Latest / Becker’s Healthcare Podcast / Andy Anderson, MD, MBA, Chief Medical and Quality Officer at RWJBarnabas Health
Transcript
- 0:02- There's a small circle of people who truly
- 0:04- understand what it takes to lead a health
- 0:05- system right now. The decisions are enormous.
- 0:08- The variables are constantly shifting, and the stakes
- 0:11- of getting a call wrong don't stay contained.
- 0:14- That's not a complaint. It's a structural reality.
- 0:17- And it's why the most effective c suite
- 0:19- leaders are deliberate about where do they go
- 0:21- to pressure test their thinking.
- 0:22- Becker's fourteenth annual CEO and CFO roundtable
- 0:26- brings together more than 1,500
- 0:28- executive level attendees
- 0:30- and nearly 400 speakers for four days built
- 0:32- around growth, financial sustainability,
- 0:35- workforce strategy, and the leadership questions that don't
- 0:38- have easy answers.
- 0:39- Join us November second through the fifth in
- 0:41- Chicago.
- 0:42- For the agenda and event details,
- 0:45- visit beckershospitalreview.com
- 0:47- and click on the events tab in the
- 0:49- upper right.
- 0:51- Welcome to the Becker's Healthcare Clinical Leadership podcast.
- 0:55- I'm Mariah Taylor, assistant editor, and I'm thrilled
- 0:57- to be speaking with Andy Anderson,
- 1:00- chief medical and quality officer of RWJBarnabas
- 1:03- Health. Thank you so much for joining me
- 1:05- today. I'm really excited to learn more about
- 1:07- what you think hospitals will need from clinical
- 1:10- leaders in the next few years. But before
- 1:12- we dive into that, I'd love for you
- 1:14- to introduce yourself and tell us a little
- 1:15- bit about your background.
- 1:17- Yeah. Thank you for the opportunity.
- 1:19- I'm a general internist
- 1:21- and, continue to work,
- 1:24- as a primary care physician
- 1:26- and
- 1:27- lead
- 1:28- the quality
- 1:29- and medical staff services at RWJBarnabas
- 1:33- Health, which is the largest
- 1:35- academic health system in in New Jersey. We
- 1:38- are very committed to
- 1:40- excellence
- 1:40- in patient care, including safety, quality,
- 1:44- and patient experience. And we also enjoy a
- 1:47- very deep partnership with Rutgers University around our
- 1:50- academic mission,
- 1:52- training the next generation of doctors and nurses,
- 1:55- and
- 1:56- advancing research with cutting edge clinical trials and
- 2:00- discoveries.
- 2:03- Excellent.
- 2:04- Now as we all know, leadership and what
- 2:06- is needed from leaders is constantly changing and
- 2:09- evolving. So as we're looking forward to 2030,
- 2:12- I'm sure that the chief medical officer role
- 2:15- will likely see a little bit of differences
- 2:17- and responsibilities
- 2:18- and roles compared to what we have today.
- 2:20- So in your opinion, what competencies or capabilities
- 2:23- do you think the current and future CMLs
- 2:25- will need to develop in the coming years?
- 2:28- Yeah. It's a great question. And, you know,
- 2:30- health care is a team sport. And part
- 2:32- of what, you know, physician leaders need to
- 2:35- do is to be well grounded in all
- 2:37- aspects of health care delivery, and that includes
- 2:40- operations
- 2:40- and finance and human resources
- 2:43- and legal, etcetera.
- 2:45- But for me, the most important competency that
- 2:48- future leaders need to to really pay attention
- 2:50- to is, I'll call it, change management
- 2:53- and and influence. And, you know, physician leaders
- 2:56- already are influencers,
- 2:58- but to be truly effective
- 3:00- as a physician leader, you have to be
- 3:01- able to influence others, particularly your physician colleagues,
- 3:05- but also nurse colleagues,
- 3:07- administrative leadership, etcetera, in the health system to
- 3:10- really be at the table
- 3:11- as decisions are made on prioritization,
- 3:14- on goal setting,
- 3:16- on clinical initiatives. It's very important
- 3:19- for physician leaders to be effective as change
- 3:22- agents and and influencers. And, you know, some
- 3:24- of that's just basic,
- 3:27- communication skills and listening skills and
- 3:30- understanding organizational behavior
- 3:33- and learning how to make changes,
- 3:35- doing things like
- 3:37- PDSA cycles and and and continuous quality improvement
- 3:41- and or
- 3:42- understanding
- 3:43- how to
- 3:44- try something out, pilot it, and then scale
- 3:46- it across the system.
