Latest / Becker’s Healthcare Podcast / AI, Workforce Strategy, and the Future of Healthcare Leadership
Transcript
- 0:00Hi, everyone. This is Brian Zimmerman with Becker's
- 0:02Healthcare. Thank you so much for tuning into
- 0:04the Becker's Healthcare podcast.
- 0:06Today, we're gonna talk about AI and what
- 0:08this means for the workforce and leadership.
- 0:11Joining me for today's discussion is Shannon Libbert,
- 0:13senior partner at Kingsley Gate. Shannon, thank you
- 0:16so much for coming on the podcast today.
- 0:18Hi, Brian. Thanks for having me. I'm happy
- 0:20to be here.
- 0:22And to just get going here, can you,
- 0:24share with listeners just a bit more about
- 0:26yourself, your background,
- 0:27and and your work in the health care
- 0:28space?
- 0:29Sure. Thanks, Brian. I'm as you mentioned, Shannon
- 0:32Libert, senior partner and health care practice leader
- 0:35at Kingsley Gate. Kingsley Gate is an AI
- 0:38native global executive search and human capital advisory
- 0:41firm.
- 0:43I've worked in health care for nearly thirty
- 0:45years, which is showing my age.
- 0:47But I've spent most of that time in
- 0:49world leading health care consulting and advisory firms.
- 0:53It's really an honor to return to the
- 0:55Becker's podcast. I have such great respect for
- 0:58you all in the community that you serve.
- 1:00Well, appreciate the kind words, Shannon, and it's
- 1:02awesome to have you back on. And we
- 1:04we truly appreciate you coming on, and we
- 1:07truly do appreciate the community. We try to
- 1:09connect and and and inform.
- 1:11Let's get in here to to to AI,
- 1:14of course, which is, you know, on the
- 1:15tip of everyone's tongue,
- 1:17probably as it should be right now because
- 1:19it is reshaping
- 1:21nearly every corner of health care in some
- 1:23capacity
- 1:24at the moment. When when you're in the
- 1:25room with health system executives, where are you
- 1:27seeing the biggest shifts in terms of how
- 1:29they're thinking about AI,
- 1:31especially as it relates to, you know, their
- 1:33workforce and and leadership?
- 1:36Yeah. It's it's it's a good question. And
- 1:39I would say
- 1:40what's changed the most in the last year
- 1:41or so is the level of urgency. So
- 1:44when I'm sitting with health system executives, the
- 1:46conversation has moved from
- 1:49experimentation,
- 1:50we're gonna dip our toe in this pool,
- 1:52to
- 1:53real execution. A year ago, it was pilots
- 1:56and innovation labs, and today, it's much more
- 1:59direct. Where do we deploy AI at scale
- 2:02to improve things like access, stabilize the workforce,
- 2:05and actually move our margins. So
- 2:07one of the biggest mindsets
- 2:09that we're seeing
- 2:11today is around workforce strategy.
- 2:14The executives that I speak with are no
- 2:16longer framing AI,
- 2:18you know, in in in very basic ways.
- 2:20They're asking how
- 2:22it can expand capacity and how it can
- 2:25free up clinicians
- 2:26to work, we always talk about, to the
- 2:28top of their license. That shows up most
- 2:31clearly in areas like ambient listening.
- 2:34Physicians are getting time back in the evenings
- 2:36where they used to be having you know,
- 2:38they talk about pajama time where you would
- 2:40chart in the evenings.
- 2:42In places like revenue cycle
- 2:44to improve, you know, the the expediency at
- 2:47which funds are are received by health systems
- 2:50and also things like nursing workflows and length
- 2:53of stay. How do we automate some of
- 2:55those processes
- 2:56that can really meaningfully
- 2:58reduce that administrative
- 3:00burden? I I heard a lot, at the
- 3:02most recent meeting about the cognitive burden, and
- 3:05and I had a good discussion with another,
- 3:08health care leader that was there who said,
- 3:10but aren't we supposed
- 3:12to have still cognitive input? And and it's
- 3:15not that. It's the administrative
- 3:17stuff that, quite frankly, takes time away from
- 3:21time with patients at the bedside.
