Latest / Becker’s Healthcare Podcast / Leadership, Resilience, and Improving Community Health with Dr. David Callender
Transcript
- 0:02- There's a small circle of people who truly
- 0:04- understand what it takes to lead a health
- 0:05- system right now. The decisions are enormous.
- 0:08- The variables are constantly shifting, and the stakes
- 0:11- of getting a call wrong don't stay contained.
- 0:14- That's not a complaint. It's a structural reality.
- 0:17- And it's why the most effective c suite
- 0:19- leaders are deliberate about where they go to
- 0:21- pressure test their thinking.
- 0:22- Becker's fourteenth annual CEO and CFO roundtable
- 0:26- brings together more than 1,500
- 0:28- executive level attendees
- 0:30- and nearly 400 speakers for four days built
- 0:32- around growth, financial sustainability,
- 0:35- workforce strategy, and the leadership questions that don't
- 0:38- have easy answers.
- 0:39- Join us November second through the fifth in
- 0:41- Chicago.
- 0:42- For the agenda and event details,
- 0:45- visit beckershospitalreview.com
- 0:47- and click on the events tab in the
- 0:49- upper right.
- 0:50- Welcome to this episode of Leadership Unscripted, a
- 0:52- Becker's Healthcare podcast. I'm Chris Sosa, your host,
- 0:55- and I'm so thrilled to be joined today
- 0:57- by doctor David Callender. He's, of course, president
- 0:59- and CEO of Memorial Hermann Health System
- 1:02- down in Houston, Texas. David, thank you for
- 1:05- joining us today. Thank you, Chris. Thank you
- 1:07- for having me. Excellent. I'm so glad you
- 1:09- can get in on this conversation today about
- 1:11- your health care journey and, you know, what's
- 1:13- made you a health care leader and all
- 1:16- the advice and and wisdom that you'd like
- 1:18- to impart to our audience here.
- 1:20- So but first, can you give us a
- 1:22- little bit about your background and and how
- 1:23- you ended up, you know, at Memorial and
- 1:25- Harmon?
- 1:27- Yeah.
- 1:28- You know, I'll have to say at the
- 1:29- outset,
- 1:30- this is not the journey that I saw
- 1:33- for myself when I first entered health care.
- 1:36- I, graduated from a small university in North
- 1:40- Texas and came to Baylor College of Medicine
- 1:43- here in Houston to go to medical school.
- 1:45- Had a traditional medical school
- 1:48- residency
- 1:49- experience in a couple of years in general
- 1:51- surgery training as a prerequisite
- 1:53- for four years of otolaryngology
- 1:55- training,
- 1:57- decided to pursue subspecialty training in head neck
- 2:00- cancer surgery. So essentially went across the street
- 2:03- to the MD Anderson Cancer Center and did
- 2:06- two years of fellowship there
- 2:08- and was in invited to join the faculty.
- 2:12- Along the way,
- 2:14- I sort of serendipitously
- 2:16- fell into some administrative
- 2:18- roles at the urging of some of my
- 2:20- mentors,
- 2:22- and it really set me on a path
- 2:24- that I didn't originally anticipate.
- 2:26- So I thought at the outset, I'm gonna
- 2:28- be an academic head and neck surgeon and
- 2:30- do my best to excel and make an
- 2:32- impact through my activities in that sort of
- 2:35- role.
- 2:37- But somehow I ended up as a leader
- 2:39- in administrative health care. But I'm certainly can't
- 2:43- complain. It's been an incredible journey.
- 2:45- I've learned so much, and I've had the
- 2:47- opportunity to meet so many great people
- 2:51- who share my personal commitment to trying to
- 2:54- improve health
- 2:55- for people all across this country.
- 2:58- David, thank you so much for sharing that.
- 3:00- I love what you said about,
- 3:02- how mentors kinda push you in a direction
- 3:04- you didn't expect. I think a number of
- 3:07- leaders that we've spoke to at Becker's,
- 3:10- will have similar
- 3:11- stories.
