Latest / Becker’s Healthcare Digital Health + Health IT / Dr. Patrick McGill, EVP and Chief Transformation Officer at Community Health Network
Transcript
- 0:00This is Laura Dirdo with the Becker's Health
- 0:02Care podcast. I'm thrilled today to be joined
- 0:04by doctor Patrick McGill, chief transformation officer at
- 0:07Community Health Network. Doctor McGill, it's a pleasure
- 0:10to have you on the podcast today.
- 0:12Thanks you. Thanks for having me on.
- 0:14Now I'm really looking forward to our discussion
- 0:16because there's so much happening in health care
- 0:17right now, and specifically just looking at technology
- 0:20and how it's transforming the health care space.
- 0:22And so I I'm looking forward to your
- 0:24perspective. But before we dive in, can you
- 0:26tell us a little bit more about yourself
- 0:27and your background?
- 0:29Absolutely.
- 0:30So like you said, Patrick Miguel, I'm the
- 0:31chief transformation officer at Community Health Network.
- 0:34I've been here about 15 years. I'm a
- 0:36family physician by background, still practice
- 0:39patients,
- 0:40clinically.
- 0:41As the chief transformation officer, I have a
- 0:44broad range of responsibilities.
- 0:46I oversee everything from IT and analytics, population
- 0:49health, value based care,
- 0:51health equity. I have some operational areas
- 0:54such as
- 0:55home care,
- 0:56hospice, palliative care, geriatrics.
- 0:59And then recently, we started personalized medicine. So
- 1:01I have personalized medicine,
- 1:03that rolls up to me as well.
- 1:06Wow. There's quite a variety of accountabilities
- 1:08that you have that, you know, really, I
- 1:09can imagine they all weave together very much
- 1:11when you're thinking about the entire spectrum of
- 1:14patient care.
- 1:15Yeah. You're exactly right. Then we've organized ourselves
- 1:18in order to
- 1:20be able to deliver on bringing these things
- 1:23together.
- 1:24And,
- 1:26and and and you're right. When they roll
- 1:28up to one vertical, it's easy to break
- 1:30down some of those silos,
- 1:32resource constraints,
- 1:34and really, deliver on, you know, our brand
- 1:37promise of exceptional care simply delivered. It's easy
- 1:39to
- 1:40allocate resources and have a common vision and
- 1:42strategy
- 1:43and just really move things forward.
- 1:46Well, that's great to hear. Now from your
- 1:48perspective, what are the opportunities and headwinds that
- 1:51you have your eye on right now?
- 1:54I think there's a lot of opportunities.
- 1:56You know, a lot of talk around technology.
- 1:58You know, there's a lot of skepticism on
- 2:00technology. So I think it's a huge opportunity.
- 2:03And one of the things we always talk
- 2:04about is the technology is only gonna continue
- 2:06to get better. So how do we lean
- 2:08in and really see that as an opportunity
- 2:11to,
- 2:12drive that patient experience, drive the caregiver experience,
- 2:16but really,
- 2:18you know,
- 2:19drive down the cost of care,
- 2:21and just really make the entire
- 2:24health care platform
- 2:26better. You know, I think there's from headwinds,
- 2:28I think there's some short term headwinds.
- 2:31Certainly, what's gonna happen in the regulatory
- 2:34space with the upcoming election,
- 2:36artificial intelligence,
- 2:38Medicare Advantage, that's been in the news quite
- 2:41a bit. Certainly,
- 2:42any changes in the economy,
- 2:44the challenges that we've had recently from the
- 2:47pandemic and after with the workforce, those challenges
- 2:50and headwinds
- 2:52continue. I think there's some long term headwinds
- 2:54that we have to address. You know, what's
- 2:56happening with our population, the aging population, and
- 3:00is the health system gonna be able to
- 3:02sustain,
- 3:03the aging population? And how do we configure
- 3:06ourselves,
- 3:07to be able to do that, especially with
- 3:09provider shortages, nursing shortages, and some of the
- 3:12other challenges that we have?
- 3:16Absolutely.
- 3:16You know, I know there's, as you mentioned,
- 3:18just across the board so much that, you
- 3:21have to think about right now as a
- 3:22leader in health care and really, you know,
- 3:24technology, it seems like, gets into many of
- 3:26those spaces and can be,
- 3:28in part, potentially a solution in some ways,
- 3:31whether it's looking at,
- 3:33you know, the staffing challenges or how you're
- 3:35utilizing
- 3:37it with the revenue cycle or operations in
- 3:39in clinical care. And I know you mentioned
- 3:41precision medicine too,
- 3:43funneling up to you. And and so,
- 3:45it's it's really cool to just kinda think
- 3:47about how all of those
- 3:49areas are are really touching the technology side
- 3:52of things as well.
