Latest / Becker’s Healthcare - Clinical Leadership Podcast / Matthew Primack, PT, DPT, MBA, President of Advocate Condell Medical Center
Transcript
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- 0:33This is Laura Ddo with the Becker's Healthcare Podcast.
- 0:36I'm thrilled today to be joined by Matt Premack,
- 0:38president of Advocate Conde Medical Center.
- 0:40That's a pleasure to have you on the podcast today.
- 0:42Thank you, Laura. Pleasure to be with you.
- 0:45Now. I know we've got a really great, uh,
- 0:47talk today to talk a little bit more about leadership and some of the things
- 0:50that you're doing at Advocate Condel Medical Center.
- 0:52But before we dive into our discussion,
- 0:54can you tell us a little bit more about yourself and your background?
- 0:57Sure, Laura. Uh, appreciate being here. Uh, I have been, uh,
- 1:01the president at Condo Medical Center now for four years.
- 1:04I've been within the Advocate Health System for just about 16 years.
- 1:08Started my career as a physical therapist and have been in healthcare now for a
- 1:13total of about 25 years.
- 1:15Fantastic. Well,
- 1:16could you talk to us a little bit about what your big focus is at Advocate Condo
- 1:20Medical Center this year? What are the things that you're most excited about?
- 1:25Sure, Laura. Y it's so interesting,
- 1:27as we've spent many years now talking about our focus areas in healthcare,
- 1:31we come back to some of our basics. And this year we've broken our,
- 1:35our priorities into two different categories.
- 1:37Number one is what are we doing inside of the hospital?
- 1:40And we've taken this into three very distinct buckets of effort.
- 1:43Number one is we've gotta be more efficient, whether that's in throughput,
- 1:47whether that's in scheduling, whether that's in,
- 1:50in the things that we do every day,
- 1:51efficiency has become the absolute priority because we know the financial
- 1:56headwinds that we're facing are like never before,
- 1:58and we've gotta be delivering on a very efficient model. Secondly,
- 2:03we've gotta retain and we've gotta recruit some of the best talent that we can
- 2:06find. Uh,
- 2:07staffing crisis has been an issue in this country now for at least the last 24
- 2:11months, and we all know there's a agency issue and a,
- 2:15and an open role issue.
- 2:17And so we are really focused on making sure that we create an environment
- 2:22where people want to come to work here,
- 2:24where they feel recognized and they feel celebrated, and more importantly,
- 2:28that they have the tools and the resources where they can be successful and
- 2:32develop in their career journey. And lastly, a big focus, and I think Laura,
- 2:37we may be talking about this a little bit later, is the patient experience.
- 2:41We know that healthcare is transitioned really into a customer,
- 2:45into a retail based service where patients have choice and they can go
- 2:50to one hospital, they can go to another hospital.
- 2:52And so we focused on the patient experience, and that's from top to bottom,
- 2:56ambulatory to inpatient to our diagnostic imaging, to our rehab.
- 3:01The patient experience is a, is an absolute priority for us in 2023.
- 3:05The second area is really our growth area.
- 3:08And so we've been focused on our physician development.
- 3:11We've actually seen Laura, uh, up in the northern Illinois area,
- 3:15a bit of an attrition of physicians. We've seen some early retirements.
- 3:18We've seen some folks, uh, leave the state and, and move out of state. Uh,
- 3:23we've seen folks take, uh, a different career path.
- 3:26So we are on a mission to regrow our physician platform and
- 3:31with that also grow our ambulatory infrastructure.
- 3:34So whether it's ambulatory sites,
- 3:36whether it's services that we offer out in the community. When we were in Covid,
- 3:40we spent two to three years focusing really on taking care of the patients in
- 3:43our four walls.
- 3:44But we realized the future of healthcare is really on an ambulatory and also
- 3:48virtual platforms. So those are,
- 3:50I think what we're most excited about in 2023 is really getting out into the
- 3:54community and bringing services out into these areas of, uh,
- 3:58potentially underserved or, or, uh, or, or, or the, the,
- 4:02the areas that need us to come out to them with the services instead of coming
- 4:06to the big hospitals.
- 4:09Absolutely. Wow, that's fascinating.
- 4:11And I love how you talked about really that patient experience.
- 4:14I know that that's top of mind for so many different, uh,
- 4:16organizations and trying to figure that out. Um,
- 4:19especially with the presence of more, uh, companies getting into healthcare,
- 4:23non-traditional entrants and,
- 4:24and then patients too expecting a different type of experience like they do, um,
- 4:28in the retail sector.
- 4:29So that's fascinating to hear about and definitely seems like a really great
- 4:32areas to focus and, um, spaces to be innovative as well.