- 3:12- But I wanna talk a little bit more
- 3:14- about yours. So
- 3:15- was was there a turning point? Was there
- 3:18- a type of advice or just something about
- 3:21- administration leadership that spoke to you that
- 3:24- where you said yourself, hey. You know what?
- 3:26- Yeah. I was gonna be, you know, a
- 3:28- physician and and that's great, but now I
- 3:30- wanna go on this. What what sparked that
- 3:31- in particular?
- 3:33- Yeah. No. It was more I was told
- 3:34- that I was gonna do this by my
- 3:36- department chair.
- 3:39- Okay. Good to know. He was a very
- 3:41- well known,
- 3:43- head neck surgeon head neck cancer surgeon at
- 3:45- the time, and, again, one of my mentors
- 3:47- and great teachers for a number of us
- 3:50- in my specialty.
- 3:52- We had
- 3:53- a little bit of an unfortunate
- 3:55- occurrence.
- 3:56- I had to see a combination of some
- 3:58- new people into the department
- 4:00- of head and neck surgery.
- 4:02- We had just lost a couple of more
- 4:04- senior faculty members. I was a relatively
- 4:07- new assistant professor.
- 4:09- Mhmm. And my boss, my department chair, said,
- 4:12- calendar. I need you to do this. Get
- 4:14- in there and fix this.
- 4:17- I said, not knowing any better, okay. I'll
- 4:19- do my best. Fortunately,
- 4:21- he hired a great
- 4:23- consultant
- 4:24- who was an expert in organizational
- 4:26- development design.
- 4:28- I learned so much in that experience. I'm
- 4:30- embarrassed to think about how many mistakes I
- 4:32- made or could have made without a lot
- 4:34- of help. But it got me started on
- 4:36- this path, and it opened doors for other
- 4:38- opportunities,
- 4:40- originally at MD Anderson, but
- 4:41- extending to other things beyond MD Anderson to
- 4:44- other facilities and organizations.
- 4:47- So in any case, it was, as I
- 4:48- said, serendipitous.
- 4:50- It was sort of forced upon me,
- 4:53- but it worked.
- 4:55- Well, mistakes certainly help us learn. Obviously, as
- 4:58- a health care leader
- 4:59- of a number of years, that's something that
- 5:01- you you're able to draw from as well.
- 5:03- But I think it also speaks to, a
- 5:05- leader's character when someone puts them in a
- 5:07- position of saying, you know what? We're gonna
- 5:09- have you do this, and we're gonna challenge
- 5:11- you. Just the fact that you said, you
- 5:13- know, whether it's consciously or or not, that,
- 5:15- yeah, I'm gonna accept that challenge, right, as
- 5:18- opposed to going in some other direction. You
- 5:20- know, I think that's really important.
- 5:22- Yeah. Well, certainly, as I said, it's been
- 5:24- an incredible
- 5:26- journey, marvelous learning experience,
- 5:28- and I've just
- 5:30- encountered, met, gotten to know so many great
- 5:33- people
- 5:34- who have helped me continue to learn. So
- 5:35- it's been wonderful.
- 5:37- Well, let's dive into that journey a little
- 5:39- bit more here, David. And a question I
- 5:41- wanna start,
- 5:43- about more or less off the top here
- 5:45- is what would you consider the most memorable
- 5:47- day or period from your career?
- 5:51- You know, thank you.
- 5:53- I've never been one to think about what
- 5:55- the highlight reel of my career would look
- 5:57- like.
- 5:58- You know, again, I think mostly it's about
- 6:00- the people,
- 6:01- Chris.
- 6:02- I I got to be part of a
- 6:04- really great leadership team that comprise the c
- 6:08- suite at MD Anderson led by John Mendelson,
- 6:12- doctor John Mendelson,
- 6:13- who was president at the time. I learned
- 6:15- so much from John
- 6:17- From other colleagues there,
- 6:20- now doctor Leon Leach, PhD,
- 6:22- and doctor Margaret Kripke, who was one of
- 6:25- the leading specialists
- 6:27- in
- 6:28- immunological,
- 6:30- challenges to cancer, which obviously now has resulted
- 6:33- in a number of new therapies.
