Latest / Becker’s Healthcare Podcast / Advancing Women’s Health Through Education, Innovation, and Access with Priya Bathija

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Advancing Women’s Health Through Education, Innovation, and Access with Priya Bathija · Becker’s Healthcare Podcast

• 0:02
  - There's a small circle of people who truly
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  - understand what it takes to lead a health
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  - system right now. The decisions are enormous.
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  - The variables are constantly shifting, and the stakes
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  - of getting a call wrong don't stay contained.
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  - That's not a complaint. It's a structural reality.
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  - And it's why the most effective c suite
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  - leaders are deliberate about where they go to
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  - pressure test their thinking.
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  - Becker's fourteenth annual CEO and CFO roundtable
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  - brings together more than 1,500
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  - executive level attendees
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  - and nearly 400 speakers for four days built
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  - around growth, financial sustainability,
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  - workforce strategy, and the leadership questions that don't
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  - have easy answers.
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  - Join us November second through the fifth in
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  - Chicago.
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  - For the agenda and event details,
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  - visit beckershospitalreview.com
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  - and click on the events tab in the
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  - upper right.
• 0:50
  - This is Scott Becker with the Becker's Healthcare
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  - Podcast.
• 0:54
  - I'm thrilled today to be joined by a
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  - brilliant leader and a wonderful person, Priya Bathia.
• 0:59
  - Priya's gonna talk to us about what she's
• 1:01
  - doing now, the company she started a couple
• 1:03
  - years ago,
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  - her efforts around teaching and women's leadership, and
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  - a lot more. Priya, can you take a
• 1:10
  - moment and and tell us a little bit
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  - about yourself
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  - and about the core things you're focused on
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  - today?
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  - Yeah. Yeah. Thanks, Scott. And I always enjoy
• 1:20
  - talking with you, so thank you for having
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  - me on the podcast. So I have a
• 1:24
  - twenty three year career in health care.
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  - I started as a health law attorney,
• 1:30
  - shifted to the policy space, and spent,
• 1:33
  - almost nine years at the American Hospital Association,
• 1:37
  - working not just in policy, but then shifting
• 1:40
  - to strategy and education.
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  - My biggest focus now is New Health, which
• 1:45
  - is a strategic and advisory consulting company that
• 1:49
  - I started,
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  - as you mentioned, a few years ago. And
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  - we provide support to health care companies, including
• 1:55
  - hospitals and health systems
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  - that want to improve how they deliver
• 2:00
  - care to women. So while every hospital is
• 2:03
  - providing care to women,
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  - there is a tremendous opportunity
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  - to do more and to move beyond
• 2:10
  - labor and delivery. And so we help organizations
• 2:13
  - understand
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  - what that could look like, how that care
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  - can truly span a woman's lifetime
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  - and encompass
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  - both primary and specialty care
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  - that includes things like aging and bone health,
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  - endocrine health, cardiovascular health,
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  - oncology,
• 2:31
  - autoimmune conditions,
• 2:33
  - cognitive and brain health, and then, of course,
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  - you know, strengthening,
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  - improving quality, and expanding reproductive and gynecological
• 2:41
  - and sexual health services as well.
• 2:44
  - Priya, talk about in women's health.
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  - Obviously, we we talk a lot about the
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  - incredible shortage of
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  - obstetricians and gynecologists
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  - and what that's leading to sort of almost
• 2:55
  - maternity deserts. Mhmm. We also talk about how
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  - The US
• 3:00
  - scores so poorly on women's health and maternal
• 3:03
  - and fetal health
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  - compared to so many other developed nations.
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  - Talk about what could be done about these
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  - things. Are there things could be done? Are
• 3:12
  - there solutions?
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  - How do you think about some of those
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  - things?
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  - Yeah. You know, and it's it's truly disappointing,
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  - Scott, that we are where we are when
• 3:21
  - it comes to women's health and maternity care
• 3:23
  - as a whole. If you think about the
• 3:25
  - numbers, women are fifty one percent of our
• 3:27
  - population.