- 4:38Yeah, Laura, I mean, this is, this is,
- 4:39I think the future of our industry is making sure that we are delivering on the
- 4:43expectations that our patients and Al Paz and our families have
- 4:48for what we do, uh, and how we can support them every day. We are in a service,
- 4:53uh, industry. Our,
- 4:54our role and our responsibilities is to serve our communities and serve the
- 4:58folks that need us. And now that we're seeing also our payer, uh,
- 5:03be very, uh, um, uh, sensitive to our, uh, to our patient experience scores,
- 5:07and we've seen Medicare start to transition an emphasis now on patient
- 5:11experience. So it's, it's not only critical that we,
- 5:14we do this for the community,
- 5:15but we also do this because we know it's the right thing to do.
- 5:19Certainly. And, and, you know, I,
- 5:20I love that perspective and in thinking through what that means internally for
- 5:25your organization, I know at the Becker's annual meeting last month,
- 5:27you spoke on a leadership panel about instilling a culture of Yes.
- 5:31Throughout the hospital.
- 5:32Could you tell us more about what that means for you and what the shifts that
- 5:37you had to make, uh, in order to make this a reality with your team?
- 5:41Yeah, thanks, Laura.
- 5:42Thi this cut on a little bit more than I thought it was gonna cut on, catch on.
- 5:46I, I've received calls and emails from, from, uh, leaders across the country.
- 5:51So we had an opportunity to talk about patient experience at the last Becker's
- 5:55conference and had a, a wonderful response to that panel discussion.
- 5:59We've introduced something called get to Yes.
- 6:02And when we had looked at the patient experience,
- 6:04and this is both on the inpatient, the outpatient, the ambulatory side,
- 6:08one of the things that we saw was a bit of a frustration of navigating
- 6:12healthcare. We've, in the industry,
- 6:15it's become almost so complicated for our patients and our community members and
- 6:19our families, sometimes even our own staff,
- 6:22to navigate care that patients are often met with a,
- 6:26well call this number, or, no, we can't, or, that's not something we do.
- 6:30You've gotta go over here.
- 6:32And that can create an incredible amount of frustration.
- 6:35And for somebody who's going through an injury, an illness, uh, going to, to,
- 6:40to schedule a screening, they want to be taken care of,
- 6:44they want to feel like somebody is looking out for them and be on their journey
- 6:48with them.
- 6:49And so we instilled a get to yes model where we take a patient
- 6:54who asks any question, say, how do we get to a yes?
- 6:57How do we get to answering their question?
- 6:59How do we get to escorting them to the next phase? That could be physically,
- 7:03that could be philosophically, that could be logistically,
- 7:06how do we shepherd them, escort them, navigate them to the next agent?
- 7:11We've found that as we get to yes, on any of their questions or concerns,
- 7:15we find that positively impacts not only by the patient experience,
- 7:19but also the quality of the care and the results that we get from the,
- 7:23from the service that we provide. Patients are more engaged,
- 7:26they feel taken care of, the families are engaged.
- 7:29They feel like they're part of the process. And so this get to Yes,
- 7:33has been very powerful for us as an organization.
- 7:37I love that. I think that's such a great example of, of one,
- 7:39just simple way that you can embrace, uh, a,
- 7:42a different mentality and make a huge difference.
- 7:44And I can imagine it didn't cost billions of dollars to bring something in or
- 7:48something different, but just a mindset switch that, um, really makes a a,
- 7:52a a difference. So from your perspective, how does that get t yes.
- 7:57Mentality add value to the organization and impact patient care?
- 8:01Yeah, it's great. You know, Laura, when we,
- 8:04I wanna go back to it to sort of that initial question is how,
- 8:07how did this happen and why did we do this? Is we in the industry have,
- 8:12have protocolized everything. We've created algorithms for everything. We've,
- 8:16we've, we've built ourselves into a standardized model, which,
- 8:20which we really have to do to create some standardization.
- 8:23And back to what we're focused on is efficiencies. But what some of us,
- 8:28and and this is just sort of the nature of the,
- 8:30the trajectory of our org of our industry,
- 8:32is we've sometimes lost that personal touch,
- 8:36that moment where we just stop and look into a patient's eyes and say,
- 8:41how can I help you? Not, your three answers triggered this response,
- 8:46and now this is the next step for us,
- 8:47but how can we just take a moment and pause and say,
- 8:52how can I help you? What are you looking to achieve today?
- 8:56How can I be your escort along this path of recovery or along this,
- 9:01this, um, challenge of finding out what a diagnosis is,
- 9:05or I just need a simple MRI or a CT scan or an x-ray or, or,
- 9:09or a screening. How can I help you get there?
