Latest / Becker’s Healthcare - Clinical Leadership Podcast / Albert Villarin, MD, FACEP, Vice President and Chief Medical Information Officer at Nuvance Health
Transcript
- 0:00Would you like to exchange best practices and ideas to improve care,
- 0:03enhance operational efficiency,
- 0:05and address financial challenges with your peers?
- 0:08Becker's Healthcare is facilitating these conversations at their eighth annual
- 0:12health IT Digital health and RCM meeting.
- 0:15You can check your eligibility for complimentary attendance at the Lincoln,
- 0:19the description. We are excited to welcome you in October.
- 0:22This is Laura Dedo with the Becker's Healthcare Podcast.
- 0:25I'm thrilled today to be joined by Dr. Albert Valar,
- 0:28vice President and Chief Medical Information Officer at Neon's Health. Dr.
- 0:31Valara, it's a pleasure to have you on the podcast today.
- 0:34Thank you for the opportunity to present today with you.
- 0:36Now, I know we have a lot to talk about.
- 0:38There's really so much happening in healthcare and that intersection between
- 0:43clinical care delivery as well as technology, you know,
- 0:46is really so fascinating and moving quickly.
- 0:48But before we dive into my questions,
- 0:49can you tell me a little bit more about yourself and your background?
- 0:52Thank you. Uh, my, uh, background is in emergency medicine.
- 0:55I was boy Certifi Emergency Medicine Medicine. Uh,
- 0:58I was trained in the US military and retired at the US Army Reservist, uh,
- 1:03major in 2000. And, uh, from then I, uh,
- 1:07entered the life of a emergency physician for the first few years knowing that,
- 1:11uh, computers technology will always be part of the care delivery model that,
- 1:15that the future had to hold and, and we needed at the bedside. Uh,
- 1:20then came across, uh, opportunity to be a C M I O.
- 1:23I was c m I for several healthcare networks at that time,
- 1:27but also noted that there's needed to be understanding that healthcare is a
- 1:31business as part of the business, uh,
- 1:32to go understand where healthcare fit in the business world and where the
- 1:37business world health fit into the model of, um, of healthcare. So I, I, uh,
- 1:42work with several companies and started a couple companies as well in terms of
- 1:46utilizing technology and facilitating better care for our clinicians in
- 1:51operations across, uh, several healthcare networks. Uh,
- 1:55have some education and medical informatics,
- 1:57and currently pursuing a healthcare sector in va. Thank you.
- 2:01Oh, that's amazing. You know, what a great experience that you've had.
- 2:04And I can imagine, you know,
- 2:06all that leading into where we're at today in healthcare,
- 2:09especially coming out the last few years during the pandemic, um, you know,
- 2:12really has primed you to be a great leader in this space.
- 2:16Where do you see as some of the big opportunities for, uh, yourself as C M I O,
- 2:20but then others? Um, to really leverage the technology and,
- 2:23and clinical care possibilities, um, to take care of patients better and, and,
- 2:28and what are some of the watch outs and headwinds that you have your eye on as
- 2:31well?
- 2:32Post covid seemed to be a reset,
- 2:36the reevaluation of our healthcare model.
- 2:38What does it mean to be a care delivery network?
- 2:41What does it mean to be a patient experiencing healthcare within that care
- 2:45delivery model?
- 2:46We had the regaining the trust of patients safe to come back and see us,
- 2:50but also it's also safe to give information to us as we advance technologies.
- 2:54Uh, another goal was advancing clinical efficiencies.
- 2:58How has the m r changed over the last 10 years, 15 years,
- 3:02and how do we better facilitate the utilization of that technology with the
- 3:07changing demand of our patients who are used to modern day technologies such
- 3:12as, uh,
- 3:13Amazon and Google and search functionality and everything immediately available
- 3:17to them within a, a touch of a search button, et cetera.
- 3:21How do we bring that same experience to, uh, our, our,
- 3:25our clinical care within healthcare networks?
- 3:27Another piece is driving the efficiency of the emr. The EMR has to evolve,
- 3:32has evolved.
