Latest / Becker’s Healthcare Podcast / Driving Responsible AI Adoption, Cybersecurity and Digital Transformation with Les Clonch
Transcript
- 0:02- The strategic agenda facing hospital and health system
- 0:04- leaders right now is not a short list.
- 0:07- Growth in a consolidating market, sustainable margins in
- 0:09- a reimbursement environment that rarely moves in your
- 0:12- favor,
- 0:12- a tech investment cycle that demands both urgency
- 0:15- and discipline,
- 0:16- and a workforce story that is still being
- 0:19- written.
- 0:20- Eker's fourteenth annual CEO CFO roundtable brings together
- 0:23- more than 1,500 executive level attendees and nearly
- 0:27- 400 speakers across four days of sessions that
- 0:30- are designed to help c suite leaders benchmark,
- 0:32- pressure test, and sharpen their priorities.
- 0:35- Not in the abstract, but against the real
- 0:37- decisions they'll face heading into the next year.
- 0:39- It's the kind of event you leave with
- 0:40- a clear sense of where you stand and
- 0:42- what comes next.
- 0:44- So join us November second through the fifth
- 0:46- at the Hyatt Regency in Chicago,
- 0:48- and come ready to do the hard thinking.
- 0:50- Register on our events page at beckershospitalreview.com
- 0:54- by clicking on the events tab in the
- 0:56- upper right.
- 0:58- This is Laura Dirda with the Becker's Healthcare
- 1:00- podcast. I'm thrilled today to be joined by
- 1:02- Les Quolge, vice president and chief information officer
- 1:04- of Scottish Rite for Children. Les, it's a
- 1:06- pleasure to have you on the podcast today.
- 1:08- It's good to talk to you. Absolutely. Now
- 1:11- I'm excited to dig in and just learn
- 1:13- a little bit more about some of the
- 1:14- things you're doing at Scottish Rite, highlight some
- 1:16- of the successes, and then get your perspective
- 1:18- on the future. But before we dive in,
- 1:20- can you tell me a little bit more
- 1:21- about yourself and your background?
- 1:23- Of course.
- 1:25- I've been in health care going on thirty
- 1:27- years, thirty plus years.
- 1:29- I've been on the provider side of health
- 1:31- care for just about all of my career,
- 1:33- primarily in this role as the chief information
- 1:36- officer.
- 1:37- I've been a variety of different places, very
- 1:39- large health systems,
- 1:41- smaller health systems, multi hospital systems with all
- 1:44- the trimmings that go with that. And,
- 1:46- it's been a great journey and, a lot
- 1:48- of wonderful things. I worked with a lot
- 1:50- of wonderful people and
- 1:52- and they've been so instrumental in in,
- 1:55- helping
- 1:56- build me as a better leader and, and
- 1:58- certainly being able to come to Scottish Rite
- 2:00- has been a a wonderful experience.
- 2:03- That's great to hear.
- 2:05- How fun. Now could you give us a
- 2:07- quick state of the union at Scottish Rite?
- 2:08- What's going well this year, and what are
- 2:10- you focused on for the rest of 2026?
- 2:13- Well, I think,
- 2:14- I think we've done the year's gone really
- 2:16- well here. I think we, we're seeing technology
- 2:20- become more embedded in strategy,
- 2:22- particularly in the in the operational clinical aspects
- 2:25- of our organization.
- 2:27- Care delivery and operations have seen some improvements
- 2:30- and and opportunities in terms of
- 2:33- being able to extend care, more efficiently to
- 2:36- our patients and families as well as being
- 2:38- able
- 2:39- to improve some of the operational,
- 2:41- day to day things that we do,
- 2:43- because of the the efficiency that automation brings.
- 2:47- Going forward, I guess, for the rest of
- 2:48- 2026,
- 2:49- I I really think I'm just it's it's
- 2:51- really a focus more on just increasing the
- 2:53- capabilities of our core platforms.
- 2:55- We run Epic and Workday and a few
- 2:57- things like that.
- 2:59- And the thing being
- 3:01- thoughtfully,
- 3:02- being able to
- 3:03- accelerate
- 3:05- in a responsible way,
- 3:06- AI,
- 3:08- primarily coming from our core vendors,
- 3:11- but having that,
- 3:13- a thoughtful way of of putting that in
- 3:14- place.
