Latest / Becker’s Healthcare Podcast / Expanding Access Through Community Health with Craig Glover
Transcript
- 0:02- There's a small circle of people who truly
- 0:04- understand what it takes to lead a health
- 0:05- system right now. The decisions are enormous.
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- 0:19- leaders are deliberate about where they go to
- 0:21- pressure test their thinking.
- 0:22- Becker's fourteenth annual CEO and CFO roundtable
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- 0:28- executive level attendees
- 0:30- and nearly 400 speakers for four days built
- 0:32- around growth, financial sustainability,
- 0:35- workforce strategy, and the leadership questions that don't
- 0:38- have easy answers.
- 0:39- Join us November second through the fifth in
- 0:41- Chicago.
- 0:42- For the agenda and event details,
- 0:45- visit beckershospitalreview.com
- 0:47- and click on the events tab in the
- 0:49- upper right.
- 0:50- This is Laura Dirdo with the Becker's Healthcare
- 0:52- podcast. I'm thrilled today to be joined by
- 0:54- doctor Craig Glover, president and chief executive officer
- 0:57- of Family Care Health Centers of West Virginia.
- 1:00- Doctor Glover, it's a pleasure to have you
- 1:01- on the podcast today.
- 1:02- Thank you for having me, Laura. Excited to
- 1:04- be with you.
- 1:05- Absolutely. Now I'm looking forward to our conversation.
- 1:08- I know we're gonna talk a lot about
- 1:09- the work you're doing at Family Care Health
- 1:10- Centers
- 1:11- and and some of the things that you're,
- 1:14- focused on right now as well as how
- 1:15- you're thinking about the future, leadership, and more.
- 1:18- But before we dig in, can you tell
- 1:19- us a little bit about yourself, your background,
- 1:21- as well as family care
- 1:23- health centers?
- 1:24- Yes. Absolutely.
- 1:27- So, as you mentioned, I'm the president and
- 1:29- CEO of Family Care Health Centers. We are
- 1:31- a large, federally qualified health center and, serving
- 1:35- the Charleston, West Virginia area.
- 1:37- I've been CEO of this organization
- 1:40- for about seven and a half years. I've
- 1:42- worked in federally qualified health centers for over
- 1:44- twenty. This is my fourth one that I've
- 1:47- worked for,
- 1:48- my third one where I've been chief executive
- 1:51- officer.
- 1:52- An interesting thing about me,
- 1:54- as my connection to FQACs
- 1:56- is actually I was a patient of of
- 1:58- a community health center as a kid. Didn't
- 2:01- realize the,
- 2:02- importance of the service that I was getting
- 2:04- until I joined my first health center back
- 2:07- in 2004.
- 2:09- Wow. That's amazing to hear. And, you know,
- 2:11- I think as I've talked to more and
- 2:13- more leaders at FQHCs, it seems like a
- 2:16- similar background in terms of having been a
- 2:17- patient there or really seen the struggles within
- 2:20- their own families of trying to access health
- 2:22- care. So I can imagine that really colors
- 2:25- the way you take,
- 2:26- leadership into this organization
- 2:28- in trying to think about how you can
- 2:30- work with the patient population there and think
- 2:32- about accessibility,
- 2:33- on a broader scale too.
- 2:35- Yes. Absolutely. I I always think about,
- 2:38- the work that we do and how we
- 2:40- design our systems with with the patient in
- 2:42- mind and and thinking about some of the
- 2:44- challenges they may face in accessing our accessing
- 2:47- care with us and making sure we're doing
- 2:49- what we can to remove those barriers.
- 2:52- Absolutely. You know, definitely critical to do that,
- 2:55- but always easier said than done for sure.
- 2:57- And, you know,
- 2:59- I'm curious. Could you give us a quick
- 3:00- state of the union?
- 3:02- What has gone well this year so far,
- 3:03- and and what are you focused on for
- 3:05- the rest of 2026?
- 3:07- Yeah.
- 3:08- So
- 3:09- this year, things have gone well for us.
- 3:11- We've opened a brand new facility to
- 3:14- offer urgent care services. We actually have the
- 3:17- ribbon cutting for that,
- 3:18- about a month ago.