- 3:33We're working with our vendors and third party technologies to really bring the
- 3:38experience for our clinicians to a much better, less burdensome, uh,
- 3:43approach for patient care.
- 3:45And then supporting the operational strategic goals of the network, financially,
- 3:50healthcare as a business, how do we drive better documentation,
- 3:53better facilitation,
- 3:54access to care for all our patients by bringing unification around, uh,
- 3:59the goals we have set for our network itself.
- 4:03Got it. That makes a lot of sense. You know,
- 4:05and it's really fascinating to hear you talk about how all of those things come
- 4:09together in,
- 4:10in really making sure the care delivery and the network is supported.
- 4:13E M R changes that, um, are gonna be impactful,
- 4:16gathering data and getting them to the right people at the right times.
- 4:20And then too just, you know, bringing, uh, everyone together,
- 4:23the support teams coordinating better.
- 4:25I know that's one of the things that I hear time and time again that, you know,
- 4:29the care coordination is so critical, um,
- 4:31and is something that a not lot of organizations are able to do well or,
- 4:35or up to where they would like to be. And so, you know,
- 4:38it'll be fun to see how technology can really help and support, um,
- 4:42organizations, especially, I know, um,
- 4:44one of the challenges for many is that they're short staff, uh,
- 4:47or staff shortages and, you know,
- 4:48having to still provide care during these times.
- 4:52Absolutely. I mean, uh,
- 4:54in terms of how do we go from where we work and grow,
- 4:57how do we adding this value to the organization is utilizing technology.
- 5:02I think we feel,
- 5:03I believe that healthcare information technology is the enzyme and the
- 5:08reaction that needs to be expanded.
- 5:10How do we bring together all the facets of driving and transforming the clinical
- 5:15experience for the patients,
- 5:16clinicians and operational folks around this new
- 5:21digital experience? We've heard before,
- 5:24people process technology is orchestrating the symbiosis of
- 5:29function or successful care delivery. We have to unify, uh,
- 5:34make it a seamless patient flow,
- 5:37driving clinical functions across the network so that clinician,
- 5:42patient and operational, uh, uh,
- 5:45participants within this healthcare model find the information they need,
- 5:50care for the patients better, as well as be frictionless throughout the network.
- 5:54Whether you're transferring a patient, patient, accessing clinical information,
- 5:59operational financial leadership, accessing data, it should be in one place.
- 6:04So we all go to that one place to facilitate, um,
- 6:06understanding of who we are today and then predict utilizing the
- 6:11technologies and information the future where we're going to ensure we get
- 6:15there, um, both safely for the patient, but uh, financially,
- 6:20uh, a profitable for the healthcare network.
- 6:24Got it. That makes a lot of sense. You know,
- 6:25and it's really helpful to think about and think through how, uh,
- 6:28that technology is supportive,
- 6:29especially during a time where every resource and healthcare dollar is precious.
- 6:35You know, when you look at the times that we're in,
- 6:37and a lot of organizations as we've been talking about, um, you know,
- 6:41really wanna make sure they're doing the best they can to provide patient care
- 6:44and be innovative while at the same time they may not have, uh,
- 6:48the financial infrastructure just right now to,
- 6:50to spend on everything they would like to do.
- 6:52So what is one thing you still think is important for them to do this year?
- 6:56What's, uh, an investment or a risk that is really worth taking right now?
- 7:01Well, for us it's understanding where the artificial intelligence, the chat,
- 7:06g p t chat, four, how does it influence delivery of care,
- 7:09automating the processes, deliver care,
- 7:13reducing the burden of that care and advancing patient outcomes.
- 7:16So those are the key pillars of health informatics we want to utilize today
- 7:21as we're, like you said, losing healthcare employees.
- 7:25How do we make the rest of those employees more efficient and automate the
- 7:29process through robotic process automation, ai, evidence-based delivery,
- 7:34clinical distance support, all those pieces now are available to us now.
- 7:39It's our job to orchestrate and create the world that we will
- 7:44live in for the next decade. Um, today's ai,
- 7:48I believe changes will change healthcare like the way EMRs did 15 years
- 7:53ago. We went from paper to the emr, stabilized that emr.
