Latest / Becker’s Healthcare Digital Health + Health IT / Khalid Turk, Chief Healthcare Information Officer at Santa Clara Valley Healthcare
Transcript
- 0:01The Becker's team is excited to announce the
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- 0:24This is Rosie Talago with the Becker's Healthcare
- 0:26Podcast.
- 0:27I'm thrilled today to be joined by Khalid
- 0:29Turc, chief health care information officer at the
- 0:32County of Santa Clara Health System. Khalid, it's
- 0:34a pleasure to have you on the podcast
- 0:36today.
- 0:37Thank you, Rosie. Thank you for having me.
- 0:39Of course. We have a great conversation in
- 0:41store diving into the key opportunities and challenges
- 0:44shaping health care. But before we get into
- 0:46it, I'd love for our listeners to get
- 0:47to know you a bit better. Can you
- 0:49start by sharing a little bit about your
- 0:51background and your journey to your current role?
- 0:54Yeah. My current role is
- 0:56chief health care information technology officer,
- 1:00serving the health system
- 1:02under the county of Santa Clara.
- 1:04I've been in health system for over
- 1:07twenty years, started way back when as a
- 1:10software engineer.
- 1:12I've been
- 1:13implementing EPYC systems for over fifteen years.
- 1:16My introduction into the EMR realm was an
- 1:20as an interface analyst, actually. I became the
- 1:23EPYC Bridges analyst way back in 02/2004,
- 1:26and then took different roles, project implementation,
- 1:30EPIC implementation,
- 1:31and whatnot. And, eventually, it led me to
- 1:33the current role where I am leading the
- 1:37health system technology for the Santa Clara Valley
- 1:40Healthcare,
- 1:41which is the second largest public health system
- 1:44in California.
- 1:45We serve a diverse population of over 2,000,000
- 1:48residents a year.
- 1:50As a safety net provider for Santa Clara
- 1:52County,
- 1:53we operate three acute care hospitals and more
- 1:55than 20 specialty and primary care clinics,
- 1:59ensuring access to high quality health care for
- 2:01all. Better health for all is actually one
- 2:04of our slogans,
- 2:06and regardless of socioeconomic
- 2:08status. So many people that we serve
- 2:10would not be able to afford health care
- 2:12on their own. That's what
- 2:14makes us very special and my job very
- 2:17purposeful.
- 2:18What makes us unique here at the Santa
- 2:20Clara Valley Healthcare
- 2:22is our commitment to innovation in public health
- 2:25care. I already mentioned we are second largest.
- 2:28We have had stage seven certification since 02/2017,
- 2:33and we have renewed it,
- 2:36for three times.
- 2:37We are heavily focused on digital transformation,
- 2:40patient centered care,
- 2:42and most most importantly,
- 2:44equitable access.
- 2:46And our health system as a is is
- 2:49not just the acute care and ambulatory clinics,
- 2:52but we also have a public health and
- 2:53behavioral health.
- 2:55And,
- 2:56the way we have implemented technology here, all
- 2:58the systems are integrated.
- 3:01So it's a great place to be in
- 3:02and a extremely public,
- 3:05purpose driven job that I have.
- 3:08That's great. Thank you so much for that
- 3:10introduction and the background on what sets your
- 3:12organization apart.
- 3:14So looking at that commitment to innovation and,
- 3:17you know, you mentioned digital transformation,
- 3:19patient centered care, equitable access,
- 3:22looking more closely
- 3:23into these
- 3:24milestones or accomplishments that you've hit, let's discuss
- 3:28some of the specifics in the past year.
- 3:30So looking back at this past year, what
- 3:33is the one accomplishment that you're most proud
- 3:36of?
- 3:37Yeah. We do actually a lot of cool,
- 3:40quote unquote, cool work in a given year.
- 3:42It's it'll be really hard to pick one
- 3:44thing, but I'll mention a few things.
- 3:48If I may,
- 3:49we continue to improve our EMR,
- 3:52our EPIC EMR, what we internally call Health
- 3:54Link. We implemented our EMR, or started implementing
- 3:57it, in June of twenty thirteen. So it's
- 4:00been
- 4:01over eleven years. And those eleven years, we
- 4:04started with
- 4:05a handful of modules, and now we have
- 4:07over 27.
- 4:09Pretty much every department in the acute care
- 4:11and ambulatory is covered by our EMR. So
- 4:14that's a continued commitment
- 4:16to the excellence that we work on.
