Latest / Becker’s Healthcare Podcast / Jason Glover, CEO of Memorial Hermann–Texas Medical Center Adult Services
Transcript
- 0:02The most important health care decisions don't happen
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- 0:08Becker's sixteenth annual meeting brings together more than
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- 0:43upper right.
- 0:46This is Laura Dirda with the Becker's Healthcare
- 0:48podcast. I'm thrilled today to be joined by
- 0:50Jason Glover, CEO of Memorial Hermann Texas Medical
- 0:53Center adult services. Jason, it's a pleasure to
- 0:55have you on the podcast today.
- 0:57Thanks for having me, Laura.
- 0:59Absolutely. Now I'm excited for our conversation because
- 1:01we're gonna dig a little bit deeper into
- 1:03some of the cool things that you're doing
- 1:05at Memorial Hermann as well as your perspective
- 1:07on the future, how you're seeing growth and
- 1:09more. But before we dive in, can you
- 1:11tell me a little bit more about yourself
- 1:13and Memorial Hermann?
- 1:15Yeah. Absolutely.
- 1:16So I've been very blessed. Been at Memorial
- 1:18Hermann for thirteen years.
- 1:20Actually started a career in construction management and
- 1:23and made a switch over to health care,
- 1:26when I had the opportunity to build a
- 1:27hospital, and I just I haven't looked back.
- 1:29It's been just a a wonderful career. But,
- 1:32been with Memorial Hermann. It's the market share
- 1:35leader in Houston. It's one of the largest
- 1:37not for profit systems in Texas.
- 1:40Throughout the area, we have, 260
- 1:42sites of care and 17 hospitals.
- 1:45So I'm over our Texas Medical Center,
- 1:48adult population. So it's a 1,200 bed,
- 1:51flagship academic medical center.
- 1:53We're the primary
- 1:55teaching school for UT Health Houston McGovern Medical
- 1:57School.
- 1:58And a cool fact, we're actually celebrating our
- 2:00100 year anniversary. So we were the first
- 2:03hospital to open
- 2:04in what has now become the Texas Medical
- 2:07Center, which is known as the largest health
- 2:09care district in the world.
- 2:11We have one of the busiest and most
- 2:13notable level one trauma programs in the country,
- 2:16with our Red Duke trauma institute. So many
- 2:18may know Red Duke's name and how he
- 2:20pioneered care and trauma.
- 2:22We're also the home of Life Flight, which
- 2:24is the largest and oldest air ambulance fee
- 2:27fleet.
- 2:28And we own and we run that, and
- 2:29that's supported by our, community and the philanthropic
- 2:32support. So we don't get any government funds
- 2:35to run that.
- 2:36And then we also have,
- 2:38several other notable programs and service lines from
- 2:40our Mission Neuroscience Institute,
- 2:42our Larry d Johnson Heart and Vascular Institute.
- 2:45We have a really cool relationship with the
- 2:47Houston Rockets, and we have a a specialty,
- 2:50Memorial Hermann Rockets Orthopedic Hospital.
- 2:54And then we have a children's memorial Hermann
- 2:56on our campus. So I oversee
- 2:58everything but children's.
- 3:00We're going on our fourth round,
- 3:03of being magnet designated, so really use that
- 3:05in our professional governance structure to
- 3:08power our frontline.
- 3:10And then we're consistently a top 10 Visiant
- 3:12hospital. And so I love Visiant, because it's
- 3:15a very objective
- 3:17database, and it compares
- 3:19our quality and our efficiency,
- 3:21experience and equity measures
- 3:23against all, you know, other hospitals that participate.
- 3:26So we're compared against other academic medical centers,
- 3:29and to consistently be in the top 10
- 3:31in performance
- 3:33is really just a testament to the incredible
- 3:35team and and medical staff we here we
- 3:38have here at the TMC.
- 3:41No. That that's really cool to hear and
- 3:43definitely great to have that opportunity to care
- 3:46have so much of that care spectrum on
- 3:48the campus there and, really truly, you know,
- 3:50some unique partnerships and ability to, continue to
- 3:53improve,
- 3:55quality and equity across the board. Now when
- 3:57you think back to the last year or
- 3:59so, what was the most important initiative that
- 4:01you led? What did you do, and what
- 4:02were the results?
