Latest / Becker’s Healthcare Podcast / Building the Pediatric Ecosystem: Access, Regionalization and Personalized Care with Matthew Love

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Building the Pediatric Ecosystem: Access, Regionalization and Personalized Care with Matthew Love · Becker’s Healthcare Podcast

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  - The strategic agenda facing hospital and health system
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  - what comes next.
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  - So join us November second through the fifth
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  - at the Hyatt Regency in Chicago,
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  - Register on our events page at beckershospitalreview.com
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  - by clicking on the events tab in the
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  - This is Scott Becker with the Becker's Health
• 1:01
  - Care Podcast.
• 1:02
  - I'm thrilled today to be joined by Matthew
• 1:04
  - Love. Matt's the chief executive officer of Nicholas
• 1:08
  - Children's
• 1:08
  - Health System. He he is one of the
• 1:10
  - great leaders in the country. He's gonna talk
• 1:13
  - to say about the trends that they're watching
• 1:14
  - in pediatrics,
• 1:16
  - some of the exciting things that Nicholas Children's
• 1:18
  - is involved in, and and a lot more
• 1:20
  - about shortages and subspecialists and and a lot
• 1:23
  - more.
• 1:24
  - Matt, can you take a moment and introduce
• 1:26
  - yourself and and tell us a little bit
• 1:27
  - about Nicholas Jones.
• 1:29
  - Yeah. Hey, Scott. Yeah. Great. Thank you. Yeah.
• 1:31
  - This is Matt Lau by, the honor and
• 1:33
  - privilege of leading, Nicholas Jones Health System down
• 1:36
  - here in South Florida.
• 1:38
  - You know, one of the the premier,
• 1:41
  - pediatric systems, in the country and a leader
• 1:44
  - here in the state of Florida. A growing
• 1:47
  - state with lots of kids and and lots
• 1:48
  - of activity, lots of stuff happening in in
• 1:51
  - health care.
• 1:52
  - And and talk a little bit about Nicholas
• 1:54
  - Children's. And just give us a moment on
• 1:56
  - the relationship with Jack, Nicholas, and the Nicholas
• 1:58
  - family. I know they've been incredibly supportive.
• 2:01
  - And then we'll talk more about the number
• 2:03
  - of children in Florida and how important it
• 2:06
  - is
• 2:06
  - that keep on accelerating the improvement of care
• 2:09
  - in Florida. And you're the premier children's health
• 2:11
  - system in Florida.
• 2:13
  - Talk about the Nicholas family and their involvement
• 2:15
  - for a moment if you don't mind. Yeah.
• 2:17
  - Yeah. Absolutely. You know, it's one of our
• 2:18
  - our bright spots. Right? You know, Jack and
• 2:20
  - Barbara are wonderful champions for pediatric health care.
• 2:24
  - They believed in health care for,
• 2:26
  - fifteen to twenty years. When you hear their
• 2:28
  - story
• 2:29
  - about their daughter when she was younger and
• 2:32
  - having, you know, an event that needed, top
• 2:34
  - notch high quality pediatric health care. They got
• 2:37
  - the bug,
• 2:38
  - to to so to say around, you know,
• 2:40
  - how do they help children. And so they
• 2:42
  - got involved in our organization,
• 2:45
  - before I got here,
• 2:47
  - in the mid two thousand fifteen or sixteen
• 2:49
  - time period,
• 2:51
  - and have really just been a huge supporter,
• 2:54
  - not only for Nicholas Children's,
• 2:57
  - but for pediatric health care, in general.
• 3:00
  - Folks don't know he helped out, during the
• 3:02
  - pandemic to get some funding across all hospitals.
• 3:06
  - He's actively involved in our our, organization. He
• 3:10
  - always says that, you know, doing what he's
• 3:12
  - doing today at pediatric health care is better
• 3:14
  - than any four foot putt,
• 3:16
  - that he ever made. And so, it kinda
• 3:18
  - makes me smile because
• 3:19
  - having someone like him and his and Barbara,
• 3:22
  - you know, behind us, every step of the
• 3:24
  - way, it's just it's magical.
• 3:26
  - It's really a remarkable thing, and I wish
• 3:28
  - I could give money and putt like him.
• 3:30
  - I'd be ahead of the game. He's he's
• 3:31
  - he's a winner on both at every level,
• 3:34
  - and it's a fantastic
• 3:35
  - thing.
• 3:36
  - Talk about sort of trends in pediatric health
• 3:38
  - care and also just about what's going on
• 3:40
  - in Florida, particularly with the growth of Florida.
