Latest / Becker’s Healthcare - Clinical Leadership Podcast / Michael Saad, SVP & Chief Information Officer at The University of Tennessee Medical Center
Transcript
- 0:00This is Laura Dedo with the Becker's Healthcare Podcast.
- 0:03I'm thrilled today to be joined by Michael Sod,
- 0:04senior Vice President and Chief Information Officer at the University of
- 0:08Tennessee Medical Center. Michael,
- 0:09it's a pleasure to have you on the podcast today.
- 0:12Thank you, Laura. I appreciate you having me back.
- 0:14Now, I know we've got a lot to talk about.
- 0:16There's so much happening in technology as moving rapidly in the healthcare
- 0:19space, but before we dive into my questions,
- 0:21can you tell me a little bit more about yourself and your background?
- 0:24Sure. So I am the Senior Vice President and Chief Information Officer at the
- 0:28University of Tennessee Medical Center. It is located in Knoxville, Tennessee.
- 0:32I have just passed my seven year mark there now. Uh,
- 0:35prior to that I was with a consulting firm that did healthcare consulting, uh,
- 0:40a number of healthcare organizations across the country, and then prior to that,
- 0:44really cut my teeth in healthcare at Henry Ford Health System based out of
- 0:48Detroit, Michigan.
- 0:50Excellent. Well, we're excited to have you here today. Now,
- 0:53what are some of the big opportunities that you're seeing right now at the
- 0:55University of Tennessee Medical Center and the headwinds that you had your eye
- 0:59on too?
- 1:00Yeah, I think from a headwinds perspective, you know,
- 1:03we're seeing the same thing a number of health systems are seeing in that as
- 1:05just financial pressures that are continuing to increase almost quarter by
- 1:10quarter right now.
- 1:11Many of those are driven by things that you're very familiar with, whether it's,
- 1:14you know, supply chain, uh, inflationary costs, or, you know,
- 1:19staffing costs. All of those are, are factoring into that healthcare is,
- 1:23as you well know,
- 1:24is an industry very somewhat unlike retail and other industries where we cannot
- 1:28necessarily pass on those additional costs to our consumers. Right.
- 1:33So that puts us in an interesting place where we have to either take that out of
- 1:36our bottom line or find ways to become more efficient and offset some of those
- 1:41costs. So, you know,
- 1:43every health system across the country I know is dealing with these same
- 1:45challenges and,
- 1:46and I think it's trying to figure out how do we look at what tools are
- 1:50available to us to, to perform some of that. Now from a technology perspective,
- 1:55of course I'm biased and I do think that technology certainly can help with that
- 1:59and aid in a lot of the optimization that, uh,
- 2:03has the opportunity to take place across health systems in the country.
- 2:06And University of Tennessee Medical Center is,
- 2:08is a great example of that as well.
- 2:09We're leveraging technology and certain and very specific and targeted areas
- 2:14to really help and assist with, uh,
- 2:16some cost containment and helping us to understand where we can drive additional
- 2:20efficiencies that have an impact on our bottom line.
- 2:23Absolutely.
- 2:24I think that's a really great point and definitely something that you said a lot
- 2:27of healthcare organizations are trying to troubleshoot. So, you know,
- 2:30when you look at what that looks like from a technology standpoint, um,
- 2:33bringing in additional, um, tools or, or technologies that can help with,
- 2:38um, the the organization overall,
- 2:41what does that mean for growth and development and, and for you as a,
- 2:45the c I o adding value to the organization overall?
- 2:49Yeah,
- 2:49I think we are somewhat in a unique position from a growth perspective in that a
- 2:53number of my colleagues that I speak with at other health systems during covid
- 2:57took that opportunity to slow down some of their facility expansions. Uh,
- 3:02we did, we,
- 3:03we'd have a very different take on that and we actually in many ways accelerated
- 3:06our facility expansion.
- 3:08So we are just getting ready to open our first freestanding emergency
- 3:12department. We have several regional health centers that have opened this year,
- 3:16and a number of partnerships,
- 3:17whether they're joint ventures or trives in areas like, uh, imaging,
- 3:22behavioral health and, uh, rehab and patient rehab.
- 3:26So we continue to expand in that space and,
- 3:28and I think it delivers value in a number of ways as one enabling
- 3:33all of those, uh, strategic priorities to happen.
- 3:36And it's everything from infrastructure to applications to project management,
- 3:41IT security, kind of all the facets of it.
