Latest / Becker’s Healthcare Podcast / Puneet Freibott, System Chief Nursing Officer, Beth Israel Lahey Health
Transcript
- 0:00Philips is a health tech leader focused on
- 0:03innovation that improves the health and well-being of
- 0:06people. Our health care technology and informatics solutions
- 0:09help care teams diagnose, treat, and manage more
- 0:12patients with greater precision, speed, and confidence across
- 0:16the care journey. With Philips, clinicians are empowered
- 0:19with streamlined insights in the moments that matter
- 0:21for every patient. Better care for more people.
- 0:25Philips.
- 0:28This is Gracelyn Keller with the Bikers Healthcare
- 0:30Podcast, and we are recording live at the
- 0:33tenth annual health IT, digital health, and RCM
- 0:36meeting. I'm currently joined by Puneet Frybhat, who
- 0:38is the system chief nurse officer at Beth
- 0:42Israel Leahy Health. Puneet, thanks for being here.
- 0:45Let's start off by having you introduce yourself
- 0:47and share a little bit more about your
- 0:48work in health care.
- 0:49Thank you. It's it's a pleasure being here.
- 0:51So I have been a nurse for almost
- 0:53thirty years, so three decades in this space.
- 0:57And, you know, from being at a bedside
- 1:00and transforming health care,
- 1:02in that space all the way to being
- 1:04assistant chief nursing officer, I do believe
- 1:07that
- 1:08nursing leadership as a part of the interdisciplinary
- 1:11team has the power to truly transform health
- 1:13care. And over the years, I've had the
- 1:16opportunity to work across many areas,
- 1:18which has really shaped how I think about
- 1:20care, people, and innovation.
- 1:23Wonderful. Well, thanks for being here. And let's
- 1:26start our conversation talking about AI as nearly
- 1:29half of medical practices reported using AI in
- 1:32some capacity in the past year, and it
- 1:34obviously remains a key topic for health IT
- 1:36leaders.
- 1:37So from your perspective, what are the use
- 1:39cases that are making a difference right now,
- 1:41and how are you leveraging them in your
- 1:43organization?
- 1:44That's such a great question. And I think
- 1:45what's exciting about AI right now is that
- 1:47we're starting to see it move from concept
- 1:50to meaningful
- 1:51real world impact.
- 1:52One of the clearest examples of of that
- 1:55in our organization is ambient listening technology,
- 1:58some virtual
- 1:59nursing, patient safety attendants, and we're using it
- 2:02both across our medical and nursing workflows.
- 2:06For our clinicians, it's helping us reduce our
- 2:08documentation burden
- 2:10and, more importantly, the psychological burden
- 2:13by automatically
- 2:14capturing conversations and generating structured notes directly into
- 2:18the electronic health care record. It's a game
- 2:21changer because this allows our teams to refocus
- 2:24their time and attention on the patients and
- 2:27not on screens.
- 2:28For nursing, we're starting to see tremendous value
- 2:31in using ambient tools to document assessments,
- 2:35care coordination,
- 2:36and capturing one on one professional development conversations
- 2:39in real time,
- 2:41which not only saves time, but also improves
- 2:43accuracy and completeness of the record.
- 2:46It's it's also giving us a better insight
- 2:48into what's happening at bedside so we can
- 2:51identify opportunities for quality improvement and care redesign.
- 2:55At its core, AI should never replace human
- 2:58element. Right? We all we all know that.
- 3:00We're all trying to strive towards that, but
- 3:02it should really enhance the caregiver experience.
- 3:05And what we're learning is that when we
- 3:08thoughtfully integrate technology
- 3:10like ambient listening and virtual nursing, we create
- 3:13space for our clinicians to reconnect to their
- 3:15purpose,
- 3:16caring for people while building a more sustainable
- 3:19and joyful practice environment.
- 3:21And as virtual care expands from AI enabled
- 3:24tools and remote monitoring to broader digital health
- 3:27platforms, introducing new technologies often brings challenges.
- 3:31So what advice do you have for leaders
- 3:33navigating everything from governance to patient engagement? And
- 3:35can you share an example of how your
- 3:37organization has balanced innovation with operational constraints?
- 3:40Yeah. Absolutely.
- 3:42Introducing new technology in health care must start
- 3:44with clarity of purpose,
- 3:46ensuring every innovative
- 3:48innovation aligns with our mission, improves patient outcomes,
- 3:51and supports our clinicians
- 3:53rather than adding the burden. So really understanding
- 3:56that ROI,
- 3:57in all in all sense. No. Not just
- 4:00financial, but also psychological and workload.
