Latest / Becker’s Healthcare - Clinical Leadership Podcast / Dr. Ebrahim Barkoudah, MD, MPH, MBA - System Chief and Regional Chief Medical Officer at Baystate Health

Transcript

Dr. Ebrahim Barkoudah, MD, MPH, MBA - System Chief and Regional Chief Medical Officer at Baystate Health · Becker’s Healthcare - Clinical Leadership Podcast

• 0:00
  Hi, everyone, And welcome to the Becker healthcare
• 0:02
  care podcast.
• 0:03
  I'm Mackenzie Bean, a vp and managing editor
• 0:06
  of Becker hospital review
• 0:09
  Today I I'm so thrilled to be joined
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  by doctor. Eb, Bar, who is the system
• 0:13
  chief and regional Chief Medical and quality officer
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  of base state health
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  Dr. Bar. Thank you so much for joining
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  me today. How are you?
• 0:22
  Mckinsey, I'm fantastic. Thank you very much.
• 0:25
  For the podcast, the invitation and always great
• 0:29
  to be part of the bigger Becker family.
• 0:34
  Well, we are always so excited to feature
• 0:36
  your thoughts and some of the impressive work
• 0:38
  that you're doing at base state, and I
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  know we're going to dive into a few
• 0:42
  areas of your core focuses
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  shortly. But before we do that, I'd love
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  to have you introduce yourself or folks who
• 0:49
  may not have listened to your past episodes
• 0:52
  and tell us a little bit more about
• 0:53
  your background.
• 0:56
  So Abraham,
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  I am the system chief Hospital medicine and
• 1:01
  the regional Chief quality and medical Officer at
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  Bay deep Health.
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  My background,
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  I'm a clinician with Capital C, and
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  I have training and quality, public health and
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  health care economics.
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  Trying to bridge the world of
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  physician clinicians and how we could do better
• 1:22
  serving our patients in the hospital.
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  And work at Bay to help, Bay is
• 1:27
  a integrated academic network in In Massachusetts. We
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  serve about 900000
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  patients across our 5 hospitals.
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  We aim to make sure our
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  care is
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  tailored to our patients across the spectrum of
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  the care delivery.
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  We have a great team. We
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  13000
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  employee
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  serving our patients day in and day out.
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  That second part is about
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  how we can do that from a system
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  level and,
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  at the bedside. I e...
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  Because as you know, I took I took
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  on this journey as as a Chief Medical
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  Officer to say,
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  I could I could save lives
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  practicing medicine every day.
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  But if we all collectively
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  fix the system, fix how we deliver Better
• 2:23
  care on the system level, we could
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  save thousands of lives. And I stand
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  behind a team delivering to care every day.
• 2:33
  Yeah. I'd love to dive into that a
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  little bit more in terms of
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  really looking system
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  systematically
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  how you can improve care,
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  and, at the same time, the experience for
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  your caregivers.
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  I know clinical efficiency is something that comes
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  up pretty regularly. When I speaking with chief
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  Medical officers
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  in light of increasing capacity issues that health
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  systems, care demand,
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  more stress and workload put on clinicians. I'm
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  curious how are you thinking about clinical efficiency
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  at base state and
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  you know, really seeking to improve it.
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  This is great to and quite timely.
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  At these states,
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  we're taking on
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  newer
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  approach of how we can
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  deliver high quality efficient care. And I'm going
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  to more maybe zoom in
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  and shared
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  with the audience,
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  at least a big project that we're proud
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  to take on and make sure we are
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  caring from caring for every patient from the
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  moment
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  they come to our door any door in
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  the system. They will have access to the
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  same
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  healthcare, which is that continuum between
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  emergency department to the inpatient floors. We know
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  we have much higher demands that we need
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  to
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  take care of our patients in terms of
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  coming to the emergency room, coming to the
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  emergency departments across the country. We're hearing about
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  the crowding in the Eds and the delays
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  in the care, which unfortunately affecting our patients.
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  I'm working closely with the
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  chair of
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  emergency medicine unit based aid Doctor. Jimmy.