- 3:20- So that that's been really exciting,
- 3:23- where we started a pharmacy
- 3:26- back in October
- 3:27- 2025.
- 3:28- So we've been excited about the the growth
- 3:30- of that. It's a community pharmacy. So not
- 3:33- only are we serving our patients, but, we
- 3:36- have the ability to fill prescriptions for folks
- 3:38- who may just live in the area.
- 3:40- Pharmacy deserts are becoming more common in West
- 3:43- Virginia, and so we were excited that we
- 3:45- could offer pharmacy services
- 3:48- for the community.
- 3:49- And as we look at the future, one
- 3:51- of the things that we understand
- 3:54- is navigating health care is difficult,
- 3:57- especially when you have these large
- 3:59- complex,
- 4:00- facilities
- 4:01- and and hospital settings and so on. So
- 4:04- we
- 4:05- try to
- 4:06- offer as many services as we can,
- 4:09- in our facilities for our patients. So the
- 4:12- things that are on the horizon for us
- 4:13- is always what else can we bring to
- 4:15- our patients. So things like offering urgent care.
- 4:19- That's a business we got into
- 4:21- invested more into in the last few years.
- 4:24- The opening of of the pharmacy. We hope
- 4:26- the this is the first of many pharmacies
- 4:29- that we'll be able to create,
- 4:31- just to increase access to prescription medication.
- 4:35- Oh, that makes a ton of sense. You
- 4:37- know? I think especially when you look at
- 4:38- that prescription medication, the urgent care, all those
- 4:42- things that are cornerstones really of the way
- 4:44- so many people need to interact within the
- 4:46- health care system.
- 4:48- What has been surprising to you as you've
- 4:50- gone, about trying to increase access to these
- 4:53- things? What have you found out and and
- 4:54- learned, through your efforts?
- 4:57- Laura, I think one thing that's been surprising
- 4:59- for me is in the pharmacy space. I
- 5:01- didn't realize the loyalty
- 5:03- patients had to pharmacists.
- 5:05- Now when I think about my interaction with
- 5:08- with pharmacy,
- 5:09- it's kinda go through the drive through, get
- 5:11- the prescription, and keep going, and wasn't really
- 5:14- aware of who the pharmacist is. But as
- 5:16- we
- 5:17- went about creating this pharmacy and and trying
- 5:20- to staff the pharmacy,
- 5:22- it it was surprising to me just the
- 5:24- loyalty that people have. And we've had quite
- 5:27- a few people
- 5:28- follow our pharmacist,
- 5:30- our our pharmacy manager
- 5:32- to the new location.
- 5:34- Didn't expect that, but it's it's been a
- 5:37- great thing.
- 5:38- It's increasing
- 5:39- access for for patients to to medication, and
- 5:43- so that's something we have to consider as
- 5:45- we look at expanding our pharmacy operation,
- 5:48- finding a pharmacist that has a strong connection
- 5:50- to the community.
- 5:52- Got it. Oh, that makes a ton of
- 5:54- sense. And, you know, I I am curious.
- 5:58- As you're looking at the pharmacy field, I
- 6:00- know there's a lot of,
- 6:01- in some way, shortages. In other ways, you
- 6:03- know,
- 6:04- just finding somebody who can fill that gap
- 6:06- and be understanding and and work with the
- 6:08- community,
- 6:09- as an extra layer of of challenge. And
- 6:11- so,
- 6:12- how have you gone about bringing in pharmacists
- 6:15- that can really be successful with the work
- 6:17- that you're
- 6:18- doing? Really good question. And so that comes
- 6:21- down to finding people, whether they're pharmacists or
- 6:24- pharmacy techs, but finding folks that really understand
- 6:27- our mission and that they're willing to embrace
- 6:30- the mission. You know, our our whole purpose
- 6:32- is,
- 6:33- creating access to health care, particularly for those
- 6:36- who,
- 6:37- may otherwise lack access to health care. So
- 6:41- understanding our mission, being able to
- 6:44- make,
- 6:44- positive connections with our patients is really important.
- 6:47- So that's what we look for sort of
- 6:50- first when we're looking to hire people. And
- 6:53- and that applies not only to our pharmacy
- 6:55- operations, but to our entire operation as well.
