Latest / Becker’s Healthcare Podcast / Jim Andrews on Leadership, Perspective, and Purpose in Healthcare
Transcript
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- 0:58- Welcome to this episode of Leadership Unscripted, a
- 1:00- Becker's Healthcare podcast. I'm Chris Sosa, your host.
- 1:03- And I'm thrilled to be joined today by
- 1:04- Jim Andrews. He, of course, is president and
- 1:06- CEO of Deborah Heart and Lung Center in
- 1:09- New Jersey.
- 1:10- Jim, thank you for joining us today. Thank
- 1:12- you very much, Chris. I appreciate being here.
- 1:14- Fantastic. Yes. Of course. Leadership Unscripted.
- 1:18- This is a podcast where you where we
- 1:19- talk about leaders' health care journals and all
- 1:21- that is important to them as far as
- 1:23- that's concerned. So, Jim, before we dive into
- 1:25- that, though, could you please, introduce yourself a
- 1:28- little more a little more in-depth to our
- 1:30- audience and tell us about, Deborah in general?
- 1:33- Certainly. So,
- 1:34- Jim Andrews, president and CEO of Deborah Heart
- 1:37- and Lung Center.
- 1:38- Been working here for
- 1:40- two years now,
- 1:41- and
- 1:43- very happy and pleased to work here at
- 1:45- Deborah Heart and Lung Center.
- 1:47- Deborah is a 104 year old organization. It's
- 1:50- a specialty
- 1:52- heart, lung, and vascular hospital,
- 1:55- which is independent.
- 1:57- We are located in Southern New Jersey, and
- 1:59- we've been operating at
- 2:02- a mission that it think is critical in
- 2:04- health care today,
- 2:06- and it's to ensure that all of our
- 2:08- patients are cared for physically, emotionally, and financially,
- 2:12- and we support them in all three elements
- 2:14- of their care journey.
- 2:16- We've got amazing quality outcomes of some of
- 2:18- the best in the state of New Jersey,
- 2:20- some of the best in the country,
- 2:22- and we really dedicate everything that we can
- 2:25- at the center to ensuring that people live
- 2:28- healthy heart, lung, and and vascular lives.
- 2:32- Jim, thank you for mentioning in particular
- 2:34- the elements of the care journey
- 2:36- that Deborah makes sure to
- 2:39- that uses as part of its mission, you
- 2:41- know, to care for its patients.
- 2:43- With that in mind, we wanna talk about
- 2:45- your journey, of course, as we mentioned up
- 2:46- top. So
- 2:48- as far as that's concerned, my first question
- 2:49- is, what is something that you learned
- 2:51- outside of health care that you've applied to
- 2:53- your career?
- 2:55- I mean, I think
- 2:56- the the most important thing, which is the
- 2:59- the one that is probably truest to
- 3:01- everyone in health care is the the golden
- 3:04- rule.
- 3:05- Treat others as you would wanna be treated.
- 3:08- Tenth grade, shout out to miss Sylvia.
- 3:11- We all had to read Dale Carnegie's How
- 3:13- to Win Friends and Influence People. And the
- 3:15- the biggest takeaway I had from that was
- 3:18- the golden rule and making sure that whatever
- 3:21- I was doing in life, it was reflective
- 3:24- of
- 3:25- that moral code and just to
- 3:28- care for people in a way in which
- 3:30- I would
- 3:31- wanna be cared for myself.
- 3:33- I think that rule, that Acxiom
- 3:35- is what brings people into health care
- 3:38- in the first place. So we have a
- 3:40- nice little cohort in health care
- 3:42- of people that subscribe to
- 3:45- that general philosophy, and I think it's incumbent
- 3:47- upon all of us and certainly everyone here
- 3:50- at Deborah,
- 3:51- to make sure that
- 3:53- that that golden rule stays in health care.
- 3:55- And now everyone is looked at with kindness
- 3:58- and empathy and compassion,
- 4:01- not just a a number on a balance
- 4:03- sheet or
- 4:04- as a a cog in a wheel. You
- 4:06- wanna prioritize
- 4:07- the individual. So I found that early in
- 4:10- life and carry it with me now.