- 4:05Yeah. So last year was a it was
- 4:07really a great year. So at the end
- 4:09of 2024,
- 4:11as a system, we converted our entire
- 4:14EHR from Cerner over to Epic.
- 4:17So So as we entered into 2025,
- 4:20we had just completed the monumental task of
- 4:22cutting over,
- 4:24but there were really just intensive efforts to
- 4:26optimize,
- 4:28switching our EHR over. And so that that
- 4:30took a large focus of our team
- 4:33to really dig
- 4:34in and and tweak and adjust things so
- 4:36that they could, optimize how we use it.
- 4:40So you can imagine it's a large change
- 4:42management
- 4:43initiative.
- 4:44And I what I'm really proud of is
- 4:46how how we were able to stay laser
- 4:48focused on our mission. So
- 4:50on top of this,
- 4:52monumental
- 4:53EHR change,
- 4:54you'll see a lot of organizations, they'll drop
- 4:5720 to 30 spots in their Visiant ranking.
- 5:01We stayed very focused on our our processes.
- 5:03We stayed very focused on delivering high reliability
- 5:06care,
- 5:07and remained in the top 10.
- 5:09And then also along with that,
- 5:12being in a large metropolitan area,
- 5:15we are often at high occupancy,
- 5:18but we were able to grow and take
- 5:20care of more patients than we had in
- 5:22any other years. We set records and volumes
- 5:24for our discharges,
- 5:26our inpatient surgeries, and our deliveries last year.
- 5:29So
- 5:30they're really just engaging with the team, making
- 5:32sure that we had the appropriate structure in
- 5:34place,
- 5:35that we had the mechanisms to focus and
- 5:37to,
- 5:39consistently be looking at how we were performing,
- 5:43and not be distracted,
- 5:44by what could be a a very large
- 5:46distraction, staying disciplined in our efforts to to
- 5:50grow and to deliver great care to those
- 5:52that trusted us,
- 5:54with that care.
- 5:57Love it. And, you know, that is really
- 5:59impressive to hear you were able to make
- 6:00that EHR switch,
- 6:02and able to do all you need on
- 6:04the change management side and still,
- 6:06maintain the right level of quality care that,
- 6:08you know, you'd been serving to the community,
- 6:10which is so, so critical. And I'm curious,
- 6:13you know, going through all of that change,
- 6:15technology is one thing and and a huge
- 6:18thing to overcome. But I think, you know,
- 6:19when you look at the,
- 6:21the human side of it too, there's a
- 6:23lot that goes into it. So, when you're
- 6:25working with your teams and people and across
- 6:27the board,
- 6:28how do you make sure everybody is,
- 6:31understanding the change and then able to integrate
- 6:34it within their workflows and and, really, you
- 6:37know, embrace that type of change as quickly
- 6:39as possible?
- 6:42Yeah. I think it's staying closer to people.
- 6:43Right? And that's one thing I love about
- 6:45health care. No matter how technology changes or
- 6:48or continues to increase,
- 6:50at the core of health care, we're a
- 6:51people business. Right? We have amazing people who
- 6:55have these massive hearts and this great intellect
- 6:59that are that are really healing people
- 7:02and taking care of them. And so, you
- 7:04know, as we go through these changes, we
- 7:06we look to listen to them. We look
- 7:07to hear what is working well, what is
- 7:10where are the opportunities, or where are the
- 7:12friction points
- 7:14that are are being found. And often we
- 7:16found just sitting down and talking, there were
- 7:18solutions. Those solutions may not be readily apparent.
- 7:21And so as we took that feedback back
- 7:23to our
- 7:24technical teams,
- 7:26and to our service line teams, we're able
- 7:28to make adjustments and be able to to
- 7:30rework things, or we're able to show individuals,
- 7:33hey. Here's tools that weren't accessible to you
- 7:35in our old platform,
- 7:36but these tools are now accessible to you.
- 7:39With that came some change in workflows,
- 7:42and so involving the frontline staff, involving the
- 7:44medical staff in those different
- 7:46workflow changes, not trying to apply old workflows
- 7:49to,
- 7:51a a new technology, but adapting our workflows
- 7:55and the technology so that they can match,
- 7:57they can maximize the care that our our
- 8:00teams are able to spend and give to
- 8:02the the patients.