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  And our chief nursing
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  executive, Doctor. Joanne Miller,
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  to build that continuum of
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  care where we can work on the efficiency
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  by
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  improving discharges from the
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  inpatient unit,
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  to allow more access on the inpatient to
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  bring the patient faster in the exam room
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  for the for the emergency visit and then
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  expedite that journey
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  from the emergency room all the way to
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  the right bed to deliver the right care
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  in the right time on the right service.
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  Our patients mckinsey, they deserve the highest quality
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  care and we're able to
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  advance the mission, our Bmc, our base State
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  Medical Center, President,
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  Mr. Sam Sc,
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  supportive of this executive vision to be able
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  to
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  reduce the, length to stay in our hospital
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  hospitalizations
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  improve the time to treatment in the emergency
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  room,
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  rebuild our team for the care delivery through
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  ex
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  more of the discharges and
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  standardize how we clinicians physicians be able to
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  get the patient
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  back home or to their discharge destination
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  faster and safer.
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  We're able to reduce link this day, which
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  we will share with our medical community. I
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  hope very soon in print.
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  We're also built more
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  safety and quality measures around how we deliver
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  the care here at they state health.
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  More to come, I think our experience at
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  these stage is 1 of the many experiences
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  across the Us and in any integrated network.
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  We want to learn, we want to show
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  what we achieved and build on that collective
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  experience.
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  Yes. I think that
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  learning
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  is such an important part of this right
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  sharing best practices what peers out as well.
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  We're all really on the same mission, So
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  we look forward to hearing
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  and seeing that publication come out with more
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  of your results.
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  For listeners
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  today,
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  I'm curious what advice would you share from
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  them
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  in terms of, you know, rolling out a
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  similar initiative or perhaps,
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  what is a key piece of advice or
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  lesson that you learned in this journey
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  towards a higher clinical efficiency.
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  So this is excellent. And again, I'm gonna
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  always default to the clinician side of me.
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  At the bedside.
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  When we think about modifying processes
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  to reach the outcomes that we desire, the
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  the the best outcomes for the patient.
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  I hear
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  our senior vice President to Doctor. Du salvador
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  probably giving me some guidance there.
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  It's all about harmon standardization and
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  standardization. We know there's variation in the care.
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  Our goal
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  as a community to deliver better care is
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  to put that,
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  harmon digitization in a complex system across many
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  services
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  and standardize the processes that we
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  use the tools that we have to make
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  sure we're delivering the high quality care.
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  I think my philosophy there is more about
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  tangible
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  side
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  care delivery and and less slides in Excel
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  sheets and and be able to take on
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  as as a physician
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  of how we could do that. And by
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  all means, I'm I'm the 1 that I
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  help to take care of our physicians, so
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  they could do better job
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  every day better than my probably
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  throughout throughput. But the goal is to make
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  sure we we march as a team.
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  I would like maybe to share with the
• 8:11
  audience
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  the the big learning, I would say,
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  theme,
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  it will come down to value,
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  access and quality. Value is we need to
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  deliver better care, better outcomes
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  and with controlling the cost of spending in
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  healthcare care. Access is what our patients
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  we'll be asking for is the come into
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  the clinic coming into the emergency 0 come
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  into the inpatient and always be able to
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  serve our patients.
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  When I hear numbers about left without being
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  seen or missed appointments,
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  I take that personal we need to make
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  sure we're there for our patients When they
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  knock on our doors,
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  we
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  come and help them to solve these medical
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  problems.
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  That's our job.
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  I would like to elevate also the quality
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  where we know in health care
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  we still have
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  long way to to do what we do
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  better every day. It will come down to
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  eliminating
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  medical errors or to errors and diagnostic and
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  treatments,
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  how we can do that efficient care with
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  the understanding constraints of times and resources,
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  but making sure that the quality of care
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  that you and I will be asking for
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  is what we deliver consistently see
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  and
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  uniformly
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  across our patient population,
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  harmon standardization
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  standardization,
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  value, access and quality and
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  team building in health,
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  at least in my experience
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  helped me to
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  position
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  my team to be more successful
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  and they are successful and we can take
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  care of the patient in that patient centric
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  models.