- 4:12- That's an excellent outlook to have, especially in
- 4:15- health care, Jim. Do you still have that
- 4:16- book on your on your shelf, by the
- 4:18- way? I do. No. At home. I I
- 4:20- don't bring it into the office, but,
- 4:23- it's usually a a podcast or, you know,
- 4:26- book on tape that I'll I'll listen to
- 4:28- commuting every couple of years
- 4:30- just to remind myself a lot of lessons.
- 4:32- The the references get a little bit dated.
- 4:35- That's true. We start talking about Abraham Lincoln
- 4:37- these days, but, the moral of the story
- 4:40- is is always true. So definitely encourage anyone
- 4:43- that hasn't exposed themselves to it to to
- 4:46- have a listen.
- 4:48- Definitely. Definitely.
- 4:49- So, Jim, you mentioned that the care journey
- 4:52- is not just one dimensional.
- 4:54- So with that in mind, my next question
- 4:56- is simply, how do you keep yourself healthy,
- 4:58- and that's physically, emotionally, mentally,
- 5:01- and however you wanna define it? Starting with
- 5:03- those three, though. Yeah. I mean, those those
- 5:06- are the the big three.
- 5:08- Physically,
- 5:09- I'd say it helps to be married to
- 5:12- a vegan.
- 5:13- So I I'd say I'm vegan adjacent.
- 5:16- If I'm adjacent to my wife, I am
- 5:18- vegan. We keep a vegan house.
- 5:20- So I have a pretty well balanced,
- 5:23- diet.
- 5:24- We my wife and I also do yoga
- 5:26- together
- 5:27- twice a week
- 5:28- and try to get to the gym as
- 5:30- much as possible, which usually means waking up
- 5:33- at 04:30 in the morning
- 5:35- to to get down there and do what
- 5:38- we gotta do.
- 5:39- That does help balance someone emotionally.
- 5:42- So,
- 5:43- the the three parts are not independent of
- 5:45- each other.
- 5:47- For emotional balance, I would say
- 5:50- keep your friends close and your mentors closer.
- 5:53- You need people to talk to that can
- 5:55- give you some advice and perspective.
- 5:57- I have one of my,
- 5:59- career mentors,
- 6:01- is actually on the board
- 6:03- here at Deborah Heart and Lung Center,
- 6:05- and he joins joined me when I started
- 6:08- this journey as president and CEO because I
- 6:11- knew I needed the the help and the
- 6:13- and the guidance.
- 6:14- And,
- 6:15- you know, what I try to do when
- 6:18- I'm feeling a little stressed out,
- 6:20- is to always remember that things are never
- 6:23- as good as you want them to be
- 6:25- or as bad as you think they are.
- 6:27- And the expression in the office here, and
- 6:29- they they give me a little bit of
- 6:30- a hard time about it,
- 6:32- is just to to stay in the box.
- 6:35- Keep yourself balanced in the middle. Never get
- 6:37- too high, never get too low, and allow
- 6:39- you to ride out the waves.
- 6:42- That's great advice, Jim.
- 6:44- Thinking about, the whole vegan adjacent thing, was
- 6:48- it something is is it something you find
- 6:50- hard to adapt to with your diet? Or
- 6:53- is it, you know, something that
- 6:55- you've actually come to quite easily? How would
- 6:57- you describe that?
- 6:58- It's been a journey.
- 7:01- Obviously, my my wife made the decision long
- 7:04- before I did and slowly getting acclimated
- 7:07- to a plant forward lifestyle.
- 7:10- I found the benefits of that
- 7:13- both in my energy level as well
- 7:16- as not getting cloudy headed
- 7:18- after a
- 7:19- a a really heavy midday meal.
- 7:22- It it's just being mindful.
