Latest / Becker’s Healthcare Digital Health + Health IT / Robb Wetmore, MHR, Director of Digital Health at Variety Care
Transcript
- 0:00Welcome to Becker's Healthcare podcast. I'm Chris Sosa,
- 0:02your host, and I'm thrilled to be joined
- 0:04today by Rob Wetmore. He is the director
- 0:06of digital health for Variety Care in Oklahoma
- 0:08City. Rob, thank you for joining us today.
- 0:11Thanks, Chris. Thank you for having me.
- 0:13Yeah. We're so glad you could be here.
- 0:15Rob, if you could please introduce yourself and
- 0:18tell our audience a bit about your background.
- 0:20Sure thing. As Chris mentioned, my name is
- 0:22Rob Wetmore. I am the director of digital
- 0:24health care at Variety Care. We are a
- 0:26federally qualified health center out of Oklahoma City.
- 0:29We
- 0:30have around 20 clinics within the Oklahoma City
- 0:33area and a couple into rural Oklahoma.
- 0:36And we currently serve responsible for,
- 0:39little over a 100,000 patients, So a fairly
- 0:41large system.
- 0:44My path kind of coming here into this
- 0:46realm
- 0:47is a bit different than what,
- 0:50is the usual. So I spent sixteen years
- 0:53working in inpatient mental health.
- 0:55Everything from utilization review and prior authorization
- 0:58into clinical program management. And then I even
- 1:02was working under supervision for my LPC licensure
- 1:06before my career kind of went off on
- 1:08a tangent
- 1:09and I ended up being on an epic
- 1:11implementation build
- 1:13as an instructional designer.
- 1:16And then that transitioned again into what we
- 1:20called care transformation where I was able to
- 1:22work with some physician leads
- 1:24to develop best practices for that health care
- 1:27system
- 1:28to standardize care and processes
- 1:30throughout the whole entire thing. And so that's
- 1:32really where I got a huge exposure into
- 1:37the transition between a clinical vision and operational
- 1:39reality and how those things worked for and
- 1:42against each other.
- 1:44That does seem a little bit like a
- 1:46meandering path through health. But but by and
- 1:49large, it just sounds like you've had
- 1:52a breadth of experience in in the industry.
- 1:55What got you what made you go into
- 1:58health care? What made you pursue that in
- 1:59the first place?
- 2:01So
- 2:04kinda going back even further, I entered undergraduate,
- 2:08with this whole idea of, like, I'm gonna
- 2:09be a business major. I'm gonna be a
- 2:11CEO and, you know, do all this and
- 2:13make all this money. And then those classes
- 2:15put me to sleep.
- 2:16And
- 2:18so I realized that probably wasn't the direction
- 2:20I wanted to go. And I took an
- 2:22intro to psychology class
- 2:24and realized that it was very interesting to
- 2:26me. It's very intriguing, the psychology, the social
- 2:28sciences,
- 2:29and I ended up getting a double major
- 2:31in psychology and sociology.
- 2:34Ended up in Oklahoma after
- 2:36undergrad and quickly realized that a bachelor's degree
- 2:39in psychology and sociology was gonna get me
- 2:41nowhere.
- 2:42And eventually got into a master's program at
- 2:45the University of Oklahoma and focused on my
- 2:48LPC licensure.
- 2:49At the time, I was working for the
- 2:51inpatient mental health facility, so I was able
- 2:53to translate that
- 2:55real world experience into the classroom and vice
- 2:57versa. So it was a really cool way
- 2:59of getting that accomplished.
- 3:02So that's how I got into health care.
- 3:04It just fell in my lap kind of
- 3:06a thing, and it's something that
- 3:09definitely
- 3:09is a part of who I am. It's
- 3:11in my it's in my DNA, really. I
- 3:12I I enjoy it. No one's in my
- 3:14family has been in health care, but it's
- 3:17definitely something that's just ingrained into me. It's
- 3:20it's really just I'm a helper, and
- 3:22I can't help but be in a helper.
- 3:24Even on this side in digital health
- 3:26and looking at the systems of things,
- 3:30it's in that helper role of, like, how
- 3:32can I better the system, not just for
- 3:34the system? I mean, sure. That's great. They
- 3:36they sign my paychecks.
