Latest / Becker’s Healthcare Podcast / Motz Feinberg on Transforming Supply Chain at Cedars-Sinai Health System
Transcript
- 0:00This is Laura Dierda with the Becker's Healthcare
- 0:02podcast. I'm thrilled today to be joined by
- 0:04Mads Feinberg,
- 0:05vice president and chief supply chain officer at
- 0:07Cedars Sinai Health System. Mads, it's a pleasure
- 0:09to have you on the podcast today. Pleasure,
- 0:12and I really appreciate the opportunity.
- 0:14Absolutely. Well, I'm looking forward to digging a
- 0:17little bit deeper into some of the cool
- 0:18things that you're doing at Cedars Sinai and,
- 0:20you know, learning your spec perspective on the
- 0:23future as well. But before we dive in,
- 0:25can you tell us a little bit more
- 0:26about yourself and Cedars Sinai?
- 0:29Sure. I've been,
- 0:30with Cedars for a little over five years,
- 0:33leading a supply chain transformation,
- 0:36across our health system. We have an evolving
- 0:38health system fairly fairly new and, still growing,
- 0:42still learning how to operate truly as a
- 0:44health system and,
- 0:46we've had some great progress in the supply
- 0:49chain space.
- 0:50We we do operate as a shared service
- 0:52now,
- 0:53and and made some really good contributions and
- 0:56and value adds
- 0:57across the health system.
- 1:00Prior to Cedars, I was, with a large
- 1:03national,
- 1:05IDN,
- 1:06for about seven years. And then prior to
- 1:07that, I worked in a number of different
- 1:09industries,
- 1:11outside of health care.
- 1:13Anything from,
- 1:15CPG
- 1:15to manufacturing
- 1:17to,
- 1:18consulting,
- 1:20and high-tech as well. So, lots of different
- 1:23perspectives.
- 1:24Well, that's great to hear. And, you know,
- 1:26definitely having that type of background of bringing
- 1:28into health care is really beneficial.
- 1:30Now I'm curious. When you think about the
- 1:32last year or so, can you tell us
- 1:33about the most important initiative that you led?
- 1:35What did you do, and what were the
- 1:36results?
- 1:38Probably the most important has been,
- 1:41just our our
- 1:43leverage of technology and seeing how that can
- 1:46help our people.
- 1:47There's been a lot of work in the
- 1:49AI space as as I'm sure everyone's been
- 1:51diving into it.
- 1:53But the really important part is understanding how
- 1:55that can help our people be more productive,
- 1:59be less stressed,
- 2:00and be able to handle,
- 2:03you know, the fluctuating and kind of growing
- 2:05demands on them
- 2:07in a more flexible way,
- 2:09and more meaningful way and in a way
- 2:11that that really helps them feel
- 2:13that they're adding value.
- 2:15And so it wasn't a particular project, but
- 2:18it's something that we tried to weave throughout
- 2:20a lot of different activities,
- 2:22across the supply chain.
- 2:24Got it. That makes a lot of sense.
- 2:26And, you know, I know technology is becoming
- 2:27more integrated overall within health care and particularly
- 2:31looking at AI. I'm curious as you were
- 2:34going through this process of bringing more into
- 2:36the organization, integrating it, and becoming more productive
- 2:38as well,
- 2:40were there any things you learned throughout that
- 2:42process that would help other organizations who are,
- 2:45you know, in the same boat or or,
- 2:48I guess, ways that you were able to,
- 2:50ensure that cultural shift as well, in addition
- 2:53to adding the technology?
- 2:55Yeah. I think, you know,
- 2:57one basic thing is to
- 3:00to just try it out and and use
- 3:02it and show folks that,
- 3:04that you use it yourself as a leader.
- 3:07I use it every day,
- 3:08and and it helps people
- 3:10at least get over the barrier of, hey.
- 3:12This is something that is a threat to
- 3:14me, versus this is something that can help
- 3:17me grow and help me,
- 3:19help me be more efficient, help me be
- 3:21more
- 3:22productive and and focused on higher value activities.
- 3:26So so I started just with that and
- 3:29just getting more people excited about what you
- 3:31can do with it.
