Latest / Becker’s Healthcare Podcast / Dr. Suparna Dutta, Chair of the Medicine Department at Hartford HealthCare
Transcript
- 0:02Every year, Becker's annual meeting brings healthcare leaders
- 0:05together to unpack the most pressing issues facing
- 0:07the industry.
- 0:08And every year, those conversations shift in profound
- 0:11and unexpected ways.
- 0:13This April, more than 3,500
- 0:15healthcare executives will return to Chicago for Becker's
- 0:18sixteenth annual meeting.
- 0:20Seven ninety five elite speakers will offer new
- 0:23lessons, new case studies, and predictions about what
- 0:26comes next.
- 0:27Join us April 13 through the sixteenth.
- 0:29For the agenda and event details,
- 0:32visit beckershospitalreview.com
- 0:34and click on the events tab in the
- 0:36upper right.
- 0:38This is Scott Becker with the Becker Healthcare
- 0:42Podcast.
- 0:43We're thrilled today to be joined by a
- 0:44brilliant physician leader
- 0:47from a brilliant system. We're joined today by
- 0:50doctor Suparna
- 0:51Datta,
- 0:52and doctor Datta is is both a doctor.
- 0:56She's a graduate of the School of Public
- 0:58Health at Yale,
- 1:00Dartmouth.
- 1:01Brilliant, brilliant background,
- 1:03and she's at Hartford
- 1:05HealthCare. And and for those that are not
- 1:07familiar with HHC,
- 1:08Hartford HealthCare,
- 1:10it's one of the systems that over the
- 1:12last couple decades has become one of the
- 1:14great systems in America.
- 1:16Doctor Dunna, you serve as a department chair.
- 1:19You've also spent time at Roche. Tell us
- 1:21a bit about your background and where you're
- 1:24most focused today.
- 1:26Yeah. Thank you. Thank you. Scott, thank you
- 1:28so much for having me on,
- 1:30for the lovely introduction.
- 1:32I am the the chair of medicine at
- 1:34Hartford Hospital, which is the the flagship hospital
- 1:38of of Hartford HealthCare here in Connecticut.
- 1:41And,
- 1:42my job essentially is
- 1:44kind of overseeing the inpatient and ambulatory medical
- 1:47services across our our large integrated system, especially
- 1:51on our our Hartford Hospital campus.
- 1:54So my role is focused
- 1:56really on innovating and building systems of care
- 1:59delivery that kind of ensure high quality,
- 2:01high value, equitable care, and and reliable access
- 2:05for our patients and our community by aligning
- 2:08teams across our institution and various care settings.
- 2:12So we've been very intentional about designing care
- 2:14so teams can work together seamlessly rather than
- 2:17in silos.
- 2:19And you've spent a lot of time at
- 2:20some of my favorite institutions in in at
- 2:23at Rush, which is local to Chicago where
- 2:25I happened to be this
- 2:27morning, Hartford HealthCare, which has had this incredible
- 2:30growth over the last several years,
- 2:33and then University of Miami where we have
- 2:35a stepdaughter at medical school. So we're we're
- 2:37Uh-huh. We've, it's a we we try and
- 2:39track with all the things you're doing.
- 2:41Talk to us a little bit about the
- 2:43the trends that you're watching currently and at
- 2:45at Hartford HealthCare just in in in what
- 2:48you do. What what trends are you most
- 2:49focused on?
- 2:50Yeah. It's a it's a fascinating time to
- 2:53be in health care.
- 2:55I think when I'm a hospitalist by training,
- 2:58so I've spent most of my career in
- 3:00the inpatient setting. And what's really different from
- 3:03when I started working to to where we
- 3:05are as health care in general in The
- 3:09United States today is
- 3:11kind of how we've gone from very discreet
- 3:13locations of care delivery to really having ownership
- 3:16across the continuum of care. So now as
- 3:18a hospitalist, if I discharge a patient, it's
- 3:20not I'm discharged and my work is done,
- 3:23but I'm still accountable for what happens to
- 3:25the patient afterwards. And I have to make
- 3:27sure that I've created a plan for the
- 3:29patient that they can adhere to, and they
- 3:30have a place to go for follow-up and
- 3:32all of those things. And that accountability
- 3:35across the continuum of care, I
- 3:37think, is is a new development
- 3:39in in the practice of medicine. So
- 3:42I think that's part of,
- 3:44something that we've been really pushing on. I
- 3:47think another
- 3:48big trend is
- 3:50just social determinants of health and really understanding
- 3:53that this is a huge part of what
- 3:55our patients have to deal with day to
- 3:57day.