- 6:35- The work of her and her colleagues,
- 6:38- they were very experienced leaders, very thoughtful.
- 6:41- You know, I was pretty young at the
- 6:43- time and inexperienced. They were very patient.
- 6:47- They offered a lot of advice. They allowed
- 6:49- me to make mistakes,
- 6:51- without too many people getting hurt, helped me
- 6:54- get back up on my feet and move
- 6:55- forward.
- 6:56- That was really marvelous.
- 6:58- I left MD Anderson to go to UCLA,
- 7:02- met some really incredible people who are members
- 7:04- of that hospital leadership team. Heidi Crooks was
- 7:07- the chief nursing officer, Tom Rosenthal,
- 7:10- the chief medical officer, Mark Spear,
- 7:13- the chief HR officer. I could go on
- 7:15- and on and on.
- 7:17- They certainly understood the culture
- 7:19- of UCLA.
- 7:20- The people were very helpful to me in
- 7:22- terms of thinking about
- 7:25- where is UCLA today? Where has it been?
- 7:27- Where does it need to go? What you
- 7:29- can do as CEO in working with all
- 7:32- of us to make sure it's on the
- 7:34- right path. At the time, it had some
- 7:36- financial challenges, and
- 7:38- we worked together to address those to, I'll
- 7:41- say, shore up a bit of the culture
- 7:43- within the hospital system and move forward. And
- 7:46- so
- 7:47- in great experience for me and, you know,
- 7:50- hopefully,
- 7:51- they felt like that I was helpful to
- 7:53- them because they certainly were experts in their
- 7:56- roles.
- 7:57- Left from there to go to UTMB,
- 7:59- which was struggling.
- 8:01- Texas First Medical School, academic medical center that
- 8:04- had some of the financial challenges associated with
- 8:07- being
- 8:08- confined to a small geographic area.
- 8:12- I was thinking about how do we work
- 8:14- with the existing leadership team
- 8:16- to solve that problem.
- 8:18- There was local resistance,
- 8:21- to that. Then we were hit by this
- 8:23- incredible hurricane called Ike in 2008
- 8:27- and began a multiyear rebuilding
- 8:29- process
- 8:30- that actually
- 8:32- allowed us to do some things that perhaps
- 8:34- we wouldn't have been allowed to do or
- 8:36- consider previously.
- 8:38- So it was that, you know, silver lining
- 8:40- to the dark cloud
- 8:42- in terms of the response that we had
- 8:43- to mount to get beyond that natural disaster
- 8:46- and get the organization in a better place
- 8:49- and had the opportunity to work with people
- 8:51- really all across the state of Texas
- 8:54- from elected officials
- 8:56- to,
- 8:58- people who,
- 8:59- were very interested in UTMB status and where
- 9:02- it should go and its opportunities,
- 9:05- people in DC who were extraordinarily supportive of
- 9:08- bringing the organization back, UT System
- 9:12- leaders. So, again, marvelous opportunity.
- 9:15- And then being invited by the board at
- 9:18- Memorial Hermann to come here.
- 9:21- Incredible group of people.
- 9:23- The board's turned over since that time, but
- 9:26- that legacy of service that was established
- 9:29- with the founding of the organization in nineteen
- 9:31- o seven,
- 9:33- dedicated to serving all who live in Greater
- 9:36- Houston, making sure that they have
- 9:39- good access to great care regardless of their
- 9:43- physical, working,
- 9:45- financial status.
- 9:47- I love that level of commitment,
- 9:49- that desire to be out in the community
- 9:51- beyond the walls of the hospitals and clinics,
- 9:54- making a difference every day in some way.
- 9:58- So, again,
- 9:59- incredible opportunity to work with amazing
- 10:02- people to create more impact and pursue my
- 10:05- lifelong goal,
- 10:06- which is to create that impact that allows
- 10:09- better access to good health
- 10:11- for all that we serve.