- 6:59- That makes a ton of sense, and thank
- 7:00- you for digging a bit deeper there. Now
- 7:02- when you think about the years ahead, what
- 7:05- are some of the biggest headwinds that you're
- 7:07- keeping an eye on and preparing for?
- 7:09- So right now,
- 7:11- we're really focused on how
- 7:14- the pending changes to Medicare will will impact
- 7:17- access and, impact our operation. So and those
- 7:21- changes come about for us in our state
- 7:23- of West Virginia.
- 7:25- We'll have
- 7:26- work requirements.
- 7:28- People have to redetermine every six months,
- 7:30- and those things go into effect 01/01/2027.
- 7:34- So we've really been focusing on what that
- 7:37- impact will have,
- 7:38- for our patients and also starting to educate
- 7:41- our patients on the requirements for them. So
- 7:44- what does it mean that you have to
- 7:46- work twenty hours a week?
- 7:48- You know, what happens? What's sort of the
- 7:50- process for
- 7:51- redetermination
- 7:52- every six months of your Medicaid coverage? So
- 7:55- really,
- 7:56- kinda doing a deep dive on on that
- 7:58- to make sure people know that they can
- 8:00- continue coverage, that that they're able to do
- 8:03- that and continue access to health care.
- 8:06- That makes a lot of sense. And I
- 8:08- can imagine, you know, for a lot of
- 8:10- organizations I talk to and leaders, when they
- 8:13- think about,
- 8:14- looking at Medicaid, looking at access to care
- 8:17- and insurance and the different changes I know
- 8:19- that are coming up in 2027
- 8:21- as well,
- 8:22- Have you found it an effective way of
- 8:24- communicating this to folks within the community, or
- 8:27- what are some of the different tactics that
- 8:29- have really been able to spread the word,
- 8:32- you know, in in in or is there
- 8:33- anything new you're planning to try?
- 8:36- So our community has kinda rallied together, and
- 8:40- the,
- 8:41- state Medicaid
- 8:42- bureau,
- 8:43- they they've also been forthcoming with the information
- 8:46- that they plan on sending out. And then
- 8:48- we've been working with some of our community
- 8:50- partners like the United Way, our state membership,
- 8:55- association, and so on. And so really trying
- 8:58- in a coordinated
- 9:00- effort, really trying to flood the community with
- 9:02- this information so,
- 9:04- so that people know they may be impacted
- 9:07- and how to manage through that. And then
- 9:09- internally, we're now looking at our,
- 9:12- patient rosters and, identifying those folks that we
- 9:15- think may be impacted and starting to do
- 9:18- some targeted outreach to them.
- 9:20- Through our eligibility
- 9:22- department,
- 9:23- talking with with those folks, sending them information.
- 9:26- Also, at this point, starting to,
- 9:29- catch them as they're coming in for visits
- 9:31- now so that they get a heads up
- 9:33- of this is a change that's coming.
- 9:36- Makes a ton of sense. And, you know,
- 9:38- really, it's helpful to understand. I think that
- 9:40- is a challenge across the board, and so
- 9:42- it's great to hear, you've got different avenues
- 9:44- and partners that you're working with. Now on
- 9:47- the flip side, what do you see as
- 9:48- some of the best opportunities for growth in
- 9:50- the next two to three years, Rochelle?
- 9:53- I think for my organization,
- 9:55- growth is around expanding our pharmacy operations,
- 9:59- also expanding
- 10:01- our urgent care offerings.
- 10:04- Urgent care is really important for us because
- 10:06- our primary care offices,
- 10:08- for the most part, open Monday through Friday,
- 10:10- kinda eight to five. So we wanna make
- 10:12- sure that our patients have access to care
- 10:16- after hours on the weekends when the office
- 10:18- isn't open, but,
- 10:20- they have an immediate need, but not immediate
- 10:22- enough that they feel like they need to
- 10:24- go to the emergency room. So we're really
- 10:27- kind of focusing in on those areas.
