Latest / Becker’s Healthcare - Clinical Leadership Podcast / Michael Weiner, Chief Medical Officer at MSU Health Care

Transcript

Michael Weiner, Chief Medical Officer at MSU Health Care · Becker’s Healthcare - Clinical Leadership Podcast

• 0:04
  This is the Becker's Healthcare Podcast,
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  created by the team of Becker's Healthcare,
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  Four new 15 minute episodes are released daily containing industry news analysis
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  Thanks for listening. Now here's the episode.
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  This is Laura Dedo with the Becker's Healthcare Podcast.
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  I'm thrilled today to be joined by Dr. Michael Wiener,
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  chief Medical officer of M S U Healthcare. Dr. Weiner,
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  it's a pleasure to have you on the podcast today.
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  Thank you for having.
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  Me. Now, I know we've got a lot to talk about.
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  There's so much happening right now in healthcare and just really so much big
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  trends and innovations,
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  and so I'm excited to learn more about what you're doing in M S U Health.
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  But before we dive into the broader questions,
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  can you tell us a little bit more about yourself and your background?
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  Sure. Michael Wiener,
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  I am a board certified practicing internal medicine physician.
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  I am proud to have served 30 years in the US Navy as a flight surgeon,
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  as a dive medical officer, and as a, uh, space shuttle,
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  landing and takeoff physician for nasa. Um, and along the way,
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  I spent some time in corporate America as IBM's lead for healthcare
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  and, uh,
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  recently with a global health and human services company called Maximus.
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  That's amazing. And, and definitely, you know,
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  to have all those experiences folded into one and now be, you know,
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  the Chief medical officer at M S U Health, I can imagine, you know,
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  the skills that you learned, um, you know,
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  in the military as well as with I B M Health can bring a unique perspective to
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  what you're doing today.
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  I feel honored to be able to share all that I learned in my last 30 years with
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  the, uh, great team at Michigan State.
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  Fantastic. Well, you know, getting right into it,
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  what are some of your top priorities right now?
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  What's top of mind for you and you really feel like you're spending most of your
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  time on?
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  Yeah. This,
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  this year is our relentless pursuit of quality,
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  um, quality care, quality, patient experience,
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  and quality in preparation for value-based care, right?
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  We are, we're jumping on with the rest of the company.
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  We've gotta get to value-based care, but to get there,
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  we need to understand where we are now, where we need to go, what we cost,
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  and what is being asked of our insurers to us.
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  Yeah, I think that's such a great point. And, you know,
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  starting off with quality is a, a great place to be. And,
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  and if you can show that and prove that, you know,
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  it makes all the difference in the world when you're looking at and leading a
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  medical team that's got more information and more data than ever on quality.
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  How do you manage that?
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  What do you really see as being important in that transition of going from just,
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  Hey, I'm seeing patients, you know, I'm,
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  I'm doing the best I can on a qualitative aspect, and then getting into,
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  we actually have numbers and information, um, that, you know,
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  really show what's going well and we need to, you know,
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  use them to the best of our ability.
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  Laura, I'm usually a grouper, but for that I'm gonna be a separator.
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  We're gonna pull those apart. So on the first side of it is, you know,
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  what do you do with all of the data? And, you know,
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  I think what we found quickly as we made a turn towards being a data-driven
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  organization in pursuit, in relentless pursuit,
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  pursuit of quality is, you know,
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  the data isn't as easy to find as you think it would be, right?
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  We think you just click a button and it comes out of your and electronic health
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  record and there's your data and, and then just show it to everybody.
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  It's not quite that simple.
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  So there's a little work that needs to be done in curating the data and then
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  presenting the data up in a easy to understand, um, format.