- 3:54Absolutely. You know, there's a lot of,
- 3:57a lot of moving pieces and parts. And
- 3:59so, again,
- 4:01health care historically has really been
- 4:04vertical vertically organized. You know, it's been primary
- 4:07care, specialty care hospitals, ERs, outpatient.
- 4:10Really, patients expect us to be
- 4:12horizontally
- 4:13integrated,
- 4:14especially when you start to think about,
- 4:17cancer screening, early detection of cancers,
- 4:20treatments,
- 4:22screenings, all these health equity, all these things
- 4:24really coming together.
- 4:25And you're right. The common thread through all
- 4:28of that is technology.
- 4:30Technology is gonna make it easier. We laid
- 4:32the groundwork and the framework
- 4:34many years ago with with, you know, with
- 4:36the implementation of enterprise EMRs, and I think
- 4:39now it's the next evolution, the next wave.
- 4:42And I I'm actually personally
- 4:44very bullish on AI and where AI is
- 4:46gonna take us,
- 4:48in the in the near and long term
- 4:50future.
- 4:53That makes a lot of sense. You know?
- 4:55Really, just fascinating to see how fast AI
- 4:57has grown and make a huge impact on
- 4:59the health care space and, you know, possibilities
- 5:01almost seem endless at this point.
- 5:03But how are you thinking about growth and
- 5:05adding value to, Community Health Network overall?
- 5:10Well, I think the the number one thing
- 5:12that we have to do to really add
- 5:14value and and growth is we have to
- 5:17address the cost of care. The health care
- 5:19is expensive.
- 5:20It's unaffordable for many people.
- 5:23Our our first and foremost thing, we have
- 5:25to address,
- 5:26and bring down the cost of care. You
- 5:28know, when we're thinking about growth, you know,
- 5:31growth is predicated on on being able to
- 5:33have,
- 5:35access for patients. If patients can't get in
- 5:38to see their primary care or specialist,
- 5:41you know, there's no there's no growth. And
- 5:42so how do you open up access but
- 5:45deliver on that exceptional experience?
- 5:48How do we think about opening the funnel
- 5:50for on demand care, that virtual care, whether
- 5:53it's urgent care or other convenience care. So
- 5:56that's how we really feel like we're gonna
- 5:59be able to grow
- 6:01and add value. And, again,
- 6:03technology is woven all throughout that,
- 6:06to be able to deliver on on that
- 6:08growth,
- 6:09but also adding value.
- 6:13That makes a lot of sense. And, you
- 6:14know, it really just,
- 6:16speaks to the mission of health care overall
- 6:19and being able to expand access to care,
- 6:21provide
- 6:22the health care needed, in any many ways
- 6:24for,
- 6:26the folks across the community.
- 6:27And so that primary care challenge, you know,
- 6:30really is, something that I know a lot
- 6:32of hospitals and health systems are trying to
- 6:34figure out and troubleshoot for their own communities.
- 6:36And so being able to leverage that virtual
- 6:38care,
- 6:39in other ways, you know, to to connect
- 6:42with patients and and their providers,
- 6:44seems like a really big opportunity.
- 6:47Absolutely. We we made so
- 6:49much progress through the pandemic with telemedicine and
- 6:53virtual care, and I think we just have
- 6:55to continue to build upon that. You know,
- 6:57certainly, there's a regulatory,
- 6:59component, which, you know, luckily, many many of
- 7:02those regulations have been extended or the rules
- 7:05have been extended.
- 7:06But I think it's it's really how do
- 7:08we drive continued adoption,
- 7:10by patients. You know, a lot of patients
- 7:12still prefer in person face to face care,
- 7:15which is absolutely great. How do we continue
- 7:17to deliver
- 7:19high quality face to face care with with
- 7:21supporting,
- 7:22virtual and telemedicine
- 7:24at the same time?
- 7:26And that it definitely seems like, you know,
- 7:28that striking the right balance for your community
- 7:30and patient base, you know, is definitely
- 7:33top of mind, I can imagine, for a
- 7:35lot of, providers out there. Now, you know,
- 7:37I know right now, as we talked about
- 7:39a bit earlier in the conversation,
- 7:41it is challenging, on the financial side for
- 7:43many hospitals and health systems, you know, from
- 7:46the pandemic to see margins tighten and and
- 7:49not the kind of growth that we've had
- 7:51in the past. And so, you know, when
- 7:52you you look at
- 7:53needing to make the right investments,
- 7:55even on a tight budget, what's still worth
- 7:58investing in this year?