- 8:04But I think frequent communications,
- 8:07being visible, being vocal, being vibrant in championing
- 8:10that change and having opportunities for bidirectional feedback.
- 8:16I love that. That's so helpful to know,
- 8:18and thank you for getting a little bit
- 8:19deeper there. Now looking ahead to 2026, what
- 8:22are some of your big priorities and headwinds
- 8:24that you're focused on today?
- 8:27Yeah. So in 2026,
- 8:28I I think of it in three,
- 8:30kind of buckets. So the first one I
- 8:32would say is access.
- 8:34We are the tertiary care flagship,
- 8:36facility for Memorial Hermann.
- 8:39And because of the acuity that we can
- 8:41take care of, we have to stay disciplined
- 8:43in making sure that our our beds are
- 8:45available,
- 8:46that we're able to take patients from our
- 8:48community, whether that be coming as walk ins,
- 8:51from our EMS partners,
- 8:53from our sister facilities,
- 8:55or from outside facilities. And so we spend
- 8:58a lot of time,
- 8:59on
- 9:00maintaining our length of stay, maintaining our ability
- 9:03to say yes to transfers coming in. So
- 9:05first is is people getting in the door.
- 9:08Second, I would I call outcomes.
- 9:11But this is really continuing our high reliability
- 9:14journey, making sure that we're delivering high quality
- 9:16care.
- 9:18I I use the the 0100.
- 9:20Right? Zero harm to one hundred percent of
- 9:22our patients,
- 9:24and making sure that we're delivering care with
- 9:26evidence based practices. And I I love that
- 9:29we're an academic medical center,
- 9:31and so there's a real appetite to follow
- 9:33those evidence based practices, but there's also
- 9:36the the passion to create evidence based practices
- 9:39and to ask the questions of why do
- 9:41we do things and continue to pioneer
- 9:44and advance medicine.
- 9:46And then
- 9:47lastly,
- 9:48I would label as creating world class experiences,
- 9:51and I think about this for for two
- 9:53populations. So first are people.
- 9:56Our team members that,
- 9:57you know, they they choose to be here.
- 10:00Many of our team members pass eight to
- 10:0210 hospitals,
- 10:03before they get to the Texas Medical Center.
- 10:06And so we spend a lot of time
- 10:08focusing on making sure that they come to
- 10:10a place that's
- 10:11physically and psychologically
- 10:13safe,
- 10:14that they have the tools and training to
- 10:16do their job,
- 10:17that they're rewarded and recognized for the work
- 10:20that they do, and that we help them
- 10:22with their career growth. We understand what their
- 10:24personal and professional goals are, and we we
- 10:27put them in in pathways, and we put
- 10:30them in situations, and we we,
- 10:33pair them with mentors that can can help
- 10:35them achieve them
- 10:36achieve their goals.
- 10:38And then I think second for our our
- 10:39patients,
- 10:40they also have the opportunity to to choose
- 10:43where they go. And so when I think
- 10:45about what's a world class experience as I
- 10:47talk to our patients,
- 10:49we look for ways that we can communicate
- 10:51simply.
- 10:52Right? Health care is full of jargon and
- 10:54acronyms,
- 10:55and so how do we simplify that so
- 10:58it's understandable and relatable?
- 11:00How do we coordinate seamlessly?
- 11:03I joke, and someone shared this. Maybe when
- 11:05we're born, we should all be given a
- 11:06lawyer and a a health care navigator.
- 11:09But I think we can play a a
- 11:11huge role in coordinating care, between the specialties
- 11:14and from the the inpatient to the outpatient
- 11:17side. And that when they come here, they
- 11:19come to a crisp, clean, and welcoming environment.
- 11:22And I think that's important
- 11:24to providing an experience that is meaningful,
- 11:28and really creates a moment that matters for
- 11:30for each of those each of those patient
- 11:32that choose to to come to us.
- 11:34So those are those are a number of
- 11:36priorities.
- 11:39I think from a headwind perspective,
- 11:43you know, the the public funding pressures, I
- 11:45think, are real, and those are things that
- 11:47that concern us.
- 11:49You know, we're just getting into the the
- 11:51early days of the subsidy expirations, and,
- 11:54you know, there's continued,
- 11:57pressure on cost, as those continue to inflate
- 12:00with reimbursement,
- 12:02going the opposite direction.