- 4:19What we have done, as I was mentioning
- 4:21about HIMSS stage seven, it was due for
- 4:23renewal last year. We renewed it.
- 4:26We also established our disaster recovery system in
- 4:30the EPIC with the EPIC in their hosting
- 4:33service.
- 4:34That was something that was
- 4:36initially located locally here in our data centers,
- 4:39and it was one of my
- 4:41strategic initiatives to
- 4:44expand that Doctor capabilities
- 4:46and,
- 4:47store them somewhere
- 4:49where they will be, because we were in
- 4:50the same geographic location. And now knowing that
- 4:53we have a system that is available remotely
- 4:56and also in the hands of Epic, that
- 4:58is, huge comfort for not only myself as
- 5:01the chief health care information technology officer, but
- 5:04also for my customers, that if something happens,
- 5:07bad happens,
- 5:08be it from the security perspective or force
- 5:11majeure,
- 5:12we would still be able to provide services
- 5:15to our care providers and be able
- 5:18to take care of our patients.
- 5:19Besides that,
- 5:21we have multiple initiatives that we continue to
- 5:23work on, which include IT infrastructure improvement
- 5:27and introducing
- 5:28AI in our workflows. We automated some,
- 5:32messaging between the providers and the patients last
- 5:35year,
- 5:36and we did multiple optimization in the epic.
- 5:39So it's been quite a busy year. On
- 5:41any given calendar year, we do,
- 5:45over 50
- 5:46big and small projects.
- 5:48So if I look at the,
- 5:50accomplishments
- 5:51or the deliveries that we have done over
- 5:53the past few years, they are really enormous.
- 5:55And for that,
- 5:56I'm exceptionally thankful to the wonderful team that
- 5:59I lead here.
- 6:01Absolutely.
- 6:02That's very impressive. I have over 50 projects,
- 6:05and it's really great to see your impact
- 6:07the team's making through that commitment to the
- 6:10EMR for over eleven years and then seeing
- 6:12that growth within every department. That's great.
- 6:16So while it is great to acknowledge these
- 6:18wins and, you know, feel so proud of
- 6:19them,
- 6:20Each organization is thinking about where they can
- 6:23grow and evolve and move forward.
- 6:25So that said, where do you see the
- 6:27biggest growth opportunities for your team in the
- 6:29next twelve months?
- 6:32Yeah. Interesting question and very, very relevant
- 6:34and timely.
- 6:36Our acute care
- 6:38health system comprises of three hospital, and we
- 6:41provide provide over 1,100 beds here in the
- 6:44Santa Clara Valley Healthcare.
- 6:46Recently, our county leadership decided to acquire one
- 6:50more hospital
- 6:51that is currently owned by SCA. It's, called
- 6:54Regional Medical Center.
- 6:56And since we are
- 6:59a public service organization
- 7:01and geared towards safety net,
- 7:04It's going to be, strategic
- 7:06strategically, it's gonna be a most important
- 7:09decision that the organization has made. And my
- 7:11job as the technology lead for this organization
- 7:14is to integrate that
- 7:16hospital into our system.
- 7:18This will be one of the most unique
- 7:20and challenging
- 7:22projects ever taken.
- 7:23Generally, the mergers and acquisitions take about nine
- 7:26months to twelve months, which is a norm.
- 7:29We are doing that
- 7:32in less than four months. We actually
- 7:36closed the deal, quote, unquote, in January of
- 7:38this year, '2 thousand '20 '5, and our
- 7:40go live date is April 1, and that
- 7:43is no joke. In four months,
- 7:45we have to make sure that, less than
- 7:46four months, actually, that we
- 7:49migrate that organization.
- 7:51It's about 258
- 7:52beds hospital into our system.
- 7:55So that is going to be the main
- 7:57activity for us, and, obviously, there are different
- 7:59stages and phases for the first quarter. We
- 8:02are bringing that hospital live on our EPIC
- 8:04EMR
- 8:05and some other third party system,
- 8:07but systems, but we'll continue to improve on
- 8:09that and add more capabilities.
- 8:11So that is going to be the focus
- 8:14for us for this entire year of 02/2025.
- 8:19Absolutely. That is quite a challenge to take
- 8:21on the average being nine to twelve months,
- 8:24but to do that in less than four
- 8:26months.
- 8:27So looking at that anticipating
- 8:29challenge and being proactive,
- 8:31are you preparing
- 8:33to try to hit that goal date of
- 8:34April 1?