- 7:24- I mean, at the end of the day,
- 7:26- just wanna be mindful of what you're putting
- 7:27- into your your body. But at this juncture,
- 7:31- I'm I'm pretty used to it. So it
- 7:33- wasn't a a hard lift once you get
- 7:35- past
- 7:36- the the routine of
- 7:38- how you look at food and and how
- 7:41- you, you know, start to look at it
- 7:43- as energy more than anything else.
- 7:45- Got it. Got it. And would you say
- 7:47- that being vegan adjacent again, to use your
- 7:50- term, but using the vegan plant forward lifestyle
- 7:52- as a guide,
- 7:54- it sounds like that would fit extremely well
- 7:57- with the yoga and all its mindfulness
- 7:59- teachings.
- 8:01- How how well do you do you find
- 8:03- those fitting together?
- 8:05- I incredibly well.
- 8:08- You know, the mindfulness in general is a
- 8:11- tool. It's not the the only tool someone
- 8:13- should have in their tool belt when they're
- 8:17- trying to
- 8:18- keep themselves both physically and emotionally balanced.
- 8:22- I know other friends that love to run
- 8:25- or or enjoy team sports.
- 8:28- For me, it's I I tend to go
- 8:30- inward. So anything where I can
- 8:33- harness that mindfulness, breathing exercises.
- 8:36- Truth be told, I'm not the best public
- 8:38- speaker. I still get
- 8:40- very nervous before speaking in front of crowds.
- 8:43- Yoga has given me the the breathing techniques
- 8:46- to kinda settle my nerves before I have
- 8:48- to get in front of a crowd. So
- 8:50- it all comes into play into the career
- 8:53- as well.
- 8:54- I'm sure you're not alone as far as,
- 8:58- trepidation
- 8:58- and public speaking are concerned, Jim, but I'm
- 9:01- I'm glad that you're you're working on that.
- 9:03- And it sounds like you're well on your
- 9:05- way to to to mastering as best you
- 9:07- can.
- 9:08- Yeah. And then you had mentioned mentally as
- 9:11- well. Yes.
- 9:12- The one thing I I will say on
- 9:15- that front is
- 9:16- is just to continue to
- 9:18- to learn,
- 9:19- always be learning.
- 9:21- I think some people think, oh, I've become
- 9:24- president and CEO and you start to
- 9:27- to coast a little bit, but
- 9:29- the learning curve is so steep.
- 9:32- Obviously, people can't see me on this podcast.
- 9:35- I I took this job at 42,
- 9:38- 44 now.
- 9:40- That's really up to to be a presidency
- 9:43- of a
- 9:45- a hospital.
- 9:46- I get dropped into an incredibly steep learning
- 9:49- curve to go uphill from,
- 9:52- board management,
- 9:53- public speaking we mentioned before,
- 9:56- different leadership tools and philosophies. So
- 9:59- never stop learning.
- 10:01- Always make sure that whatever you're doing, you're
- 10:03- challenging yourself to see things from different perspectives
- 10:07- or challenge your own perspective
- 10:10- just to ensure that you're you're always mentally
- 10:12- stimulated.
- 10:14- Jim, that makes a ton of sense. And
- 10:16- I'm glad you mentioned the learning curve as
- 10:19- well as, your analogy, your your image that
- 10:22- you painted for us of staying in the
- 10:24- box,
- 10:24- because that relates to my next question, which
- 10:27- is when you have tough days because you're
- 10:29- going to have them,
- 10:30- where or to whom do you try to
- 10:32- move forward? You mentioned, of course, the mindfulness
- 10:34- and the mentors. So what specific examples of
- 10:38- how you move forward
- 10:39- stand out to you?
- 10:41- Yeah. I mean, Chris, on the hardest days,
- 10:44- you and
- 10:46- I don't mean to say this and and
- 10:48- freak anyone in my my own hospital
- 10:51- out, but on the hardest days, I I
- 10:53- go walk around the hospital.
- 10:56- Walk the halls, round on the the floors,
- 10:59- connect with the team members here.
- 11:03- There's never gonna be a day in in
- 11:05- my
- 11:06- life or career
- 11:08- that's gonna be as bad as,
- 11:11- someone that's stressed out about stressed out about
- 11:14- a loved one
- 11:15- that's in the procedure room or
- 11:18- someone that's recovering
- 11:20- from
- 11:21- open heart surgery.