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  Yeah. I know you have quite
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  bit of experience on the quality and safety
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  side of things looking at your career
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  I'm curious within that realm,
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  what other big project or initiatives are you
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  focusing on and say, the next year,
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  to really improve some of those metrics?
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  So this is excellent. I'm maybe
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  advance a little bit of the work we're
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  doing here at base date.
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  We were able to
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  centralize the care and and
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  identify when the gaps
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  that we all know as a clinicians
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  do exist. We always look at the system
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  as
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  as a rate or
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  a a number.
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  I think, to be more efficient, we need
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  to start from the patient side,
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  and then build up to the unit and
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  build up to the healthcare care or the
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  hospital the healthcare care. So what we've done
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  and I'm proud to
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  report this that we're able to build quality
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  and safety dashboards to measure
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  all the items that we know, it's it's
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  the right thing to do while the patient
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  is
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  she or here or they with us. We
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  need to do the better care for them.
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  We know that
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  1 cod, 1 cl, 1 fall is not
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  acceptable. Is 1 too many. And we want
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  to put the hat off instead of counting
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  these errors
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  or
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  adverse events, we want to be more proactive.
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  And have a predictive models
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  to look at how we can remove the
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  foley before the c to remove the line
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  before the k, when the patient is not
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  doing well because healthcare care is complex and
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  they're becoming deli lea.
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  We want to make sure we're
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  applying better here
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  before that fall happens or provide the environment
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  so they will not fall within any hospital.
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  The
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  intersection between digital health
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  analytics
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  and the predictive part of health care, which
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  we're all learning about with the with now
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  the introduction more of
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  Ai in healthcare
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  is the future. And I would urge all
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  the audience
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  not to wait for the event. Let's be
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  proactive. Let's make sure we're
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  applying the best care up front and be
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  able to standardize that and
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  raise that accountability and transparency. We want to
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  even tell the team our last
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  adverse event was 6 months ago. Let me
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  share with you my experience and have you
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  also be part of it when you take
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  it to your unit to your health care
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  to your hospital to apply the same method.
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  This is how we can march together the
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  second part, which I always keep keep an
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  eye on is when we build the system
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  that likely in the next
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  years decade, it will be more tech savvy,
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  more Ai likely driven more builds and whistles
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  that We always think about the patient. The
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  quality of the care is when the patient
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  says we did the good job,
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  the surveys that they
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  report back to us. The the thank you
• 13:16
  letter. I... This morning, I was reading a
• 13:18
  thank you letter from patient and
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  it brings satisfaction it bring joy. But importantly,
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  that the
• 13:26
  the quality. The patient experience is also telling
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  us we've done a good job, and we
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  need to do it
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  millions of times because that's how many admissions
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  we do in the Us every year. 1
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  admission at the time,
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  high quality at the time. Let's use that
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  digital aspect of the care. And let's build
• 13:45
  on
• 13:46
  each other's experience and share across our community.
• 13:52
  Absolutely. I think that's such an important message
• 13:54
  for
• 13:55
  all all health leaders to be reminded of
• 13:59
  Doctor Rec, I thank you so much for
• 14:01
  your time and thoughtful insights on the podcast
• 14:04
  today, been wonderful speaking with you.
• 14:07
  As always thank you and I'm grateful.
• 14:10
  And let's share what we have on the
• 14:12
  Becker platform. Thank you very much.
• 14:15
  Yeah. Thank you as well. And listeners you
• 14:17
  can catch more of doctor Var barracuda at
• 14:19
  our upcoming clinical leadership forum at the Becker
• 14:22
  Ceo of Cfo Round table. Held November 11
• 14:25
  support teeth in Chicago.
• 14:27
  We still have some limited space available for
• 14:29
  attendees and sponsors.
• 14:31
  Contact us at agenda team at Becker Health
• 14:34
  dot com to learn more.