- 10:14- David, thank you again for sharing. I mean,
- 10:16- it's at any organization that a person lands
- 10:19- at, it it's
- 10:20- part good fortune, you know, part decisions that
- 10:23- a person makes, but to end up in
- 10:25- a place or, in in your case, several
- 10:27- places where you can say, you know what?
- 10:29- We had such great teams. I mean, that
- 10:31- that's a huge level of fortune and and
- 10:34- one that is very important to becoming a
- 10:36- good health care leader as well, I'm sure.
- 10:38- I do wanna back up to,
- 10:40- what you said about hurricane Ike and just
- 10:43- I wanna ask. So when
- 10:46- I understand certainly that natural disasters such as
- 10:49- that are
- 10:50- are fairly common in Southern Texas.
- 10:53- But
- 10:54- when something like hurricane Ike happens
- 10:57- and you're able to look back now and
- 10:59- say, you know what?
- 11:01- This is what we had to do
- 11:03- to get
- 11:04- the system back on its feet and serve
- 11:07- the patients and everyone who's in our community.
- 11:10- What was so important to saying
- 11:12- to your staff or what did you have
- 11:13- to say to your staff? And what did
- 11:14- you do to say, you know what? This
- 11:16- is the direction we have to go.
- 11:18- Yeah. It was really about
- 11:20- preserving
- 11:21- the organization's
- 11:22- ability to create its impact
- 11:25- through its education,
- 11:27- research, and clinical programs.
- 11:30- We were completely shut down. You know, I
- 11:33- still remember,
- 11:35- standing in our
- 11:37- operational command center when we got the readings
- 11:40- from the offshore buoys
- 11:42- about the storm surge.
- 11:44- It, turned out to be really more than
- 11:47- twice what we had originally
- 11:49- anticipated
- 11:50- and forecast.
- 11:52- And once we got those, we knew we
- 11:54- were within hours of our entire facility being
- 11:58- flooded.
- 11:59- Now we did have a few new facilities
- 12:02- that had been built to withstand the category
- 12:04- four and five hurricanes. They didn't flood at
- 12:07- all. They function
- 12:08- as was planned.
- 12:10- But many others,
- 12:11- one building dated back to the early nineteen
- 12:14- hundreds,
- 12:15- and it took a big hit. So just
- 12:17- beginning to think about what does this really
- 12:20- mean? How do we protect our people? More
- 12:22- importantly,
- 12:24- how do we protect the ability to serve
- 12:26- our mission to the people of Texas, which
- 12:28- was established in the late eighteen eighties?
- 12:32- So a lot of difficult decisions, a lot
- 12:34- of hard work
- 12:37- by my team, the people around us, people
- 12:39- beyond us, UT System at the level of
- 12:41- the state of Texas and its government,
- 12:44- but we got through it. We pulled together.
- 12:47- But not that we didn't
- 12:49- lose some people, make some people angry along
- 12:51- the way, make some difficult decisions that
- 12:54- disenfranchised
- 12:55- some people,
- 12:57- but we preserved our ability to serve that
- 12:59- mission. So I'll I'll always remember that and,
- 13:03- you know, again, how much I learned and,
- 13:06- you know, where we ended up despite the
- 13:08- fact that we were very concerned that we
- 13:11- might not be able to get through. The
- 13:12- organization
- 13:13- might not be able to survive. We did.
- 13:16- And to me, that's a wonderful accomplishment
- 13:20- by that group of people, not attributable to
- 13:22- me,
- 13:23- but to that entire large team
- 13:26- that pulled together, considered the opportunities,
- 13:29- the possibilities,
- 13:31- and chose a path to get UTMB back
- 13:34- on its feet and actually off Galveston Island
- 13:37- into Southern Greater Houston
- 13:39- and establish a a broader,
- 13:41- more capable clinical base to serve its clinical
- 13:44- mission.
- 13:46- When you look back at those accomplishments
- 13:49- in particular,
- 13:50- do you see that knowledge spreading to other,
- 13:54- systems in in the Houston area and beyond?