- 3:34The next thing that we embarked on is
- 3:36really trying to apply AI in the very
- 3:39fundamental
- 3:40functions within supply chain.
- 3:42So for example, we're
- 3:44we're setting up,
- 3:47bots to
- 3:48read contracts and and decipher them and pull
- 3:51information from those contracts like payment terms or
- 3:55or or various other information that we wanna
- 3:57compare,
- 3:58either across contracts, across suppliers,
- 4:02across entities,
- 4:04or even compare what's on a contract versus
- 4:06what's in our ERP system. So so really
- 4:09let it do some of the heavy lift
- 4:11that nobody enjoys doing in supply chain.
- 4:14Very tedious, very time consuming.
- 4:16And so we're we're applying AI there as
- 4:19kind of a baseline.
- 4:21But then in parallel,
- 4:23we really went and listened to our customers
- 4:25and what what are some things that
- 4:28supply chain can do better.
- 4:30And and one of those that we found,
- 4:33from many of our customers within the hospitals
- 4:36is just sharing information about what's going on
- 4:38in supply chain. And it's not so much
- 4:40just strategic information, it's more tactical because if,
- 4:43you know, if a nurse is out of
- 4:45a supply,
- 4:46they wanna know
- 4:47where that supply is, if any is coming,
- 4:50is it an ongoing back order, are there
- 4:53substitutes,
- 4:54etcetera?
- 4:55And and how else can they get that
- 4:57product or that or something similar to it?
- 5:00And as you can imagine, when you're managing
- 5:03thousands and thousands of supplies within a hospital,
- 5:07knowing who to ask and and and ensuring
- 5:10that person has all the answers
- 5:12is pretty challenging. It's been a challenge in
- 5:14health care, I think, since since supply chain
- 5:16started or kinda since hospitals started. The you
- 5:19have a lot of products with a lot
- 5:21of information, but very difficult to get to
- 5:24those. And so that that was really kind
- 5:26of the the overarching ask from nursing
- 5:29is where's my stuff? You know? Where where
- 5:32is it? Why don't I have it here?
- 5:34And,
- 5:35we've typically tried to handle that through telephone
- 5:38calls and and people answering and trying to
- 5:41keep up with all the requests, and and
- 5:42we get hundreds of requests. And one of
- 5:45our very large hospitals, we just get a
- 5:47lot of volume there. And so we we
- 5:50partnered with our IT organization
- 5:52and built a tool, an AI agent, basically,
- 5:56that
- 5:57can answer all those questions.
- 5:59Can even answer questions about
- 6:02products that, are are asked of it that
- 6:05don't have a part number. Right? That's just,
- 6:07you know, Christmas tree, for example. So that's
- 6:09a term nurses use for certain type of
- 6:11product.
- 6:12It can recognize that,
- 6:15tell the nurse where it is on the
- 6:17floor or in another floor.
- 6:19Tell the nurse if it's back ordered or
- 6:20whether there's a PO out for it or
- 6:22whether we have it in our warehouse.
- 6:24And then, directly, the nurse can just
- 6:27ask the AI agent to request the product.
- 6:30And so it really streams lines, all those
- 6:32communications,
- 6:34tremendously,
- 6:35makes life much, much easier for nursing, and
- 6:38then it also provides
- 6:40very organized and kinda ERP like information back
- 6:43to supply chain so we're not having to
- 6:44call the nurses and ask them what do
- 6:46they actually want
- 6:47because the the agent or is doing all
- 6:49that translation for us.
- 6:51So,
- 6:52so we've combined that into our workflows, and,
- 6:57you know, we're we're in pilot phase. It's
- 6:59going very well,
- 7:00but that's that's a very exciting AI adventure
- 7:04that we've been on internally.
- 7:06We're also linking it with some external partnerships
- 7:09as well, with some key supplier partners that
- 7:12we're working on,
- 7:13again, to kind of expand and scale
- 7:16the knowledge base that we're able to then
- 7:17provide back to nursing.