- 8:01We really you know, we're in the process
- 8:03of moving our EMR. We have an enterprise
- 8:05EMR. We're in the process of moving it
- 8:06to the cloud. We really feel strongly about,
- 8:10you know, where technology is moving, where AI,
- 8:13that's gonna,
- 8:14really set us up for the technology platform
- 8:17of the future. So we're very excited.
- 8:20You know, we're also investigating,
- 8:23an enterprise
- 8:26ERP platform. And I think that as we
- 8:28think about workforce and planning
- 8:30and bringing how do we bring down
- 8:33overhead cost and and be more efficient as
- 8:36a business,
- 8:37that's important. And so those are those are
- 8:392 that like, you're right. You know, the
- 8:41margins are tight,
- 8:43but we've got to make some investments so
- 8:45that we can grow. And then, again, how
- 8:47do we invest,
- 8:49smartly
- 8:50to really,
- 8:51place our bets to open up growth, improve
- 8:54access,
- 8:55lower the cost of care. So we've got
- 8:57some specific technology,
- 8:59investments on patient engagement and outreach. We've got
- 9:03some investments on understanding that patient journey.
- 9:07Those are,
- 9:08those are really where we're focusing,
- 9:11in, you know, late 24 moving into 25.
- 9:17Got it. That makes a lot of sense,
- 9:19and, I just love the focus on the
- 9:21patient, the journey, and the experience there. Is
- 9:23there anything in particular that you're excited about
- 9:26or,
- 9:27feel like has really yielded some good results
- 9:29within those initiatives to just engage patients and
- 9:32and really think smartly about how they're moving
- 9:34through the system?
- 9:36Yeah. We're really excited about a couple partnerships.
- 9:39We've got a partnership with,
- 9:41a company, Lyrio, about precision engagement,
- 9:44precision nudging to get patients into the system.
- 9:47And we've got another partnership with Notable to
- 9:50really outreach the patients and engage them. Super
- 9:53excited about,
- 9:54our partnership with Nuance on ambient listening in
- 9:57the exam room to help make the clinicians
- 9:59more efficient. We just got a lot of
- 10:01a lot of things going on that are
- 10:03that bring a lot of excitement, and I
- 10:05think it's it's an exciting time to be
- 10:07in health care. It's a a scary time
- 10:10to be in health care, but everybody always
- 10:12says that. But I think that we have
- 10:13a lot,
- 10:14to be,
- 10:15forward and a lot to be, the the
- 10:17future is very promising.
- 10:19And I think that we just have to
- 10:21stay focused. And, again, we keep that patient
- 10:23at the center
- 10:24and and and stay true to our values.
- 10:27I think we can deliver on
- 10:29on on those promises.
- 10:31I love that. I think it makes so
- 10:33much sense. Now before we wrap up here,
- 10:35I'm wondering, where do you see some of
- 10:37the best opportunities for growth in the future?
- 10:42I think there's a lot of opportunities.
- 10:44We know that we can't do this alone,
- 10:46so we're we're very excited about many of
- 10:48our partnerships.
- 10:50And so that's a huge opportunity for us.
- 10:52We have to also,
- 10:54through those partnerships, really reimagine how care is
- 10:57delivered,
- 10:58including pushing it closer to home. A lot
- 11:00of patients
- 11:01are gonna want care closer to the home
- 11:03or in the home, so we've got to
- 11:05reimagine how we function as a health system
- 11:08to really move that care closer to the
- 11:10home. And, again, that's that's predicated on some
- 11:13partnerships, and so partnership are predicated on how
- 11:16we train our physicians and nurses and others.
- 11:19And so I think we see a lot
- 11:20of opportunities,
- 11:22in in pushing care closer to the home,
- 11:26making it more patient centered,
- 11:28and really,
- 11:31again, improving access and leveraging technology
- 11:34throughout the entire system.
- 11:38That's amazing to hear. Doctor Miguel, thank you
- 11:40so much for joining us on the podcast
- 11:41today. This has been just a fun and
- 11:43fascinating conversation, and I look forward to connecting
- 11:46with you again soon.
- 11:48Absolutely. It's always a pleasure, and I really
- 11:49appreciate the invitation.