Latest / Becker’s Healthcare Podcast / Todd Conklin, Executive Vice President and Chief Financial Officer at Care New England Health System
Transcript
- 0:00This is Andrew Cass with the Becker's Healthcare
- 0:02Podcast. I'm thrilled to be joined today by
- 0:05Todd Conklin, executive vice president and CFO of
- 0:08Care New England Health System. Todd, it's a
- 0:10pleasure to have you on the podcast.
- 0:12Thanks, Andrew. Nice to be here. Thanks for
- 0:14having me.
- 0:15Yeah. Before we begin, can you tell us
- 0:16a little bit about your background?
- 0:19Sure. I'd be happy to. As you indicated,
- 0:22my name is Todd Conklin. I serve as
- 0:24the
- 0:25executive vice president, CFO of Care New England
- 0:28Health System.
- 0:30Care New England Health System is a tax
- 0:32exempt Rhode Island based,
- 0:35academic affiliated health care system.
- 0:38We serve, the state of Rhode Island and
- 0:41portions of both Massachusetts
- 0:43and Connecticut.
- 0:45Probably,
- 0:46hopefully a helpful quick snapshot
- 0:49of Care New England. It's a three hospital
- 0:51system.
- 0:53We have a very prominent women and infants
- 0:56specialty hospital,
- 0:57240
- 0:58beds,
- 0:59including a very prominent 80 bed
- 1:02neonatal,
- 1:04intensive care unit, which is,
- 1:06one of the largest in the Northeast as
- 1:08well as one of the largest in the
- 1:10country. We also have,
- 1:12Kent Hospital,
- 1:13359
- 1:14bed community,
- 1:17hospital offering
- 1:19comprehensive
- 1:19medical surgical services as well
- 1:22as specialty care services.
- 1:24We also are a significant
- 1:29provider of behavioral health services. Butler Hospital, located
- 1:32also in Providence, Rhode Island,
- 1:35is a 143
- 1:36bed,
- 1:39strong provider of behavioral health services. We also,
- 1:42like many other health systems,
- 1:44have an employed physician
- 1:46enterprise, Karen Winklea Medical Group,
- 1:49which approximates 630
- 1:52physicians,
- 1:52clinicians.
- 1:54Many hospitals,
- 1:55probably,
- 1:57measure themselves in terms of annual revenue.
- 2:00We represent about a $1,600,000,000,
- 2:05annual revenue health system.
- 2:08Care New England probably considers itself
- 2:12a provider of foundational health care services. We're
- 2:16a strong provider of primary care,
- 2:18behavioral health services, and specialty services. I joined
- 2:22Care New England
- 2:24in 2023,
- 2:25so I'm in my fourth year serving in
- 2:27my role
- 2:28originally from Chicago.
- 2:31Spent the first twenty years of my career
- 2:33in Chicago before relocating to
- 2:36Denver,
- 2:37where I served lived and served as for
- 2:39a
- 2:40decade. Happy to be here with you today.
- 2:43Thanks for having me. Yeah. It's great to
- 2:45have you.
- 2:46So the first question I wanted to ask
- 2:48you is what are three of the top
- 2:50trends you're following in health care today?
- 2:54That's a great question. There are many,
- 2:56exciting,
- 2:57trends within our industry.
- 3:00I'll,
- 3:02consistent with your question, try to focus on
- 3:05the top three.
- 3:07Artificial intelligence,
- 3:09AI,
- 3:10is certainly one of those trends and, specifically,
- 3:15AI becoming
- 3:17core infrastructure
- 3:18versus just an analytical tool,
- 3:22in our industry. So,
- 3:24an exciting trend of seeing the automate automation
- 3:28of documentation,
- 3:30coding services,
- 3:31administrative
- 3:32tasks,
- 3:34which are certainly
- 3:36important to me from a CFO standpoint,
- 3:40but other exciting
- 3:42clinical developments and uses of AI supporting
- 3:45diagnosis
- 3:46diagnosis
- 3:47and imaging,
- 3:49risk prediction,
- 3:51triaging patients.
- 3:53What we're finding, Andrew,
- 3:55we're seeing the developments is AI serving as
- 3:58a copilot for clinicians,
- 4:00not just an analytical tool.
- 4:04And I think if you follow our industry,
- 4:07the exciting trend of AI really no longer
- 4:10being optional,
- 4:12and it's how health systems operate today, which
- 4:14is an exciting development.
