Latest / Becker’s Healthcare Podcast / Sarah Matlin, Senior Vice President and Chief Strategy Officer at Memorial Health
Transcript
- 0:00Welcome to the Becker's Healthcare Podcast. I'm Kelly
- 0:02Gooch, Senior Editor and Enterprise Lead at Becker's.
- 0:04And I'm thrilled to be joined today by
- 0:06Sarah Matlin, Senior Vice President and Chief Strategy
- 0:08Officer at Memorial Health. Sarah brings a unique
- 0:11perspective to this role, having led strategy both
- 0:13within health systems and as a founder and
- 0:15CEO of OKTS Strategic Advisory.
- 0:18Now at Memorial Health, she's helping guide the
- 0:20strategic direction of a regional system with a
- 0:22broad care footprint. Sarah, thank you so much
- 0:24for joining me. Oh, thank you, Kelly. I
- 0:26appreciate it.
- 0:28I'd love to start out today, Sarah, by
- 0:29having you
- 0:31explain a little more about your
- 0:33background and what you what brought you to
- 0:36the position you're in today.
- 0:37Yeah. No. I appreciate that.
- 0:40I joined health care about sixteen years ago
- 0:43from out of industry. And at that time,
- 0:45you know, one of my biggest concerns was
- 0:47going from the, you know, high high intense
- 0:50pressure of management consulting into health care, thinking
- 0:52it would be boring. And then in the
- 0:54first year, the Affordable Care Act was passed.
- 0:57So I can't say, you know, I've stopped
- 0:59since then. There you know, health care is
- 1:01one of the most dynamic industries and one
- 1:03of the most important, really.
- 1:05It impacts every person's life, in our country,
- 1:08and there's a lot to fix, I should
- 1:10say. So I spent, fifteen years as chief
- 1:13strategy officer at St. Elizabeth Healthcare in Northern
- 1:16Kentucky and the greater Cincinnati market, had a
- 1:18a wonderful career there, and, decided to go
- 1:21out on my own, spent a year really
- 1:23consulting a lot in the AI space. I
- 1:26believe AI is one of the key strategic
- 1:29moves that we're gonna see in health care.
- 1:31It's gonna make a lot of impact in
- 1:32the industry.
- 1:33And, and then the memorial position came up,
- 1:36and it interested me for a couple of
- 1:37reasons.
- 1:38First and foremost was its new new relatively
- 1:41new leader, in Mandy Eaton. Mandy joined Memorial
- 1:45about a year ago, to take the CEO
- 1:47position,
- 1:48and she came from Cone Health. And I
- 1:50was very familiar with Cone, very innovative system
- 1:52that recently joined Ryzant.
- 1:54And so I was really interested in in
- 1:56Mandy, not only for her Kone experience, which
- 1:59I knew would be an incredible experience to
- 2:02and and someone to partner with, but also
- 2:04Mandy, her experience is as a chief human
- 2:07resources officer. And I just thought that is
- 2:10really interesting to me. I haven't seen that
- 2:12a lot in the industry,
- 2:14from, you know, kind of the HR leadership
- 2:16track up to CEO, the top job. And
- 2:19I thought, you know, what better background and
- 2:21experience
- 2:22can a leader have at this moment in
- 2:24time in health care where there is so
- 2:26much change in front of us, but to
- 2:29have, you know, that people experience. Because at
- 2:31the end of the day, you know, the
- 2:32people are gonna be required, you know, to
- 2:35make these moves and and to kind of
- 2:37get an alignment,
- 2:38to really help transform health care. So that
- 2:40was what I was really excited about at
- 2:42first.
- 2:45Absolutely. Yeah. Sounds like a lot of, as
- 2:47you said, alignment there, just on where the
- 2:49industry is now and new leadership and background
- 2:51and and everything coming together in in all
- 2:54those ways.
- 2:55And
- 2:56so I wanted to ask you
- 2:59now, Sarah, just a little more about how
- 3:02you're thinking about your priorities as you come
- 3:04into Memorial Health.