- 3:16- And also, I think as everybody knows, and
- 3:18- this is pretty common in health care, and
- 3:20- that is trying to improve
- 3:21- our cybersecurity posture and resilience. That's always been
- 3:24- a top of mind thing here. And then,
- 3:27- I think the other thing that we're gonna
- 3:28- be doing, going forward is developing a framework
- 3:33- to, build out or, I'll call, refresh our,
- 3:36- our long term IT plan,
- 3:39- so that we have
- 3:40- a pretty well articulated
- 3:42- and agreed to, roadmap for, for the future
- 3:46- of IT and how it can enable our
- 3:47- organization more effectively.
- 3:50- Got it. That's helpful to understand. And, you
- 3:52- know, I I definitely appreciate everything that it
- 3:55- takes to, to bring AI into the existing
- 3:58- workflows. And, also, you mentioned with Epic, Workday,
- 4:01- and others, I can imagine. And, you know,
- 4:03- when you look at all of that and,
- 4:05- how the technology coming into place, your point
- 4:08- about, cybersecurity is very well taken and and
- 4:10- what it really means in order to,
- 4:13- you know, bring these things in successfully and
- 4:15- safely for the broader organization.
- 4:17- So I am curious. When you look ahead,
- 4:19- what are some of the headwinds that you
- 4:21- have your eye on and are preparing for?
- 4:23- Well, I think the biggest headwind, and maybe
- 4:25- there's a few crosswinds in that as well,
- 4:27- is, is just the,
- 4:29- the scope and pace of change. I think
- 4:31- that's the big one that, I really have
- 4:34- an eye on because there's,
- 4:36- you know, there's always this constant question,
- 4:38- that we ask ourselves is is of all
- 4:41- the things we could do, what is it
- 4:42- we should do?
- 4:43- And, that's a that's a that's a typically
- 4:46- hard question to answer because
- 4:49- technology has become
- 4:51- such a strong enabler. It's it's the evolution
- 4:53- of technology as the pace of which has
- 4:56- increased and the capabilities of which has increased
- 4:59- exponentially. In fact, faster in my, my estimation,
- 5:02- in my opinion than it has in many
- 5:04- of the years I've been in this business.
- 5:06- So it's evolving very quickly and,
- 5:09- and especially in the areas of AI and,
- 5:11- in cybersecurity,
- 5:13- also in the area of how do we
- 5:15- manage
- 5:16- the way we deliver services, not necessarily
- 5:19- delivering a laptop or delivering capabilities, but it's
- 5:22- also in deciding what we do or going
- 5:24- to deliver in the manner in which it
- 5:26- can be delivered now. There's a lot of
- 5:28- different options of whether you're doing it internally,
- 5:30- doing it,
- 5:32- through a cloud based model or,
- 5:34- obviously through, the assistance of others.
- 5:38- And then the other thing too that I
- 5:39- think is changing and that's the,
- 5:42- interestingly enough, is the expectations of patients and
- 5:44- families now that technology is advancing so fast.
- 5:47- And their
- 5:48- the pace of of change and their expectations
- 5:51- of, how well and how quickly we adopt
- 5:53- that is obviously something that's top of mind
- 5:55- for me
- 5:56- and others in our organization.
- 5:59- So the challenge in my opinion, you know,
- 6:01- is just is not simply just adopting new
- 6:03- tools, but
- 6:04- adopting the right tools in a way that's
- 6:06- thoughtful and, checks the boxes like
- 6:10- it's safe, it's secure, it's compliant.
- 6:13- And some of the things we may not
- 6:14- think about as strongly, but we should, and
- 6:16- that is how do we sustain this change
- 6:19- in our organization once we make it?
- 6:22- Sometimes we look at projects and and enable
- 6:24- initiatives as, oh, we got there. It's done.
- 6:27- But it's more about how do we sustain
- 6:28- that and build on that as time goes
- 6:31- on.
- 6:32- And, obviously, all these things have to be
- 6:34- very aligned with the the mission and goals
- 6:36- and objectives of the organization. So that really,
- 6:39- in a not so concise way, is kind
- 6:42- of kind of the the headwinds that I
- 6:44- I'm facing and and some of the crosswinds
- 6:46- that, we're experiencing as well.
