Latest / Becker’s Healthcare Podcast / Driving Healthcare Transformation Through Innovation and Equity with Amaka Eneanya
Transcript
- 0:01This is where health care leadership comes together.
- 0:04Becker's sixteenth annual meeting brings more than 3,500
- 0:07hospital and health system executives and nearly 800
- 0:10speakers to Chicago
- 0:12April.
- 0:14This year's event includes keynote conversations with Dallas
- 0:17Cowboys legend Troy Aikman and former president George
- 0:20w Bush. For the agenda and event details,
- 0:22visit beckershospitalreview.com
- 0:25and click on the events tab in the
- 0:26upper right. We're looking forward to hosting you
- 0:29in Chicago.
- 0:31This is Laura Dirda with the Becker's Healthcare
- 0:34podcast.
- 0:34I'm thrilled today to be joined by Amaka
- 0:36Inania, who is the former chief transformation officer
- 0:39at Emory Healthcare. Amaka, it's a pleasure to
- 0:41have you on the podcast today.
- 0:43Thanks so much, Laura. I'm excited to be
- 0:45here and have this discussion with you.
- 0:47Absolutely. Now I'm looking forward to your perspective
- 0:50because I know health care is changing so
- 0:51quickly and, you know, technology
- 0:54and many other factors are forcing it to
- 0:56to really,
- 0:57you know, sharpen and become a different type
- 1:00of care delivery system. But before we dive
- 1:03in, can you tell us a little bit
- 1:04more about yourself and your background?
- 1:06Sure. So I'm a health care executive and
- 1:08board certified nephrologist.
- 1:10I most recently served as the chief transformation
- 1:12officer at Emory Healthcare in Atlanta,
- 1:15and I really started off my career as
- 1:17a clinical researcher. So I was funded by
- 1:19the NIH and other foundations
- 1:22to look at,
- 1:23patient reported outcomes
- 1:25for patients who had kidney disease
- 1:28and those patients who were really approaching serious
- 1:31illness and how they made their medical decisions.
- 1:34I also had a strong focus on health
- 1:36equity
- 1:37and why different patients, whether patients from different
- 1:39racial backgrounds, ethnic backgrounds, etcetera,
- 1:42why they were making different care decisions compared
- 1:45to other,
- 1:46groups.
- 1:47And so I started off my career as
- 1:50an academic nephrologist,
- 1:51and I transitioned into industry after working on
- 1:54some national policies,
- 1:57that really kind of removed bias
- 1:59and improved access to care for patients with
- 2:02kidney disease, black patients in particular.
- 2:05And so that inspired me to actually stop
- 2:07writing about,
- 2:09you know, things that we were seeing in
- 2:10health care and to stop publishing and to
- 2:12actually really try to
- 2:14transform the system and have a greater impact.
- 2:17And so I transitioned to,
- 2:19Fresenius Medical Care, which is a global dialysis
- 2:22company,
- 2:23where I was the head of strategy and
- 2:24operations for the global medical office
- 2:27overseeing some finance functions,
- 2:29strategy functions, health equity,
- 2:32sustainability
- 2:32that we were doing as a global organization.
- 2:35And then I was recruited to Emory Healthcare.
- 2:37So that's my journey.
- 2:39That's amazing to hear. And, you know, really
- 2:41cool to think about how you're able to
- 2:43go from the clinical setting and being able
- 2:45to see what was happening with your patients
- 2:48on a daily basis to then,
- 2:50into academics and publishing and then, you know,
- 2:52looking into,
- 2:53again,
- 2:54how you can impact care on a broader
- 2:57scale with some of those larger companies and
- 2:59health systems. So,
- 3:00what incredible opportunities.
- 3:02I I'm curious from your perspective, what are
- 3:04some of the trends that you're watching currently?
- 3:05What's having a big impact on health care
- 3:08and health care delivery?
- 3:10Yes. I'm watching health care organizations
- 3:12approach innovation in a number of ways.
- 3:14I think the most obvious is the investment
- 3:17in technology
- 3:18and how we're integrating
- 3:20AI across enterprises
- 3:21to streamline business operations
- 3:24or alleviate administrative burden for our clinicians and
- 3:27our staff members.
- 3:29I think most obviously, there's, the focus on
- 3:32ambient listening
- 3:33and having an AI agent
- 3:35to transcribe
- 3:37clinical interactions.
- 3:39I'm also seeing innovation in how we think
- 3:41about our teamwork, whether that's the team structure
- 3:44or governance,
- 3:45and really garnering excitement to carry out non
- 3:49incremental
- 3:50and rapid change,
- 3:52in the industry. So that's really exciting.
- 3:55Another trend I'm seeing is how organizations
- 3:58and teams are really moving away from terms
- 4:00such as equity or diversity,
- 4:02whether it's a role title, teams, or initiatives.