- 3:23So it's also you know, when you think
- 3:25about it, at the same time, it's changing
- 3:27what leadership looks like. There's a growing need
- 3:30for leaders who can translate across clinical, operational,
- 3:33and technical domains.
- 3:34We're seeing much more hybrid roles emerge,
- 3:38digital data, AI leaders who aren't just advisory,
- 3:42but they're accountable for those outcomes.
- 3:45And importantly, boards are actually starting to ask
- 3:48this new question.
- 3:49Do we have enough AI fluency at the
- 3:51executive level to make good decisions around technology
- 3:54here? So it's becoming really an imperative for
- 3:57leadership.
- 3:58It's not just a technology conversation, though.
- 4:02It's it's about culture, and it's an adoption
- 4:04challenge, really. The limiting factor right now
- 4:07isn't capability, and I've spoken about this before.
- 4:10It's trust.
- 4:11Leading organizations are investing heavily in change management
- 4:15and clinician engagement
- 4:17and also in being transparent about how AI
- 4:20is used in decision making.
- 4:22The systems that are getting traction
- 4:24are the ones that are focused
- 4:26where they prioritize a small number of
- 4:29super high impact use cases
- 4:32and scaling those
- 4:33rather than the ones that are running
- 4:36dozens or even, you know, in some case,
- 4:38I heard one health system nearly a 100
- 4:41they had nearly a 100 agents
- 4:43and and running real fast with a bunch
- 4:45of disconnected pilots. Right? I think the goal
- 4:48should be,
- 4:49at the end of the day, to improve
- 4:50the experience for providers,
- 4:52team members, and certainly, most importantly, the patients
- 4:56that are served by the health systems.
- 4:58Yeah. And I I imagine on some levels,
- 5:00you know, that, much of the shift is
- 5:02welcome in terms of alleviating that burden that's
- 5:05really sort of, you know,
- 5:07been placed on clinicians since the the rise
- 5:09of the EHR, really.
- 5:10But there's also, as you pointed out, sort
- 5:12of the the there's a need for new
- 5:14skills, new fluencies.
- 5:16And that change is gonna, like, no matter
- 5:19what, come with some anxiety.
- 5:21And, of course,
- 5:23AI, the the term itself brings its own
- 5:25baggage when you start thinking about, sort of
- 5:28jobs and and the people in them.
- 5:30So from from your perspective, Shannon,
- 5:33sitting in the seat, an AI native global
- 5:35executive search and and human capital advisory firm,
- 5:39how does Kingsley Gate how are you all
- 5:41thinking about the the human plus machine equation,
- 5:43I I guess is how I'll put it.
- 5:45And what are you telling health system leaders
- 5:47who are trying to wrestle with that both
- 5:49themselves and for their teams? Right. Right. We're
- 5:52we're yeah. As as you mentioned, Brian, we're
- 5:55seeing this daily. Mhmm. And leaders really have
- 5:57to focus on trust first and foremost. I
- 6:00mentioned last time leaders shining light on what
- 6:02the technology is intended to do and focusing
- 6:05on the change management implications.
- 6:08I highlighted
- 6:09the the leader who took her whole team
- 6:11off-site to really have a, let's talk about
- 6:13this. Let's talk about how everybody's feeling. Let's
- 6:15put it all out there so that people
- 6:18who are maybe nervous about the implications
- 6:21can really have their concerns addressed by the
- 6:23leaders in a really transparent way. Our platform
- 6:27was developed to help us as consultants and
- 6:30our clients who are leading people across the
- 6:32world
- 6:33that quite frankly are on different places along
- 6:35the technology continuum,
- 6:38the technology adoption continuum for a variety of
- 6:41reasons. You know? I think that we should
- 6:43look at these advances
- 6:44as ways to help us
- 6:46do what we do best, which is focus
- 6:49on relationships.