- 8:36Yeah. We have to make sure that we
- 8:38are rightly staffed,
- 8:41and we are looking at the professional services
- 8:43to augment our staff, at least for a
- 8:45short term, because most of our needs are
- 8:47on the short term basis. We have to
- 8:49make sure that our contracts are put in
- 8:52place well in time, so we can engage
- 8:54with the vendors, and,
- 8:57integrate all the systems that are coming over
- 8:59from this Regional Medical Center into our system.
- 9:03I lead a team of about two sixty
- 9:05people, exceptionally
- 9:06talented individuals,
- 9:09and though not all of them will be
- 9:10working on this acquisition, but majority of the
- 9:13resources are working on this. This is all
- 9:15hands on deck. As I was saying, that
- 9:17this will be one of the most challenging
- 9:20project that any of us have taken. We
- 9:22have done some remarkable work here at the
- 9:24County Of Santa Clara.
- 9:25We have
- 9:27built up a new hospital,
- 9:30and integrated our system from the technology perspective.
- 9:33In less than,
- 9:35eight months, we have acquired two hospital hospitals
- 9:38that we did literally in eight months, which
- 9:40was also a phenomenal task. And now doing
- 9:43this in less than four months. So we
- 9:46have some
- 9:47experience,
- 9:49supporting us, but the continuous focus is going
- 9:52to be that make sure the scope is
- 9:54very well defined. We have resources to carry
- 9:57out that scope, and we have a team
- 10:00that makes sure that vendors are engaged in
- 10:02contractors' contracts updated in in right time.
- 10:07Absolutely. I think that's a great perspective and
- 10:09plan for the road ahead. I particularly liked
- 10:12you saying all hands on deck, you know,
- 10:14recognizing that this could be the most challenging
- 10:17situation for anyone on your team, but to
- 10:19really just have everyone
- 10:21all hands on deck. It's great.
- 10:23So looking back at these accomplishments,
- 10:26opportunities, obstacles that we've discussed,
- 10:29it really does highlight the importance of staying
- 10:31proactive.
- 10:32So with that in mind,
- 10:34what's the number one thing that you're doing
- 10:36right now to set your organization up for
- 10:38long term success? I know we talk sometimes
- 10:40about the short term, but looking at the
- 10:42long term in this case.
- 10:45Yeah. Thank you for that question. I think
- 10:47that, healthcare industry generally and healthcare organizations, whether
- 10:51public or private,
- 10:53have been under the tremendous financial pressure.
- 10:57If you, like me, follow all the Baker's
- 11:00news that comes almost every day,
- 11:03literally, there's no week gone by where you
- 11:05see that certain hospital got closed or a
- 11:07healthcare
- 11:08organization either got acquired or closed, and mostly
- 11:11due to the financial reasons.
- 11:13As bad as it was with the changing
- 11:16political situation, it's getting even more challenging.
- 11:20So for an IT leader,
- 11:22the continued focus would be to balance the
- 11:24budget constraints while continuing to invest in innovation.
- 11:28I believe we cannot operate just to keep
- 11:30the lights on KTLO, as we call them.
- 11:33We have to continue to innovate.
- 11:35On one side, we have to
- 11:37manage the budget constraints.
- 11:39That would mean
- 11:40doing more with the less resources
- 11:43and continue to innovate. But when you talk
- 11:46about doing more with the less resources that
- 11:49many of our organizations have been doing
- 11:51for years, especially post pandemic,
- 11:54there is a danger of burnout, and
- 11:58the retention also has some challenges.
- 12:01So the human side of the healthcare IT
- 12:04is going to be
- 12:05an area where we have to pay close
- 12:08attention.
- 12:09So balance the budget
- 12:11or meet the budget constraints,
- 12:13continue to innovate, and make sure that we
- 12:16continue to take care of the people,
- 12:18whether they are in the front lines taking
- 12:20care of patients
- 12:22or in the back line back end, like
- 12:24myself,
- 12:26managing the technology,
- 12:27because people are the ones that actually make
- 12:30every strategy successful.
- 12:33Absolutely. And I definitely think that being proactive
- 12:36Absolutely.
- 12:37And I definitely think that being proactive like
- 12:38we talked about and noticing and anticipating these
- 12:40financial challenges will help get through them. So
- 12:43thank you so much today for joining us.
- 12:46It's been great hearing your insights on the
- 12:48technological innovation and implementation at
- 12:52Santa Clara House System and where you guys
- 12:54are headed. So thanks again, and we look
- 12:56forward to collaborating with you again soon.
- 12:59Thank you. Thank you, Rosie. I appreciate your
- 13:01time.