• 3:44
  - Yeah. So the you know, there's a lot
• 3:45
  - of things that are happening in pediatric health
• 3:47
  - care. You know, some good, some not so
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  - good. You know, we see a lot of
• 3:51
  - these adult,
• 3:53
  - organizations
• 3:54
  - getting out of pediatric health care.
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  - Sometimes it's hard for them to make a
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  - go at it. You know, if you're not
• 4:00
  - living and breathing and doing it
• 4:02
  - day in and day out, you know, sometimes
• 4:04
  - it gets hard.
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  - You know, margins are not that that strong,
• 4:08
  - you know, high Medicaid,
• 4:09
  - volumes coming through organizations.
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  - And so we're starting to see some of
• 4:13
  - that, you know, across the country and particularly
• 4:16
  - here in in Florida where, you know, some
• 4:18
  - of these systems adult based systems are getting
• 4:20
  - out of, pediatric health care.
• 4:23
  - On the Converse side, right, we also see
• 4:25
  - some regionalization
• 4:26
  - of care
• 4:27
  - where children's hospitals are reaching out,
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  - to provide care closer to home so kids
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  - and families don't have to
• 4:35
  - don't have to travel. And we see that,
• 4:37
  - again, across the country. You see it down
• 4:39
  - here in South Florida with some of the
• 4:40
  - work that we're doing up in Broward and
• 4:42
  - up in Palm Beach, counties.
• 4:45
  - So continue seeing those types of things.
• 4:48
  - But one of the things that that folks,
• 4:50
  - you know, that I'm super excited about is
• 4:52
  - really personalized medicine,
• 4:54
  - and and genomics. Right? How do we you
• 4:57
  - know? When I started in this business thirty
• 4:59
  - some years ago, right, those things weren't even
• 5:01
  - on the horizon.
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  - And now, you know, taking care of kids
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  - when things are personalized to them, particularly as
• 5:08
  - it relates to oncology and cancer treatments. You
• 5:10
  - know? Kids don't metabolize,
• 5:12
  - drugs the same way adults do, and it
• 5:14
  - can vary from one kid to the other.
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  - So how do we get
• 5:17
  - those specific information for those kids so that
• 5:20
  - we can make them better,
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  - on a on a more of a personalized
• 5:23
  - basis? So a lot of really exciting things
• 5:26
  - happening.
• 5:28
  - And how do you look at health system
• 5:30
  - management today
• 5:31
  - where you try and both spread throughout the
• 5:34
  - community so you could take care of the
• 5:35
  - community closer to home, but also maintain Nicholas
• 5:38
  - Children's at the level that it is with
• 5:40
  - the magnet is for specialty care and and
• 5:43
  - and the strength of that program. How do
• 5:45
  - you manage those two different
• 5:46
  - efforts, Matt?
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  - You know, it it's it's a it's a
• 5:50
  - I wanna say it's it's a work in
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  - progress. Right? We know that a lot of
• 5:54
  - the care,
• 5:55
  - can be done close to home. You know,
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  - the sniffles,
• 5:59
  - the bumps and bruises,
• 6:01
  - all those things, primary care,
• 6:04
  - low lower acuity things
• 6:06
  - can and should be done real close to
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  - home. A parent doesn't wanna drive a half
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  - hour or forty five minutes,
• 6:12
  - for for a sinus infection or a flu
• 6:15
  - like symptoms,
• 6:16
  - but they will drive longer distance for brain
• 6:19
  - surgery or heart surgery.
• 6:21
  - So how do we keep those those high
• 6:23
  - end services such that we have quality, we
• 6:25
  - have volume,
• 6:27
  - we have information sharing, we have that coordination
• 6:29
  - of care,
• 6:30
  - for we really reserved for those very, very
• 6:33
  - high end,
• 6:34
  - treatments and diagnosis.
• 6:36
  - And that has to be centralized,
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  - versus being dispersed throughout,
• 6:41
  - the the communities that we serve.
• 6:44
  - We get it right most of the time.
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  - What what I would say is it continues
• 6:48
  - to be a work in progress, especially as
• 6:50
  - medicine evolves,
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  - you know, over over time. What we used
• 6:54
  - to do in the hospital is now done
• 6:56
  - outpatient,
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  - and I'm sure that's gonna continue on a
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  - go forward basis.