- 7:20I hear that. And, you know, it is
- 7:21so helpful to understand,
- 7:23the process behind,
- 7:25what you've been able to do with that
- 7:26technology and being able to build, you know,
- 7:29the the AI
- 7:30conversationally. It's just incredible to think about,
- 7:33what opportunities that affords and how you can
- 7:35grow more quickly with it. Now I'm curious
- 7:38looking ahead for 2026,
- 7:40what are some of the big priorities and
- 7:41headwinds that you're thinking about?
- 7:44So in terms of headwinds,
- 7:46we're we're based in California.
- 7:49So aside from the kind of the national
- 7:52financial headwinds that that most health care organizations
- 7:54are facing,
- 7:56there there's some additional layers,
- 7:58onto that. In California, we we recently,
- 8:02started the Office of Healthcare Affordability,
- 8:06in California
- 8:07at the state level,
- 8:09similar thing to what Massachusetts has had for
- 8:12a number of years.
- 8:14That will introduce some financial challenges,
- 8:18and as as well as, seismic,
- 8:21regulations that are coming due in California, which
- 8:24require
- 8:25hospitals to be,
- 8:27to be at certain seismic,
- 8:29readiness levels,
- 8:31from a construction perspective,
- 8:34which requires tremendous
- 8:37construction investment,
- 8:38in California.
- 8:40So that's kinda layered on top of the
- 8:42kind of the federal challenges that everyone's dealing
- 8:44with.
- 8:45And and,
- 8:47you know, to address those,
- 8:49you know, we're coming from a a position
- 8:51of strength at this point and and looking
- 8:53at ways to
- 8:55to proactively
- 8:56find ways to
- 8:58improve our revenue side, improve our,
- 9:01cost controls and and efficiency side
- 9:05of the operations.
- 9:06And so those are some of the major
- 9:08areas that, everyone in the organization is involved
- 9:11with, certainly supply chain,
- 9:13on the expense piece, on on the utilization
- 9:16piece,
- 9:17working closely with our,
- 9:20clinicians and physician partners,
- 9:23looking for ways to streamline,
- 9:26that process as well as
- 9:28streamline our portfolio as much as we can.
- 9:31So the those are some some major
- 9:34elements for this the coming year.
- 9:37We're also undergoing tremendous amount of construction, not
- 9:40just for seismic, but also just
- 9:43to to upgrade a a number of our
- 9:45facilities as as well as to to help
- 9:47grow
- 9:48our our capacity,
- 9:50to
- 9:51to, address the community needs.
- 9:54We we're regularly running over our capacity in
- 9:58our hospitals,
- 9:59because we just we we've just kinda our
- 10:01our our the demands outgrown what we have
- 10:03available. So tremendous amount of construction.
- 10:07We're opening a new hospital,
- 10:09this year as well,
- 10:12and and that's keeping a lot of us
- 10:14very busy as well. You can imagine supply
- 10:16chain kinda touches,
- 10:17any sort of new build, new construction. We
- 10:19have to be there and make sure,
- 10:22everyone's got the supplies they need to keep
- 10:23the place running.
- 10:25That makes a lot of sense. And, you
- 10:27know, it's certainly a supply chain is a
- 10:28huge,
- 10:29part of health care and having it,
- 10:32run smoothly makes all the difference when you
- 10:34think about clinical outcomes, operational efficiencies, financials, everything
- 10:38else. Is so intimately tied to everything that's
- 10:41happening within the health care system.
- 10:43I'm curious, when you think of all those
- 10:45different things you just mentioned, what what will
- 10:47be the hardest thing you have to do
- 10:48in the next year? What will that be?
- 10:50So, you know, kind of and and and
- 10:52tied to the how you mentioned supply chain
- 10:54needs to be everywhere. I like to to
- 10:56compare supply chain to blood in the body.
- 11:00We we need to be everywhere
- 11:02and make sure everything is is you know,
- 11:05every cell gets gets the supplies it needs
- 11:07or the oxygen or nutrition it needs through
- 11:10the blood.
- 11:11And, generally, people don't think a lot about
- 11:13supply chain until there's a problem similar to
- 11:16your blood. You don't really think about it
- 11:17until you're cut. Right?
- 11:19And and and so as you look across
- 11:21that portfolio of activities,
- 11:24and and there there are many others I
- 11:26didn't mention,
- 11:27I I think one of our challenges is
- 11:29gonna be to balance
- 11:32that.