- 11:23- And
- 11:24- if you want things to be put in
- 11:26- perspective
- 11:27- for you,
- 11:29- when you're having a bad day,
- 11:31- you'd see someone walking around
- 11:33- the ICU
- 11:35- making that first or second lap around the
- 11:37- ICU as they're recovering and just getting back
- 11:40- on their feet after having open heart surgery,
- 11:43- you're gonna realize real quick that your day
- 11:46- as a health care administrator is not going
- 11:49- as bad as you you really think it
- 11:52- is.
- 11:53- And
- 11:54- and you feed off of the the strength
- 11:56- of the team,
- 11:57- and
- 11:58- you get that that levity,
- 12:00- and and you push forward. But but, yeah,
- 12:03- I I I walk around. Not all the
- 12:05- time. So if I people are listening off
- 12:07- from my hospital, and they see me walking
- 12:09- around, I'm not having a stressful day,
- 12:12- all the time. But but on the bad
- 12:14- ones, I I I try to
- 12:16- get up on my feet, walk around, and
- 12:18- and gain a little bit of perspective.
- 12:21- Yeah, Jim. Happy to to provide that. I'm
- 12:23- glad you provided that disclaimer of, you know,
- 12:25- say, hey. You know, just because you see
- 12:27- Jim doesn't mean he's having a bad day.
- 12:29- He's still approachable.
- 12:30- And, you know, not all not all things
- 12:32- are are going poorly for him. Certainly, that
- 12:34- that's not always the case.
- 12:36- Good to know, certainly. But, yeah, I I
- 12:37- love the perspective that you have on just
- 12:39- saying
- 12:40- to yourself, hey. Let let me see
- 12:44- what exactly
- 12:45- is going on every day at this hospital,
- 12:46- which which you know of. But to see
- 12:48- it yeah. I I think a lot of,
- 12:51- of our audience members would agree that it's
- 12:53- a great place to get perspective on on
- 12:55- your own. The
- 12:57- philosophy here is smiles are contagious, and I
- 13:00- I know that's the the same philosophy at
- 13:03- a lot of other health care organizations.
- 13:05- But if you can pass a smile along,
- 13:08- it's gonna get returned to you. And in
- 13:12- likelihood,
- 13:13- both people are gonna pass that smile to
- 13:15- someone else.
- 13:17- So
- 13:18- go downstairs, catch some smiles, and and try
- 13:20- to feel better about the day.
- 13:23- Great idea. Great idea, Jim.
- 13:25- Alright. So my next question for you
- 13:28- is simply, what is something that you've learned
- 13:30- about yourself
- 13:32- from working in health care?
- 13:34- I mean, we touched on
- 13:36- the the golden rule, which I think is,
- 13:39- why I got into the health care in
- 13:41- the first place and I I try to
- 13:44- to live by that.
- 13:46- The biggest takeaway probably is I'm a bad
- 13:49- patient.
- 13:50- I try to be a better patient. You
- 13:52- know, working in health care is a very
- 13:56- good reminder of how much you need to
- 13:59- continue to go see your PCP,
- 14:02- be mindful of your heart health,
- 14:04- and get your annual screenings on everything. And
- 14:07- I I think health care workers in general
- 14:10- make bad patients. I am a particularly bad
- 14:12- one. So,
- 14:14- that I I've learned that real quick in
- 14:17- in my twenty years of of being in
- 14:19- health care, and I it's still a lesson
- 14:21- I'm trying to improve upon every day.
- 14:24- But but I ended up in health care
- 14:27- by choice. Some of the first seven years
- 14:29- of my career, I was with PricewaterhouseCoopers,
- 14:33- and I was in their advisory practice
- 14:36- and going around the country consulting on a
- 14:38- bunch of different clients, whether it was banking
- 14:40- or
- 14:41- utilities,
- 14:43- definitely a lot in the financial sector. But
- 14:45- I started to work for healthcare organizations,
- 14:48- And
- 14:50- and I fell in love with it, not
- 14:52- because of
- 14:54- the subject matter, because you can build databases
- 14:57- and do strategic planning,
- 14:59- for for any sector,
- 15:01- but because of the people.