- 6:50You know? At the end of the day,
- 6:51that's what it's all about. No machine is
- 6:53going to take the place of of building
- 6:56that trust. I don't, you know, I don't
- 6:58know if any of us inherently
- 7:00trust any of the
- 7:02AI agents that we're using. Right? They're they're
- 7:05always I I was just a personal
- 7:07aside. I've got a son who's looking at
- 7:09colleges in a year or so, and they
- 7:11kept Chet kept giving me all these colleges
- 7:14that I know don't have the kind of
- 7:16programs that he's looking for because that college
- 7:18happened to be in my backyard. And I
- 7:20kept saying to Chet, no. They don't have
- 7:22that. No. They don't have that. Oh, you're
- 7:24right. Good catch. You know? And I'm like,
- 7:26I I still have to edit it for
- 7:28even things that I use it for personally.
- 7:30And I'll just say this too. I heard
- 7:32a speaker,
- 7:34at Becker's recently, a former president of The
- 7:36United States, in fact.
- 7:38And and he said, and I love this
- 7:40quote, the ability to provide compassion
- 7:43is not in the capacity
- 7:44of a machine.
- 7:46And, you know, compassion is what we need
- 7:48at the core of any health care system.
- 7:50Yeah. And I've heard it said before too,
- 7:52like, sort of in this moment of the
- 7:55the rise of AI, the era of AI
- 7:57really need into
- 7:58we need leaders and and people who are
- 8:00really in touch from a human element. A
- 8:02lot of emotional intelligence. Right? That's really the
- 8:05the skill we're looking for. Right? Yep.
- 8:07That's right. And and so data security, I
- 8:10wanna get to that piece of this too
- 8:12because, of course,
- 8:13AI is all you know, it these applications
- 8:16are only gonna be as good as the
- 8:17data you have, and that data's gotta be
- 8:19secure.
- 8:20How how are you thinking about data security?
- 8:22What what what are should executives be asking
- 8:25for for any AI driven firm sort sort
- 8:28of like yours? What what should they be
- 8:30asking before they start working with them? Because
- 8:32they've gotta take this very, very seriously.
- 8:35Yeah. You're right, Brian. And and I will
- 8:37say, you know, just from a Kingsley Gate
- 8:38perspective,
- 8:39we operate in 50 markets, which means compliance
- 8:42isn't optional for us. We have to comply
- 8:45with GDPR,
- 8:47SSE two,
- 8:48regional data protection frameworks, and sector specific requirements.
- 8:52So so we really had to look at
- 8:54all of that. And I would say for
- 8:55health systems,
- 8:57on the data security side, the executives have
- 9:00to become much more
- 9:02sophisticated in how they evaluate these partnerships that
- 9:05they have. It's no longer also just compliance.
- 9:08It's also control.
- 9:10So leaders need to be asking questions like,
- 9:12who owns the data? Can we extract it
- 9:15if we leave?
- 9:16And is our data being used to train
- 9:18models for anyone else? You know, those are
- 9:20important questions.
- 9:22There's also
- 9:23an increasing
- 9:25expectation
- 9:26around
- 9:27transparency
- 9:29and explainability.
- 9:30Especially in those clinical high stakes operational settings
- 9:34like finance or HR,
- 9:35it's not enough for a model to be
- 9:37accurate. Leaders have to understand how those decisions
- 9:40are being made and how they're validated
- 9:43against patient population. So it's it's well beyond
- 9:46PHI
- 9:47and things like that. You know? Of course,
- 9:49we have to have security
- 9:52architecture.
- 9:53That's table stakes, but it's critical to unpack
- 9:56things like encryption, data segregation.
- 9:59How are we asking vendors
- 10:01when we're evaluating a vendor? Are we asking
- 10:03them to walk through real world scenarios? You
- 10:06know, things like what happens in the event
- 10:08of a breach?
- 10:10How is PHI handled during training? And where
- 10:12does the data actually reside? I I know
- 10:15of several health system leaders who say we
- 10:18don't want any of our data offshored.
- 10:20And so that's that's an important, you know,
- 10:22evaluation criteria that these systems have.
- 10:26Also, you know, dependency risk, many,
- 10:28native AI firms are built on top of
- 10:31larger platforms or models. So executives
- 10:34will wanna understand what sits underneath that and
- 10:37really ask the questions.