- 13:57- Yeah. I think UTMB plays a very important
- 14:00- role in the University of Texas universe,
- 14:03- certainly in the medical education
- 14:05- system for Texas.
- 14:07- And so, you know, we had to think
- 14:10- about getting that reestablished, getting our schools open
- 14:13- again.
- 14:14- I think considering the workforce shortage we have
- 14:17- for health care professionals, for physicians, nurses,
- 14:21- you know, what we used to call allied
- 14:23- health professionals, all the therapists,
- 14:26- and and also biomedical scientists.
- 14:29- Getting the academic
- 14:31- mission back on track was absolutely critical. Clearly,
- 14:34- getting the hospital and clinics reopened to serve
- 14:37- the large proportion of
- 14:39- underserved communities in Southern Houston was also important.
- 14:43- So, yeah, I think I think it had
- 14:45- impact that was important for the greater Houston
- 14:47- area in the state of Texas.
- 14:49- Yeah. And I think a lot of patients
- 14:50- or even a lot of your peers don't
- 14:52- necessarily know
- 14:54- in that moment where you'll where you think
- 14:56- to yourself, yeah, we might not survive this.
- 14:59- But what gave you confidence that you were
- 15:02- going to survive?
- 15:04- You know, I have to say that, you
- 15:05- know, part of that spectrum of activities for
- 15:08- me was actually creating an exit plan, the
- 15:10- ability for UTMB to either close,
- 15:13- be absorbed by another
- 15:15- big academic system,
- 15:17- or be absorbed by another University of Texas
- 15:20- institution.
- 15:21- So
- 15:22- that's I think part of our role as
- 15:25- health care leaders is to consider
- 15:28- all the needs, all the opportunities,
- 15:31- all the challenges, and be prepared.
- 15:33- One of my favorite quotes attributable to Louis
- 15:36- Pasteur, and he was really talking about
- 15:39- investigation.
- 15:40- And what he said was
- 15:41- chance favors the prepared
- 15:44- mind.
- 15:45- And, of course, what he was talking about
- 15:47- is forming hypotheses,
- 15:49- understanding
- 15:51- different variations in terms of outcomes of research.
- 15:55- But I think, you know, very important thought
- 15:57- that transcends
- 15:59- research and investigation
- 16:01- really into leadership,
- 16:03- We constantly should be thinking about the full
- 16:07- array,
- 16:08- the full spectrum of the challenges before us,
- 16:11- all the possible outcomes, be prepared,
- 16:14- be thinking about what we think are the
- 16:16- greatest opportunities for success, the best path to
- 16:19- pursue, and clearly focus on those
- 16:22- and trying to stay on that path. But
- 16:24- when we don't, be prepared for others
- 16:27- and keep the organization,
- 16:29- keep our colleagues moving forward, focused on the
- 16:32- next steps
- 16:33- that we can accomplish to ultimately create success.
- 16:38- That makes an incredible amount of sense, David,
- 16:41- and does lead me nicely into my next
- 16:43- question for you. And that is, I understand
- 16:46- you've been
- 16:47- at, Memorial Hermann for about seven years now,
- 16:49- and by no means is anyone
- 16:52- at Becker's or anywhere else pushing you out
- 16:54- the door. Right? But, you know, given, the
- 16:56- path that you've just led us on so
- 16:58- far in this conversation, what would you tell
- 17:00- your successor?
- 17:01- Right? And that and that could be the
- 17:03- pet pastor quote. I'm sure you're gonna wanna
- 17:05- share that with them if you haven't already.
- 17:08- Or or anything else that you think, you
- 17:09- know what? This is important for you to
- 17:11- succeed at this job.
- 17:13- Yeah. I've gotten so much great advice from
- 17:16- teachers and mentors and colleagues through the course
- 17:19- of the years, and,
- 17:20- you know, one of the major
- 17:22- task for any CEO
- 17:24- is preparing
- 17:25- for a successor.