- 11:32And to balance that with kind of my
- 11:34initial thoughts around our people and how our
- 11:37people
- 11:38are
- 11:39able to handle all these different,
- 11:42pushes and pulls
- 11:43for their time, for their for their mind,
- 11:46for their hearts, and
- 11:48and make sure that we're resourced appropriately as
- 11:52well, and and people are getting the support
- 11:54they need,
- 11:55to to be able to be that flow
- 11:58and that blood that ensures all these different
- 12:00things happen,
- 12:02on time, right, and to support the various,
- 12:05initiatives and activities and and openings across our
- 12:08health system.
- 12:10That makes a lot of sense. And, I
- 12:12I love that analogy of the supply chain
- 12:14being like the blood. And when you think
- 12:16about,
- 12:17being able to have
- 12:19a supply chain working
- 12:20functionally
- 12:21and operationally as efficiently as possible,
- 12:24but also knowing, you know, that, there are
- 12:26certain,
- 12:28challenges with that, whether it's supply chain shortages
- 12:30or or potential increased cost and all of
- 12:33these kinds of things.
- 12:35Is there anything you're doing
- 12:37differently
- 12:38or think you'll need to approach differently just
- 12:40because of the moment we're in in health
- 12:42care and in the world?
- 12:44Yeah. Yeah. I think, again, Cedars Sinai Health
- 12:46System
- 12:47has a tremendous collaborative
- 12:49culture.
- 12:51And
- 12:52I I think what
- 12:54we will need to do even more of
- 12:55is figure out how we
- 12:57collaborate towards
- 13:00some fairly near term goals and objectives
- 13:04and and still ensure the world class
- 13:07patient care that we that we owe our
- 13:10communities that we're known for
- 13:12while driving those. And the only way we
- 13:14can do that is with the right clinical
- 13:16integration, the right clinical partnerships,
- 13:19and similarly, the, like, the the right, vendor
- 13:22partner,
- 13:24relationships and partnerships
- 13:26so that
- 13:28as as kind of a a a joint
- 13:30team,
- 13:31we can move the organization forward. So we
- 13:34we've done a lot of that, and that's
- 13:35what's gotten us to where we are today.
- 13:39I think we will have to redouble our
- 13:41efforts and refocus our kind of our hearts
- 13:44and minds on how we do that
- 13:46even better and more efficiently,
- 13:48as as we tackle the coming year.
- 13:52Got it. That's helpful to know. Now before
- 13:54we wrap up here, I wanna talk about
- 13:55growth. Are there any other opportunities you're seeing
- 13:57for organizational growth going forward?
- 14:01So so as I mentioned in the beginning,
- 14:02we we are continuing to grow.
- 14:05You know, I can't really share too many
- 14:07details of that, but, but we are looking
- 14:10at additional ways for access for our patients.
- 14:14We we do have a new hospital opening
- 14:16at the end of this
- 14:18Callenton just in about a year from now,
- 14:20a little bit less.
- 14:21And it's all about access and making sure
- 14:24that, the communities we serve,
- 14:27are able to get the the the service
- 14:29they deserve.
- 14:30So I think that's mainly where we're seeing
- 14:33our growth is just areas of opportunity to
- 14:36to gain you know, to provide more access
- 14:38to our patients. Again, some of that is
- 14:40just construction, organic construction.
- 14:43Some of that is is just expanding our
- 14:45footprint.
- 14:46That makes a lot of sense. Mas, thank
- 14:48you so much for joining us on the
- 14:49podcast today. This has been a really, fun
- 14:52conversation. I've learned a lot from you and
- 14:54definitely appreciate your perspective on how things are
- 14:56growing and evolving. And, you know, to that
- 14:58point, I'm looking forward to seeing you at
- 15:00our annual meeting as well. I know you'll
- 15:01be speaking on a panel, and we'll dig
- 15:03deeper into some of the themes we talked
- 15:04about today. So I'm looking forward to it,
- 15:06and, see you in April.
- 15:08See you then. Super excited. And and, again,
- 15:10really appreciate the opportunity here, Laura.