- 4:18Certainly, in my chair as a CFO, cost
- 4:21pressure and and affordability
- 4:23within health care,
- 4:25is something that I follow closely.
- 4:27It is amazing,
- 4:29that The US health care,
- 4:32annual spend is
- 4:33approaching $5,000,000,000,000.
- 4:36And if you look at,
- 4:39many of the sources where they predict,
- 4:43the impact on consumers' insurance premiums for consumers,
- 4:48continue to project to rise significantly,
- 4:51which,
- 4:52I think in many ways is tragic for
- 4:54our country.
- 4:57So,
- 4:58that certainly has my attention.
- 5:01And as you as excited,
- 5:04excited as I am about AI,
- 5:08one,
- 5:10you know, if you look back in history,
- 5:11any technological
- 5:13developments,
- 5:14AI,
- 5:15or technology tends to drive cost
- 5:18upwards initially,
- 5:20before costs are driven down. And I think
- 5:23in our evolution
- 5:24as an industry,
- 5:27any increase in cost,
- 5:29is something that we should pay attention,
- 5:31to. Lastly, probably the trend that I follow,
- 5:36is the consolidation
- 5:37or continued consolidation of health care.
- 5:43This really is different consolidation
- 5:45than what, we're familiar with in the past.
- 5:49Decades ago when
- 5:51consolidation
- 5:52began to occur,
- 5:53many health systems were really trying to build
- 5:56scale.
- 5:57And I think the goal,
- 5:59is more pure and richer than it was
- 6:01to just simply become larger.
- 6:04The goal today,
- 6:06is achieving better interconnectedness,
- 6:09which I think is a positive development.
- 6:12You see health systems today
- 6:14outsourcing and creating partnerships with tech firms.
- 6:19You know, and I think the reality is
- 6:20health systems can't do it all. They can't
- 6:23specialize in all the technology that we need,
- 6:26in our industry, and I think that's moving
- 6:28in a very positive direction.
- 6:31And I think lastly, you know, with the
- 6:33consolidation,
- 6:35health systems are developing quickly,
- 6:37into ecosystems,
- 6:39for
- 6:40providing care, and I think that's a very
- 6:42positive development.
- 6:45And so what would you say you are
- 6:47most excited about right now, either with your
- 6:49health system or in health care,
- 6:53more broadly?
- 6:54Yeah. That's a great question. And,
- 6:57I'm probably happy to say that, some of
- 6:59the things that I'm most excited about
- 7:02are things that are happening in our industry,
- 7:05as well as things that are happening within
- 7:07our health system.
- 7:10There continues to be a growing,
- 7:14level of interest
- 7:17and investment,
- 7:18within our industry.
- 7:20And I think this,
- 7:21anytime,
- 7:23where there continues to be interest in development,
- 7:25it typically will lead to exciting developments and
- 7:28innovation.
- 7:30And I see that both regionally and nationally,
- 7:33as well as within,
- 7:35our care New England health system.
- 7:37You know, as we started or I started
- 7:39to hint at this, AI is beginning to
- 7:41run,
- 7:43parts of health care today, even in our
- 7:45system,
- 7:46as well.
- 7:47AI is detecting diseases earlier, detecting cancer and
- 7:51heart diseases.
- 7:53And I think the one,
- 7:55development,
- 7:57in terms of AI improving
- 8:00day to day workflows in health care,
- 8:02is resulting in more efficient,
- 8:05and more effective care.
- 8:07I should probably give you an example of
- 8:09that. The the use of ambient technology,
- 8:13in day to day interactions
- 8:16with a physician
- 8:17and a patient,
- 8:19is an exciting development. The technology
- 8:23has become
- 8:24incredibly
- 8:25precise,
- 8:26and helpful to providers,
- 8:28whereas,
- 8:30providers
- 8:31used to,
- 8:33be,
- 8:34really required to
- 8:36talk to the patient
- 8:37and have their face and nose in a
- 8:39computer,
- 8:41typing into an electronic health record.
- 8:44The Ambient technology just simply records the conversation,
- 8:48and it allows the physician to look at
- 8:50the patient, to
- 8:52focus on the patient,
- 8:54patient's needs. And I think it results in
- 8:57more effective care, certainly more satisfying
- 9:01both to the,
- 9:02providers as well as the patient. So,
- 9:06it's very exciting.