- 10:38You know, how does it plug into our
- 10:40existing environment, whether it's Epic or oracle
- 10:43or some other EHR?
- 10:45What does implementation actually require from our teams,
- 10:48and how quickly will we see the impact?
- 10:50So at the end of the day, the
- 10:52conversation has really matured significantly.
- 10:55Health systems aren't asking whether AI matters anymore.
- 10:58That's a given. It matters.
- 11:00But they're asking who on their leadership teams
- 11:02can operationalize it
- 11:04safely and at scale and in a way
- 11:07that really supports what our end goal is
- 11:09is
- 11:10is truly supporting clinicians,
- 11:12the team members,
- 11:14to drive those outcomes for the patients. And
- 11:16that's where we're seeing the biggest gap, honestly.
- 11:18The biggest opportunity right now is in those
- 11:21areas.
- 11:22Sometimes you you don't wanna know how the
- 11:24sausage is is made, so to speak. But
- 11:26in this case, it's absolutely essential that you
- 11:28do that leaders do know. Correct? Yeah. You
- 11:30you have to know. I mean, and and
- 11:32I'm by no means a technical expert.
- 11:35I I partner with them, but I know,
- 11:37you know, I know the right questions that
- 11:39we should be asking.
- 11:41And, you know, having those key leaders in
- 11:43those functional areas
- 11:45is really, really important.
- 11:47Yeah. And I wanna get to another piece
- 11:49of this here because if if the the
- 11:51technology driven transformation wasn't enough, we're also entering
- 11:54what is a very unique generational shift in
- 11:57the workforce right now. Right.
- 12:00So big, big changes coming there. How does
- 12:02AI really factor into that dynamic? And, I
- 12:05guess, what do you believe executives should be
- 12:07thinking about when they they're thinking about recruiting
- 12:09and retaining talent across generational lines? I mean,
- 12:12there's you know, you wanna retain some talent
- 12:14so you don't have sort of this is
- 12:16a crude phrase, but brain drain, so to
- 12:18speak. But it's also with the demographic shifts
- 12:21in the nation at at large, you've gotta
- 12:24be bringing on newer clinicians faster, You know?
- 12:26Right. Which is faster probably than we've ever
- 12:29done it before,
- 12:30which presents its own set of challenges. So
- 12:33many different ways, Shannon, for for us to
- 12:34dissect this question, but I'll I'll just tee
- 12:36it up to you from there and let
- 12:37you let you go which way you wanna
- 12:39take it.
- 12:40Yeah. Yeah. A little difficult to address all
- 12:43of that in a in a fifteen minute
- 12:44segment, but I'll I'll do my best. And,
- 12:46you know, with five generations in the workplace
- 12:48now, it's it's really complex. I I always
- 12:51advise people not to focus on recruiting where
- 12:54where for where their organizations currently are, rather
- 12:58recruit for where your organization needs to be.
- 13:00Because if if the leaders of the current
- 13:03organization and we see this a lot. You
- 13:04know? The the c suite in most organizations,
- 13:08that I come across are are in one,
- 13:10maybe two generations.
- 13:12The good ones are in three.
- 13:14Very few are in four, but that presents
- 13:17a real risk rather than a strength. Right?
- 13:19If if every leader
- 13:21is within ten years of each other, that
- 13:23that can be challenging. And that's what, quite
- 13:25frankly, what we've had, in health care. We
- 13:28used to talk a lot more, several years
- 13:30ago about the silver tsunami of of everybody
- 13:33retiring at one time, and we're seeing some
- 13:35of that. And so what we see also
- 13:37is
- 13:38generational fluency.
- 13:40It's now a leadership competency,
- 13:42and it should be evaluated in the hiring
- 13:45process.
- 13:45So I always tell my clients and I
- 13:48always try to prescreen for
- 13:50examples
- 13:51of a time when you had to,
- 13:54motivate somebody in a different generation or when
- 13:56you've had to interact. And we talk a
- 13:58lot about mentoring and reverse mentoring and things
- 14:00like that.
- 14:01I I recommend that you ask for examples.