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  - They're 80% of the health care workforce.
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  - They're making 80%
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  - of health care decisions,
• 3:35
  - not only for themselves, but for their kids,
• 3:37
  - their spouses, and oftentimes,
• 3:39
  - their parents.
• 3:41
  - And women are using, on average, 10% more
• 3:44
  - of health care services than men and even
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  - after you exclude
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  - maternity related care. So they really are a
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  - key consumer
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  - of health care, and it should be a
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  - population that we are
• 3:57
  - spending time on.
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  - Now when we look at what can be
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  - done, there are a number of strategies that
• 4:03
  - hospitals and health systems can take to improve
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  - women's health, not just maternity care, but certainly
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  - maternity care where we are faring so poorly
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  - compared to other developed nations, but across a
• 4:15
  - woman's life. Right? So thinking about things like
• 4:18
  - menstruation,
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  - bone health, heart health, menopause,
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  - and really the impact that all of these
• 4:25
  - conditions have throughout a woman's life. So there
• 4:28
  - are a lot of things that can be
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  - done. There are small things. There are big
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  - things.
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  - And we're seeing all of these play out
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  - in the ecosystem right now. So,
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  - you know, organizations can educate communities.
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  - There is a huge gap in knowledge that
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  - women have about their health care and their
• 4:47
  - health risks.
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  - We are seeing organizations
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  - go back to the basics and begin to
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  - ask patients
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  - what they want. Right? Creating
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  - methods for patients to provide feedback on the
• 5:00
  - outcomes they've had, the experiences they've had, and
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  - how they could be made
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  - better.
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  - We're seeing organizations
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  - improve access, whether that's through expanding in person
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  - options or creating virtual care opportunities
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  - to help women actual actually
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  - access what they need from a physical and
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  - mental health perspective as well as all of
• 5:23
  - the specialty care.
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  - You know, we we have had previous conversations
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  - around social determinants of health, and we're continuing
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  - to see organizations
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  - address
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  - patients'
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  - nonmedical needs.
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  - We're also seeing organizations
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  - look at this and how it looks for
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  - their workforce.
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  - As I mentioned, 80% of the workforce is
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  - women. So what benefits and policies can we
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  - be offering
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  - to those women to not only better their
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  - health, but improve recruitment and retention for organizations?
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  - And then we're seeing
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  - more investment in clinical research, especially in the
• 6:00
  - current environment. We're seeing hospitals
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  - support research that covers those conditions that span
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  - a women's life's lifetime,
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  - and we're seeing them focus on recruiting more
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  - women
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  - into existing clinical research trials. So those those
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  - are just some examples, but I truly believe
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  - that no matter where an organization is in
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  - addressing women's health, whether they are faring well
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  - or they're having challenges, there is
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  - one more step that they can take to
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  - make things better for women.
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  - In in how receptive are the hospitals and
• 6:34
  - health systems that you work with to making
• 6:37
  - this a bigger priority, and and how do
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  - they respond?
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  - Yeah. You know, I think there is truly
• 6:43
  - a lack of education for hospital administrators
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  - and leaders
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  - as well around women's health. So many times,
• 6:50
  - Scott, when I'm educating them on
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  - this huge scope that is women's health and
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  - all of the different strategies and tactics that
• 6:58
  - they can use,
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  - many of them
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  - are surprised. Right? It's the first time they
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  - are really learning about this. And once they
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  - do,
• 7:08
  - they do see the opportunities. They see the
• 7:10
  - opportunities to improve
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  - outcomes,
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  - access, patient experiences,
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  - and they start to see how doing this
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  - for women
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  - can actually lead to better outcomes, access, and
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  - experiences
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  - for everyone.
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  - When you look at all the time you've
• 7:27
  - spent focusing
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  - on women's health,
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  - Is there anything in particular that has particularly
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  - surprised you or that you have found particularly
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  - interesting
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  - as you've sort of doubled and tripled down
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  - in spending time and focus in this area
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  - over the last several years?
