Latest / Becker’s Healthcare Digital Health + Health IT / Driving Innovation and Transformation at MedStar Health with Bill Sheahan
Transcript
- 0:00Hello, everyone. This is Jacob Emerson with the
- 0:02Becker's Healthcare Podcast.
- 0:04Thanks so much for tuning in today where
- 0:05we're gonna be talking about how MedStar Health
- 0:08is transforming care with artificial intelligence and telehealth.
- 0:12So to dive into some pretty big topics,
- 0:14I'm joined today by Bill Sheehan, who is
- 0:17the chief innovation officer at MedStar Health. Bill,
- 0:20thanks so much for taking the time to
- 0:21sit down with us. Oh, thank you. Thanks
- 0:23for having me, Jacob. Absolutely. And before we
- 0:25dive into everything we wanna talk with you
- 0:26about, can you tell us a little bit
- 0:27more about yourself, your background in health care,
- 0:30and what it is that you do today
- 0:31at MedStar?
- 0:32Yeah. It's
- 0:33been a really interesting journey. So I started
- 0:36my career in health care as a firefighter
- 0:38paramedic in New York.
- 0:39York, spent about fifteen years in public safety,
- 0:43leading to about a decade led leading a
- 0:45county based emergency services system up there in
- 0:48New York. So I have a provider background
- 0:50in that sense and then came down to
- 0:52MedStar about twelve years ago, all in our
- 0:54innovation pillar, but leading different things like learning,
- 0:57training, education,
- 0:58simulation,
- 1:00digital care delivery, and now I serve as
- 1:01the chief innovation officer for the system. Fantastic.
- 1:04So,
- 1:05let's get to the heart of what you
- 1:07do in the day to day at MedStar.
- 1:10We hear from health systems all the time
- 1:11about their struggles with fragmented digital tools,
- 1:14underperforming
- 1:15patient portals.
- 1:17So from where you sit at the health
- 1:19system, what are some of the biggest missing
- 1:21pieces and how most systems are approaching innovation
- 1:23and how MedStar specifically is working to fill
- 1:26some of those gaps? Yeah. It's such an
- 1:27interesting question. As we look back at the
- 1:30experience of the pandemic and the rapid adoption
- 1:33we saw in digital tools, both on the
- 1:34consumer side,
- 1:36and on the provider and health system side.
- 1:39What was missing, and I think this is
- 1:40a bit of the the secret sauce to
- 1:42answer your question,
- 1:43is a a purposeful
- 1:45an opportunity to step back. Right? In that
- 1:47crisis moment, we had to change.
- 1:49But I think coming out of the pandemic,
- 1:51there's this imperative on us as health systems
- 1:54to really take a step back and and
- 1:56rationalize our care model, truly go through a
- 1:58care model redesign
- 2:00that is in service of patients and access
- 2:03and,
- 2:04making health care easier to navigate and higher
- 2:06quality and and safer, using digital tools, which
- 2:09have all kinds of capabilities that can help
- 2:11us with those things.
- 2:13And then on the health system side, really
- 2:15thinking about the processes and how we use
- 2:17people and and processes differently,
- 2:20in the ambulatory setting, in the acute care
- 2:23setting,
- 2:23to leverage the power of those technologies.
- 2:26But at the end of the day, I
- 2:27think the key here is
- 2:29technology is just technology. Right? And unless you
- 2:32can really take that step back and focus
- 2:35on the people and process changes,
- 2:37it's difficult
- 2:38to realize all of that opportunity and value
- 2:41that that we all know exists in in
- 2:42digital care. Yeah. And it really gets to
- 2:44the heart of what we hear from individuals
- 2:46like yourself all the time of always keeping
- 2:48the patient that's at the end of this
- 2:50in mind. In terms of challenges,
- 2:52around what we're talking about, we've heard you
- 2:54speak publicly about balancing innovation with
- 2:57legacy infrastructure,
- 2:59technical debt, things like that. So how do
- 3:01you ensure that these new initiatives like AI,
- 3:04telehealth, digital tools in general, those are not
- 3:06just layering on more complexity, but actually driving
- 3:09scalable transformation?
- 3:10Yeah. And I think this is what we
- 3:12spend a lot of our time thinking about.
- 3:14Because if you ignore the context that we
- 3:16operate within today, which has all of those
- 3:18pieces you just mentioned, it has,
- 3:21legacy hardware infrastructure.
- 3:22Health care is a very fixed,
- 3:24you know, kind of real estate based,
- 3:27you know, for for many years.
- 3:29And so layering technology on top of that
- 3:31tends to find cracks that you didn't know
- 3:33existed in that infrastructure and that foundation.
- 3:36And similarly, I think our our people in
- 3:38process has long been highly manual and,
- 3:42not as digitized as we would all want
- 3:44despite the introduction of things like electronic health
- 3:46records and meaningful use. Sure. And so I
- 3:49think, again, coming back to the point of
- 3:51really thinking deeply about what's possible with current
- 3:55infrastructure,
- 3:55current
- 3:56limitations in that, and then really going at
- 3:59those edges of where we can make the
- 4:01movement fastest and have the greatest impact on
- 4:04patients or on clinician well-being, etcetera,
- 4:08by by just with context of all of
- 4:10that, finding the right places. Yeah. And and
- 4:13I think we've we've spent a lot of
- 4:14time at MedStar Health focused on ambulatory transformation.