- 3:58And as health care, we can never get
- 4:00our optimal outcomes unless we help our patients
- 4:02get to the point where we can we
- 4:04can help them make sure they have food
- 4:05and the medications they need and heat and
- 4:07all of those things. So things traditionally that
- 4:10health care in general didn't get involved in,
- 4:12I think slowly health care is realizing we
- 4:14have to have some some
- 4:16ownership around for our patients.
- 4:19And then I think the other thing is
- 4:21just value based care. I think rather than
- 4:24focusing on volume, we're really shifting the focus
- 4:27to how well are we providing care,
- 4:30which kinda goes along with the population health
- 4:32and and care beyond boundaries.
- 4:34I think the final thing which everyone's talking
- 4:36about is how do we use technology to
- 4:38kinda help us achieve our goals of a
- 4:39of a high quality, high value, equitable care
- 4:42system.
- 4:43And I think it's gonna be really interesting
- 4:45over the next, you know, couple years or
- 4:47so to see how we're gonna use AI
- 4:49to our benefit and use technology as an
- 4:51enabler of of the work that we do.
- 4:54Thank you so much. And and and talk
- 4:56a bit about where on the technology side
- 4:58are are you seeing the most impact or
- 5:01most excited?
- 5:02You know, for me, I think I mean,
- 5:04right now, I feel like there's AI
- 5:07that can
- 5:08do just about anything. I think where the
- 5:11biggest
- 5:12opportunities are are really operational. I think a
- 5:16lot of health care has kind of been
- 5:18bogged down the past
- 5:20couple of decades just by the extra stuff
- 5:23that came along with the with the provision
- 5:25of care. And not in a bad way.
- 5:27I think as we started focusing more on
- 5:29quality metrics, What happened, especially in our early
- 5:32stages, is that we had to document the
- 5:33metrics or add in make sure we're putting
- 5:35in certain things in the electronic medical record.
- 5:38And often a lot of that fell on
- 5:39the care teams to do that work. And
- 5:41where I think technology can help is really
- 5:43taking away that onerous data entry work for
- 5:47for providers
- 5:48and care teams and really allow
- 5:50technology to do that so you get the
- 5:52information that you need to do your job
- 5:54at the highest level of your license in
- 5:56the best way possible. That takes away a
- 5:58lot of the typing after
- 6:00outpatient visit and allows them to really actually
- 6:03look at their patient and talk to their
- 6:04patient rather than kind of inputting things into
- 6:06the computer over the course of a visit.
- 6:08So I think that's really the biggest win
- 6:10for for AI right now
- 6:13and where I think we can make the
- 6:14biggest difference.
- 6:16And, doctor Dutta, as you look towards 2026,
- 6:19and we're just starting it right now,
- 6:21what are you most excited about? What what
- 6:23are you most excited about? What gets you
- 6:25going in the morning and and most excited
- 6:27about what you're doing?
- 6:29Yeah. That's a great question. I think,
- 6:32you know, sometimes I think health care,
- 6:35as it is historically, is this big messy
- 6:37room with a lot of great things in
- 6:39the room, but it's all kinda all over
- 6:41the place, and it's it's a big mess.
- 6:44And I love the concept just mentally of
- 6:46cleaning up that room and making it
- 6:48so clear where all the great things are.
- 6:50And so anyone could walk into that room
- 6:52and figure out how to get anywhere and
- 6:54get what they need out of that room.
- 6:56So
- 6:57what's really exciting that I think all of
- 6:59health care is really
- 7:01getting on board with that vision,
- 7:03of building these connected systems of care where
- 7:06nobody's siloed and we're all really focused on
- 7:08the actual patient and how they're dealing with
- 7:11their illness and how we can support them.
- 7:14I'll give you an example.
- 7:16I think I had mentioned social determinants of
- 7:17health. And I think for a long time,
- 7:19I think we as care teams knew that,
- 7:22you know, if my patient can't afford heat
- 7:24or they're getting evicted from their apartment,
- 7:26I can tell them to take all the
- 7:27blood pressure medications I want. They're not gonna
- 7:30that's not the top of their priority list.
- 7:32And so we know this, but there wasn't
- 7:33a whole lot that we could do about
- 7:35it because we're not
- 7:37really
- 7:38given instruction in how to help someone through
- 7:40the eviction process or what to do in
- 7:42terms of navigating that. And so now I
- 7:44see, like, at Hartford, at our hospital, we've
- 7:47created a a partnership, a medical legal partnership
- 7:49with the University of Connecticut,
- 7:51where we have a law professor and some
- 7:54law students on-site. So if I am seeing
- 7:56a patient and they tell me, you know,
- 7:58I'm worried about getting evicted from my apartment,
- 8:00I don't know how I'm gonna be able
- 8:01to take care of myself, I can send
- 8:03them to the the medical legal clinic to
- 8:06see if there's something that can be done
- 8:07to support the patient.