- 15:03- And the people in healthcare
- 15:05- is what brought me
- 15:07- into healthcare delivery, and where I get my
- 15:10- job at Brigham and Women's Hospital after I
- 15:12- left PwC.
- 15:13- And
- 15:15- it's something that I I learned about myself
- 15:18- pretty early in my career is that I
- 15:19- need to be surrounded by good people
- 15:22- to be happy
- 15:23- in what I'm doing. So the the
- 15:26- GPS that I use when I I look
- 15:29- at my own career is
- 15:31- is what I'm doing,
- 15:33- who I'm doing it with, and how I'm
- 15:35- valued.
- 15:36- And who I do it with is really
- 15:38- important for me, and it's gotta be good
- 15:42- humans first and foremost
- 15:44- if I'm gonna be happy where I'm at
- 15:45- in my career. And and I think that
- 15:48- knowing that about myself
- 15:50- has made a a big difference.
- 15:53- Jim,
- 15:54- how do you go about
- 15:56- applying that philosophy
- 16:00- to those who come into
- 16:02- Deborah
- 16:03- as
- 16:04- whether they've been in health care for a
- 16:06- long time or not?
- 16:09- Again, you wanna treat people
- 16:11- the way that you want to be treated.
- 16:14- And if I just take those three things,
- 16:18- of what they're doing,
- 16:20- who they're doing it for,
- 16:22- and and how they're valued.
- 16:25- Everybody
- 16:25- here at Deborah, there's over a thousand of
- 16:27- us that work at our
- 16:29- 94 bed
- 16:32- independent
- 16:33- specialty hospital,
- 16:35- but all 1,000
- 16:36- of them, I want them to be a
- 16:37- three out of three.
- 16:39- I want them to
- 16:40- love what they're doing from a
- 16:43- responsibility
- 16:44- standpoint. I want them to
- 16:46- love who they do it for
- 16:48- from a organizational
- 16:49- leadership perspective, but also for what this organization
- 16:52- means in health care.
- 16:54- We are
- 16:55- carrying on a a mission of
- 16:58- of caring for people in a manner that
- 17:01- no one else does in the country,
- 17:03- from a financial support standpoint.
- 17:06- And
- 17:08- and that's something that's bigger than all of
- 17:10- us. And I want them to believe in
- 17:12- that mission and and wanna
- 17:14- further that mission because I think it's the
- 17:16- the last vestige of what's great about health
- 17:19- care now.
- 17:20- And I want them to feel valued,
- 17:23- whether that's extrinsically,
- 17:25- and having fair and equitable wages or or
- 17:28- intrinsically
- 17:29- and them feeling hurt, like they're contributing to
- 17:33- the direction of
- 17:34- the organization.
- 17:35- We just got done with
- 17:37- a $100,000,000
- 17:39- capital improvement
- 17:41- project, which
- 17:43- upgraded all the rooms across the hospital to
- 17:46- individual patient rooms. And,
- 17:49- we built a mock room down in the
- 17:51- cafeteria,
- 17:52- and we let all of our employees put
- 17:54- post its notes. We have post its from
- 17:57- the EVS team around, oh, this is gonna
- 17:59- be too tight for me to really work
- 18:01- with them. We had post its from the
- 18:03- nursing team that says, you know, when the
- 18:05- nozzles were here for the oxygen, it really
- 18:07- gets in the way of,
- 18:09- what we're trying to do, and and we
- 18:11- let the team design
- 18:13- the new space for our patients. And I
- 18:15- think as a result of that,
- 18:18- both the team's happier, and they see that
- 18:20- their input is
- 18:22- is heard and seen. You just gotta do
- 18:24- that every single day, three hundred and sixty
- 18:26- five days a year.