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  So the, there's the data and you know, in our journey right now, you know,
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  there's a,
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  the journey with data is we currently are offering up dashboards
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  to our organization, right? Nothing complex here, just here's the data,
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  here's where we were in the past 90 days, in the past 30 days, and you know,
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  let's get a vibe on that,
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  let's get a feel on that so we can all move forward in pursuit of quality
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  metrics. But really where we want to be is, you know,
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  a self-service organization, we want people to press a button on their desktop,
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  know what their data scores are,
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  and ultimately to be able to predict what those data scores will be
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  under their current practice. So, you know, we want to get to predictive, uh,
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  data as much as anybody else. And, you know, I'll leave it there.
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  I'll leave it there. So we currently have dashboard, our future is prediction,
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  and then the other part of this discussion is,
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  so how do you improve your data? How do you improve your quality? Excuse me.
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  And the answer is, boy,
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  this is where healthcare really becomes a collaborative team effort, right? So,
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  you know, we all wanna just turn to the doctor, the provider and say, like,
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  you need to do better at, at your quality. And, you know, I,
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  I would offer the last 10 years have been, it's been,
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  it's been a blood fest for the physicians. It's been a slug, it's been a slog.
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  It's been a hard decade to be a provider, right?
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  Just more and more keeps getting thrown on the providers.
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  So our goal is to begin to alleviate some of that suffering that
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  our providers nationwide are facing and, you know,
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  causing unprecedented burnout, right?
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  We all thought we had burnout before covid, covid, you know, drove many over,
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  over the edge. And, you know, we need providers, right?
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  We have an aging population, we have an unhealthy population,
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  so we can't lose that many doctors and nurses along the way, right?
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  So we have to figure out a way to collaborate to make it a more pleasant
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  experience. So I mentioned earlier, you know, one of our initiatives is,
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  is patient experience,
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  but I wanna make sure as a chief medical officer that there is a provider
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  experience that's improved as well.
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  And some of that is just listening to the providers in what is
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  rubbing them wrong, right? So some of it is, I just need some help, right?
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  So now we put out these new quality programs on them and you know,
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  the help that we're offering is we have to get case management involved.
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  We have to start to push down things that can be done
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  by someone else other than the provider, right?
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  Let other folks operate at the top of their license. Again,
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  nothing groundbreaking here. Just needs to be operationalized in our day-to-day,
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  um, settings. So, you know,
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  can a nurse do an annual wellness visit for Medicare? Yes.
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  Right? Yes. So who's responsible for that? Um,
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  that quality dataset, the provider, that patient falls under their name,
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  but we can alleviate that responsibility by putting a talented nurse
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  in into that program and allowing them to care for that patient
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  along the, along their journey as well. So, team effort, um,
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  support and understanding the processes and understanding the data sets that
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  we're asking for or, or that are being asked for and supporting them.
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  I love that. I think it, it is so helpful, as you mentioned, just keep all of,
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  um,
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  those aspects of the teams and healthcare front and center as you're making a
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  transition in any way, shape, or form. Now, when you look at M S U healthcare,
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  where do you see that EV organization evolving over the next two to three years?
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  How, um, are you looking to the future and where do you see growth coming?
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  So at its core, Michigan State University,
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  our goal is to become the premier place to be seen for healthcare
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  in the state of Michigan. Right? Let's just,
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  we'll start with the simple vision and you know, how will we do that? Well,
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  we will do that with partnerships.
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  We partner with many hospitals around the state. Um, we'll continue to do so,
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  and we will also create that through expansion of our own services.
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  We have, we are about to go live with our own lab in the state of Michigan. Um,
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  we have started some unique remote telemedicine programs across the state of
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  Michigan, tele telemedicine for physical therapy, telemedicine,
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  and remote monitoring for blood pressure and for diabetes. So again,
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  I think bringing in technology and, you know,
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  ensuring that we deliver quality care with a,
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  an incredible experience for our patients of ease and convenience and
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  support and compassion and love,
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  will help us become the premier provider of care in the state of Michigan.
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  Um, that thank you so much for,
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  for going through all those different areas that will make a big difference.
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  And, you know, I know the healthcare delivery is evolving and changing too.