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  - Thank you. No. And I think that's exactly
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  - right. We want community close to home
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  - where the
• 7:07
  - less complex,
• 7:08
  - the things that are often
• 7:10
  - but but for the
• 7:11
  - big transplant, the heart transplant, the the really
• 7:14
  - complicated procedure,
• 7:15
  - we we wanna have a lot of resources
• 7:18
  - in one place, more than a spread all
• 7:20
  - over the place. Is is it a fair
• 7:21
  - assessment?
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  - Yeah. Yeah. Absolutely. You know, you wanna take
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  - your your kid to a place that's done
• 7:26
  - a lot
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  - of cancer treatments, for example. Right?
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  - But going in for
• 7:31
  - a scrape or bumps or bruise,
• 7:34
  - that can that can and should be done,
• 7:36
  - locally.
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  - We we love that. And and talk about
• 7:40
  - as you look at the next six months,
• 7:42
  - next year,
• 7:43
  - where are you most focused and excited as
• 7:45
  - you look at health care over the next
• 7:47
  - six months or next year and and what
• 7:49
  - you're doing at at Nicholas Children's?
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  - You know, the there's a huge focus that
• 7:54
  - that we're on right now really around
• 7:57
  - this pediatric ecosystem.
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  - And so no matter where a child shows
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  - up,
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  - in South Florida, you know, how we connected
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  - to those organizations such that information
• 8:08
  - is shared.
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  - You know, there's there's not nothing worse than
• 8:11
  - when your kid shows up in the ED
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  - and you can't get their medical history,
• 8:16
  - or it's incomplete.
• 8:18
  - And so how do we connect create this
• 8:20
  - ecosystem
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  - around a very comprehensive
• 8:24
  - regionalized,
• 8:25
  - based approach,
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  - for for pediatric health care. So such that
• 8:29
  - the kids and the families
• 8:31
  - can get the best care,
• 8:32
  - they deserve,
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  - close to home, but also have access
• 8:36
  - to that expertise,
• 8:38
  - that we talked about earlier, particularly as it
• 8:40
  - relates to some of the
• 8:42
  - more complex, more rare types of, diseases.
• 8:45
  - And then, you know, our people. Right? So
• 8:47
  - you think about, you know, some of the
• 8:49
  - the key initiatives that we're doing down here,
• 8:51
  - particularly with Florida International University on the academic
• 8:54
  - medical side, medical center side. You know, we
• 8:57
  - just started that this year. Our expansion up
• 8:59
  - in Broward County,
• 9:01
  - with Shane Strom and Broward House,
• 9:03
  - those things actually are just kicking off. And
• 9:05
  - so as we look forward for the next,
• 9:07
  - you know, twelve to twenty four months, we're
• 9:10
  - gonna see those we're really gonna see the
• 9:12
  - benefits of those initiatives that we just recently
• 9:14
  - started.
• 9:16
  - And and and, Matt, talk about leadership for
• 9:18
  - a second.
• 9:19
  - You're one of the best leaders I get
• 9:21
  - to visit with.
• 9:22
  - You you you handle yourself in such a
• 9:24
  - sort of low key but centered approach with
• 9:27
  - a big internal motor in terms of great
• 9:30
  - execution, actually getting things done, and making everybody
• 9:33
  - around you feel better.
• 9:35
  - What advice would you give to emerging leaders?
• 9:37
  - What what advice do you give to leaders?
• 9:39
  - What what could be replicated?
• 9:41
  - What what could people how should people think
• 9:42
  - about their own evolution in leadership?
• 9:45
  - You know,
• 9:46
  - someone asked me that, you know, when I
• 9:48
  - was younger and I I really didn't have
• 9:50
  - an answer. But, you know, after a couple
• 9:52
  - decades of doing this, you know, I I
• 9:53
  - think it really boils down to
• 9:56
  - being an authentic leader.
• 9:57
  - Right? They're not just words.
• 10:00
  - It's really knowing who you are,
• 10:03
  - what you stand for, you know, what are
• 10:04
  - the values.
• 10:05
  - Jack always talks about, me being, you know,
• 10:08
  - just a guy from the Midwest,
• 10:11
  - with some of those Midwest values.
• 10:13
  - And so I you know, I always talk
• 10:14
  - to him and I said, you know, Jack,
• 10:15
  - that's a this is about being authentic. You
• 10:17
  - know, this is,
• 10:19
  - you know, being able to say, I don't
• 10:20
  - always have the answer, but I know how
• 10:22
  - to get the answer. Right? And and that
• 10:25
  - takes a lot of confidence
• 10:27
  - to be able to say as a leader,
• 10:29
  - I don't I don't know that. But you
• 10:30
  - know what? I know people that do, and
• 10:32
  - we can figure out how how to move,
• 10:34
  - you know, move move towards some type of
• 10:36
  - of solution.