- 17:27- And we've been at that here at Memorial
- 17:29- Hermann now for several years, and my time's
- 17:33- close. You know? I I'm ready to hand
- 17:35- over the reins. I'm not making any announcements
- 17:38- right now, but, you know, that time is
- 17:41- coming. And and I'm so
- 17:43- proud and pleased that
- 17:45- we've got at least three
- 17:47- strong
- 17:48- internal candidates here, and I get to work
- 17:51- with them every day. They're brilliant.
- 17:54- Alec King, doctor Jamie McCarthy, Aaron Asprick, our
- 17:58- CFO, our chief physician executive, and our COO.
- 18:02- To me, any one of those three could
- 18:04- very capably step into this role and keep
- 18:07- the organization moving forward.
- 18:09- You know, the things that that I say
- 18:12- to them,
- 18:13- and I think I learned more from them
- 18:15- than they learned from me,
- 18:17- but, you know, it's all about the mission.
- 18:19- Our mission is to improve health, not improve
- 18:22- health care, but to improve health
- 18:24- for all we serve.
- 18:27- And so
- 18:28- constantly think about that. That's what we're here
- 18:31- to do.
- 18:32- How do we
- 18:33- configure,
- 18:35- guide,
- 18:36- shape,
- 18:37- change
- 18:38- the organization
- 18:40- so that that mission pursued is sustainable.
- 18:44- We've been doing it for a hundred nineteen
- 18:46- years. We wanna do it at least for
- 18:48- another hundred nineteen.
- 18:50- So what do we need to do in
- 18:52- the face of current or what we believe
- 18:54- are future
- 18:55- challenges or future potential challenges to make sure
- 18:59- that that mission pursuit is sustained?
- 19:02- And, you know, I tell them things like,
- 19:04- well,
- 19:05- you know, some of the greatest advice I've
- 19:07- gotten, sell,
- 19:09- don't tell.
- 19:10- You know, listen,
- 19:12- engage
- 19:13- brain before putting mouth into gear. I mean,
- 19:16- all of these little sort of leadership adages
- 19:18- that you get over the course of time,
- 19:20- and they're fun. That up, up, though.
- 19:22- Yeah. And and they're you know, that you
- 19:24- can remember them.
- 19:26- And so, you know, more than anything else,
- 19:28- always
- 19:29- listen.
- 19:30- Listen within the organization
- 19:33- to what people are thinking about what's happening,
- 19:36- what their current challenges are across all the
- 19:39- different work groups and work scenarios across our
- 19:42- system,
- 19:44- hear what they're saying about how they're responding
- 19:47- and how they think the organization
- 19:48- can best help them,
- 19:51- Roll that up, constantly
- 19:53- challenging
- 19:54- the process. What can we do differently? How
- 19:56- can we do it better?
- 19:58- Think about our role in these executive roles
- 20:02- to serve the work that's really being done
- 20:05- on forefront up lines lines of the organization.
- 20:09- And, again, thinking about that mission goal, improve
- 20:11- health, that means we can't just be satisfied
- 20:13- to sit back and wait in our hospitals
- 20:15- and clinics.
- 20:16- We need to be in the community. We
- 20:18- need to be engaging
- 20:20- business leaders, community leaders,
- 20:23- people who are challenged,
- 20:26- by,
- 20:28- barriers that stand in the way of their
- 20:29- access to good health.
- 20:31- What can we do on our own as
- 20:33- a system to help them overcome those barriers?
- 20:35- What partners do we need, or what partners
- 20:37- are available
- 20:39- to help us break down some of those
- 20:40- barriers?
- 20:41- Ultimately, it's about creating value.
- 20:44- We spend a lot of money on offering
- 20:46- very
- 20:47- advanced
- 20:48- health care
- 20:49- and solving very advanced diseases as, chronic disease
- 20:54- problems, acute injury problems, acute illness problems.