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  So how do you see some different technologies coming in with virtual care,
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  telehealth, remote patient monitoring, you know,
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  what place do they have in your, your overall strategy?
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  So I, you know,
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  I think if one thing has happened from post covid is people
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  no longer wanna wear pants, they don't wanna park anymore,
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  and they don't have any patients to wait to see a provider, right? So I think,
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  you know, with virtual care, we can support patients,
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  patients, their, uh, theirs, their,
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  their interest in not having the three Ps in their life
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  pants when they go to see their provider parking,
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  and then the patients to wait for, um, a provider.
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  So I think telemedicine is going to be at the core of care.
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  And, you know, the beauty of it, it allows us in,
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  in a small community of East Lansing to reach out to the rest,
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  the rest of the state.
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  Got it. And that makes a lot of sense. And, and you know, I,
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  I'm wondering too before, and I don't.
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  Wanna wear pants when I see patients either, right? Be clear.
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  definitely, definitely makes life a lot easier no matter what. .
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  Um, before we wrap up our conversation here,
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  I was wondering if you could talk through what is one change you and your team
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  has made that has yielded great results in the last year or two?
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  So I'm gonna focus on provider burnout, right? Uh,
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  unprecedented numbers over the last year and over the last three years. So,
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  you know, we gotta, once again, if you're gonna be a data-driven organization,
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  what's the data behind that? So,
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  just recently published data was the number one cause of burnout,
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  and it stayed number one for many years. So, you know, you gotta give it a, um,
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  the ability to, um, stay at the top.
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  And that is the use of the electronic health record, right? So for,
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  for all that we've done and,
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  and all that we've mandated with electronic health records,
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  it's still creating great angst among our providers. So we,
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  um, with,
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  with our clinical community and with a very talented chief medical information
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  officer, are working to solve the, um,
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  the pain and suffering that comes with an electronic health record,
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  doesn't matter which electronic health record,
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  just with an electronic health record. And we're doing that through, again,
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  not cutting edge,
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  just back to the basics optimization of the use of that electronic health
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  record. And that's elbow to elbow, hip to hip,
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  shoulder to shoulder training on how to use the electronic health record
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  in the most efficient manner. Now, it may be the addition of, um,
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  voice recognition and maybe the addition of complex templates,
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  um, that, you know, will,
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  will do all of your documentation with the click of a button,
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  or it may be the use of ambient, um,
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  ambient scribes and, you know, advanced AI to put,
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  to put that entire, uh,
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  physician patient experience into the record, right? We're trying all of them,
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  this is more of a shotgun approach on our behalf to get all of these things
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  done, see which ones bring the greatest joy to providers. And I'll just,
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  uh, I I, I always have to say, you know,
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  you think of what goes into becoming a provider in America today, right?
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  It is not a quick six week course, right? It is four years of college,
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  four years of medical school, four years of residency, right? Like,
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  it's a good 12 years dedicated to caring for someone else, right? It's really,
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  it's a mission.
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  It's a calling that a human being has for o to care for other human beings.
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  And then, you know, we make it an unenjoyable experience for them, right?
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  And we wanna get,
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  we wanna bring the joy back to the care of our
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  community, right? So for us, it's really the community of, um, east Lansing,
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  Lansing, and the state of Michigan. So we're gonna keep wedging away, um,
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  at the things that are not supporting, bringing joy to our providers.
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  We know that in that block of granite, you know,
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  there is an angel to be released of joy for our providers, and we're gonna,
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  we're gonna chip away until we get to that.
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  Fantastic. Well, Dr. Winer,
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  thank you so much for joining us on the podcast today.
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  This has been such a fun and interesting conversation.
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  I love your passion for healthcare, healthcare providers, physicians,
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  and the clinical teams.
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  And I look forward to seeing you in person at our annual meeting next April. Um,
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  it'll be great to have you, uh, speak there and excited for your session.
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  Thank you, Laura. Look forward to seeing you soon.
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• 13:26
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