• 7:45
  - Yeah. You know, one of the things that
• 7:47
  - I've sort of been watching as I do
• 7:49
  - this work is not just what health care
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  - organizations
• 7:53
  - are doing,
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  - but what women are actually
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  - saying about their health care. And it's funny,
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  - Scott. When I started working in women's health,
• 8:01
  - all of a sudden,
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  - every conversation I had with a woman or
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  - a man
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  - involved a personal story of
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  - if it was a woman, their own interaction
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  - with the health care system related to their
• 8:13
  - health. If it was a man, a story
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  - of their mom, their sister, their their daughter,
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  - and the experience that they were having. And
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  - so
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  - I started thinking about what do women really
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  - want?
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  - What outcomes are they having? What gaps are
• 8:30
  - they experiencing?
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  - Looking at what questions they're googling. How are
• 8:35
  - they using AI to get information
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  - that they can't get elsewhere?
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  - And sort of what I came
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  - to as my conclusion is that
• 8:45
  - health care
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  - is really complicated, and no one is teaching
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  - women or any of us, quite honestly,
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  - how to navigate insurance, how to navigate health
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  - care bills, legal forms,
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  - or how to prepare for a doctor's appointment
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  - or build a relationship
• 9:02
  - with care teams.
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  - We're all sort of struggling to figure that
• 9:05
  - on our out on our own,
• 9:08
  - through trial and error, and we often leave
• 9:12
  - without answers. Right? We feel more anxious after
• 9:15
  - a doctor's appointment than we do before.
• 9:18
  - And that's when we're just healthy. Right? When
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  - we're getting preventive care, when we're living our
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  - best lives. Imagine
• 9:25
  - what that looks like when we're actually
• 9:27
  - sick.
• 9:28
  - So I've been watching that and wanting to
• 9:31
  - find a way
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  - to
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  - improve the knowledge that women have about the
• 9:37
  - health care system as a whole. And so
• 9:40
  - last month, I launched the Women's Health Playbook
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  - podcast,
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  - to sort of fill that gap. Right? To
• 9:46
  - put together the plays that can help women
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  - understand the health care system,
• 9:51
  - that can reduce friction,
• 9:54
  - and that can make the health care experience
• 9:56
  - just a little bit easier.
• 9:58
  - So our first season breaks down a doctor's
• 10:01
  - visit. We cover how to find a right
• 10:03
  - doctor, how to have them listen and take
• 10:07
  - your concerns seriously.
• 10:09
  - We talk about best practices to follow,
• 10:11
  - and we provide real strategies and tactics to
• 10:15
  - help women
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  - navigate health care.
• 10:18
  - Now the podcast has women in the name.
• 10:21
  - It is intended
• 10:23
  - for women, but our first season is really
• 10:25
  - useful for everyone. Right? We've all gotten a
• 10:27
  - bill we don't understand. We've all been asked
• 10:30
  - to sign legal paperwork when we show up
• 10:32
  - that many of us don't even read,
• 10:35
  - and we can all benefit from building stronger
• 10:38
  - relationships with our care teams.
• 10:40
  - It's also
• 10:42
  - been helpful for clinicians
• 10:44
  - and health care organizations
• 10:45
  - as well.
• 10:47
  - It can be an educational resource for women.
• 10:51
  - So I've been talking with a lot of
• 10:52
  - clinicians who say,
• 10:54
  - this podcast is great. We wanna give it
• 10:57
  - to our patients. We want them to understand
• 11:00
  - how this all works because it will make
• 11:02
  - it easier
• 11:03
  - for us to do our jobs.
• 11:06
  - And our second season will launch in the
• 11:08
  - fall, and it's it's focused completely on preventive
• 11:11
  - care.
• 11:12
  - So imagine if you're a primary care clinician
• 11:15
  - or an OB GYN,
• 11:16
  - and you can say to your patient, I
• 11:19
  - just ordered a mammogram.
• 11:20
  - It's the first time I'm ordering this for
• 11:22
  - you. I have a podcast that you can
• 11:24
  - listen to, and it will help you understand
• 11:27
  - what a mammogram is, what will happen when
• 11:29
  - you show up, what will happen once you
• 11:32
  - get the results.