- 12:04I think uniquely
- 12:06to
- 12:06the Houston community, we have I think one
- 12:09in four Houstonians is either uninsured or underinsured.
- 12:13And we get paid around 52 to 58¢
- 12:16on the dollar for Medicaid. And so
- 12:19the private sector, was having to take on
- 12:21more and more of the the safety net
- 12:23cost. And as a level one trauma center,
- 12:26that puts just incredible pressure for us to
- 12:28find other sources of revenue that allow us
- 12:31to continue to to fund our mission and
- 12:33to make sure that we have the appropriate
- 12:35infrastructure,
- 12:37to take care of those we have the
- 12:38privilege to take care of.
- 12:40I think another,
- 12:44you know, headwind or or or area that
- 12:46we're focused on, and this this impacts our
- 12:48partner at UT Health Houston a little bit
- 12:50more is the just the the national adjustments
- 12:53that have been made to research and research
- 12:55funding.
- 12:57You know, we have a a partnership there
- 12:59where we're looking to do trials. We're looking
- 13:01to do research that advances medicine,
- 13:04which is important, and we don't wanna see
- 13:07that,
- 13:08shifted, away from us locally or even
- 13:11nationally to to other locations.
- 13:14But I think it's also important the impact
- 13:16that has on how dollars are allocated and
- 13:18how projects are sustained.
- 13:20Without that,
- 13:22funding,
- 13:23to keep those projects sustainable, you there have
- 13:25to be other funding sources. And
- 13:28when you're using that that funding for clinical
- 13:30care,
- 13:31but you're also trying to support the academic
- 13:33mission of our partners,
- 13:36you know, you you have you get put
- 13:37in situations where you you have to make
- 13:39decisions. And,
- 13:40I think that'll be important to us continuing
- 13:42to advance care how those issues get resolved
- 13:45on a national level.
- 13:49That's fascinating to hear, and I think truly
- 13:51helpful to understand some of the pressures that
- 13:53you're under and the things that are top
- 13:55of mind for you as you're navigating,
- 13:57changes within the health care space and then,
- 13:59you know, working with your teams in order
- 14:01to figure out how to continue to evolve
- 14:03and grow and develop,
- 14:05within the space. I I really appreciate you
- 14:07talking through,
- 14:08some of those,
- 14:09successes that you've had and the goals that
- 14:11you're looking for in this next year, whether
- 14:13it's patient care or,
- 14:15the experience and caregiver experience as well. You,
- 14:17you know, really can't underestimate
- 14:19how much that means, to the teams that
- 14:21are coming and providing care every single day.
- 14:24Now I'm curious, you know, in thinking through
- 14:26everything that we just talked about, what do
- 14:28you think the hardest thing you'll have to
- 14:29do in the coming year will be?
- 14:34And so, first, the year is really exciting
- 14:36for us.
- 14:38We'll be moving into the remaining floors of
- 14:41our newest building,
- 14:42our Seraphim Tower.
- 14:44So that'll be the new home for our
- 14:46neuroscience,
- 14:47oncology, and transplant programs.
- 14:49We're also gonna be implementing
- 14:51technology like virtual nursing and ambient listening.
- 14:55And as I've mentioned, we continue to explore
- 14:57ways to partner with our academic affiliate, UT
- 15:00Health Houston.
- 15:01And so there are a lot of exciting
- 15:03things,
- 15:04but I think the hardest part will will
- 15:07just be keeping the team engaged and supported
- 15:10while we're continuing to ask them to change
- 15:12constantly.
- 15:14Staying close to our people, making sure that
- 15:16they feel invested in, making sure that they
- 15:19understand
- 15:20why we're doing things, and making sure that
- 15:22we're listening to them in terms of how
- 15:24is that implementation going and where do we
- 15:27need to make adjustments. And using really some
- 15:29of those lessons we learned from EPIC and
- 15:31applying them,
- 15:32through our our change manage it management initiatives
- 15:35this year.
- 15:37I think the other thing that we'll we'll
- 15:39just have to balance this year and,
- 15:41we'll really be balancing our bipartite mission by
- 15:44recognizing
- 15:47sustainable financial outcomes at academic centers,
- 15:50it's just becoming increasingly
- 15:52more challenging.