- 14:03Don't just assume based on someone's age or
- 14:05experience level
- 14:07that they know how to best relate because
- 14:09there are people in my generation, I just
- 14:11mentioned technology,
- 14:12there are people that are,
- 14:14just say it, Gen x,
- 14:16bordering on Boomer
- 14:18that,
- 14:18that have way more technical proficiency than I
- 14:21do. And then there's some that are that
- 14:24are more
- 14:25traditionally,
- 14:27geared. And I I will tell you, you
- 14:29know, the the the the newest generation in
- 14:31the workforce
- 14:32has a totally different,
- 14:34relationship with technology than I do.
- 14:37And so I think it's really important that
- 14:39that to understand that the next c suite
- 14:43leaders won't look like the last ones. In
- 14:45CHROs, for example,
- 14:47we see that the profile is really shifting
- 14:49toward those who are not just comfortable with
- 14:52data and AI governance, but are expert in
- 14:55those areas.
- 14:57They need to be as proficient
- 14:59as they are in those in those areas
- 15:02as they are in places like employee relations
- 15:05and culture.
- 15:06So it's really imperative.
- 15:08You mentioned retention, Brian. It it it really
- 15:10is a leadership imperative as well. Younger clinical
- 15:13and operational leaders are watching.
- 15:16They're watching what the c suite leaders are
- 15:18doing. They're watching how they engage with technology
- 15:21and navigate change management. You know, change management
- 15:24is is critical in all of this.
- 15:26And if those c suite leaders present as
- 15:30resistant and slash or disconnected,
- 15:33that signal
- 15:34is loud, and it travels quickly throughout an
- 15:37organization. And so, you know, a a a
- 15:40CEO who is walking through the hospital on
- 15:42their phone in some ways can be a
- 15:44good thing, but if they're not interacting with
- 15:46the staff,
- 15:47you know, that that that needs to,
- 15:49be an and versus an or. And so,
- 15:52it's really imperative for people to get up
- 15:54to speed quickly,
- 15:56because the the the organization is watching.
- 16:00Right. And and right now with all the
- 16:02all the change happening, it's gotta be
- 16:04especially concerning if if you're from from a
- 16:07frontline workers' perspective or even middle management perspective,
- 16:10if you're looking at your leaders and thinking,
- 16:12like, I don't know if they're keeping up.
- 16:13Right. You know, that's that's gotta be a
- 16:15little little bit concerning in this current environment.
- 16:17Right? Right. These are interesting times to say
- 16:20the least. No doubt.
- 16:22Well, let's close here by just,
- 16:25I I I'll put one final question to
- 16:27you, which is, is there anything we haven't
- 16:29covered do you think that deserves more attention
- 16:32in this conversation? I think we actually covered
- 16:35a good bit of ground in a in
- 16:36a in a in a tight segment here,
- 16:38though some of these topics we could go
- 16:40on and on and on about. But what
- 16:42should have gotten more attention, do you think,
- 16:43in our in our talks today?
- 16:45Yeah. Thanks, Brian. I think I think we've
- 16:47probably covered most of it. I'll just say
- 16:49as a consultant who spends my days helping
- 16:51health systems prepare for the future,
- 16:53I do think AI can be quite valuable,
- 16:56and it's it's not optional.
- 16:57You know, our our tool and others like
- 16:59it give our clients the ability to focus
- 17:02on what matters most, and that's the human
- 17:04aspect. And that's what remains. You know, leaders
- 17:07have to have a strong presence.
- 17:08They have to build trust
- 17:10and have to be mindful that the only
- 17:12thing that's really constant is change.
- 17:15And so how the the best organizations manage
- 17:18through that can really differentiate them in the
- 17:21quest to find new leaders and and make
- 17:23themselves
- 17:24stand out from the rest of the industry.
- 17:27Excellent. Well, Shannon, thank you so much for
- 17:30for taking the time and coming on the
- 17:31podcast today.
- 17:32Yeah. Thanks, Brian. Take care. We also wanna
- 17:35thank our podcast sponsor, Kingsley Gate. You can
- 17:38tune into more podcasts in Becker's Healthcare by
- 17:40visiting our podcast page at beckershospitalreview.com.