- 6:49- Got it. I I think that makes a
- 6:50- lot of sense. And from your
- 6:52- perspective,
- 6:54- I'm curious.
- 6:55- How do you really prepare your teams to
- 6:57- be that nimble and agile in in,
- 7:00- embrace the changes that are coming down the
- 7:02- pipe and know that, you know, there's more
- 7:04- ahead? I I think, there's a lot of
- 7:07- unknowns out there in terms of what the
- 7:08- technology could do and and how it will
- 7:10- evolve. And to your point, how quickly,
- 7:13- patients expect
- 7:15- a different experience than the one that they
- 7:17- are you know, typically health care has provided.
- 7:19- So, when you look into the future, how
- 7:21- do you make sure you've got the right
- 7:23- teams in place and that nimbleness built in?
- 7:26- Well, I think there's a couple of thoughts
- 7:27- I I would have around that. One is
- 7:29- is
- 7:31- is really just
- 7:32- organizational
- 7:33- strategy. What what's important? How are we going
- 7:35- to align what we're doing with the things
- 7:38- the organization feels is needed to,
- 7:41- truly embrace all the the objectives that we
- 7:43- have for that year or even in the
- 7:45- in the near future and maybe somewhat of
- 7:47- the
- 7:48- distant future? How do we position ourselves to
- 7:50- effectively address those expectations from our our physicians,
- 7:53- our our,
- 7:56- our,
- 7:57- caregivers,
- 7:58- others in the organization, our patients and families?
- 8:01- How do we how do we do that?
- 8:02- And I think the other piece that comes
- 8:04- along with that,
- 8:06- that helps us make those kinds of decisions
- 8:08- is governance.
- 8:09- And I think a structured,
- 8:11- very thoughtfully put together way of assessing all
- 8:14- these opportunities and
- 8:16- and outlining,
- 8:18- those things and and aligning them again with
- 8:20- those objectives and strategies and goals of the
- 8:22- organization as a way
- 8:24- of distilling down all these opportunities into things
- 8:26- that are truly
- 8:28- actionable and impactful,
- 8:30- in both the the near term and the
- 8:32- longer term. And I think that's been one
- 8:34- way we've tried to manage all those things
- 8:36- and particularly,
- 8:38- address the the headwinds and the things that
- 8:40- are coming along.
- 8:41- I think that that, you know, good governance
- 8:43- is, at least in my experience in health
- 8:45- care, has been probably one of the most
- 8:47- effective ways
- 8:49- to help separate those things that are really
- 8:51- promising ideas from those that,
- 8:54- you know,
- 8:55- that that are good, but they don't necessarily
- 8:57- timed properly or things we just can't swallow
- 9:00- all at the same time. And
- 9:02- so that is, very, very key. And then
- 9:04- the other thing that goes in line with
- 9:05- governance, in my opinion,
- 9:07- is change management, and that is
- 9:10- helping our organization understand the impact of the
- 9:12- changes we're making, helping
- 9:14- them digest those changes in in, you know,
- 9:17- in in smaller
- 9:19- pieces so that we all can do this.
- 9:22- They understand what it's gonna do. We all
- 9:23- do this well together.
- 9:25- And I think that's those are probably the
- 9:27- the the tools and techniques we've used here
- 9:30- and I and I've
- 9:32- used in other places that,
- 9:34- truly help us
- 9:35- navigate
- 9:36- a lot of the difficulties that come with,
- 9:38- headwinds and crosswinds and the pace and,
- 9:42- and the scope and of the of the
- 9:43- changes we're seeing.
- 9:45- Absolutely. That's really solid advice and and, such
- 9:48- a helpful perspective to have as you're thinking
- 9:50- about, you know, the future in setting the
- 9:52- team up for success. Now
- 9:55- I'm curious, how do you think about growth
- 9:56- as well? What do you see some of
- 9:57- the big opportunities for the next two to
- 9:59- three years or so?
- 10:01- Well, I think I think, you know, from
- 10:02- from my perspective here at Scottish Rite, you
- 10:05- know, I see, growth in several areas. I
- 10:07- think one of the
- 10:08- the ways we can do,
- 10:10- grow
- 10:11- is
- 10:13- is broader and more effective use of our
- 10:15- enterprise data. Obviously, we've got, as a as
- 10:19- a teaching and
- 10:21- research
- 10:23- organization.