- 3:06Yeah. Absolutely.
- 3:07I joined Memorial mid January, and they had,
- 3:10really were at the tail end of a
- 3:11strategic planning process that they had partnered with,
- 3:14an outside consulting firm on. That process started
- 3:17last summer. And so
- 3:19a little unusual,
- 3:20to come in as a chief strategy officer
- 3:22and have a plan almost finished.
- 3:24But my very first priority
- 3:26was getting that across the finish line. So,
- 3:29we started mid January. We had a board
- 3:31meeting at the February
- 3:33where, you know, we were going to present
- 3:35the plan for approval.
- 3:37And so there was a lot to do
- 3:38to make sure the plan was ready. It
- 3:41was simple. It was straightforward,
- 3:43and yet visionary
- 3:45and, really set a new tone
- 3:47that represented
- 3:49the really dynamic nature I was seeing of
- 3:51the the new leadership team, which was you
- 3:53know, Mandy has a a great blend of
- 3:55people that have been at Memorial for for
- 3:58decades and really a lot of lived experience
- 4:01in the health system, both in the critical
- 4:02access hospitals as well as the tertiary campus
- 4:05in Springfield,
- 4:06and then a few new leaders there. And
- 4:08so a lot of, you know, excitement, but
- 4:11also a lot of leadership alignment,
- 4:13to to accomplish.
- 4:14I thought what was really interesting is is,
- 4:17we were planning
- 4:18on debuting the plan,
- 4:20with our board at the same time as
- 4:23our key leadership team called our Leadership Coalition.
- 4:26I've actually never done that before. So I
- 4:28was like, this is gonna be interesting. You
- 4:30know, the board and the leaders are gonna
- 4:32hear and see the plan, in its finality,
- 4:36for approval all at the same time. And
- 4:38it was a really transformative experience.
- 4:42Well, yeah. That that's really interesting. Definitely having
- 4:45that that approach of both seeing it at
- 4:47the same time and that plan. That's, yeah,
- 4:50just really interesting
- 4:51perspective there. And and I know you have,
- 4:54as you've outlined, sir, you've you've led strategy
- 4:57both from inside systems, external and as an
- 5:00external advisor. And so when you step into
- 5:03Memorial Health,
- 5:04I was curious
- 5:05how you assess where to focus first, essentially,
- 5:08especially systems balance growth, margin pressure, and and
- 5:11evolving care models.
- 5:12Yeah. Absolutely. That's a great question.
- 5:15Memorial is is not unique,
- 5:17in the challenges it faces. Right?
- 5:19The reimbursement
- 5:20challenges
- 5:21with an unknown Medicaid landscape from, recent legislation
- 5:26at the federal level,
- 5:27they face all of the same challenges. What's
- 5:29unique about Memorial, and and part of the
- 5:31reason I was really interested
- 5:33in the position, is the market in which
- 5:35Memorial is operating. So the Springfield, Illinois market
- 5:39is really one of three markets in The
- 5:41United States with these
- 5:43characteristics.
- 5:44You know, two health care systems,
- 5:46one of which, Memorial, we don't employ our
- 5:49own specialty physicians,
- 5:51in the in the Springfield market. We rely
- 5:53on a partnership with one of the largest,
- 5:56independent physician groups in the country, the Springfield
- 5:58Clinic. They have over 650
- 6:01employed physicians.
- 6:02And so they are our specialists along with
- 6:05a medical school, a medical school that doesn't
- 6:08have its own medical campus. And so we
- 6:10have a strong partnership with,
- 6:12SIU, Southern Illinois,
- 6:14university that has a, a medical school in
- 6:17Southern Illinois,
- 6:18and and they are also our specialists. So
- 6:20it's a really unique
- 6:22opportunity
- 6:23to figure this out and and really put
- 6:25the patient at the center for us all
- 6:28to gain alignment,
- 6:29across our three entities, two nonprofits and a
- 6:32for profit. It's it's really dynamic and and
- 6:34interesting, and that intrigued me. Let's try to
- 6:36figure that puzzle out.