- 3:38But to me, it's all about the patient
- 3:41and patient first, patient engagement, patient care. And
- 3:45that was driven in on the behavioral health
- 3:47side way before it was on to the
- 3:48medical side. So I feel I got a
- 3:50head start on that patient first mentality before
- 3:53it really got into the medical side of
- 3:54health care. And now in digital health, that's
- 3:57what it has to be about. There's such
- 3:58a divide
- 4:00between
- 4:01technology
- 4:02and the human experience
- 4:04that with me that I live on that
- 4:06divide, that that gray line between those two
- 4:09realms of basically anywhere in life. I live
- 4:11in that gray line. And so for me
- 4:13to be able to
- 4:15take digital technology
- 4:17and use it to transform
- 4:19the human experience
- 4:20in health care is just like
- 4:24a win win for me, I guess.
- 4:26Certainly,
- 4:28if there's any indication sure indication that you're
- 4:30in the wrong place, it's if it's not
- 4:32inspiring you and putting you to sleep. But,
- 4:34fortunately, you found your way into the WR
- 4:36now. I love the way you put it.
- 4:38That that's a a gray line. I hadn't
- 4:40heard that before, but it certainly, I think,
- 4:42speaks to a lot of leadership in health
- 4:45care that you as you said, you have
- 4:47to live between these two worlds of, you
- 4:49know, what
- 4:51digital and other technologies can provide and how
- 4:54you actually translate that to the patient.
- 4:57So along those lines, could you let us
- 4:59know what exactly are your top priorities today?
- 5:03Well, I mean, I kinda hit on it.
- 5:05My top priorities are really,
- 5:07serving the the patients,
- 5:09reducing those disparities
- 5:11and providing access to the underserved communities.
- 5:14That
- 5:16is always been true for federally qualified health
- 5:18centers, and it's really it's always been true
- 5:20for
- 5:22what I've been trying to do.
- 5:23But
- 5:24now it's even more so. The the pressures
- 5:26that are being put on us at the
- 5:28federal level,
- 5:29to perform, to
- 5:31do what we're doing with less funding,
- 5:33we have to figure out a way around
- 5:35this, and it comes down to access.
- 5:38And to me in in my world view
- 5:40and, fortunately, my leaders as well, it comes
- 5:43down
- 5:46to things like telemedicine and remote patient monitoring.
- 5:50Any sort of tool that improves access, increases
- 5:53access, gets us in front of our patients,
- 5:54and help them have healthier lives.
- 5:58Along those lines as well, Rob. So
- 6:02to say that things change quickly would be
- 6:04maybe the understatement of the year with technology
- 6:08and health care in particular.
- 6:09And you've you've covered
- 6:12some of the challenges that you're facing with,
- 6:15respect to changes in the federal government and
- 6:17and the like.
- 6:18So
- 6:19could you take this moment to just say
- 6:22describe
- 6:23to the audience how you anticipate your role
- 6:25is gonna change and how the role of
- 6:27your team is gonna change.
- 6:29And lastly,
- 6:31how you work through you said you're really
- 6:33not alone in this. Not at all. So
- 6:35who are the people and and other
- 6:37systems, organizations that you're looking for to kind
- 6:40of collaborate with? And that's a lot, I
- 6:43so. So break it straight into it as
- 6:45as as you wish.
- 6:46No. That's a great question. So
- 6:48to start things off with digital health is
- 6:50the department of Rob. So I don't have
- 6:52a team to wrap around me, but,
- 6:56that doesn't stop me.
- 6:57Yeah. I talk to myself probably as much
- 6:59as I talk to anybody,
- 7:01and, we have good conversations.
- 7:03But
- 7:05I have a good relationship with my leadership,
- 7:07doctor Lydia Nightingale. She's our VP of medical
- 7:10affairs, and we have a good relationship and
- 7:12a good understanding of where we want this
- 7:15organization to go on that medical clinical operational
- 7:18front
- 7:18and really shift how we're doing things within
- 7:22the system.