- 4:06And And it's interesting because I think that
- 4:07people still don't really understand what these terms
- 4:10mean. So for instance, health equity is defined
- 4:13on how everyone is supposed to achieve their
- 4:16full health potential
- 4:18regardless of how they identify
- 4:20or their personal circumstances.
- 4:22So it's like when you think about the
- 4:23definition, why would we want to move away
- 4:26from something like that?
- 4:28Nonetheless,
- 4:29I think that it's really,
- 4:31important and I'm seeing how organizations are continuing
- 4:34to invest
- 4:35in the things that really do affect health
- 4:37outcomes. So thinking about the social determinants of
- 4:40health,
- 4:41which are the factors that drive 80% of
- 4:44health outcomes such as food, education, and housing.
- 4:47We're seeing a lot of health care organization
- 4:49and businesses still continuing to invest
- 4:52in those drivers even though they're removed they're
- 4:54moving away from the actual terms.
- 4:57Well, that's fascinating to hear. And, you know,
- 4:59as you're seeing these investments happening,
- 5:02in the community and access to care and,
- 5:05you know, really improving the whole health overall,
- 5:10how do you see that evolving and changing
- 5:12the way that health care organizations are,
- 5:15investing their resources and and, you know, thinking
- 5:18about,
- 5:19their communities,
- 5:20as you mentioned, you know, whether it's one
- 5:22term or another,
- 5:24you know,
- 5:25it has just been an interesting evolution. But,
- 5:28in moving forward, you know, health systems, what,
- 5:30I guess, role or responsibility are they're playing
- 5:33in bringing up the whole, community
- 5:35overall?
- 5:36Yeah. I think it's I I used to
- 5:37say all the time, and I continue to
- 5:39say this, that health care organizations,
- 5:41especially when you're thinking about the classic infrastructure
- 5:44of clinics and hospitals, they can't do it
- 5:46all. Right? Historically,
- 5:48they're these institutions have been trained to care
- 5:51for sick patients or to focus on preventative
- 5:54clinical care. So they can't take on the
- 5:57responsibility
- 5:58of, you know, how does somebody have equitable
- 6:01access to food, or is their housing safe
- 6:04and secure. Right? And so what I'm seeing
- 6:06are a lot more partnerships between organizations and
- 6:09community organizations.
- 6:10These community organizations are on the ground level
- 6:13doing this type of work all day every
- 6:16day. They have that expertise.
- 6:18And so it's really nice to see the
- 6:19partnerships, whether it's a health care organization
- 6:22sponsoring these organizations or doing some type of
- 6:25collaborative event
- 6:27together where you can bring those expert the
- 6:29experiences
- 6:30from both the health care infrastructure side and
- 6:32the community side to really change health outcomes
- 6:36for patients in our communities.
- 6:39That's really helpful to understand, you know, and
- 6:41a great, way to strengthen those bonds and,
- 6:44bring more of that health equity focus into
- 6:47life.
- 6:48You know, I I know that's critical for
- 6:50hospitals and systems, especially when they're looking down
- 6:53the into the future in wanting to be
- 6:55able to continue to support their communities, but
- 6:57seeing, you know, a a lot of different,
- 7:00potential headwinds and challenges. So, you know, I
- 7:03think when you look into,
- 7:05the future,
- 7:06you know, could you tell me about, some
- 7:08of the things you're excited about and focused
- 7:10on? Where do you see,
- 7:12healthcare headed?
- 7:14Yeah. Sure. So I'm very excited about continuing
- 7:17transformation and disruption.
- 7:18As I mentioned before, I've had a lot
- 7:20of experience in my career doing those things
- 7:22and seeing a very large impact. And so
- 7:25really using my voice and my experience to
- 7:28foster bold thinking and to encourage people to
- 7:31be brave enough to transform healthcare for the
- 7:33better is something I'm focused on. I'm writing
- 7:36a book. I'm well underway with that book,
- 7:38and I'm really excited to launch that later
- 7:40this year.
- 7:41So, I'm looking forward to seeing how people
- 7:44can be really inspired to to push against
- 7:47the status quo, right, and not to accept
- 7:49how things are. We know a lot of
- 7:50things are broken.
- 7:51It's time to stop thinking about it and
- 7:53actually start changing it.
- 7:55I love that. I I think that's such
- 7:57a strong and powerful call to action. And,
- 7:59you know, based on your experience and some
- 8:01of the things that you've been able to
- 8:03accomplish in your career, Could you share with
- 8:05our our broader audience, you know, some of
- 8:07the things that you've done that have worked
- 8:08well, that have really been, things in your
- 8:11career that you've been proud of?
- 8:13Sure. So what I'm really excited about is
- 8:16kind of this renewed
- 8:17energy and focus on well-being.