- 10:29- We're also looking at,
- 10:32- what are the top specialties that we're referring
- 10:35- to and kinda looking at referral patterns,
- 10:39- for those,
- 10:40- access for for those services
- 10:42- to determine, is that something maybe we need
- 10:44- to start to offer in house? We know
- 10:47- that there's some specialties where the the wait
- 10:49- is extensive. It can be six or seven
- 10:51- months when you're referring someone. So, those are
- 10:54- the ones we tend to look at to
- 10:56- see, does it make sense for us maybe
- 10:58- to start offering those?
- 11:00- Again, as as I kinda said before, we
- 11:02- realize
- 11:03- accessing health care can be very complex, so
- 11:06- we try to simplify that by offering as
- 11:09- much as we can to our patients within
- 11:11- our organization.
- 11:13- Got it. That, you know, really makes a
- 11:15- lot of sense and is interesting to think
- 11:18- about those as being the focus areas and
- 11:20- then being able to have more of that
- 11:22- patient centric,
- 11:23- feeling accessibility working around their schedules.
- 11:27- What is the process like of expanding? I
- 11:29- know we talked a little bit about pharmacy,
- 11:31- but then on the urgent care side too,
- 11:33- what resources does it take, both financial as
- 11:35- well as on the,
- 11:37- human, human resources too to stand up, the
- 11:41- different touch points or access points on the
- 11:44- urgent care side,
- 11:45- that can really make a difference?
- 11:48- Yeah. Good question. So we really we start
- 11:50- by
- 11:51- looking at,
- 11:53- where our locations are, kinda location clusters,
- 11:56- looking at population centers, and trying to determine
- 12:00- where's the best place to put an urgent
- 12:02- care center, one that's sorta close enough to
- 12:06- our existing
- 12:07- operations, our existing offices,
- 12:09- but also in a place where, you know,
- 12:11- there there's enough population to kinda support that.
- 12:14- So we start with that.
- 12:16- Once we identify a location, then we have
- 12:18- to find a facility that,
- 12:21- meets our needs. You know, it has enough
- 12:23- space. It has adequate parking.
- 12:25- It's in a place that's easy to to
- 12:27- get to. So we we look at those
- 12:29- types of things. And then, yes, we have
- 12:31- to go out and and find,
- 12:33- staff for that.
- 12:34- Our urgent care centers tend to operate,
- 12:38- about twelve hours a day. It's a little
- 12:40- shorter on on the weekends,
- 12:42- particularly on Sunday, but also then figuring out
- 12:45- what's the staffing pattern,
- 12:47- for that. So we take all of that
- 12:50- into account as well as thinking about our
- 12:52- mission and making sure we're hiring folks that
- 12:55- are going to come in and really embrace
- 12:56- our mission when when they're working with our
- 12:59- our patients.
- 13:01- I love it. I I think it's so
- 13:03- critical to have those staff members in the
- 13:05- team who are as passionate about the work
- 13:08- that you're doing as you are.
- 13:10- How do you create that kind of culture,
- 13:12- and and what do you do in order
- 13:13- to keep the team engaged and excited about
- 13:16- what they're doing every single day?
- 13:18- Yeah. Great question. So, it starts in orientation
- 13:21- for us. So one of the things we
- 13:23- do, our orientation,
- 13:25- when you join your organization is, like, three
- 13:27- and a half days, and part of that
- 13:30- is,
- 13:31- spent in in a session we call patient
- 13:34- first. It's an internal training we developed a
- 13:37- few years ago that really lays out our
- 13:39- expectations of how we,
- 13:41- want our associates to interact with our patients.
- 13:44- And also during that, we spent a lot
- 13:46- of time talking about our mission, vision, and
- 13:49- values and and doing a deep dive and
- 13:51- making sure that our mission isn't just words
- 13:53- on the screen or on a billboard that
- 13:56- people really understand
- 13:57- why this mission was selected,
- 14:00- and understand that everything that they do in
- 14:02- the organization,
- 14:03- every task should somehow be supporting the mission.
- 14:06- We also spend quite a bit of time
- 14:09- talking about our values,
- 14:11- and making sure that people understand those and
- 14:13- and also trying to help them connect the
- 14:16- organization's
- 14:17- values to their personal values. And and hopefully,
- 14:20- they're able to find synergies, which in theory
- 14:23- makes it easier for you to fulfill the
- 14:25- values of the organization.