- 8:08We also have a food for health clinic
- 8:10that, you know, we have food insecurity that's
- 8:13a a big issue in our patients' lives.
- 8:14We have a place that we can send
- 8:16them where they will get help in terms
- 8:18of getting groceries that are actually grown on
- 8:20our hospital roof and also cooking lessons on
- 8:23how to optimize and make sure that they're
- 8:25creating healthful meals. So a lot of things
- 8:27that in the past that we knew impacted
- 8:29our patients and how we cared for our
- 8:31patients, but we were pretty helpless around
- 8:33how to help our patients through that. Now
- 8:35I think we're starting to to build networks
- 8:37to to support people to do that sort
- 8:39of thing. The other thing that is really
- 8:42exciting for me when I think of, like,
- 8:43cleaning that room is care transitions.
- 8:46I think, historically, a very messy period of
- 8:49time, like when the patient leaves the acute
- 8:51care setting or the ED setting. And then
- 8:53before, they're kind of picked up on the
- 8:55other end by the the primary care doctor
- 8:57or the specialist that follows them. And especially
- 9:00with access after the pandemic, that space got
- 9:03even messier and led to a lot of
- 9:05the emergency department overcrowding and things that we've
- 9:08seen over the past couple of years that
- 9:10everyone in this country has been dealing with.
- 9:12And so we've really started creating a transitional
- 9:15care infrastructure
- 9:16to ensure that everyone gets timely access to
- 9:20care. So we created a clinic called our
- 9:22Center for Transitional Care, which is essentially there
- 9:25for patients coming out of the hospital or
- 9:26the emergency department that aren't able to get
- 9:29in to see their primary care doctor in
- 9:31a timely fashion or maybe don't have a
- 9:32primary care doctor. And so we will get
- 9:34these patients in within seven to ten days,
- 9:36follow-up from the acute care setting. So that
- 9:39allows the patients to get out of the
- 9:40hospital, which is never the the best place
- 9:43for a patient to stay long for a
- 9:44long period of time anyways, lets them get
- 9:46on with their life and but still make
- 9:48sure that they have the care that they
- 9:50need for their illness. And so what our
- 9:52clinic does is
- 9:53helps the patient navigate the system and get
- 9:55a primary care doctor if they don't have
- 9:57one or connects them back to their own
- 9:58primary care doctor.
- 10:00So that's been really, really exciting to watch
- 10:03that clinic grow and and help our our
- 10:06patients and how it's been adopted by our
- 10:08our teams here in the hospital.
- 10:10I think we've also
- 10:12created offshoots of the transitional care work. We
- 10:15have an addiction services,
- 10:17both an inpatient consult service, which I was
- 10:19really excited about.
- 10:21Opioid use and and alcohol use disorder are
- 10:24are things that everyone deals with in the
- 10:26inpatient setting. I think
- 10:28our county here in Connecticut had the the
- 10:31second highest
- 10:32rates of opioid use and alcohol use disorder
- 10:35coming out of the pandemic. And so having
- 10:38a team that's,
- 10:40boarded in addiction medicine and was really able
- 10:43to bring the most up to date treatment
- 10:45plans and protocols to our order sets in
- 10:48the hospital and advise our primary teams on
- 10:51how to help our patients both in the
- 10:53acute medical setting in terms of withdrawal and
- 10:55and
- 10:56getting them started on medications to stay clean.
- 10:58And now we have an outpatient transitional clinic
- 11:00for addiction medicine,
- 11:02where if they can't get the medications,
- 11:04that they need from other community resources,
- 11:08they will be seen in this clinic and
- 11:09given the medications until we can hook them
- 11:11up with long term care. So that's been,
- 11:15something that I've been really, really excited about.
- 11:17We also have a similar concept with our
- 11:19endocrinology
- 11:19transition clinic. So diabetics that were really tough
- 11:22to control in the hospital,
- 11:24We have a clinic where they can be
- 11:26seen pretty quickly after they're discharged from the
- 11:27hospital to make sure that they're on track
- 11:29before getting them back to their regular endocrinologist.
- 11:32Other things that I'm really excited about that
- 11:34we're working on here at the hospital and
- 11:36in our region is just how we're starting
- 11:37to partner outside of just the hospital with
- 11:41community groups
- 11:42around the city of Hartford
- 11:44in terms of creating just comprehensive plans for
- 11:46our patients and putting together all our resources
- 11:49to support our patients where they are,
- 11:52and really creating equitable outcomes for, for our
- 11:55patients. We started a initiative in our outpatient
- 11:57clinics around population health and to optimize the
- 12:00blood pressure and, and A1Cs of our patients.