- 3:48- These are really important pieces of of being
- 3:50- an effective leader and an effective change agent.
- 3:53- Absolutely.
- 3:55- And I'm sure part of being a change
- 3:57- agent comes with all the AI and automation
- 4:00- changes that have been blowing up in the
- 4:02- industry lately, especially as they become more involved
- 4:06- in clinical decision support functions.
- 4:08- So how do you see the relationship
- 4:10- between chief medical officers and chief information
- 4:13- officers or chief medical information officers
- 4:16- evolving? And are today's organizational structures actually built
- 4:19- to support that collaboration?
- 4:22- Yeah. It's very important for the physician leadership
- 4:25- to be very well connected with
- 4:28- the chief medical information officer roles and
- 4:32- specifically when we're looking at the electronic health
- 4:35- record
- 4:36- and really how to make that work well
- 4:38- for clinicians.
- 4:40- It's important for the chief medical officer to
- 4:43- understand,
- 4:44- again, change management, how to listen carefully to
- 4:48- issues that are coming up, how to look
- 4:50- ahead to understand how the electronic health record
- 4:53- can best be utilized,
- 4:55- and really trying to solve pain points, trying
- 4:57- to make it easier to use the electronic
- 4:59- health record. It's really important for the CMIO
- 5:02- to be closely tied to the CMO. In
- 5:04- many
- 5:05- health systems,
- 5:06- the role is a direct report. The CMIO
- 5:08- will report to the the chief medical officer.
- 5:11- It's also important to be connected to the
- 5:13- chief information officer. That's the the architecture, the
- 5:16- data,
- 5:17- all the different,
- 5:18- ways that the IT structure is put together
- 5:21- have to be understood, and there has to
- 5:23- be conversations about sort of what is possible,
- 5:26- how quickly can something be implemented,
- 5:29- and really staying close as a team is
- 5:32- is very important.
- 5:33- AI is certainly part of all this, and
- 5:35- AI is here and is here to stay.
- 5:37- And it's really, in my mind, a companion
- 5:40- to assist the clinician, to assist the health
- 5:42- system in doing its work. The ultimate decision
- 5:45- maker still should be clinical judgment, still should
- 5:47- be the the health system, but AI is
- 5:49- there to to make it easier and to
- 5:51- speed up processes and streamline processes
- 5:54- so that we can be more efficient and
- 5:56- effective.
- 5:57- Absolutely.
- 5:59- Now if you were sitting down to advise
- 6:01- a system level CEO today on how to
- 6:04- future proof their clinical leadership bench, what's one
- 6:07- structural or cultural change you would recommend they
- 6:09- make?
- 6:11- Yeah. I would be sure that physician leadership
- 6:13- is at the table as decision making is
- 6:16- happening, as strategies are being developed, as tactics
- 6:19- are being decided upon, as priorities are being
- 6:22- set. And having physician leadership at the table
- 6:24- is extremely important. And part of that is
- 6:26- making sure that you have enough physician leadership,
- 6:28- that you really have a a bench, if
- 6:30- you will, that there's succession planning, that you're
- 6:32- growing and developing your physician leaders in your
- 6:35- organization so that they can be know, part
- 6:37- of the decision making and part of the
- 6:39- strategy. And and, again, really listening and understanding
- 6:42- what's happening out in the field because that's
- 6:44- gonna be important to to help shape that
- 6:46- strategy.
- 6:48- Excellent.
- 6:49- Is there anything else that you think that
- 6:51- leaders should know about the future of being
- 6:53- a c suite in the hospital?
- 6:57- Well, back to where I began, it's a
- 6:58- team sport and and really developing your team
- 7:01- to work together effectively
- 7:03- to have a culture where everyone's free to
- 7:05- share their opinion and express their ideas
- 7:08- and coming to consensus.
- 7:10- But being innovative and creative along the way
- 7:13- in all the conversations, that's gonna lead to
- 7:15- better ideas,
- 7:16- and it's also gonna lead to more effective
- 7:19- implementation of ideas when everyone gets to that
- 7:22- consensus after they've had time to discuss and
- 7:24- and express their ideas.
- 7:27- Excellent. Well, this has been such a great
- 7:29- discussion. Thank you for joining me today and
- 7:31- sharing all of your thoughts.
- 7:33- Absolutely. Thank you.