- 10:24- You know, there's a lot of opportunities, a
- 10:26- lot of insights we have, and
- 10:28- and information we've captured over time that we
- 10:30- try to use to,
- 10:32- improve the way we deliver care,
- 10:35- to be more
- 10:36- aligned with the needs and expectations of our
- 10:39- patients and families and, obviously,
- 10:41- with the communities we serve.
- 10:44- But I think having a better use of
- 10:45- that enterprise data in a more effective way
- 10:48- is always an ongoing challenge for us and
- 10:51- and one that I think will,
- 10:53- try to see a lot of growth, particularly
- 10:55- with AI and the and the need it
- 10:57- has for,
- 10:58- solid data.
- 11:00- And then,
- 11:01- continuing to grow and mature our our analytics
- 11:04- and decision support tools
- 11:06- and the standardization that goes with those. I
- 11:08- think one of the things we try to
- 11:09- do is
- 11:10- part of our strategy is to
- 11:13- make,
- 11:14- enable people to to be self sufficient
- 11:17- to the extent that makes sense and, and,
- 11:20- so that they too we kind of empower
- 11:22- them with these tools and these capabilities and
- 11:25- and the information and things we capture because
- 11:29- putting that at the frontline of care is
- 11:31- is one of the most effective ways to
- 11:32- truly engage our patients and families and the
- 11:35- experiences they have with us.
- 11:37- And I think the other thing too is,
- 11:38- you know, is is growing our capabilities
- 11:40- in, in AI, and that means
- 11:43- both investing in the tools and and the
- 11:45- and the the systems that are out there
- 11:47- that use it, but also
- 11:49- investing in the workforce and helping our folks
- 11:51- become more comfortable with and knowledgeable of,
- 11:55- and and understand how to responsibly use AI
- 11:58- in in the process of delivering care
- 12:00- and the and the other operational things we
- 12:02- do in at Scottish
- 12:04- Rite.
- 12:05- Continuing to invest and and grow in the
- 12:09- in the
- 12:10- the capabilities of our electronic health record and,
- 12:13- and the other other systems that we have.
- 12:15- I mean, it it's empowering our our organization
- 12:18- through continued expansion of those capabilities at a
- 12:21- pace in a way that, again, aligns with
- 12:24- the organization's expectations and their ability to adapt
- 12:27- depth to the changes that we have. And
- 12:29- I think the other thing too is just
- 12:30- looking at at all the services in the
- 12:33- manner in which, we
- 12:34- deliver service, particularly in an IT perspective,
- 12:38- deliver the services we have. We're always trying
- 12:41- to make sure that the things we do,
- 12:44- are,
- 12:45- one, focused on service and support in a
- 12:47- way that, one, is expected. But two,
- 12:50- also, you know, not everything that IT does
- 12:53- is a sweet spot. You know? So we're
- 12:55- all constantly looking at better, more effective ways
- 12:57- to engage our partners
- 12:59- in helping us deliver that, service and that
- 13:02- care,
- 13:03- to our colleagues and our patients and families
- 13:05- and making sure that we're reliable and secure,
- 13:08- and proactively do that, not, not reactive in
- 13:11- in terms of the things that the organizations
- 13:13- need or will need going forward.
- 13:15- So it it's really just a a a
- 13:17- a really wonderful opportunity cohesively and comprehensively just
- 13:20- to grow organizational capacity and capabilities in the
- 13:23- areas of technology and service
- 13:25- and, be able to kind of create value,
- 13:29- which we all agree is in is is,
- 13:33- the kind of value we're looking to we
- 13:34- need and we're looking to have.
- 13:37- And we do that through helping people understand,
- 13:40- what we're going to be doing to be
- 13:42- able to engage them collaboratively and and outlining
- 13:45- what that is,
- 13:47- and being able to understand the impact to
- 13:49- them and and the way they do things.
- 13:51- And then, obviously, effectively knowing how to use
- 13:54- those tools and those capabilities. So it's really
- 13:57- investing in our workforce and
- 14:00- and better use of the tools and capabilities
- 14:02- that we, that we have here.
- 14:05- Got it. That makes a lot of sense.