- 6:38It's, you know, it's not without its challenges
- 6:40to try to get everybody on the same
- 6:42page about what's needed, what the community needs,
- 6:45and how to serve those who are, you
- 6:47know, less fortunate in the community,
- 6:49when you have that kind of blended, strategy.
- 6:51So that's been a lot of a lot
- 6:53of my focus, I think, is trying to,
- 6:56build those relationships.
- 6:57What what is really interesting too is that
- 7:00all of those organizations
- 7:02are having a leadership change within the same
- 7:04twelve months. So we experienced that a year
- 7:06ago at Memorial with Mandy Eaton coming on
- 7:08board. The Springfield Clinic has a brand new
- 7:11CEO that just started last week, and SIU
- 7:14is recruiting a new dean. So here we
- 7:16have, you know, this really interesting time, I
- 7:19think, in Springfield is, you know, a brand
- 7:21new, really, leadership team in the healthcare ecosystem.
- 7:24You know, what an opportunity to reset
- 7:27and look forward and maybe reimagine and redesign
- 7:31health care for a community.
- 7:34Wow. That's that's so interesting,
- 7:36just new leadership across across the board and
- 7:39and just really how that,
- 7:41like you said, that puzzle of of coming
- 7:43together in that way.
- 7:44And I I know
- 7:47that, like you said, you've been in Memorial
- 7:48Health since,
- 7:50January, but, so far, I was just curious
- 7:53if there's any any specific initiative you call
- 7:55out as far as one that maybe you
- 7:57view as most innovative or exciting
- 8:00that you've launched or advanced so far this
- 8:02year, and then what really made it a
- 8:03priority, for the organization as well?
- 8:06Yeah. That's a great question. I I entered
- 8:09Memorial when a lot of transformation was already
- 8:11well underway.
- 8:13So Memorial has grown as many health systems
- 8:16do through acquisitions and partnerships with with other
- 8:19hospital systems. They found themselves,
- 8:22today and how they're operating today with seven
- 8:24different electronic medical records, if you can imagine
- 8:27that. So the system itself is in the
- 8:29middle of a a giant,
- 8:32digital transformation, I would call it. So, they're
- 8:35in the process of aligning all of the
- 8:37different hospitals and clinics onto the Epic platform.
- 8:40Our academic partner in SIU will be also
- 8:44coming on to our our Epic,
- 8:46you know, platform in in February
- 8:492027.
- 8:50So you can imagine that's a big heavy
- 8:51lift for the organization,
- 8:53and it's creating not just a system. It's
- 8:55not just replacing a system, but all of
- 8:57the processes and systems and connective tissue that
- 9:00has to happen.
- 9:01Patient handoffs, coordination of care, all of that
- 9:04has to really be redesigned. So there's nothing
- 9:06more transformative
- 9:07than that, I can say. And so that's,
- 9:10that's where the organization is really focused, I
- 9:12would say, to set the stage for us
- 9:14to be able to do a lot more,
- 9:17a lot more for the patient, simplicity in
- 9:19a single patient portal. Right now we have
- 9:21four.
- 9:22You know, it's, it's so it's we're really
- 9:24focusing everything on the plan around the patient.
- 9:28We're also focusing everything around humans. So our,
- 9:31our entire strategic
- 9:33plan, the foundation is human centeredness.
- 9:36And we believe that, you know, the patient
- 9:38has to always come first, and it's our
- 9:40people that make that possible.