- 15:54So we have to stay true to our
- 15:55mission. I think we have to stay disciplined
- 15:57in the blocking and tackling
- 15:59of delivering a world class experience to those
- 16:01we serve. And then I think continuing to
- 16:04look for ways that we can grow and
- 16:06diversify so that we can support the tripartite
- 16:09mission,
- 16:10that we're committed to.
- 16:13That makes a lot of sense. And, you
- 16:15know, speaking of that growth, what does that
- 16:17look like in the next year or two?
- 16:19You know, how are you diversifying? What does
- 16:21it mean to be an academic health system,
- 16:23especially
- 16:24coming into this new era of health care
- 16:26where you have to balance so many different,
- 16:29headwinds and challenges, whether it's on the research
- 16:31side or the care delivery side,
- 16:33and looking at the broader health health care
- 16:35ecosystem in your community?
- 16:38Yeah. So I think about health care. Right?
- 16:40We we've shifted models. Right? So I I
- 16:42think there used to be a lot of
- 16:43individual and and maybe physician centric models, and
- 16:46those have moved to more team based models
- 16:48within our system.
- 16:51I believe, you know, our future growth will
- 16:53be extending those team concepts beyond our own
- 16:56walls,
- 16:57whether that be payer and provider relationships that
- 17:00change or
- 17:01provider payer employer relationships or some mix of
- 17:04those, as we find new payment mechanisms,
- 17:07and really as we shift what is still
- 17:09largely a fee for service model
- 17:11to a more value based model,
- 17:14I think our ability to partner together to
- 17:17make health care more affordable and more attractive
- 17:20to
- 17:21employers, to employees,
- 17:23and and to payers will all be important
- 17:25for that that team based concept to to
- 17:27flow over.
- 17:29I I can't underestimate just kinda being disciplined
- 17:32in our operational efficiency
- 17:34and productivity improvements.
- 17:37You know, as capital gets reallocated,
- 17:40you know, we're we're focused on more consumerism.
- 17:43We're focused on more enabling technologies.
- 17:46How do we use those to augment,
- 17:48not replace, but augment? And also to have
- 17:51flow kinda come back, and can those efficiencies
- 17:54free up time
- 17:55to allow for more,
- 17:56brainpower,
- 17:58in any part of our our academic mission
- 18:00or clinical mission?
- 18:02I think also, you know, at a academic
- 18:05facility, we we take care of some of
- 18:06the sickest of the sick.
- 18:09How do we we balance that highly intensive
- 18:11care,
- 18:13with creating more ambulatory settings and and think
- 18:16about how do we leverage the ambulatory footprint?
- 18:19How do we scale it? How do we
- 18:21use telehealth to allow the expertise that sometimes
- 18:25lives at academic medical center
- 18:27to extend past our walls and into other
- 18:30communities, even rural communities,
- 18:33I think is a a big opportunity for
- 18:35growth. And then, and lastly, going back to
- 18:37our people, just continuing to invest in their
- 18:39growth and giving them the space to
- 18:42to bring their ideas forward, to harness their
- 18:45energy and creativity.
- 18:47We have a platform I generate that, you
- 18:49know, any one of our employees,
- 18:51or contract employees can go in and they
- 18:53can submit ideas, and we we vet those
- 18:56and we look to implement those. But getting
- 18:58close to the workforce and
- 19:00listening to their ideas and
- 19:02doing whatever we can to to make those
- 19:04ideas realities, I think, are as an opportunity
- 19:08to create organic growth,
- 19:10and to sustain our mission.
- 19:14I love that. Jason, thank you so much
- 19:16for joining us on the podcast today. This
- 19:18has been a really fascinating conversation. I I
- 19:20think you touched on so many different,
- 19:22trends and topics that are critical in health
- 19:24care today and then your,
- 19:26strategy behind the growth engine of the future.
- 19:28It will be, really fun to see that
- 19:31play out. And, you know, I'm looking forward
- 19:32to seeing you as well at our annual
- 19:33meeting. I know you'll be speaking on a
- 19:35panel with us in April. And so it'll
- 19:37be great to dig a little bit deeper
- 19:38into some of these themes there and then
- 19:40continue the conversation.
- 19:42Absolutely. Thank you, Laura, for the time. This
- 19:44was this was great, and definitely look forward
- 19:46to seeing you in April.