Latest / Becker’s Healthcare - Clinical Leadership Podcast / Dr. Reetu Singh, SVP and System Chief Medical Officer, Saint Francis Health System
Transcript
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- 0:30- This is Laura Dedo with the Becker's Healthcare Podcast.
- 0:33I'm thrilled today to be joined by Dr.
- 0:35Ritu Singh, I, senior vice president
- 0:37and system chief Medical Officer at St.
- 0:39Francis Health System. Dr.
- 0:41Singh, it's a pleasure to have you on the podcast today.
- 0:43- Thank you, Laura. Thanks for having me.
- 0:46- No, I, I'm really looking forward to our conversation.
- 0:48I know there's a lot happening in healthcare
- 0:49and certainly, um, a lot from the clinical perspective
- 0:52that I am excited to hear
- 0:54more about what you're doing at St.
- 0:55Francis. But before we dive into the broader discussion,
- 0:57can you tell me a little bit more
- 0:58about yourself and your background?
- 1:00- Uh, absolutely. So reusing Chief Medical Officer
- 1:04for the health system in Tulsa, Oklahoma.
- 1:07We are the largest health system in northeastern Oklahoma,
- 1:10locally founded, govern and operated,
- 1:13and we have over 10,000 employees,
- 1:17five acute acute care hospitals,
- 1:19multiple ambulatory settings.
- 1:21I'm an internist by training.
- 1:23I've been in this role for close to 18 months now.
- 1:27Uh, my background, I was Chief Medical Information Officer,
- 1:30uh, before, and, uh, led clinical documentation, integrity,
- 1:35uh, some of the other initiatives
- 1:36with a larger health system.
- 1:39I am an immigrant.
- 1:40I'm a first generation immigrant, born and raised in India,
- 1:44and I've been in US for 18 years.
- 1:47- Got it. That's great to hear.
- 1:48And definitely, um, you know, uh, awesome
- 1:51that you've had such great experiences, um,
- 1:54to bring into your current role at St.
- 1:55Francis. Now, could you tell me about your most successful
- 1:58project or initiative from the last year?
- 2:00What issues were you trying to solve and what drove success?
- 2:04- Sure. So Laura, it's really hard to pinpoint
- 2:07to one project, but, you know, post covid world,
- 2:10as things are rapidly changing, one of our top
- 2:15priorities is to establish a comprehensive clinical strategy
- 2:20for the next one to three years.
- 2:22And at the core of that strategy, you know,
- 2:24first is stabilizing our workforce to really brainstorm
- 2:28and think of ways how we can proactively
- 2:31engage our physicians, not only recruiting,
- 2:35but how do we grow them with us to retain
- 2:38and to be better leaders, empower them at bedside
- 2:41to make better clinical decisions.
- 2:43And really, uh, investing in that physician leadership.
- 2:47We are partnering with our local teaching institutions, uh,
- 2:51Oklahoma State University, Oklahoma University,
- 2:54to bring in learners
- 2:55and grow our own as we work towards what's the future
- 3:01of workforce for us.
- 3:02And, you know, second focus
- 3:04of the clinical strategy is our path moving forward,
- 3:07not only in terms of clinical quality,
- 3:10but really from operations
- 3:12and from being, uh, you know,
- 3:14good financial stewards of our resources.
- 3:17What does the success look like for each service line,
- 3:19whether it's a destination metric, you know, center
- 3:22of excellence or really creating access in Oklahoma,
- 3:27we have rural hospitals that we struggle in providing access
- 3:31and we know our community needs it.
- 3:33So what is that path moving forward for service lines?
- 3:37And, you know, third in
- 3:39that comprehensive clinical strategy is
- 3:42population health initiatives.
- 3:44How do we ensure we provide the right
- 3:45care in the right setting?
- 3:47And, you know, putting emphasis on preventative care
- 3:50and ensuring we provide care
- 3:53to our patients across the continuum.