- 18:28- Seems like a very simple,
- 18:30- straightforward, but no doubt very powerful and effective,
- 18:33- message and method that you have at Devora
- 18:35- Gym.
- 18:37- Finally, my question last question for you is,
- 18:40- and and certainly one risk that you've taken
- 18:42- that's paid off
- 18:44- is coming to health care in particular.
- 18:47- But whether it's that
- 18:50- or another risk,
- 18:52- what do you look back on your life,
- 18:54- your career, and say, you know what? I'm
- 18:55- so glad I made that decision.
- 18:58- Not to sound
- 19:00- sound corny, but, I will I will say
- 19:02- this because
- 19:04- I think if you talk to
- 19:06- most CEOs,
- 19:09- most of their risks are gonna have to
- 19:11- have paid off. Right? You don't get necessarily,
- 19:15- to
- 19:16- to,
- 19:17- levels in your career
- 19:18- unless
- 19:19- a lot of things align
- 19:22- and and everything works out. So,
- 19:25- I
- 19:26- I wouldn't have any alignment,
- 19:28- if not for
- 19:30- taking a risk and going on a blind
- 19:31- date,
- 19:33- to meet a girl fifteen years ago and
- 19:35- and found a
- 19:36- a partner in in my health care journey.
- 19:39- She my wife is also a health care
- 19:41- administrator.
- 19:42- But, you know, without that risk, I wouldn't
- 19:45- have the support structure
- 19:48- or
- 19:49- the the ability to to balance myself at
- 19:52- home and and have that same,
- 19:55- you know,
- 19:56- value of of what I was trying to
- 19:59- do in my career,
- 20:00- if not for taking that risk. Right? But,
- 20:03- you know, that that was the biggest. It
- 20:05- allowed me to have the strength and the
- 20:07- support
- 20:08- to to take all the other risks, going
- 20:10- from
- 20:11- Brigham and Women's Hospital to
- 20:14- RWJBarnes
- 20:15- Health in Northern New Jersey
- 20:17- to take
- 20:18- a a broader scope in my career and
- 20:21- and really dive into service lines at a
- 20:24- scale given the size of that health care
- 20:25- system,
- 20:26- that isn't really
- 20:29- can't really be found,
- 20:31- in many places in the country,
- 20:33- to
- 20:34- shifting from service lines to becoming a
- 20:37- a president and CEO of a of a
- 20:39- hospital, which was a a different type of
- 20:42- set of tools that you have to have
- 20:44- in your career than just being a service
- 20:46- line leader.
- 20:47- Wouldn't have been able to do any of
- 20:49- that, if not for for rolling the dice
- 20:52- and and going out for a drink.
- 20:55- Fifteen years ago
- 20:56- after I ended my shift at the hospital,
- 20:59- to to meet a girl at a bar
- 21:01- in Boston. Sounds very goodwill hunting, but it
- 21:04- that is, the truth of it.
- 21:06- Well, Jim, let those who would call it
- 21:08- corny call it that. Who cares, really? It's
- 21:10- it's led you to this
- 21:11- wonderful journey that you've had in in health
- 21:14- care. Thank you so much for sharing, you
- 21:16- know, your mentor. Shout out again to your
- 21:18- teacher who put that,
- 21:19- you know, how to win friends and influence
- 21:21- people.
- 21:22- Book in your hand. You know, you said
- 21:25- you're a bad patient, but you're learning. It's
- 21:27- all part about part of the learning process
- 21:29- in health care. Yeah. Just thank you for
- 21:31- sharing your your philosophy and and how you've
- 21:33- applied that to your career.
- 21:36- Thank you, Chris. I really appreciate the opportunity.
- 21:39- Thank you to Beckers. Thank you to the
- 21:41- team here at the Borah Hart Law Center.
- 21:43- Fantastic, Tim. And we'll see you come
- 21:46- this fall, I believe. Yeah. Absolutely.
- 21:49- I'm very excited for the
- 21:51- for the meeting, so I will be there
- 21:53- to join you all. Wonderful. Thanks, Jim. Alright.
- 21:56- Thank you, Chris.