- 7:57Now everybody's used to that.
- 7:59Now comes the next big innovation with artificial intelligence.
- 8:04How will we be speaking with the ai?
- 8:06How will AI be influencing our clinical decisions?
- 8:09How will we embrace AI not just from the current states of leaders in in
- 8:14clinical care, but also those in in medical school?
- 8:17How do we teach that so that they,
- 8:19they develop their utilization of AI as a partner in care and not just a
- 8:24side, uh, um, interesting, um, uh, delivery model.
- 8:29It's will be and is important that we integrate this
- 8:33artificial intelligence to the future.
- 8:36Yeah, absolutely. I really appreciate that and it's certainly, um, you know, a,
- 8:40a great sign that AI has a lot of potential and a lot of ways that, um,
- 8:45it's really making life ideally easier for clinicians and the patient experience
- 8:49better. Now, before we wrap up our conversation,
- 8:53I was wondering if you could look into the future and where do you see some of
- 8:56the best opportunities and ways for growth, uh,
- 8:58for yourself as your C M I O A, as well as the teams that you work with?
- 9:02What do you see in the future and how, you know, will those things evolve?
- 9:06Well, I think, um, going back and looking at our mistakes in the past, uh,
- 9:10embracing health equity with technology terms, we,
- 9:14we hear out there called equity is just bringing all patients evidence-based
- 9:19care by removing the burdens of that care EMRs in the past
- 9:24that were race-based calculators that predicted different outcomes depending on
- 9:28race. Removing those,
- 9:30removing the biases of healthcare will deliver better care in the future.
- 9:35Uh, another one is collaboration between healthcare and private markets. A, a,
- 9:39a synergy between the funding for investments in healthcare innovations
- 9:45by leaderships who have guiding principles and evidence-based practice deliver
- 9:50care in the healthcare networks. That synergy will grow, I believe,
- 9:55as we really readjust to the current healthcare financial
- 9:59issues, uh, plaguing many healthcare networks across United States. Uh,
- 10:04cloud collaborations for research,
- 10:06utilizing data lakes and collaborating not just within a network,
- 10:11but across network.
- 10:12We have multiple opportunities now to connect to national,
- 10:16international databases for research so that one clinician at one network
- 10:21can facilitate the data of a similar patient group and cohort
- 10:26throughout the world. Uh, that's will be, uh, delivering better care.
- 10:30Predictive modeling, of course, is definitely, uh, gonna be part of that. Again,
- 10:34back to the artificial intelligence. AI is guiding evidence, pr,
- 10:38evidence-based practice, but for all of us,
- 10:41the patients will have apps to deliver care for themselves,
- 10:44to help them make decisions, chat Botts, et cetera.
- 10:47The clinically EMR will evolve over the next few years to become
- 10:52a very powerful tool and a collaborative partner in the care we
- 10:56deliver and for operations finance access to the data to create that
- 11:01predictive financial modeling that's required to Del to, to,
- 11:05to bring in the importance of where we are two weeks from now,
- 11:09two months from now, two years from now,
- 11:11and have confidence in our decision making processes because not just patient
- 11:15care is reliant upon that, but the survivability of healthcare itself.
- 11:19As we do more with less, there's less money, less people, but,
- 11:24but the same number of patients and more are coming.
- 11:26We haven't been prepared to be more efficient delivering that care for those
- 11:30patients and all patients equally on bias and evidence-based.
- 11:37Absolutely. I love that. Thank you so much Dr. Valara, for being here and,
- 11:40and really talking through so many different areas that are exciting, um,
- 11:44for healthcare and technology, as well as what to look out for ahead. Um,
- 11:48you know,
- 11:48this has been a really fun conversation and I'm excited to see you as well in
- 11:51October at our Health IT Digital Health and Revenue Cycle event.
- 11:54I know a lot of these themes will be, uh, talked about and touched on and,
- 11:58and really explored more in depth. So thank you so much for being here, and I,
- 12:01I look forward to seeing you soon.
- 12:03Look forward to seeing you soon,
- 12:04and thank you for your opportunity to present here at Bakers.
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