• 10:38
  - You know? And it comes down to,
• 10:41
  - again, Jack and I were talking. I just
• 10:42
  - smiled because this is about leading from purpose,
• 10:45
  - not by position.
• 10:47
  - Right? People will think, oh, you're a CEO.
• 10:48
  - You can do anything you want.
• 10:51
  - You make all the decisions, and that that's
• 10:53
  - actually the opposite when you're an authentic leader.
• 10:56
  - Right? Titles are temporary,
• 10:59
  - but your values and and
• 11:01
  - what the impact you have,
• 11:03
  - that will transcend any type of position or
• 11:05
  - organization,
• 11:06
  - you're with.
• 11:08
  - Thank you. And and talk about
• 11:10
  - the Midwestern values and moving to Southern Florida.
• 11:14
  - And was that an adjustment? Or or how
• 11:16
  - easy did that become, and how long have
• 11:17
  - you been in South Florida now?
• 11:19
  - Yeah. So, I've been in, South Florida now
• 11:22
  - going on eight years here later this,
• 11:25
  - later this year. You know, I think, you
• 11:27
  - know, moving is always tough. Right? Going from
• 11:30
  - one part of the country to another,
• 11:32
  - you know, cultural society,
• 11:34
  - the city is the traffic. You know, you
• 11:36
  - name it, you know, are different from from
• 11:37
  - one place to the next.
• 11:39
  - But there's so many great things about South
• 11:41
  - Florida.
• 11:42
  - You know, one of the few places that's
• 11:44
  - growing leaps and bounds. Like, people are moving
• 11:46
  - to Florida,
• 11:47
  - lots of expansion,
• 11:49
  - all of those types of things.
• 11:51
  - So lots and lots of excitement,
• 11:53
  - around,
• 11:54
  - Florida. I love it. You know, I wouldn't
• 11:57
  - I don't wanna be anywhere else.
• 11:59
  - You know, South Florida is is home for
• 12:01
  - us now.
• 12:03
  - And and I guess that that the hard
• 12:05
  - question is, do you miss the cold weather
• 12:08
  - or are you doing okay in warmer weather?
• 12:12
  - You know,
• 12:14
  - I don't think I've seen snow in eight
• 12:15
  - years, Scott. I don't plan on seeing it,
• 12:18
  - maybe on TV, but I do not miss
• 12:21
  - the cold weather,
• 12:22
  - one bit. I do
• 12:24
  - miss, cool football games,
• 12:26
  - you know, because there's there's something about sitting
• 12:28
  - in a sweatshirt and jeans at a football
• 12:30
  - game versus shorts and a t shirt.
• 12:33
  - And and let me ask you a different
• 12:35
  - question.
• 12:36
  - When Ohio State plays Michigan,
• 12:39
  - what's likely to happen this coming year? And
• 12:42
  - does Michigan have a true problem in hiring
• 12:44
  - ethical coaches or is that just a
• 12:47
  - a operational challenge they've had for the last
• 12:49
  - 10 coaches?
• 12:50
  - You know,
• 12:51
  - I won't comment on, on the coaching side,
• 12:54
  - but I will say that,
• 12:55
  - Buckeyes, we we're gonna have another great year,
• 12:58
  - another great season.
• 12:59
  - You know, coach Day and the team, they
• 13:01
  - are doing fantastic.
• 13:03
  - I'm actually gonna get up for a game
• 13:04
  - here, later,
• 13:06
  - or in early September.
• 13:08
  - You know, I'm a tried and true Buckeye,
• 13:10
  - so,
• 13:11
  - go Buckeyes.
• 13:13
  - God bless you. I Matt, it's always great
• 13:15
  - to visit with you. One of the most
• 13:17
  - centered best leaders I get to visit with.
• 13:19
  - You know, the people that work with you,
• 13:21
  - that's what says everything about it to me.
• 13:23
  - Because when I hear from other people that
• 13:24
  - work with you and how nicely they speak
• 13:26
  - about you and your leadership, I think that's
• 13:28
  - the highest compliment for a leader. Matt Love,
• 13:31
  - CEO Nicholas Childress, just a wonderful leader. Thank
• 13:34
  - you so much for taking the time with
• 13:35
  - us today on on the Becker's Healthcare podcast.
• 13:37
  - Thank you very, very much.
• 13:39
  - Thank you for having me.