- 4:03My advice for leaders is to establish strong
- 4:06interdisciplinary
- 4:07government governance early, bringing together
- 4:10your clinicians,
- 4:11IT,
- 4:12operations,
- 4:14compliance, and patient experience leaders to evaluate
- 4:17not only for functionality,
- 4:19but also for clinical revel relevance,
- 4:22workflow integration, and equity.
- 4:24From nursing lens, engagement at the point of
- 4:27care is so critical.
- 4:28The voice of the bedside teams and patients
- 4:31must shape adoption. They should not be at
- 4:33the end of the of the adoption process,
- 4:36but really at the beginning of it. Because
- 4:39what we've learned that when clinicians are co
- 4:41designers, implementation
- 4:43is smoother,
- 4:44and technology is embraced as an enabler rather
- 4:47than an imposition.
- 4:49For example, in our system, we recently implemented
- 4:52a remote patient monitoring program for chronic disease
- 4:55management.
- 4:56We balance innovation with operational constraints
- 4:59by starting with a small pilot with high
- 5:02risk populations,
- 5:04integrating data directly into the EHR, and aligning
- 5:07staffing models to support follow-up care. This measured
- 5:11approach allowed us to demonstrate value,
- 5:13build trust, and and scale sustainably.
- 5:17And how are you seeing recent
- 5:20legislation,
- 5:20both state and federal, affect health care organizations
- 5:23and health care IT specifically? And have you
- 5:26just adjusted any strategies in response?
- 5:29Yeah.
- 5:30This is a
- 5:32a loaded question, but, yes, I'll try to
- 5:34definitely answer this. So recent legislation has underscored
- 5:38an importance of data transparency,
- 5:40interoperability,
- 5:42and equitable access.
- 5:44For both state and federal levels, mandates
- 5:47across price transparency,
- 5:48health information
- 5:50exchange,
- 5:51AI governance, and patient privacy
- 5:53have required health systems to take a more
- 5:55integrated approach to digital strategy.
- 5:58From a clinical operational perspective, we have adjusted
- 6:01by strengthening our government structure
- 6:03to ensure compliance and proactive readiness.
- 6:06For example, as a reg as regulatory expectations
- 6:09around AI
- 6:10and digital health evolve, our system established a
- 6:13digital
- 6:14health council committee
- 6:16with nursing representation
- 6:18to ensure clinical safety, ethical use, and a
- 6:21and alignment with evidence based practice.
- 6:23We're also leveraging
- 6:25legislation momentum to advance health equity using digital
- 6:29tools to close the gap in access and
- 6:31outcomes,
- 6:32especially for those remote and underserved population.
- 6:36Legislation often brings challenges, but also opportunities to
- 6:40accelerate transformation
- 6:42when we align our strategies early.
- 6:45And final question as we wrap our conversation
- 6:48up, what is your top piece of advice
- 6:50for health care leaders as they prepare for
- 6:51further advancements in tech and rising demands for
- 6:54care?
- 6:55My top advice is to lead with people
- 6:58and not products.
- 6:59Technology will continue to evolve rapidly, but for
- 7:02our enduring foe but our enduring focus must
- 7:05be on how it improves the human experience
- 7:08for our patients, our families, and our workforce.
- 7:11Leaders should foster a culture of digital literacy
- 7:15and curiosity,
- 7:16ensuring that teams feel empowered and capable of
- 7:19leveraging tools that enhance care delivery
- 7:23rather than being overwhelmed by them.
- 7:25Invest in change management and education.
- 7:28Embed nursing and your other clinical frontline voices
- 7:31in every stage of design and adoption, and
- 7:34keep equity at the forefront.
- 7:36Technology
- 7:38should never widen the disparities.
- 7:41Finally, pair innovation with operational design and discipline.
- 7:45Pilot thoughtfully,
- 7:47measure outcomes, and scale that works.
- 7:50The more the most successful organizations will be
- 7:52the ones that balance agility with accountability,
- 7:56ensuring every advancement drives value, safety, and joy
- 8:00in practice.
- 8:02Wonderful. Well, Punit, thanks so much for joining
- 8:04me today on the Becker's Healthcare Podcast and
- 8:06sharing these thoughts. Again, we are recording live
- 8:08at the tenth annual health IT, digital health,
- 8:11and RCM meeting. Thanks for having me here.