- 9:42And so,
- 9:43one of the things and the tenants, the
- 9:45key tenants of this digital transformation is to
- 9:47really make sure that our teams have the
- 9:49tools and the resources
- 9:51to get the work done,
- 9:53and make the right thing to do the
- 9:54easy thing to do. So that whole piece
- 9:57is a is a big piece of the
- 9:59transformation
- 10:00while we're setting our sights on longer term
- 10:02growth strategy. Right? We've got to get our
- 10:05house in order first. We need to make
- 10:07sure that we have the foundation,
- 10:09that is solid, that is going to make
- 10:12us the best health care
- 10:14system, you know, not for profit health care
- 10:16system
- 10:16that that can show how you can excel
- 10:19and and how you can connect and partner
- 10:20with others. But we've got it we've got
- 10:22a lot of got a lot of housekeeping
- 10:24to do first.
- 10:28Absolutely. And
- 10:30I wanted to just, lastly, ask you more
- 10:34of a forward looking question here, as well.
- 10:37As you know, our audience being hospital health
- 10:38system executives, I was curious,
- 10:41as you're looking ahead over the next few
- 10:42years, what you really think will distinguish health
- 10:44systems that execute well on strategy from those
- 10:47who
- 10:48maybe struggle more with that, and and what
- 10:50role do you think leadership alignment plays in
- 10:53that?
- 10:54Yeah. I have to think that, one thing
- 10:56health care is not good at is saying
- 10:58no to things.
- 10:59You know, strategy in my mind is about,
- 11:02in some ways, about resource allocation. It's about
- 11:05deciding where you're going to
- 11:07invest and where you have to walk away.
- 11:10And
- 11:11as community health systems are often,
- 11:13you know, in this position of of being
- 11:15sole providers, being primary givers, you know, and
- 11:19and not really being able, like a a
- 11:21a for profit, you know, business, a manufacturing
- 11:23business, to cut out portfolios. It's a little
- 11:25hard to cut out health care portfolios. Right?
- 11:27You can't say, we're not gonna take care
- 11:29of pneumonia patients anymore. So I think it's
- 11:31being choiceful
- 11:32about where you're going to invest,
- 11:35and and being super intentional. And that's going
- 11:37to mean saying no to some things
- 11:40and, and and creating some discipline that isn't
- 11:43always easy. And so I think systems that
- 11:46excel will do that really, really well. They
- 11:49will have their long term vision in mind.
- 11:51They will have
- 11:53values and principles by which they're operating, by
- 11:55which they're making decisions, and they'll have a
- 11:57sense of discipline,
- 11:59to really stay the course,
- 12:02even in the midst of maybe criticism for
- 12:04for letting go of some things that they
- 12:07they can't do as well as others or
- 12:09or partnering in different ways.
- 12:11And so I think there are gonna be
- 12:12some hard choices to make. I mean, I
- 12:14think the, you know, the implications of of
- 12:16Medicaid funding
- 12:17being dramatically reduced, you know, three years from
- 12:20now, that's on everyone's,
- 12:22you know, eyes. Everyone's looking at that. Every
- 12:24board is looking at those financial models that
- 12:26show a dip, you know, coming down. We've
- 12:28got to figure that out. I mean, we've
- 12:30got to figure out a way to take
- 12:31care of people in our country
- 12:33and and do it more affordably. We've got
- 12:36to leverage technology
- 12:37in in a different way.
- 12:39We have to get people to the right
- 12:40sites of care where they can be cared
- 12:42for in a more, you know, cost effective
- 12:45way, but yet still feel like they're cared
- 12:48for, you know? And so figuring out those
- 12:50models,
- 12:51that can be more efficient, I think, is
- 12:53the trick. And, I don't know that I
- 12:55have any silver bullets or anybody else does,
- 12:57but, that's what I'm looking forward to building
- 12:59at Memorial Health.
- 13:03Yeah. I definitely think everyone, like you said,
- 13:05is is thinking, the same things and and
- 13:07dealing with a lot of those those same,
- 13:10issues and and industry
- 13:12industry,
- 13:13environment right now. So thank you so much,
- 13:15Sarah, for a fun, interesting conversation today, and
- 13:18I hope we can
- 13:20connect again soon.
- 13:22Absolutely. Great to great to be here. Thanks
- 13:24for having me.