- 8:19We saw a lot of that during the
- 8:21pandemic. Right? We saw extremely high burnout rates
- 8:24amongst our clinicians and our staff members, and
- 8:26it really just, you know, revealed
- 8:29how much we had deprioritized
- 8:31people's well-being. And, you know, in health care,
- 8:33when you're really focused on, again, making sure
- 8:35that everybody can achieve their full health potential,
- 8:38how can you forget the people who are
- 8:40doing that type of care delivery? And so
- 8:42at a previous institution,
- 8:44that I worked on that I worked at,
- 8:46we,
- 8:47had a well-being center that we made
- 8:50some significant investments in in terms of the
- 8:52well-being center infrastructure,
- 8:54the staffing,
- 8:55and over a two and also we did
- 8:57a number of initiatives,
- 8:59to really, again, kind of focus on making
- 9:02sure people felt heard about what was challenging
- 9:05or what was affecting their well-being.
- 9:08And over a two year period, we saw
- 9:09some measurable improvements
- 9:11in our people oriented metrics. So for instance,
- 9:13we measured that burnout was lower, 6% lower
- 9:16over a two year period. Personal fulfillment was
- 9:186%
- 9:19higher, and the intent to leave was 11%
- 9:22lower. So really, again, like, making sure that
- 9:25our health care family members,
- 9:28are feeling
- 9:29heard and feeling that, yes, we care. Right?
- 9:32It's not all about,
- 9:34how we can push productivity
- 9:36and things like that, but really making sure
- 9:38that you feel whole and you feel fulfilled
- 9:40because that's really the reason why you you
- 9:42came into health care. So I'm proud about
- 9:44that.
- 9:45I'm also proud of a lot of the
- 9:47national efforts that I did previously,
- 9:50coming out of academia to, again, advocate for
- 9:53patients with kidney disease and more equitable access
- 9:56to transplantation.
- 9:57And so, we developed a number of federal
- 10:00policies,
- 10:01national guidelines,
- 10:02and fast forward three years, we've seen significant
- 10:06improvement to transplantation access.
- 10:08So for instance, for black patients with kidney
- 10:11disease, we've seen
- 10:12nineteen thousand of those patients move up on
- 10:14transplant wait list across the country, and over
- 10:17six thousand patients have received kidney transplants.
- 10:20So really making sure that when you make
- 10:23transformative
- 10:24initiatives and changes, that you have a way
- 10:27to sustain those changes. And so federal policies
- 10:30and national recommendations
- 10:31are key to making sure that we had,
- 10:34you know, something that we can be proud
- 10:36of years down the road.
- 10:39I love that type of ability to build
- 10:41a program and have a goal, but then
- 10:43also, you know, have sustainability be part of
- 10:45that goal because,
- 10:47I think it's just so critical. And now
- 10:49more than ever, I know resilience is somewhat
- 10:51of a buzzword, in any industry, but especially
- 10:53in health care.
- 10:54But thinking through, you know, no matter what
- 10:56happens or changes come down the pipe, being
- 10:58able to continue to provide a strong level
- 11:01of care to the community and to patients,
- 11:04has to be critical. And so building in
- 11:06the processes and systems and,
- 11:08foundation
- 11:09of a culture to do that is no
- 11:11easy task. I know. Absolutely.
- 11:13Absolutely, Laura.
- 11:15Perfect. Well, I think before we wrap up,
- 11:17I wanted to ask your advice. What, I
- 11:20guess, thoughts or advice would you give to
- 11:22evolving leaders today, especially those who are coming
- 11:24into the health care space trying to to
- 11:27make a difference?
- 11:28Yeah. I would say that, you know, it's
- 11:30important to to, you know, obviously
- 11:32be a great manager and hold your teams
- 11:34accountable. But I think as a great leader,
- 11:37you need to hold yourself accountable.
- 11:39Medicine traditionally has been very hierarchical, and so
- 11:43I think that there are a lot of
- 11:45individuals, especially as you climb the ranks,
- 11:48that kind of,
- 11:49develop this god complex. Right? And it's very
- 11:52easy to let your ego lead the way
- 11:54or for you to be, you know, increasing
- 11:56power to change your character.
- 11:58But even as you climb up the managerial
- 12:01ranks, right, at the most senior levels, you
- 12:03should be always soliciting feedback
- 12:06from your teams and your superiors.
- 12:08And so I know that achieving metrics and
- 12:11and financial incentives
- 12:13are critically important for every business.
- 12:15However, being a servant leader where you're actually
- 12:18deprioritizing
- 12:19your personal status and your power and uplifting
- 12:23others to be their best selves,
- 12:25that should always be the ultimate goal. So
- 12:27that's my advice for evolving leaders.
- 12:30I love that. What a great reminder in
- 12:32health care and what is so important and
- 12:35unique about health care is it is that
- 12:36type of industry where you're always serving, always
- 12:38trying to,
- 12:40be in a a space where that human
- 12:41to human interaction makes such a big difference
- 12:43in relationships,
- 12:45are are so key.
- 12:47Thank you so much for joining us on
- 12:49the podcast today. This has been such a
- 12:50great conversation, Amaka, and I look forward to
- 12:52connecting with you again soon. Thanks so much,
- 12:55Laura. I'm happy to come back anytime.