Latest / Becker’s Healthcare - Clinical Leadership Podcast / Dr. Gurvinder Kaur, Chief Medical Officer at Adventist Health - Central Valley Network
Transcript
- 0:05- This is the Becker's Healthcare Podcast, created
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- 0:30- Welcome everyone,
- 0:31to the Becker's Healthcare podcast series.
- 0:33I'm Maria Mohammed, writer
- 0:34and moderator with Becker's Healthcare.
- 0:37I'm absolutely thrilled to have with me today Dr.
- 0:39Vender Carr, chief Medical Officer at Vinta Health
- 0:42Central Valley Network.
- 0:44Dr. Carr, it's very nice to have you on the
- 0:45podcast today. How are you?
- 0:47- Good, thank you, Maria.
- 0:49And, um, I appreciate you taking, uh, my, uh, voice up
- 0:52to your audience on this podcast. Yeah,
- 0:55- Absolutely.
- 0:56I cannot wait to ask you these, uh, these questions today.
- 1:00Im sure you're gonna give some great insight into what's
- 1:02happening right now in healthcare.
- 1:04Um, but to begin, would you mind please introducing yourself
- 1:07and telling us a bit about your background?
- 1:09- Absolutely. I'm good weather, Carr.
- 1:11Um, I'm an internal medicine physician by training.
- 1:15I've been, um, you know, out of med school
- 1:18for 20 plus years now,
- 1:19so I've been a doctor for all that time.
- 1:21I did do some, um, um, I have some background in master's
- 1:26with a master's in health administration.
- 1:27And then I went ahead
- 1:29and, um, you know,
- 1:30started working here in the Central Valley quite some time
- 1:33back, uh, in California
- 1:35and really have, uh, evolved through my journey, uh,
- 1:40as a physician leader, both with a physician medical group
- 1:43as well as, uh, through
- 1:45Adventist health physician leadership,
- 1:48and have been in this role as a Chief Medical officer
- 1:51for about close to three years now.
- 1:54- Wonderful. Thank you so much for giving us that insight.
- 1:57So to begin with the questions of the podcast,
- 1:59the first thing I wanted to ask you is,
- 2:01can you tell me about your most successful project
- 2:03or initiative from the last year?
- 2:05What issues were you trying to solve
- 2:07and also what drove the success?
- 2:10- Uh, some of the key projects
- 2:12that we have worked on in this past, uh, year
- 2:14or so have been a really, uh, top decal patient safety, um,
- 2:19also, uh, top decal inpatient quality when it comes to,
- 2:24you know, mortality, readmission care progression, which is,
- 2:28um, how efficiently we drive the patient's care while
- 2:31they're in the hospital and patient experience.
- 2:35They're, um, you know, now that's a broad, broad, um,
- 2:38topic here, but I think if we narrow down to, um,
- 2:42it comes down to having a culture of clinicians
- 2:46that care about doing their best
- 2:49and making our organization high performing
- 2:53and ability to drive performance through, uh, learning,
- 2:58you know, continuous learning process, identifying
- 3:01where the issues are and improving upon them when we know
- 3:04that there, uh, there are processes
- 3:05that we need to improve on.
- 3:07- Wonderful. Thank you so much
- 3:09for giving us that background.
- 3:10And as you know,
- 3:11the clinical workforce has changed a lot in the last few
- 3:14years for obvious reasons.
- 3:16Um, what challenges are you still facing
- 3:18and how do you see the clinical workforce evolving?
- 3:22- Yeah, we continue to have issues around, um, being able
- 3:26to recruit, uh, high good talent, being able to bring in,
- 3:30uh, folks that are highly, uh, trained
- 3:33and talented in their different workforce, in clinical, uh,
- 3:37workforce in the Central Valley in California.
- 3:40And we're not much worse than other places.
- 3:42I realize that, um, you know,
- 3:44every different area has its own challenges,
- 3:47whether it's related to competition for that same workforce
- 3:49or whether it's related to the demand.
- 3:51And so understanding that,
- 3:53I think this trend is likely going
- 3:56to continue over the next several years
- 3:58because we're not seeing that many higher number
- 4:01of graduates from nursing schools
- 4:03or from um, medical schools.