• 11:33
  - And then if you have questions,
• 11:35
  - reach out to us by phone or by
• 11:37
  - patient portal or however that clinician
• 11:40
  - prefers to receive communication.
• 11:43
  - And it's a win win. Right? The doctor
• 11:45
  - doesn't have to spend time having this conversation.
• 11:48
  - They can use the limited time in an
• 11:50
  - exam room
• 11:51
  - to talk about more important things that need
• 11:53
  - to be discussed.
• 11:55
  - The patient gets the information they need before
• 11:58
  - they show up for a mammogram.
• 12:00
  - And if you have this conversation in the
• 12:02
  - right way,
• 12:03
  - you establish a path for future communication
• 12:07
  - that can carry that relationship into the future.
• 12:10
  - So I'm really excited about this. I'm excited
• 12:13
  - about how it has already started to help
• 12:15
  - people understand
• 12:17
  - their health care a little bit better.
• 12:19
  - I'm excited about the potential it has for
• 12:21
  - the health care system and care teams,
• 12:24
  - and I'm really hopeful that together,
• 12:26
  - this podcast with the work that I'm doing
• 12:29
  - with Neu,
• 12:30
  - will really make an impact in women's health.
• 12:33
  - Thank you. I think that's remarkable. I wanna
• 12:35
  - talk about two other subjects.
• 12:37
  - First is maternal and child health care. Maternal
• 12:41
  - and field health care seems to see still
• 12:43
  - be
• 12:44
  - where we lag so far behind other countries.
• 12:48
  - Any thoughts on that, and why is that,
• 12:50
  - and what could be done about that? That's
• 12:52
  - one question.
• 12:53
  - And then second, you do a lot of
• 12:55
  - teaching, and I'd love to dig in for
• 12:56
  - a second to some of your teaching and
• 12:58
  - where you're most focused there.
• 13:00
  - Yeah. So when it comes to maternal health,
• 13:03
  - there are
• 13:05
  - a number of things that we are seeing
• 13:07
  - happen. Right? And all of them stem from
• 13:10
  - disparities in how we're delivering care. Right? So
• 13:14
  - I think as a starting point for all
• 13:16
  - health care organizations,
• 13:17
  - they need to look at their own data,
• 13:19
  - and they need to understand what is happening
• 13:21
  - to the women in their communities.
• 13:25
  - So what are the results and outcomes women
• 13:28
  - are seeing related to maternity care in your
• 13:31
  - organization?
• 13:32
  - Right?
• 13:33
  - How are those
• 13:35
  - different when you stratify
• 13:38
  - based on race,
• 13:39
  - ethnicity,
• 13:40
  - and other factors? Right?
• 13:43
  - Understanding
• 13:44
  - that data will then guide you to the
• 13:47
  - gaps that need to be filled.
• 13:49
  - And then you can figure out what are
• 13:51
  - the strategies you need to fill those gaps.
• 13:53
  - So let's just use as a case example
• 13:56
  - that
• 13:57
  - your organization is having poor outcomes for black
• 14:01
  - women, which we know is common because
• 14:04
  - black women are more likely to die in
• 14:06
  - pregnancy
• 14:07
  - than white women in our country.
• 14:09
  - So you see this happening in your organization,
• 14:12
  - and you start to get a sense that
• 14:14
  - the cause of this is related to cardiovascular
• 14:18
  - conditions.
• 14:19
  - And so then you can sort of really
• 14:21
  - evaluate
• 14:22
  - and figure out what are the right solutions
• 14:24
  - that may work. Is it a hypertension tool?
• 14:28
  - Is it a remote patient monitoring tool that
• 14:30
  - can measure hypertension
• 14:32
  - and track risk for patients remotely in their
• 14:34
  - home?
• 14:35
  - Is it a program that helps to address
• 14:38
  - the social determinants of health for women throughout
• 14:41
  - their entire pregnancy?