- 14:06- And, you know, really, it ties nicely into
- 14:08- everything else we've talked about today. You know,
- 14:10- thinking about, you know, how quickly the technology
- 14:13- is changing, what it means,
- 14:16- for teams to be ready to leverage it
- 14:18- and and deliver the experience patients,
- 14:21- desire and will be really important for that
- 14:23- going into the future as well. Before we
- 14:25- wrap up here, I wanted to ask you
- 14:27- about leadership too.
- 14:29- Who is a leader that you admire really
- 14:30- from any industry and why?
- 14:33- That's a great question. You know, I I
- 14:35- I'm a pretty voracious reader, so,
- 14:38- I do that just constantly. And, obviously, there's
- 14:41- always a
- 14:42- pearl of wisdom in just about everything I
- 14:44- read and and, and the conversations I have
- 14:46- and, and the folks I'm I'm, you know,
- 14:49- blessed to be able to interact with. But
- 14:51- one of the things that stuck out to
- 14:52- me was was a book that was introduced
- 14:54- to me when I was younger,
- 14:56- in my younger days.
- 14:58- And that was a book by Jim Collins.
- 15:00- And,
- 15:02- he he really kind of
- 15:04- I don't know how to describe it really
- 15:06- well, but he he was in summary, it
- 15:08- was kinda like
- 15:09- bringing together the idea of of
- 15:13- combining humility and and, with professional will, professional
- 15:17- focus.
- 15:18- And,
- 15:20- you know, the way I when I read
- 15:21- that book, it was it was more like,
- 15:22- you know, it's it's building out and bringing
- 15:24- out
- 15:25- the best the best leaders as as I
- 15:28- inferred from the book was was ones that
- 15:30- really,
- 15:31- worked with,
- 15:32- kind of a mission focused,
- 15:34- perspective.
- 15:37- They obviously you know, all great leaders surround
- 15:39- themselves with with great great teams and, strong
- 15:42- teams. And
- 15:44- and then the ability to make
- 15:46- to to to kinda sift the get the
- 15:49- wheat sifted from the chaff and and then
- 15:52- make this disciplined decisions over that. I mean,
- 15:54- the style
- 15:55- I think that kind of style is really
- 15:57- relevant in health care because the stakes certainly
- 15:59- health care are always high.
- 16:01- Everybody has
- 16:02- a a very equally important role in in
- 16:05- delivering care and and,
- 16:07- to the patients and families we're blessed to
- 16:10- serve.
- 16:11- And but the work that that's done in
- 16:12- health care also requires,
- 16:14- you know, both the vision for what's possible,
- 16:17- but you also have to throttle that with
- 16:19- the the restraint
- 16:21- to emphasize practical and and, implement,
- 16:24- what I call incremental steps to achieve that.
- 16:28- So it's it's having the vision, but having
- 16:30- the discipline, the humility to know when you're
- 16:32- wrong, being able to pivot to what's right,
- 16:35- and, working in a creating a culture that
- 16:38- allows for that and encourages that. But also
- 16:40- the, you know, the practice then, like I
- 16:42- say, incremental
- 16:43- steps to, to achieve what you envision,
- 16:47- where that's incremental success. It doesn't all come
- 16:49- at one time. So that's probably the the
- 16:52- one I would call out is is that
- 16:54- was kind of the foundational
- 16:56- insights I gained when I started my, started
- 16:59- my career
- 17:00- up to today.
- 17:02- Oh, that that's amazing to hear. And, you
- 17:04- know, I I think that Jim Collins is
- 17:05- definitely somebody that we,
- 17:07- you know, talk a lot about at Becker's
- 17:09- as well and and somebody who's truly got
- 17:11- a lot of, great nuggets when you think
- 17:13- about leadership and and what's gonna be most
- 17:16- effective as you're bringing organizations
- 17:18- into growth mode. So, thank you so much
- 17:21- for your time today. I really appreciate it,
- 17:23- Les, and look forward to seeing you as
- 17:24- well this, fall at our events. I know
- 17:26- you'll be speaking on a panel, and it'll
- 17:28- be truly great to catch up there and
- 17:30- see you in person.
- 17:31- Well, it's been wonderful speaking with you. Thank
- 17:33- you for the opportunity. Have a blessed day.