Latest / Becker’s Healthcare Podcast / James Newman, Vice President of Patient Logistics at Virtua Health System,
Transcript
- 0:02The most important health care decisions don't happen
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- 0:46This is Laura Dierda with the Becker's Healthcare
- 0:48podcast. I'm thrilled today to be joined by
- 0:50James Newman, vice president of patient logistics at
- 0:53Virtual Health System. James, it's a pleasure to
- 0:55have you on the podcast today.
- 0:57Thanks, Laura. I appreciate it.
- 0:59Absolutely. Now I'm looking forward to our discussion
- 1:01because I know, there's so much happening in
- 1:03health care today, and in particular,
- 1:05you're doing some cool things at Vertuad. But
- 1:07before we dive in, can you tell me
- 1:09a little bit more about yourself and about
- 1:10the health system?
- 1:12Absolutely.
- 1:13So my name is Jim Newman. I'm the,
- 1:15vice president of patient logistics for Virtua Health,
- 1:19in South Jersey.
- 1:20So Virtua is a, South Jersey based health
- 1:23system. We have we have five hospitals and
- 1:26seven emergency departments,
- 1:28around 16,000
- 1:30colleagues,
- 1:313,000 plus, medical staff clinicians,
- 1:34just over 400 care locations,
- 1:37and,
- 1:38near close to 380,
- 1:41primary and specialty care practices. So we're fairly,
- 1:44inclusive health care system.
- 1:46My area,
- 1:47inpatient logistics is a is a pretty broad
- 1:50area. It's exciting area right now.
- 1:52I I am responsible
- 1:54for
- 1:55a a, many departments consisting of our,
- 1:59our transfer center,
- 2:00our centralized bed management and capacity management,
- 2:04team, as well as our,
- 2:06our EMS team, covering, mobile intensive care services
- 2:10in in two counties in in, South Jersey,
- 2:14as well as our medical transport division,
- 2:17our,
- 2:19training center for our health system, our
- 2:21clinical and EMS training center,
- 2:24and, our integrated dispatch center for, for those
- 2:28areas.
- 2:30That's great to hear. And, you know, that's
- 2:31a lot to be accountable for. And so,
- 2:33it's just fascinating to hear everything that you're
- 2:37thinking about and working on on a daily
- 2:39and consistent basis.
- 2:40I think first and foremost, I was wondering,
- 2:42what are some of the trends you're watching
- 2:44currently?
- 2:47Right. So I think,
- 2:48you you probably talk to many health care
- 2:50leaders, and I say probably everybody is answering
- 2:53the same today. And when I was thinking
- 2:54about this question,
- 2:56I I was gonna go a different direction
- 2:58with it, but but you really can't.
- 3:00And
- 3:01I think the
- 3:02the the simplest answer is is looking at
- 3:05AI and, you know, how how predictive
- 3:09AI and, clinical decision support as well as
- 3:12generative AI is going to impact us and
- 3:14and how we can,
- 3:16really build that into our workflows.
- 3:19But but but as I was thinking about
- 3:21this,
- 3:22all of those areas that that I just,
- 3:25spoke about are are gonna be
- 3:27hugely positive impacts on health care. And as
- 3:29leaders, I think we're responsible to look at
- 3:31them. But I think the other area to
- 3:33to to really focus it
- 3:35on is the operational efficiencies that we can
- 3:37get out of AI and how we how
- 3:39we use it. And and as a leader,
- 3:42when I look at that,
- 3:44if I can lean into
- 3:46AI tools,
- 3:47that allow me as a leader to have
- 3:49less screen time,
- 3:50and how it can help me lead,
- 3:53lead more focus and have more time to
- 3:56build strategy
- 3:57and really more time, face time with my
- 3:59colleagues and and my people,
- 4:02that's where I think, think, as leaders, AI
- 4:04is really gonna be impactful to our workflows.
- 4:07And I think the the other area that
- 4:10the other trend that that we really look
- 4:12at here,
- 4:13at Virtua is is care at home.
- 4:16And, you know, trends that we can watch
- 4:19in how, care at home can really have
- 4:21positive impacts on patients,
- 4:23from our hospital at home, area
- 4:26to our,
- 4:27post discharge management
- 4:30service lines as well as mobile integrated health
- 4:33and really how we can use those areas
- 4:35to impact length of stay, readmissions,
- 4:39capacity, and cost to our patients.
- 4:44That's helpful to understand. I think, you know,
- 4:46everything you mentioned,
- 4:48obviously, AI is huge in technology, digital transformation.