- 3:55You know, collaborating with our primary care physicians,
- 3:59hospital medicine physicians, really looking at ways
- 4:01to improve the throughput
- 4:03and then expanding on our post-acute presence
- 4:06and ensuring that we wrap our patients
- 4:08with the care they need no matter what setting, uh,
- 4:11they come to us in.
- 4:13And, and it's a comprehensive approach.
- 4:15So that's sort of high level of what, uh,
- 4:19we've been working on, uh, for the last one year.
- 4:21And it's a continuous journey.
- 4:23You know, it's, it's what we are focusing on for next two
- 4:26to three years, and there's several moving parts to it, lots
- 4:31of tactics and initiatives underneath.
- 4:34And, um, you know, we are just glad to be blessed
- 4:38with an organization that's locally founded
- 4:40and governed that we can take decisions
- 4:43and turn them around really quickly.
- 4:45Our CEO, Dr.
- 4:46Cliff Robertson is a physician,
- 4:48and I think there is, there is something
- 4:51to be said about when there's a clinician
- 4:53running the health system.
- 4:54You know, we have that comprehensive approach
- 4:57to our leadership and our decisions,
- 4:59so pretty excited about that.
- 5:01- That's fantastic to hear.
- 5:03And certainly when you look at
- 5:04that movement towards more population health
- 5:06and connecting, partnering with community organizations
- 5:09and figuring out how you can better serve patients
- 5:11and create access to care, it seems like there's a lot
- 5:14of opportunities there,
- 5:15but it, it is certainly not easy to make those connections
- 5:19and then, you know, develop a team
- 5:20that's really strong there.
- 5:22I know the clinical workforce has changed
- 5:23a lot in the last few years.
- 5:25Could you talk about some of the challenges
- 5:26that you're still facing and how you see
- 5:28that workforce evolving, especially given some of the things
- 5:31that you're just mentioning in, in thinking
- 5:33through population health, um, and,
- 5:35and really treating patients in in a more
- 5:38specific and personalized way?
- 5:40- Absolutely, Laura. So, you know, healthcare has changed
- 5:45so rapidly post covid,
- 5:47there is clearly workplace a workforce shortage and burnout.
- 5:52There is tremendous stress on the existing resources and,
- 5:56and, you know, there's just
- 5:57so much people we have with us can do.
- 6:00So we really need to look at strategies
- 6:03to address the burnout and,
- 6:06and prioritize the employee wellbeing.
- 6:09And as we do that, it's super critical to address
- 6:12the accelerated technological advancement that we have.
- 6:15You know, how do we ensure that we use technology
- 6:18to expand the role of the workforce we have, uh,
- 6:21whether it's apps or physicians provide tele
- 6:24and virtual services.
- 6:26And, and then as we continue to do that,
- 6:28how can we provide more preventative services from
- 6:31population health perspective?
- 6:33And, you know, 20%, I I believe personally, 20% of,
- 6:37of a patient's healthcare happens with health systems.
- 6:4180% of the care is really in the community at their homes
- 6:46with their families and people around.
- 6:48How do we make sure that we improve the health literacy
- 6:52and provide them with the resources
- 6:54and do that extra work that needs
- 6:56to be done in the community.
- 6:58You know, whether it's through community health workers
- 7:00having, um, health fairs, uh, going to schools, uh,
- 7:05partnering with, uh, you know, different, uh, uh,
- 7:09organizations within the community.
- 7:11And, and that's been at the forefront for us.
- 7:15And, you know, how do we make sure we do that extra
- 7:18that's needed once these patients leave our hospitals
- 7:21and our primary cares offices
- 7:22and whatever setting we encounter them in.
- 7:26And, and as we look through all of that, you know, um, AI
- 7:31is the buzz word in healthcare today.
- 7:34We need to know, ensure that we educate our clinicians
- 7:38and we provide them the training
- 7:39and resource they need to be successful with the technology.
