulligans over here
- 9:17when, when it comes to,
- 9:19you know, being optimal with the deployment of
- 9:21our financial resources.
- 9:23And then, you know, cybersecurity and information security
- 9:26is always on our mind. We've made a
- 9:28lot of investment in that, not only in
- 9:30terms of processes and people and culture, but
- 9:33also in terms of tools and technology, and,
- 9:35you know, being able to stay ahead of
- 9:37the curve in terms of, what can sometimes
- 9:40be a very,
- 9:41very intimidating proposition,
- 9:43of, being able to keep the,
- 9:46keep the environment safe and secure, is a
- 9:48constant,
- 9:49is a constant in our mind, and we
- 9:50continue to, you know,
- 9:52work on it as as best as we
- 9:53can. So those I mean, that's, that that's
- 9:57maybe the perhaps the the outlook that I
- 9:59probably put in place in terms of, you
- 10:00know, what we think the key challenges might
- 10:02be.
- 10:04Yeah. No. That makes a lot of sense.
- 10:05I definitely heard,
- 10:07some executives say something remotely close to, you
- 10:10know, what you're talking about.
- 10:12What is the number one thing you're doing
- 10:14right now to set up your organization,
- 10:17for long term success?
- 10:20Yeah.
- 10:21I, I'll give you, I'll give you maybe
- 10:24two. And I think they're sort of related,
- 10:26in a certain sense.
- 10:28You know, we've,
- 10:30as I mentioned earlier,
- 10:31there is
- 10:32work that we're doing in terms of fixing
- 10:35the foundation, but we're also looking at innovation.
- 10:37And on the innovation side, some of it
- 10:40is along the lines of AI and automation.
- 10:43We've had some early successes just in the
- 10:45last year or so in terms of work
- 10:48that we've done within with the use of,
- 10:50you know, some sort of automation,
- 10:52within the radiology and the radiologist
- 10:55workflows.
- 10:56We've had some recent success in terms of
- 10:58using AI effectively
- 11:01effectively for clinical documentation through the ambient listening
- 11:03tools and such.
- 11:04We're working on the next set of priorities
- 11:07beyond that where we think we can build
- 11:08on some of this momentum.
- 11:10We've built some of that trust from the
- 11:12updating of the foundation. We talked about. We've
- 11:13built some credibility with some of the new
- 11:15innovation and the tooling so far. We're gonna
- 11:17build on top of it with more,
- 11:20automation of administrative tasks. And I think that's
- 11:23going to be important for us not only
- 11:25next year but into the years going forward
- 11:27as we use that to learn,
- 11:29and,
- 11:30and continue to evolve.
- 11:32The second piece of it is,
- 11:34informing the organization and the leadership, but also
- 11:37everyone,
- 11:39you know,
- 11:40that that even is at the front lines
- 11:42with easy
- 11:44access to data. I think there's a lot
- 11:46of friction today in terms of being able
- 11:48to get access to analytics and being able
- 11:51to derive the necessary insights to not only
- 11:54run operations, but also help in strategic planning,
- 11:56what to do next.
- 11:58And it's my team's role to make sure
- 12:01that that friction,
- 12:02is, you know,
- 12:05removed as much as possible. We wanna make
- 12:07that whole process of being able to get
- 12:09to data
- 12:10more and insights more effortless. So I think
- 12:13that's the idea behind the work that we're
- 12:15doing right now is we're building out a
- 12:17centralized enterprise data warehouse solution that's gonna allow
- 12:20us to kinda serve allow it to serve
- 12:23as, as a single pane of glass, if
- 12:26you would, that everyone would have access to
- 12:28in terms of clinical quality,
- 12:30operational
- 12:31revenue cycle, and data in general to go
- 12:34out and make decisions into the organization. I
- 12:36think that's an important part of the data
- 12:37driven
- 12:38transformation of the culture that we're affecting over
- 12:41here that is, that's gonna serve us well,
- 12:43not only now, but also into the future.
- 12:45That makes a lot of sense. Thank you
- 12:47so much for sharing those, those final thoughts.
- 12:50It's definitely been a very informative discussion. So,
- 12:52again, I wanna thank you so much for
- 12:53coming on Becker's health care, especially for the
- 12:56first time, and I hope we have you
- 12:57back.
- 12:58Thanks, Mariah. I really enjoyed it and, appreciate
- 13:01the opportunity.
- 13:02Thank you.