- 20:58- But if we could do more with prevention,
- 21:01- more engagement, even focused on some of the,
- 21:03- you know, say the five most common diseases,
- 21:06- which is where we're focused in Greater Houston
- 21:08- out in the community,
- 21:10- think how much we could do to reduce
- 21:12- those costs, improve the delivery of value with
- 21:16- the dollars that we have to spend for
- 21:19- health care today.
- 21:21- So constantly
- 21:22- laying out that challenge, encouraging
- 21:25- those
- 21:26- marvelously
- 21:27- intelligent leaders to think about that, to engage
- 21:29- the organization
- 21:30- to think about, and, again, keep us on
- 21:32- a sustainable path to ultimately
- 21:35- solving that mission goal, being able to achieve
- 21:37- it. I mean, that's what makes the job
- 21:39- fun. It's also my principal task. It's what
- 21:42- I'm supposed to do.
- 21:44- Yeah. David, that approach of looking beyond
- 21:48- the hospital and health system walls and and
- 21:50- improving the health of their community, that that's
- 21:52- become a much more prominent
- 21:55- avenue that I think that health care leaders
- 21:57- are pursuing over the last certainly over the
- 21:59- last five years, but probably a little bit
- 22:01- longer than that.
- 22:03- But, yeah, it's it's certainly very important to
- 22:05- everything you're doing down at Memorial Hermann and
- 22:07- and the mission that you're trying to pursue
- 22:10- and and be successful at every day.
- 22:13- It does lead me to my next question,
- 22:15- which is you you're dealing you deal with
- 22:17- a lot as a health system CEO. That's
- 22:20- in the understatement of the century, perhaps.
- 22:23- But what issue or aspects
- 22:25- of health care do you think deserves a
- 22:26- brighter spotlight at this moment in time, and
- 22:28- who needs to be shining that spotlight?
- 22:31- You know, it's something that I talk about
- 22:34- a lot
- 22:35- with colleagues in national meetings,
- 22:38- colleagues at all levels within health care.
- 22:41- And, again, it's this idea that
- 22:43- we can't just sit back in our clinics
- 22:46- and wait for people to come to us.
- 22:49- We as
- 22:50- health systems,
- 22:52- as health care providers,
- 22:54- as administrators,
- 22:57- for the use of resources
- 22:59- that are allocated
- 23:00- to provide health care, no more
- 23:03- than just about any other group
- 23:05- about the health doubt challenges in the communities
- 23:08- in which we live and work.
- 23:10- We have a role
- 23:12- to talk about those,
- 23:14- to talk about how
- 23:16- that we can get more engaged with our
- 23:20- communities,
- 23:21- get to some of those core issues on
- 23:24- our own and working with others. We have
- 23:26- to do that.
- 23:27- If we really want to enhance
- 23:31- value delivery
- 23:32- with the health care dollars that are available,
- 23:34- I go on to talk about, you know,
- 23:35- we spend
- 23:37- $5,000,000,000,000
- 23:38- per year in The US now for health
- 23:40- care.
- 23:41- Think about
- 23:42- if we how we could if we really
- 23:44- got into the community,
- 23:46- understood the true barriers to good health,
- 23:49- and reallocated some of those dollars, what an
- 23:51- impact that would create over the course of
- 23:53- time, how that would drive value.
- 23:55- So I think that's something we all just
- 23:57- need to talk about.
- 23:59- But, you know, what I I really want,
- 24:02- particularly younger colleagues, to
- 24:05- feel is that we can't maintain the status
- 24:09- quo
- 24:10- and help the country be as great as
- 24:13- it can be if people are healthier
- 24:15- and have more
- 24:17- access
- 24:18- better access to good health.
- 24:21- That also makes a ton of sense, David.
- 24:22- I'm glad you were able to articulate that
- 24:24- for us today.
- 24:26- Yeah.
- 24:28- It it's fascinating
- 24:30- to hear yourself and other
- 24:32- health care leaders
- 24:33- think this way in in such positive
- 24:36- environment. Right? So you know what? What else
- 24:38- can we do? You know? Yes. You come
- 24:40- here. You have you're sick. You you need
- 24:42- an a surgery.