• 14:44
  - Is it a fourth trimester program that covers
• 14:47
  - fills the gaps once a woman goes home
• 14:50
  - after having her baby? Is it solutions that
• 14:53
  - help improve the health of the baby once
• 14:56
  - that baby is home? And so there are
• 14:59
  - so many different
• 15:01
  - causes
• 15:02
  - for our maternal health challenges. And the first
• 15:05
  - step is identifying
• 15:06
  - what is happening in your organization.
• 15:09
  - And then similarly, there are so many different
• 15:11
  - steps and actions that can be taken. And
• 15:13
  - so the second step becomes
• 15:16
  - deciding and identifying which are the right steps
• 15:18
  - for your organization.
• 15:20
  - One of the things I've seen over the
• 15:21
  - years, and I've been able to witness it
• 15:23
  - firsthand,
• 15:24
  - is that you are an incredible
• 15:26
  - teacher and educator,
• 15:29
  - both in substance and in how you deal
• 15:31
  - with students.
• 15:33
  - It's really an incredible gift that you have.
• 15:35
  - What brought you to teaching? How did you
• 15:37
  - get so excited about teaching?
• 15:40
  - And where are you teaching currently?
• 15:41
  - Yeah. So I I love teaching, and I
• 15:44
  - love inviting you, Scott, to be a guest
• 15:46
  - lecturer for,
• 15:48
  - my classes on health care payment and policy.
• 15:51
  - And so I got into teaching
• 15:54
  - simply by chance.
• 15:55
  - I had mentioned to a few friends in
• 15:57
  - the health law community that I was interested
• 15:59
  - in teaching.
• 16:01
  - They connected me to some folks. There was
• 16:03
  - an opening,
• 16:04
  - to teach a health care payment and policy
• 16:06
  - course at Loyola University in Chicago at their
• 16:10
  - college of law.
• 16:11
  - So I signed up and taught my first
• 16:14
  - semester and really fell in love
• 16:18
  - with
• 16:19
  - the atmosphere and the environment. So being around
• 16:23
  - students who are learning about the health care
• 16:26
  - system, learning about health care payment for the
• 16:28
  - first time, and seeing it through their eyes
• 16:32
  - really gave me a lot of energy, and
• 16:34
  - it brings
• 16:35
  - me a lot of joy to see how
• 16:37
  - people who are new to the health care
• 16:39
  - system
• 16:40
  - are actually taking it in. Right? So you
• 16:43
  - and I have been in this world for
• 16:44
  - a long time. We work with people who
• 16:47
  - have been doing this for a really long
• 16:49
  - time. And I think in some ways, our
• 16:52
  - ideas get a little stagnant because
• 16:55
  - we've seen
• 16:56
  - how slow
• 16:58
  - change can be. We've seen
• 17:00
  - layers of solutions stack on top of each
• 17:03
  - other and not
• 17:04
  - necessarily make sense. And in some ways, we
• 17:07
  - feel like we can't change the system anymore.
• 17:10
  - But teaching
• 17:11
  - gives me that energy where
• 17:13
  - students are asking questions that we forget to
• 17:16
  - ask because we've been in it for so
• 17:18
  - long. And it just gives you a different
• 17:20
  - perspective
• 17:22
  - on what we could be doing in health
• 17:24
  - care as we move forward and as we
• 17:26
  - try to change it for the better
• 17:28
  - in the future.
• 17:29
  - So to your second question, I am still
• 17:32
  - teaching at Loyola in Chicago. I also teach
• 17:34
  - at my alma mater,
• 17:36
  - the Ohio State University,
• 17:39
  - Moritz College of Law.
• 17:41
  - One of the things I'm really excited about
• 17:43
  - is I have taught classes on health care
• 17:45
  - payment and policy,
• 17:47
  - women's health law and policy. And this fall,
• 17:50
  - I will, for the first time, teach a
• 17:52
  - class on health equity. And we're gonna dive
• 17:55
  - into
• 17:56
  - sort of how health equity impacts
• 17:59
  - all different types of populations. So not just
• 18:02
  - looking at women's health, but looking at men's
• 18:04
  - health, not just looking at young people, but
• 18:06
  - looking at old people, looking at people with
• 18:09
  - disabilities, living looking at people who live in
• 18:12
  - rural communities or at
• 18:14
  - lower or higher socioeconomic
• 18:16
  - classes and really talking about
• 18:18
  - the disparities that exist for all of these
• 18:21
  - populations.