- 7:43We have five generations in healthcare
- 7:45and, you know, you, we need to meet people
- 7:48wherever they are in their, uh, technology journey
- 7:51and their adoption of that technology.
- 7:53So, um, lots of challenges.
- 7:56I'm sure we are not unique,
- 7:57but, uh, I'm excited, uh, for the work we are doing.
- 8:02- That's fantastic to hear
- 8:03and certainly great to know that the workforce is evolving
- 8:06and growing in a way that's gonna be meaningful
- 8:08for the community and patients.
- 8:11Now finally, before we wrap up our conversation,
- 8:13I was wondering if you could share your best advice
- 8:15for aspiring, aspiring physician and nurse leaders.
- 8:18Uh, what really do you see as being important for them
- 8:21as they're building and growing their career right now?
- 8:26- Wow. It's, it's hard to give one.
- 8:28Um, but if I could just think of couple.
- 8:30I think first would be never stop learning
- 8:34and seeking knowledge.
- 8:35I think it's so important for us as clinical leaders
- 8:39to be connected with what's happening at bedside
- 8:41and what's the latest and greatest in healthcare.
- 8:45And, you know, as a leader, collaborate with your team,
- 8:49with your peers, people who, your nurses, your RTSs,
- 8:52your other ancillary staff
- 8:54and intentionally grow your team to be a diverse team.
- 8:59There is, there is power to
- 9:02the decisions you make when your team is diverse.
- 9:05And, you know, as, as leaders, it's not just managing task
- 9:08and responsibilities, it's our responsibility.
- 9:12We inspire and motivate others to, to be in healthcare.
- 9:17And I think today, uh, in my humble opinion,
- 9:21we are not doing the greatest job
- 9:23of recruiting people in healthcare.
- 9:26- That's so interesting to hear and,
- 9:28and definitely, um, just a fascinating challenge,
- 9:31but also huge opportunity to do better.
- 9:34You know, when you look at, um,
- 9:36that recruiting people into healthcare and,
- 9:38and making it an attractive profession, um, certainly to,
- 9:42to make sure you've got all the patient care needs filled.
- 9:46Is there anything that you're doing at St.
- 9:48Francis to, um, you know, recruit more or,
- 9:52or really reflect some of those efforts in
- 9:55how rewarding a career in healthcare could be?
- 9:58- Uh, sure. So, you know, we are
- 10:01actively engaged in our diversity equity
- 10:04and, uh, DEI initiatives
- 10:06and, um, several
- 10:10branches under that initiative.
- 10:11But one of the things is we are actively
- 10:14educating our frontline to all the way
- 10:17to our senior leadership on, you know, what is, uh,
- 10:21diversity in healthcare look like.
- 10:23And we need to have a diverse workforce for someone from
- 10:26outside to really want to come engage with us.
- 10:30And, and when we have that diverse workforce,
- 10:33we provide better patient care
- 10:35and, you know, our patients feel more connected with us.
- 10:39We are going and, uh, into several schools.
- 10:42We are partnering with, uh, several local nursing schools,
- 10:46uh, to, to help educate open our facilities
- 10:50for their learning.
- 10:52So we are able to eventually, uh, hopefully retain them.
- 10:56Same with, uh, physician training, you know,
- 10:59opening our grounds for students and residents
- 11:02and fellows, um, to really
- 11:05have them see our culture from the point they really stepped
- 11:09into healthcare and,
- 11:10and hopefully champion it for them, be, uh, good leaders
- 11:15that they can follow and inspire them
- 11:17to actually have a career long term.
- 11:21- Amazing. Dr. Singh, thank you so much
- 11:22for joining us on the podcast today.
- 11:23This is more a really fun, interesting conversation,
- 11:26and I look forward to connecting with you again soon.
- 11:29- Thank you, Laura. Thanks a lot.
- 11:33- It's so important for leaders at the top of organizations
- 11:35to keep learning, stay sharp, grow their networks,
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