- 4:52It is coming on strong for health care
- 4:54organizations across the across the spectrum and figuring
- 4:56out how they can use,
- 4:58those tools to be more efficient and effective.
- 5:00I know that's gonna be extremely important, especially
- 5:03in this next year when, you know, resources
- 5:05are continuing to be compressed,
- 5:07within the health care system. But I wanted
- 5:09to ask you a bit more about the
- 5:10other trend you talked about too, the care
- 5:13at home.
- 5:14That's something that we hear a good deal
- 5:16about from hospitals and systems, and more and
- 5:18more are trying to stand those types of
- 5:21programs up. And so what have you learned
- 5:23through your care at home program?
- 5:25How did you, create it, and what has
- 5:27been some of the pivots you've made there
- 5:29to keep it successful?
- 5:31Yeah. I think, I think the biggest thing
- 5:34to to keep in mind with care and
- 5:35home models is
- 5:39there's no cookie cutter design.
- 5:41We at at Virtua, we really focused on
- 5:44hospital at home as our foundation.
- 5:46But from there, we've we've we've adapted and
- 5:50built programs that really meet the gaps in
- 5:52care in our region,
- 5:53and have focused on the challenges that that
- 5:56we have at our health system and
- 5:58improving,
- 6:00the care that we provide.
- 6:02So so so my biggest advice for for
- 6:04anyone looking at a care at home model
- 6:06is,
- 6:08look at the trends that other people or
- 6:10or other systems are using
- 6:12and
- 6:13adapt them to your program and your specific
- 6:16gaps, that you have in your system.
- 6:21Got it. That's helpful to know. Now what
- 6:24are some of the things that you're most
- 6:26focused on and excited about right now? What
- 6:28have you been most proud of in the
- 6:29last six or eighteen months or so?
- 6:32So I would say,
- 6:35we'll start with, you know, really what what
- 6:36I am most proud of both as a
- 6:38department and and,
- 6:41as as a health system, and it's really
- 6:43been our focus on on workforce development.
- 6:46We we as a health system has have
- 6:50focused a tremendous amount of time and attention,
- 6:53to to entering colleagues into our system earlier
- 6:57in life and providing opportunities,
- 7:00to to colleagues, and potential colleagues really early
- 7:03in their,
- 7:05in their careers.
- 7:07Just an example of that is, you know,
- 7:09we we have built,
- 7:11programs just in my department that, you know,
- 7:13we we can provide opportunities that that in
- 7:16the past may not have been available or
- 7:18may have been out of reach, to individuals,
- 7:22to really enter into a career in health
- 7:24care,
- 7:25very, very early in their in their adulthood.
- 7:28And when I go to the graduations and
- 7:31and speak to these classes,
- 7:33of in this area, our EMT students,
- 7:37I speak to opportunity, and I speak to
- 7:39this being a start a starting point for
- 7:41their opportunities in health care and the career
- 7:43pathways that that this has created.
- 7:46And and we've really worked hard to create
- 7:48pathways from from early entry,
- 7:52into health care,
- 7:53through,
- 7:55our EMT to paramedic programs, through our paramedic
- 7:58to RN programs, and, really, everything across the
- 8:01board through our our leadership development programs and,
- 8:05our tuition assistance programs, and it's really been
- 8:08exciting to
- 8:10to see us take a high school student,
- 8:12and and, you know, as they're in high
- 8:14school, help them build into a health care
- 8:17career so they have, you know, opportunities in
- 8:19life that may not have been available,
- 8:22otherwise. So that that's been extraordinarily exciting, and
- 8:25and we're really proud of that. And then,
- 8:27you know, just to to build on,
- 8:31your question about what we're we're really focused
- 8:33on or what and one of the things
- 8:35that that I'm heavily focused on is is
- 8:37proactive capacity management. I think, you know, every
- 8:40health care system around the system
- 8:42around the country is
- 8:45is, challenged with capacity,
- 8:47and challenged with, with ED borders and
- 8:51and bed wait times and turn times. And,
- 8:55we are are highly focused on
- 8:57how we look at tools.
- 8:59I I mentioned, you know, AI and proactive,
- 9:03AI,
- 9:04how we can use that to to to
- 9:06help manage our capacity,
- 9:08to reduce ED borders,
- 9:10and then reaching beyond the typical levers of
- 9:14capacity management.
- 9:15I think,
- 9:16the the trends in health care have been,
- 9:19very specific over the years on how to
- 9:20manage capacity.