- 12:03In our community clinics,
- 12:05it's a fairly underserved population. And, historically, we
- 12:08did not do a great job of that
- 12:10and
- 12:11worked really hard to meet patients where they
- 12:14were. So, for example,
- 12:15if patients couldn't come to our clinic during
- 12:17the day because they had to work, we
- 12:18tried an evening clinic. We tried a virtual
- 12:20clinic, which helped get access for patients.
- 12:23We,
- 12:24met the patients where they were coming. So
- 12:26if they were coming to our food for
- 12:27health clinic to pick up some groceries, we
- 12:29met them there with a blood pressure cuff
- 12:30and check their blood pressures. We got our
- 12:32other
- 12:33specialty community clinics to to partner and check
- 12:36blood pressures and notify our clinic if patients
- 12:38were high. So I think
- 12:40a lot of this is just
- 12:42really creating a culture that aligns everyone
- 12:46that
- 12:47works with the patients
- 12:48on the same page of of it's about
- 12:50the patient and their outcomes and how can
- 12:52we help them get there.
- 12:55I'm gonna ask you, doctor Dade. Mhmm. If
- 12:57you're ready for this,
- 12:58the toughest question of the day, and you
- 13:00have to let me know if you're ready
- 13:02and prepared for this. I'm ready.
- 13:04Okay. So here is the question.
- 13:06You went to three
- 13:08fantastic
- 13:09academic institutions,
- 13:11Public School of Health at Yale, did a
- 13:13master's in public health Mhmm. A couple since
- 13:15at the University of Buffalo,
- 13:17and then time at Dartmouth for undergraduate, I
- 13:20take it. Mhmm. Correct? Yes. Okay. So here
- 13:23is the question.
- 13:25Where were the people the nicest?
- 13:30That's a great question. I am a a
- 13:33native Buffalonian,
- 13:35so
- 13:36I'm gonna always have to go with with
- 13:38Upstate New York. But, you know, there's a
- 13:40lot of,
- 13:41similarities between New England and Upstate New York.
- 13:45So I can't say that there's huge regional
- 13:47differences.
- 13:49Well, fair enough. But I think you handled
- 13:51that very well. The, the the the the
- 13:53last question, you've been a lifelong learner.
- 13:56You're a leader. You're a physician.
- 13:58Any advice that you give to emerging leaders?
- 14:01Yeah. I mean,
- 14:03I think the the biggest thing for me
- 14:05has always been
- 14:07the knowledge that one, I don't have all
- 14:10the answers. And and knowing that
- 14:13and
- 14:13realizing that my job is really to kind
- 14:15of be the person that brings the ideas
- 14:17together. So really tapping into the expertise of
- 14:20the amazing people all around me, I think,
- 14:22has really helped me knowing that I alone
- 14:25am not gonna be able to solve these
- 14:27problems. But when I have this amazing team
- 14:29that's doing this work day in and day
- 14:30out, they're saying things and they know things
- 14:32that when they bring them to the surface
- 14:34and they are working in an environment where
- 14:36they feel
- 14:37empowered to to own the outcomes,
- 14:39I think a lot of great things can
- 14:41happen. So I think
- 14:43really allowing
- 14:44these
- 14:45insanely talented, motivated people that work in health
- 14:48care to
- 14:50own the the ideas and then really seeing
- 14:54my job as kinda taking the ideas and
- 14:56helping people make their ideas into reality
- 14:59and, you know, helping make their work workflows
- 15:02easier so that they can really do the
- 15:04work that they they signed up to do.
- 15:06I think we're really, really lucky in health
- 15:08care that it's a special type of person
- 15:10that wants to work in this world.
- 15:12It's hard work, and there's a lot that
- 15:15we have to to work to kind of
- 15:17struggle with in terms of helping our patients
- 15:19get what they need
- 15:21in terms of just our overall system. And
- 15:23so being able to find the people that
- 15:26are willing to do this work and select
- 15:28for it and get them to do what's
- 15:30right by the patient and put them in
- 15:32a position to be successful is is incredibly
- 15:34rewarding.
- 15:35So I hope that answered your question.
- 15:38No. I I I love it. And and,
- 15:39doctor Datta, what a pleasure to visit with
- 15:42you. What a magnificent career. Thank you. Thank
- 15:44you for taking the time with us on
- 15:46the Becker's Healthcare Podcast. They thank you so
- 15:48much. Yeah. Thank you for having me. I
- 15:50really appreciate it.