• 18:22
  - And I'm excited to dive into some newer
• 18:25
  - stuff as we think about the future of
• 18:26
  - health care and how
• 18:28
  - virtual care and AI is impacted by health
• 18:31
  - equity and what we need to be watching
• 18:33
  - for as we move forward.
• 18:36
  - Let me ask you a final question. You're
• 18:38
  - a graduate of the Ohio State University,
• 18:41
  - a proud Buckeye.
• 18:43
  - Yes. I guess the question I hear for
• 18:44
  - you is,
• 18:45
  - is it
• 18:47
  - depressing for you
• 18:48
  - to see the University of Michigan go so
• 18:51
  - downhill
• 18:52
  - in terms of their ethics in college
• 18:55
  - sports? And will they ever get back to
• 18:57
  - being a program that people could admire
• 19:00
  - or they forever sort of left in the
• 19:02
  - dust in terms of ethics and morality? Do
• 19:05
  - you have an opinion on that as an
• 19:06
  - Ohio State alum?
• 19:08
  - Well, I I do actually, Scott.
• 19:10
  - So I will I will preface my response
• 19:12
  - with saying I also have a degree from
• 19:14
  - the University of Michigan,
• 19:16
  - but I am a forever
• 19:18
  - Buckeye.
• 19:19
  - You know, I think programs ebb and flow.
• 19:21
  - I think you have good years and you
• 19:23
  - have bad years.
• 19:25
  - You know, Ohio State has certainly had ethical
• 19:28
  - challenges and investigations
• 19:29
  - in the past and currently has
• 19:32
  - some ongoing challenges on its own. So I
• 19:35
  - do think it is possible,
• 19:38
  - for the University of Michigan athletic program to
• 19:41
  - come back from this to make change. But
• 19:44
  - like all change, it will have to be
• 19:46
  - driven by leaders who are
• 19:48
  - committed to making the change and moving things
• 19:51
  - forward for the better. So I I have
• 19:53
  - hope that it will be better.
• 19:56
  - And I certainly
• 19:57
  - despite the rivalry, I I certainly want it
• 20:00
  - to be better. I want it to be
• 20:01
  - better for the students, for the athletes, for
• 20:03
  - the school.
• 20:04
  - I think athletics play a really important part
• 20:08
  - in our educational institutions and really drive
• 20:11
  - a lot of things from a financial,
• 20:14
  - and community perspective. So I certainly hope that
• 20:18
  - things will will make a turnaround.
• 20:21
  - I I hear you completely. And if I
• 20:23
  - understood you correctly, you said University of Michigan
• 20:26
  - will never be good again. There has to
• 20:27
  - be challenge and going in the wrong direction.
• 20:30
  - Yeah. Absolutely, Scott. Absolutely. That guy's forever.
• 20:35
  - Exactly. There you go. Now I think we're
• 20:37
  - on the same page, Priya. In all seriousness,
• 20:39
  - Priya Bathea, one of the great leaders of
• 20:41
  - our time, pleasure to visit with you. That's
• 20:43
  - clearly was a leading question in University of
• 20:45
  - Michigan. Though we had a couple of daughters
• 20:47
  - that went to University of Michigan, we don't
• 20:48
  - cheer for Michigan sports. It is what it
• 20:50
  - is, but love the school itself. The kids
• 20:53
  - had great experiences there. Priya, thank you so
• 20:55
  - much for taking the time with us on
• 20:57
  - the Packers Healthcare podcast.
• 20:59
  - I appreciate you not slamming the University of
• 21:00
  - Michigan. Even if I drew it up for
• 21:01
  - you, it is what it is. Thank you
• 21:03
  - so much. Thanks, Scott.