- 3:44And then it's also ensuring that those digital initiatives and other things that
- 3:48are not necessarily facility driven still take place and that that work doesn't
- 3:52necessarily slow down because we're doing these type of expansions.
- 3:56So I think it can bring value to the organization in both delivering the here
- 4:00and now,
- 4:00but also setting us up for future success and making sure that we enable the
- 4:04organization to be successful going forward.
- 4:07Absolutely. I, I think that's a really great point and um,
- 4:10definitely love that focus on making sure you've got the, um,
- 4:14priorities in place. When you're looking at the broader team,
- 4:17how do you communicate what's going to be most important for them on any given
- 4:21day or week or, or, or month in terms of their projects,
- 4:23and then how to make sure, as you were saying,
- 4:26the other things that they're responsible for still get done, um,
- 4:29especially in an environment where there's so much happening, um,
- 4:32and change happens so quickly?
- 4:34Yeah, that's a great question. I think one tool that we found very helpful is a,
- 4:37is a roadmap. I mean, essentially it's,
- 4:39it's communicating very clearly with the teams,
- 4:42with the leadership in IT and making sure that's cascaded down and then directly
- 4:46with the team members themselves to help them understand, one,
- 4:49the mission and vision and value of the organization and how the work that they
- 4:54do is integral to helping our patients.
- 4:57Because sometimes when you're not at the bedside, you can lose sight of that.
- 5:01And I think it's so important that even the support services like it,
- 5:05for example,
- 5:06feel that they can make a contribution and an impact in the lives of our
- 5:10patients and the caregivers. So I think that's certainly one piece of it.
- 5:14And then that roadmap where it's clearly laid out,
- 5:17we know quarter to quarter or year to year, here's our focus and we can,
- 5:22we can stay focused on the priorities on at hand and if there are other
- 5:26strategic priorities that pop up, cuz that does happen from time to time,
- 5:30it then gives us the opportunity to look and prioritize and reprioritize based
- 5:34on our governance structure, what we should be focused on.
- 5:37But I think having that roadmap and letting our staff know,
- 5:39here's what is we're working on, here's why,
- 5:42here's the value that we're going to bring to our community by doing these
- 5:46projects. I think that really helps, um, them stay focused.
- 5:50Absolutely. I love that. And you know, in, in along those lines,
- 5:54you have the roadmap and you've got the team really focused and ready to go
- 5:57other spaces that are gonna be most impactful for the organization. Um,
- 6:01but when you look ahead,
- 6:03what is one risk or investment that's still worth making this year,
- 6:06especially thinking through some of the challenges and then I, in many cases,
- 6:10um, you know, wanting to use the healthcare resources,
- 6:13whether time or dollar as well.
- 6:16From an investment perspective,
- 6:18I think investing in the expansion of digital platforms and,
- 6:21and that can be kinda all things digital platform,
- 6:23and I know that's an all-encompassing term, you know,
- 6:26we hear terms like digital front door and that can mean different things to
- 6:29different people,
- 6:30but what we're hearing from our patients and from our consumers is that,
- 6:33you know,
- 6:3360% of consumers expect digital healthcare experience to mirror
- 6:38their retail experience or their experience in other sectors.
- 6:41And we have a lot of work to do from a healthcare industry to get there.
- 6:45So I think technology specifically, like, you know, telehealth,
- 6:48I'm still very bullish on telehealth. Uh,
- 6:50I think we have a lot of opportunity in that space. Uh, behavioral health,
- 6:55rural health.
- 6:56I think there's a tremendous opportunity in underserved areas for telehealth.
- 7:00And if you look at who's making investments in that space right now, you know,
- 7:04the payers are making significant investments in that space. Um, pharmacies,
- 7:08you know, the CVSs, the Walgreens,
- 7:10and then some of the large retailers like on Amazon.
- 7:13So they continue to make investments in that space. So I,
- 7:16I know some organizations have dialed back their telehealth strategy. I,
- 7:20I think we still need to push forward.
- 7:21I'm very bullish on that and think there's, there's a lot of value in doing so.
- 7:25But, you know, digital registration and check-in process,
- 7:28those type of things that, again,
- 7:29we're familiar with from a consumer perspective. I mean,
- 7:32you can have sit on your couch and literally order your food and have it
- 7:36delivered right to your door and take care of the tip and everything.
- 7:39And I think that level of convenience is what consumers are looking for and
- 7:43frankly, starting to demand from their healthcare providers. And, you know,
- 7:48you asked about the risk and the investment, I think the risk is not doing that.