- 14:28- And then we kinda conclude that training with
- 14:30- discussion around our vision and that we wanna
- 14:33- be the provider of choice and what that
- 14:35- really means, what what that means from a
- 14:37- practical standpoint,
- 14:38- what that means for them in their given
- 14:40- role.
- 14:41- So,
- 14:42- everybody goes through that
- 14:44- in in orientation when they first start, and
- 14:47- then we actually send people through every couple
- 14:50- years as a refresher. We we kinda tweak
- 14:52- it a little bit, from,
- 14:55- year to year, but then we we're constantly
- 14:57- retraining people. And lastly,
- 15:00- our standards with, again, patient first, that's also
- 15:03- part of everyone's annual evaluation. So you're you're
- 15:07- graded,
- 15:08- on how well you're fulfilling
- 15:11- our patient first,
- 15:12- initiatives and promises. So that's our way that
- 15:15- we've been able to build the the culture
- 15:17- around that. We actually just did a,
- 15:20- associate
- 15:22- culture survey, if you will, and that's one
- 15:24- of the questions.
- 15:26- Is patient first being fulfilled
- 15:28- every day? And we were excited to see
- 15:31- the results. And,
- 15:32- about 85% of the folks who took the
- 15:35- survey
- 15:36- marked that, you know, they highly agree or
- 15:38- agree that we were fulfilling our our patient
- 15:40- first,
- 15:43- promises. Wow. That's incredible statistics and certainly,
- 15:46- really indicative of the team that you built
- 15:48- there and everything that you're doing. So,
- 15:50- congratulations,
- 15:51- and and that's amazing to hear. Now before
- 15:54- we wrap up, I wanted to ask you
- 15:56- about leadership too.
- 15:58- Who do you admire as a leader, really,
- 16:00- from any industry and why?
- 16:03- There's so many folks that I,
- 16:05- admire,
- 16:06- but,
- 16:07- one of my favorite leaders was Colin Powell,
- 16:11- former,
- 16:12- secretary of state and,
- 16:14- chairman of the joint chiefs of staff.
- 16:16- And I I really admired his leadership style,
- 16:20- And,
- 16:21- he there's actually a book that highlights about
- 16:24- 15 of his leadership principles,
- 16:26- that actually, I often give to new leaders
- 16:29- to to look through. But his leadership style
- 16:33- was very practical,
- 16:34- and and I felt like he he built
- 16:36- a leadership style of him leading from within
- 16:40- the the group of folks that he was
- 16:41- leading. So he was always listening for input,
- 16:45- listening for their concerns.
- 16:46- But he also understood that as the leader,
- 16:49- you have to stand in the front of
- 16:50- the group. And it it's okay to
- 16:52- kinda be in the group, but you need
- 16:54- to know when and they need to also
- 16:56- understand that,
- 16:58- you are leading and you're setting that vision
- 17:00- for them.
- 17:02- Absolutely.
- 17:03- And that's such a a great point and
- 17:04- so well said. When you're part of the
- 17:06- group and and leading the group, having that
- 17:08- strong vision and understanding what's going to really
- 17:12- resonate with the team around you and then
- 17:14- being able to move forward and bring all
- 17:16- with you at the same time, is so
- 17:18- critical. I think it's a special person to
- 17:20- be able to do, but,
- 17:22- you know, very much love and respect Colin
- 17:24- Powell and a a great person to really
- 17:26- aspire to and and think about when you're
- 17:28- looking at leadership.
- 17:30- Yes.
- 17:31- Amazing. Well, thank you so much, doctor Glover,
- 17:34- for joining us on the podcast today. This
- 17:35- has been such a fun conversation. I've learned
- 17:37- a ton, and I'm really inspiring to think
- 17:39- about what you're doing in West Virginia.
- 17:42- I'm excited as well to see you in
- 17:43- person at our CEO and CFO roundtable. I
- 17:46- know you'll be speaking there and talking a
- 17:48- bit about,
- 17:49- the great things you're doing, digging deeper into
- 17:51- the themes you talked about today as well.
- 17:52- So looking forward to that.
- 17:54- Absolutely, Laura. I appreciate you having me on
- 17:56- the podcast. I enjoyed our conversation,
- 17:59- and I I hope our discussion is inspiring
- 18:01- to others.