- 9:22And, you know, we we need to to
- 9:25understand what what levers aren't being used, and
- 9:28continue to focus on them,
- 9:30to to really learn how to manage capacity
- 9:33in a in a really unique way.
- 9:36That's helpful to understand and, you know, it's
- 9:38so important. I know capacity is a challenge
- 9:41across the board in trying to, figure out
- 9:44how you can move patients through the system
- 9:46efficiently
- 9:47and effectively,
- 9:48and then open up capacity to meet the
- 9:50demands of of the community.
- 9:52I think, your point about being able to
- 9:54leverage AI, effectively in this way is critical.
- 9:58How do you work with your teams to
- 9:59make sure that they are,
- 10:01using the technology and the tools that they
- 10:03have in the best way possible as well
- 10:04as knowing, you know, what value this technology
- 10:07is bringing back into the organization?
- 10:11I think a lot of that comes down
- 10:12to,
- 10:13the way that we empower
- 10:15our our our frontline employees to to to
- 10:19really tell us what's working for them and
- 10:21what isn't working for them. You know, I
- 10:23think, you know, we can we can provide
- 10:26tools.
- 10:27We can provide,
- 10:28we can provide dashboards. We can provide predictive
- 10:31technology.
- 10:32But our frontline staff, the folks our colleagues
- 10:36across the system that are using it really
- 10:38need to be empowered to to tell us
- 10:40what makes sense and what is working.
- 10:43And we, as leaders, are responsible for making
- 10:46sure that we're listening to that and adapting
- 10:49to the changes to really make these tools
- 10:51effective.
- 10:52It it's one thing to build the tools
- 10:53and provide them. It's another thing to optimize
- 10:56them,
- 10:57in a way that is really meaningful to
- 10:59the organization
- 11:00and the way we want patient flow to
- 11:02operate.
- 11:06That's helpful,
- 11:07perspective and context. Thank you so much for
- 11:09digging a bit deeper there. Now before we
- 11:11wrap up, what advice would you give to
- 11:13evolving leaders today, especially given all of the
- 11:16changes and in complexity in the health care
- 11:18environment?
- 11:19You know, this is my this is my
- 11:22area of passion. So, I I would say
- 11:24as as I mentor leaders,
- 11:27a few things.
- 11:29One of the the biggest pieces of advice
- 11:31I give to to
- 11:33new and and current leaders
- 11:35is to have the courage to fail early.
- 11:39Identify issues when they're small,
- 11:41identify issues when they're cheap,
- 11:43and have the courage to admit, that there's
- 11:45issues
- 11:46and make those changes,
- 11:49to make, you know, implementations
- 11:51that much more successful for the long run.
- 11:53I think the
- 11:55a few other areas that that I, as
- 11:57a leader, have have highly focused on over
- 11:59the years
- 12:00is,
- 12:02hire people that are smarter than you.
- 12:04Have the courage to hire people,
- 12:07that that are have deeper technical expertise
- 12:10in,
- 12:12in the areas that that you're hiring them
- 12:14for than you do,
- 12:16and build a very intentional and purposeful team.
- 12:19I think so many leaders and,
- 12:21are are afraid to bring somebody on,
- 12:24that may know more than them, and, I
- 12:27think that's a big misstep for a leader,
- 12:29as as you're building out a very, purposeful
- 12:32team.
- 12:33And and then the the the two last
- 12:35points I'll make, you know, around,
- 12:38purposeful leadership
- 12:39is relationships are absolutely your strongest tool as
- 12:43a leader,
- 12:44and and never lose that. And then,
- 12:47my final mantra is always get me to
- 12:50yes.
- 12:50Meaning,
- 12:52you know, it's our responsibility as leaders to
- 12:55recognize the need and find a way to
- 12:57make it happen,
- 12:58even if that, you know, means that there's
- 13:01going to be significant challenges to get there.
- 13:06That's really helpful to know, Jim. Thank you
- 13:08so much for joining us on the podcast
- 13:09today. I really appreciate your time. You know,
- 13:12it's been fascinating to learn a little bit
- 13:14more about your philosophy and everything that goes
- 13:17into,
- 13:18all you're doing, and I look forward to,
- 13:20meeting with you again soon. And I know
- 13:21you're speaking at our annual meeting coming up
- 13:23here in April, so it'll be great to
- 13:25have the the chance to meet you in
- 13:26person.
- 13:27Great. I appreciate it.