- 7:52I think organizations that are not venturing into that digital health space are
- 7:57going to fall behind and do so pretty quickly and it will be hard for them to
- 8:00catch up.
- 8:02Absolutely. That's a really great point. And, you know, so, uh,
- 8:05important in looking to the future and having that, uh,
- 8:08digital health and the telehealth platform as you mentioned. Um,
- 8:11is there anything when you think through, you know, policies or regulations, uh,
- 8:15you know, could change at any point, , um, so you know,
- 8:18when you're diving into some of these strategies that might be a little bit
- 8:21uncertain, um, from the regulatory reimbursement perspective, uh, how do you,
- 8:25uh, control for that, I guess if it's possible in, in, uh,
- 8:29where do those discussions go when they're having,
- 8:31you're having them at a high level?
- 8:33Yeah,
- 8:34and that we're very cautious in that space if you take things like hospital at
- 8:37home, right?
- 8:38I think that's one area where we're very cautious and trying to understand from
- 8:41a legislative perspective what that looks like.
- 8:44And that can change from election cycle to election cycle.
- 8:47But I think some of those type of things were,
- 8:49were more cautious and kind of dipping our toe in the water to make sure that
- 8:53we're not expanding a lot of effort in that area only to later find out that it,
- 8:58it it financially is not feasible or, or doesn't benefit our patients.
- 9:01Some areas like telehealth, I think we're far enough down the road now. I,
- 9:04I think that really is cemented into, uh, the, the payer process. And again,
- 9:09if you look at some of the large payers they're requiring and,
- 9:12and they're doing millions of telehealth visits themselves a year. So I,
- 9:17I think from an incentive perspective,
- 9:19they are certainly incentivized to keep that program moving forward.
- 9:22And the federal government from a payer perspective is doing the same thing.
- 9:25You know, the digital registration, all of that. I,
- 9:27I don't know that that's necessarily impacted by legislation,
- 9:30but you do make a good point, I think in some of those areas,
- 9:32like hospital at home is a great example that we do need to understand from a
- 9:36legislative perspective what that looks like before I think we kind of go all in
- 9:41on that process.
- 9:42Absolutely. Great point. Thank you for, for sharing a little bit on that. Now,
- 9:46um, before we wrap up our conversation,
- 9:48I wanted to look into the future as well. Um,
- 9:51what do you see some of the best opportunities for growth and development,
- 9:54whether it's for yourself as CIO or the teams that you lead most closely?
- 9:59I I think expanding their skillsets from a team perspective is very important.
- 10:03Um, especially, you know, it is unique in healthcare in some ways, um,
- 10:08and in other ways it's not unique. What I mean by that is if you are a nurse,
- 10:13you work in healthcare as a nurse,
- 10:15now you can work at a skilled nursing facility,
- 10:18you could work at an outpatient clinic, you could work in a hospital setting,
- 10:21but you do work within healthcare, typically speaking in it,
- 10:25unless you are a Epic or Cerner or something kind of focused on those type of
- 10:29specific healthcare systems, you can work in any industry.
- 10:32So if you're on the infrastructure team or the systems team,
- 10:36you can go work in any industry. And so, uh,
- 10:38and the same thing even on the application side or you know,
- 10:40the e r P system support. So I,
- 10:43I think it's important to continue to invest in our staff and help
- 10:48them, uh, grow and educate and learn more about, uh,
- 10:52the tools and technologies that are out there.
- 10:54Because just as we're pushing healthcare forward to embrace digital,
- 10:58that also means that we need to shift some of our skill sets in it to be able to
- 11:02enable that. And, you know, as we move more towards the cloud, for example,
- 11:06that means that we have less on-premise servers,
- 11:09systems storage that we need to support.
- 11:13But how do we refash those positions and take that skillset and make it so that
- 11:17they now can support the cloud systems or pivot to more of a cybersecurity
- 11:21posture. So I think those type of things,
- 11:23I think we're gonna have to continue to constantly look at the workforce and
- 11:28understand where is technology going and making sure that we've got the
- 11:32expertise in the house that can help deliver on those, uh,
- 11:36goals and strategic priorities.
- 11:38That's a really great point. Michael.
- 11:40Thank you so much for joining us on the podcast today.
- 11:42This has been a really fun and interesting discussion and I look forward to
- 11:45connecting with you again soon.
- 11:47Thank you having me, Laura. I appreciate it.