- 4:05Uh, we do see that, uh, radiology is one
- 4:08of the key challenges from physicians, um, that continues
- 4:11to be an issue that is, um,
- 4:13really affecting us across the board, uh,
- 4:16from just about every CIS hospital in
- 4:18the Adventist health system.
- 4:19We know that we, uh, want to do
- 4:22better in attracting talent when it comes to radiology.
- 4:26We also have issues around O-B-G-Y-N, um, being able
- 4:29to attract and keep good OB physicians in our communities
- 4:34because patients want to deliver close to home.
- 4:37And if we're not able to provide high quality OB services,
- 4:41we're gonna have a challenge being able
- 4:43to get the patients maternity care
- 4:46delivery care right close to their homes.
- 4:49Um, cost of keeping labor
- 4:50and delivery, uh, units open is very high,
- 4:54and being able
- 4:55to recruit OBS has become extremely challenging in these
- 4:58past, uh, several years.
- 5:01I don't see that letting up anytime soon.
- 5:03We're not increasing the number
- 5:05of graduates from OB residencies either.
- 5:07Um, we do feel like that is one area to explore, is to, um,
- 5:12uh, identify how we can train more, uh, OB
- 5:17and those hard to recruit, uh, specialties
- 5:20for gi We're having a lot
- 5:21of difficulty getting GI just about in all our markets,
- 5:24but definitely here in the Central Valley, um, this is a,
- 5:28um, challenging area mostly
- 5:30because the, the kind of work it is,
- 5:32it is high intensity work
- 5:34and it takes a long time to train a GI physician.
- 5:38We're looking at extending, uh, the, those kind
- 5:41of specialties with advanced providers, both in their, um,
- 5:46clinics as well as, you know, for, as for ob gyn,
- 5:49adding midwife programs, helping make this a team approach.
- 5:54And I think that's where really healthcare is going is we're
- 5:58gonna have a team approach, um,
- 6:00and we will have to develop algorithms where
- 6:03we know there's, there's a spectrum of disease process,
- 6:07there's a spectrum of, uh, healthcare delivery.
- 6:10How do we best use our resources in a team-based approach,
- 6:13whether it's virtual
- 6:15and physical in person, whether it's, um, you know,
- 6:19high-end, highly trained, high end specialty,
- 6:22or there's advanced providers to support that specialty.
- 6:26All of those things will come down to
- 6:28how we best use team approaches
- 6:30for delivering good quality care at bedside.
- 6:36- Absolutely. Thank you so much for giving us that insight
- 6:38and background to how you're trying to solve this issue
- 6:41that many people are having.
- 6:43Um, but before I let you go, doctor, the last thing I wanted
- 6:46to ask you is, what is your best advice
- 6:48for aspiring physician nurse leaders?
- 6:54- Uh, I, my main advice would be
- 6:58Invest in your workforce.
- 7:00Um, build trust within your workforce
- 7:04and really identify processes that help improve the ability
- 7:09for people to perform better.
- 7:11You know, when we look at our systems and our processes
- 7:15and we make things efficient for people to come back to work
- 7:18and be able to do what they are passionate for, what they,
- 7:22uh, signed up for,
- 7:23then we make everybody's lives, uh, so much better.
- 7:26We improve our retention, we improve our culture,
- 7:29and that's really what our main, uh,
- 7:32focus has been here in the past,
- 7:34in my role in these three years, is to help drive a culture
- 7:38that improves people's ability to do what they do best.
- 7:42And that's by driving the processes around them
- 7:45and helping them overcome those obstacles much more
- 7:48faster and smoother.
- 7:52- Wonderful. Thank you so much
- 7:53for those final thoughts, doctor.
- 7:54This has been a very amazing and informative discussion.
- 7:58So again, I wanna thank you so much
- 7:59for coming on Becker's Healthcare.
- 8:00We really do appreciate it.
- 8:02I look forward to connecting with you again soon.
- 8:04- Alright, thank you. I appreciate your, uh,
- 8:06time from with me today.
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