- 24:43- Yeah. We can do that. But okay. Let's
- 24:45- see what else we can do. It's such
- 24:46- an important mindset to have, I think.
- 24:50- David, you've also been able to share with
- 24:52- us
- 24:53- a number of the people that have made
- 24:55- difference to you and to the people,
- 24:58- that you serve.
- 24:59- Last question I wanna ask you is simply,
- 25:01- what have you found is an underrated leadership
- 25:04- trait,
- 25:05- and who have you seen embody it? And
- 25:06- that could be one person or a group
- 25:08- of people, whatever you find, most applicable.
- 25:12- Yeah. You know, again, I've had the opportunity
- 25:14- to work with so many great leaders.
- 25:17- A gentleman named doctor Bobby Alford, who was
- 25:19- executive vice chancellor
- 25:22- at at Baylor College of Medicine when I
- 25:24- was a student and resident. My department chair,
- 25:27- John Mendelson, I mentioned, Andy Von Eschenbach,
- 25:32- Jerry Levy
- 25:33- at UCLA,
- 25:36- number of great leaders in the UT system.
- 25:38- But the one who really stands out is
- 25:40- admiral Bill McRaven,
- 25:41- who was chancellor
- 25:43- during,
- 25:44- some of my service as president of UTMB.
- 25:48- But the one who stands out the most
- 25:49- in my mind is former president George h
- 25:52- w Bush,
- 25:54- who was the leader of what we call
- 25:57- the board of visitors at MD Anderson when
- 25:59- I was
- 26:00- a up and coming
- 26:02- executive leader there.
- 26:04- And the two qualities
- 26:06- that I saw president Bush,
- 26:09- display
- 26:10- time and time and time again were
- 26:13- humility
- 26:14- and respect for all.
- 26:17- Everyone he met,
- 26:19- at least in my experience, he treated with
- 26:22- the greatest respect.
- 26:24- He would never talk about himself.
- 26:26- He wanted to know about you when you
- 26:28- were standing in front of him
- 26:30- and what you did.
- 26:32- And almost always, he was encouraging in some
- 26:35- way or
- 26:36- wanna know how he could help, what he
- 26:38- could do.
- 26:40- And as I learned more about
- 26:43- leadership
- 26:44- and the role of the importance of establishing
- 26:47- a shared vision
- 26:49- among all involved
- 26:51- in the pursuit of a particular goal or
- 26:55- set of goals,
- 26:56- I began to understand
- 26:58- how important
- 26:59- that humility and respect are for leaders.
- 27:03- If you respect all
- 27:05- and you're humble,
- 27:07- you listen carefully,
- 27:09- you play back what you've heard,
- 27:12- it's critical,
- 27:14- in terms of being able to establish that
- 27:16- shared vision,
- 27:18- which motivates all to strive
- 27:21- together
- 27:23- to establish that shared goal.
- 27:25- So, again,
- 27:26- number of great leaders who have taught me
- 27:28- so much, but
- 27:30- really
- 27:31- tremendous,
- 27:33- admiration
- 27:34- for president Bush, h w Bush,
- 27:37- and how he worked even beyond his role
- 27:40- as president
- 27:42- to play a leadership role and bring people
- 27:44- together
- 27:46- to struggle
- 27:47- together to achieve something that was greater than
- 27:50- any of the individuals in their own respective
- 27:53- set of goals or ideas.
- 27:56- That is extremely well said, David. I think
- 27:59- that's humility and respect for all will take
- 28:02- you a very long way in life, whether
- 28:04- you are a hospital CEO
- 28:06- or whether you are a podcast host or
- 28:09- whatever it is you happen to be doing.
- 28:10- I think that's the perfect place to to
- 28:12- end the podcast. David, thank you again,
- 28:15- for just coming on to this podcast and,
- 28:17- you know, laying out what it is that's
- 28:19- made you who you are as a leader
- 28:20- and how we can all just help our
- 28:22- communities be better.
- 28:24- Yeah. Well, thank you very much for the
- 28:25- opportunity, Chris.