- 7:23And she and our CMO
- 7:25and our,
- 7:28like, chief of population health and all those
- 7:31aspects. They're really working together with the synergy
- 7:34to kind of bring this together. So, internally,
- 7:36that's my team that I work with is
- 7:39is doctor Nightingale and her chiefs that are
- 7:41underneath her
- 7:42to just transform the way that VerityCare is
- 7:45doing care.
- 7:46Externally, I have a great partner with Evisit,
- 7:50Evisit Telemedicine.
- 7:52They have been an amazing partner from the
- 7:54first conversation I had with them. Gosh. It's
- 7:56been
- 7:58two and a half years now probably that
- 7:59I've been working with them. They've been amazing
- 8:01telemedicine partner. More than a telemedicine partner, they've
- 8:03really been a partner just in digital health
- 8:05and innovating and expanding what that looks like
- 8:08and how people get involved in that.
- 8:10So it's been a great partnership there.
- 8:13Working with other vendors to try to bring
- 8:15in
- 8:18cleaner, better, faster, more efficient ways of doing
- 8:20things.
- 8:21Novena AI is a company that I've been
- 8:24trying to work well, I've been working with
- 8:26a lot. I'm trying to get them into
- 8:28our ecosystem.
- 8:29They're gonna allow us to look at the
- 8:31medical record from a whole new level.
- 8:34Novena uses its its AI to
- 8:37not only comb through our record, and we're
- 8:39an epic shop. We go through Ogen instance
- 8:41of Epic. And so
- 8:43not only to come through Epic and Nexus
- 8:46or whatever you wanna call it, Care Everywhere
- 8:48platform, all that stuff, but it also looks
- 8:50out to the health information exchange and pulls
- 8:52in information from that on that patient.
- 8:54And so our providers right there in front
- 8:56of them are gonna have all of this
- 8:57information on
- 8:59on these patients that they treat
- 9:02and know a much more robust history than
- 9:03they've ever been able to look at before
- 9:05because it's pulling in information that we probably
- 9:07don't have in our health system,
- 9:09from records going way back. And the AI
- 9:11will then
- 9:14make suggestions
- 9:15towards
- 9:16what diagnosis the provider may wanna look at
- 9:18to look at and and run through and
- 9:22just kinda dive deeper into. So it's a
- 9:24really cool technology. I'm very excited to get
- 9:26it going. We have some internal
- 9:29barriers that we're looking into to make sure
- 9:31that once we decide to go forward with
- 9:33it, that it's gonna be clean
- 9:35implementation process, but it's something that I'm very
- 9:38excited about.
- 9:40I'm glad you mentioned that the excitement aspect
- 9:43because, you know, that's really what's gonna keep
- 9:44all of us going in in all of
- 9:46our jobs really, especially when things can be
- 9:49a little difficult as they are right now.
- 9:51Beyond what you just mentioned, and thank you
- 9:53for sharing all of that,
- 9:55is there anything else that you think, hey.
- 9:56This is really exciting, and I really wanna
- 9:58share this as far as your job is
- 10:00concerned?
- 10:02Just me personally, the fact that digital health
- 10:04care is isn't just like this side project
- 10:07now. It's really looked at as a key
- 10:10strategic initiative. It is one of our strategic
- 10:13initiatives here at Variety Care is innovation within
- 10:16that being the digital health innovation. So
- 10:19the fact that that is my realm and
- 10:21the fact that it's at that high of
- 10:23level of engagement is, pretty rewarding and exciting
- 10:26in itself. And
- 10:28I'm hoping to be able to take this
- 10:29from just, like, piloting tools and bringing some
- 10:33stuff on to really making this something that's
- 10:35sustainable
- 10:36and culture shift
- 10:38and
- 10:39just
- 10:40being able to make sure that we can
- 10:42scale it across the organization and that it
- 10:43sticks.
- 10:46Rob, thank you so much for joining us
- 10:48on the podcast today. I we're gonna see
- 10:49you at a a conference coming up this
- 10:51fall. And, you know, we can't wait to
- 10:53share these insights and until next time.
- 10:56Alright. Thanks, Chris. It'd be good talking to
- 10:58you.