- 4:18Mhmm. It's a little easier from that infrastructure
- 4:20component than big legacy hospitals.
- 4:22But the truth is our hospitals need it
- 4:24desperately too. So that fixed infrastructure,
- 4:27you know, we need to make it more
- 4:29efficient, easier to navigate, and, really help, help
- 4:32distribute expertise differently with these incredible new tools
- 4:35that are at our disposal. No. Absolutely. It
- 4:37makes a lot of sense. And in terms
- 4:39of, navigating some of these challenges, we hear
- 4:42pretty much every week, if not daily at
- 4:44this point about health systems across the country
- 4:46accelerating partnerships with tech companies that can often
- 4:49be more nimble than the health care sector.
- 4:51So what role do you think that these
- 4:53partnerships, both at MedStar, but also, you know,
- 4:56the industry level, how are they playing a
- 4:58role in promoting this innovation you're talking about?
- 5:00How can they help to operationalize
- 5:03digital care at scale?
- 5:05Yeah. And it's really important, and I think
- 5:06our our partners are essential to our success
- 5:09here. There is no doubt about that.
- 5:11In that same moment, there are too many
- 5:14point solutions out there. Right? As we think
- 5:16about the the landscape of,
- 5:18of, digital technology. I mean, there's thousands of
- 5:21companies solving, you know, hundreds of problems.
- 5:24And I think the the most important thing
- 5:26I would say is it's really important to
- 5:28understand how the solutions that you're the partners,
- 5:31the solutions you're working with solve more than
- 5:34just one problem. Yeah. Right? And, you know,
- 5:36you can call this lots of different things.
- 5:38People call them platform plays, etcetera. But it's
- 5:40it's really, to me, about thoughtful partnership between
- 5:43the technology companies
- 5:45and us as health care providers to have
- 5:48them know us, right, and really understand the
- 5:51challenges and the opportunities in this digital care
- 5:53transformation space in our journey of care model
- 5:56redesign and the people and process components here.
- 5:59And I've said this many times, but I'll
- 6:01say it again here. I really wanna hear
- 6:03from those partners how hard this is. Because
- 6:06the truth is it is very hard work
- 6:08to change
- 6:09what our large ingrained processes and the way
- 6:13we've operated health care for so long, And
- 6:15the right partners get that and dig into
- 6:18that work with you Yeah. And and really
- 6:20help make sure that the technology isn't layering
- 6:22that burden that you referenced. Right? It's really
- 6:25layering
- 6:26the support for the move from our current
- 6:28operating model to the to the new operating
- 6:30model.
- 6:31And it's it's about more than just that
- 6:33button push. Right? It's so much harder than
- 6:35that. Sure. No. It's, it's great advice for
- 6:37all the other systems listening and,
- 6:39in getting very similar partnerships and and really
- 6:42wanting that acknowledgment,
- 6:44that this is a difficult sector to change.
- 6:47Bill, before we go, what else are we
- 6:49missing? You've got the ears of a lot
- 6:51of other health system leaders from all over
- 6:53the country right now. What else do you
- 6:54wanna share with them from where you sit?
- 6:56Yeah. I think it's, you know, in that
- 6:59spirit that I've already been speaking about and
- 7:01true taking a step back and and redesigning
- 7:04our care model, I think there's a moment
- 7:06for us as health system leaders and our
- 7:08technology partners,
- 7:10to really
- 7:11find the the kind of parts of our
- 7:13organization, substantive parts of our organization
- 7:16that are ready for transformation
- 7:19and bring not one, two, three, four solutions
- 7:23to that, but really holistically
- 7:25redesign those processes with
- 7:27principles in mind that work will be more
- 7:30automated in parts of our business as we
- 7:32go forward. Artificial intelligence or, you know, even
- 7:35robotic process automation or other aspects of automation
- 7:38will play a larger role in how we
- 7:40take care of patients as we go forward.
- 7:43Digital technologies, telehealth,
- 7:45you know, remote care delivery, remote monitoring,
- 7:48these pieces are not singular things. What they
- 7:51are are pieces of the larger puzzle
- 7:53of what the care model of tomorrow in
- 7:55three, five, ten years looks like.
- 7:58And if we don't have clarity of that
- 8:00vision and that point on the horizon,
- 8:02we run the risk in any individual project
- 8:05or implementation
- 8:06of not serving that purpose, appropriately or or
- 8:10well enough.
- 8:11And so that requires you know, I often
- 8:13say you can't do innovation and transformation to
- 8:16the business in health care. You have to
- 8:18do it with the business.
- 8:19We need the operators of those parts of
- 8:22the business, whether it's ambulatory, acute care, nursing,
- 8:25physician
- 8:26enterprise, to be at the table understanding that
- 8:28vision at the endpoint very clearly
- 8:31and working with us to get from here
- 8:32to there with our technology partners,
- 8:35and with our patients, quite honestly. Yeah. Absolutely.
- 8:38No. It's it's great last piece of advice.
- 8:40Really appreciate you taking the time to share
- 8:42those with us, sit down with us, and
- 8:44and sharing insights about what's going on under
- 8:46your leadership at MedStar. So thank you, Bill.
- 8:48Thanks, Jacob. Thanks for having me. And we'd
- 8:50also like to thank our podcast sponsor, Evisit.
- 8:53You can tune in to more podcasts from
- 8:55Becker's Healthcare by visiting our podcast page at
- 8:58beckershospitalreview.com.