- 9:08You know, in my system, just as a
- 9:11an example, probably six months ago, we piloted
- 9:15this technology,
- 9:17with overwhelming,
- 9:19success
- 9:20and improved satisfaction and efficiency in care. And
- 9:23when you think about, across our country where,
- 9:27there is a shortage of primary care providers,
- 9:30making sure that,
- 9:33we can,
- 9:34handle the access and the needs of patients
- 9:37in our communities.
- 9:38This is a huge plus,
- 9:40for our industry that allows greater access,
- 9:43for patients.
- 9:44I think the rise of,
- 9:47longevity,
- 9:48in our country, people are living longer, but
- 9:50more importantly,
- 9:52living more, you know, healthier,
- 9:56is a development that is exciting,
- 9:59in our industry. Not too long ago, you
- 10:01know, when you go back to the nineteen
- 10:04hundreds,
- 10:05with the average age of
- 10:07the population being in the 30 years old,
- 10:10range,
- 10:12with it now approaching 80 years old,
- 10:16I think,
- 10:17the rise of longevity and and healthier living
- 10:20is a positive development,
- 10:22within our industry.
- 10:24And I think health care continues to move
- 10:27beyond hospitals.
- 10:29It's becoming more convenient,
- 10:32more continuous, and more accessible,
- 10:35for patients, and that's a positive
- 10:38development.
- 10:39I think all of the above is making
- 10:40health care,
- 10:42more intelligent, hopefully, continuous and personalized, and and
- 10:46those things are very exciting to me.
- 10:49Great. And,
- 10:51how are you thinking about growth over the
- 10:52next twelve months?
- 10:55Yeah. Growth is certainly important,
- 10:59you know, in health care,
- 11:01certainly important for our system because it measures,
- 11:05in many ways meeting the needs of the
- 11:07communities.
- 11:09And I think, typically, there are
- 11:12different lenses that you can utilize,
- 11:15when considering,
- 11:17and I put this category since you asked
- 11:19over the
- 11:20next twelve months into a short,
- 11:23short term growth. I think,
- 11:26improved productivity of physicians through
- 11:30AI ambient tools,
- 11:32working more intelligently
- 11:34versus working harder,
- 11:36and also achieving achieving improved satisfaction
- 11:39per, for patients.
- 11:42I think our industry,
- 11:44as we look at growth,
- 11:46being mindful,
- 11:48that we move away from sick care,
- 11:51to preventative
- 11:52and predictive care,
- 11:54is certainly part of how we look at
- 11:56growth.
- 11:58Home based,
- 12:00care is certainly an area which we,
- 12:04are paying attention to.
- 12:07Interestingly, Andrew,
- 12:09the needs for behavioral health services, not only
- 12:11in our market,
- 12:13but nationally,
- 12:15the demand still outpaces,
- 12:18supply on a national level. So we're
- 12:21being mindful of that. I think digital health,
- 12:26not because of COVID. You know, this originated
- 12:29in a lot of,
- 12:30instances where it advanced as a result of
- 12:33COVID,
- 12:34but now because it's effective, it's efficient, and
- 12:37it's more satisfying for both physicians and patients.
- 12:41We're looking at the digital health as part
- 12:44of short term health. And then,
- 12:47you know, two other areas
- 12:49that are very prominent in our health system,
- 12:52especially living in the Northeast,
- 12:54but aging population and elder care,
- 12:58growth and needs and meeting those needs of
- 13:00the community,
- 13:01communities that we serve. And then lastly, specialty
- 13:04pharmacy services. I think the breakthroughs,
- 13:09in this space,
- 13:11in caring for patients is very,
- 13:14is an area that we focus on for
- 13:16growth. I think bottom line,
- 13:19the areas of growth that we tend to
- 13:21provide interest on are those areas that move
- 13:24us closer to the patient,
- 13:26that make care more efficient and data driven,
- 13:31and and lastly, probably shifting the care from,
- 13:34treatment to prevention. Those are the areas of
- 13:37growth that or at least the lenses that
- 13:39we look through.
- 13:41Well, those are the questions I had for
- 13:42you today, Todd. Thank you for joining us.
- 13:44It's been a pleasure speaking with you, and
- 13:46I can I hope we can talk again
- 13:48soon? Great. Thank you, Andrew. Thank, Andrew. Thanks
- 13:50very much for having me.