- 9:12And that moment of pause sometimes deviates from a
- 9:17protocolized or an algorithmic model, and just that time to say,
- 9:21I'm gonna help you and I'm gonna be your yes,
- 9:24I'm gonna figure out how to deliver on you.
- 9:26That inherently lowers blood pressure, it reduces anxiety,
- 9:30it increases compliance,
- 9:33it engages patients to be along this with us. And,
- 9:36and so we've seen not only that it, that it improves the, the,
- 9:41the overall patient experience,
- 9:42but that it improves quality of care because people feel engaged,
- 9:46i i in their care itself. So, uh,
- 9:49we've seen tremendous benefits to this early on. And, and like, we always,
- 9:53I think many of my colleagues always say, this is a, this is a journey.
- 9:56We're not done. We, we've started this probably two to three years ago.
- 10:00We're still learning. We're getting feedback from our own teammates to say,
- 10:04we're trying this, but we're, we're,
- 10:06we encounter these barriers or these challenges,
- 10:08and we bring that back to the team and say, all right, here's a new challenge.
- 10:12We, we wanna go this route, but maybe we can't. How do we find a way?
- 10:16And it's back to the principle, how do we get to Yes.
- 10:20Absolutely. I love that.
- 10:21That's just fascinating and thank you so much for talking through how that came
- 10:24to be. I think it's, um, you know, really awesome that, you know,
- 10:28you were able to kind of work with the team to have such a creative and
- 10:33interesting way to go about all that. Now, looking ahead,
- 10:35where do you see workforce trends headed in the future?
- 10:38Where do you see some of the patient engagement, uh, trends headed?
- 10:41I guess what's next on tap for you? What do you really have your eye on?
- 10:45Yeah, let's, let's, let's take that in pieces. So you ask about workforce. Uh,
- 10:49I, I dare say,
- 10:51and I'm knocking on wood and hitting my head and biting my tongue right now,
- 10:55but it is looking a little better. Uh,
- 10:58now I know some of our colleagues in rural areas are still having incredible
- 11:02challenges with, with finding good staff, re retaining good staff.
- 11:06We know that the agency is, is still part of what we do every day,
- 11:10and we've gotta solve our staffing issues as quickly as we can. Uh,
- 11:14we are located in more of a suburban area.
- 11:17We are seeing a reduction in our agency, in our traveling nurses and our,
- 11:21and some of our staff like respiratory therapy, physical therapy. Uh,
- 11:25we've even seen some central sterilization team, uh,
- 11:27some gaps needing to be filled by our agency and our, our travelers. However,
- 11:33we are seeing a, a, a decline in that.
- 11:36And now we have less open positions.
- 11:38We are finding folks to be part of our family.
- 11:41We talk about this at condel often on a daily basis. It's, it's a condel family.
- 11:46And like we talked about earlier,
- 11:49when we create an environment where people have the resources to be successful,
- 11:53where they feel recognized and celebrated for the work they do every day,
- 11:57we've even have travelers and agencies shift out of that model and become
- 12:01full-time employees. So we're working hard at it,
- 12:05as I know we are working across the entire US market.
- 12:08We're working hard on bringing in folks to do great work every day.
- 12:12We are seeing a, a, a bit of a shift in the positive right now.
- 12:17Let's talk about where else we're headed in the future. I,
- 12:19we've talked about this now a number of times.
- 12:21I o Becker's does a phenomenal job. I think the future, uh,
- 12:24is really into virtual and ambulatory. We know that,
- 12:27that patients are looking for, uh, quick access.
- 12:31We're lo they're looking for the ability to,
- 12:33to navigate healthcare in the problem of their hand,
- 12:35whether that's a mobile device or whether it's online. And so we at,
- 12:39at Advocate Health are really looking towards what's the next step,
- 12:43two steps and three steps beyond of where patients are receiving and wanna
- 12:47receive healthcare. And, uh, we feel very good about where we're at.
- 12:50We know we've got a long way to go, but that's really our future.
- 12:53So we're gonna start to showcase a lot more innovation to our patients.
- 12:58How do they access us from wherever they are and however they want? And that,
- 13:02and that's gonna be the focus of us 2023 and beyond.
- 13:06I love it. Matt, thank you so much for joining us on the podcast today.
- 13:09This has been a really fun conversation and we look forward to having you again
- 13:13in the future and always at, at our live events. I think, uh,
- 13:15your sessions are can't miss. So thank you.
- 13:18Excellent. Thanks Laura. Always a pleasure to support backers.