Latest / Becker’s Healthcare - Clinical Leadership Podcast / FJ Campbell, Chief Medical Officer at Ardent Health Services

Transcript

FJ Campbell, Chief Medical Officer at Ardent Health Services · Becker’s Healthcare - Clinical Leadership Podcast

• 0:00
  -
• 0:02
  - Nuance is a pioneer
• 0:03
  and a leading provider of conversational AI
• 0:06
  and cloud-based, ambient clinical intelligence
• 0:09
  for healthcare providers used by 77% of hospitals
• 0:12
  and 10,000 healthcare organizations worldwide.
• 0:16
  Our AI powered solutions capture 300 million patient
• 0:19
  stories each year.
• 0:21
  We help unburdened clinicians, radiologists,
• 0:24
  and care teams with efficient new ways
• 0:26
  to capture clinical information,
• 0:28
  applying real time intelligence
• 0:30
  for better decision making across the continuum of care.
• 0:33
  Now a Microsoft company Nuance brings industry leading
• 0:36
  generative AI and deep vertical expertise.
• 0:39
  To address your biggest challenges
• 0:41
  and accelerate healthcare outcomes, visit
• 0:45
  www.nuance.com/healthcare for more information.
• 0:49
  - Welcome everyone
• 0:50
  to the Becker's Healthcare podcast series.
• 0:52
  I'm Mariah Mohammed, writer
• 0:53
  and moderator with Becker's Healthcare,
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  and I'm absolutely thrilled to have with me today Dr.
• 0:58
  FJ Campbell, chief Medical Officer at Arden Health Services.
• 1:01
  Doctor, it's very nice to have you on the podcast.
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  To get us started, would you mind please introducing
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  yourself and telling us a bit about your background?
• 1:09
  - Sure. FJ Campbell, again,
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  I'm the Chief Medical Officer of Arden Health Services.
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  I'm an emergency medicine p by training
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  and effectively guided to administration along the way
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  to improve throughput.
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  Um, that started off with VIR Health, then I went on to HCA
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  and CHS, uh,
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  and now I'm at Arden Health Services, where I'm responsible
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  for our clinical initiatives.
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  - Wonderful. Thank you so much
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  for giving us that background.
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  So to jump right into our conversation today,
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  can you tell me about your most successful project
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  or initiative from the last year?
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  What issues were you trying to solve
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  and also what drove the success?
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  - Sure, no question about it.
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  As we have been coming out of covid, um,
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  and really thinking about workforce demands, uh,
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  it really demonstrated to us
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  that there has become an untenable amount of work
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  for our nursing staff.
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  And we began to really question what are the elements
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  of nursing workflow that we could literally automate?
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  And that work has taken place in our Amarillo market at BSA,
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  where we have endeavored
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  to automate the collection of vital signs.
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  Uh, our partner in that is a company
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  called Bio Intelligence.
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  Their product is bio button.
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  Uh, we've also done that in conjunction with Medtronic.
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  And uh, the bio button is placed on patients
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  and we have the automated collection of heart rates,
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  respiratory rates, and temperature.
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  Um, two success stories come out of this.
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  Number one, it's reducing some of the tasks,
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  the mundane tasks at the bedside that occupy workflow
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  for our nurses and our patient care technicians.
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  Uh, but with 1,440 measurements per day per patient, it has
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  provided a profound amount of data that is now going into
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  our deterioration index called Alert Watch,
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  which is much more effectively identifying
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  patients who are deteriorating.
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  And we have seen as a result, uh, a reduction in length
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  of stay and a reduction in mortality major success for us.
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  So that was the last year,
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  and we're in the process of rolling that out to
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  further facilities.
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  We've completed it in our Tulsa market,
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  and we'll be going to East Texas next.
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  - Wonderful, wonderful.
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  Thank you so much for giving us, uh, that insight.
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  And the next question I wanted to ask you is, as you know,
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  the clinical workforce has changed a lot in the last few
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  years for obvious reasons.
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  Uh, what challenges are you still facing
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  and how do you see the clinical workforce evolving?
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  - We're gonna have a virtual workforce working alongside
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  an onsite workforce.
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  Um, we've been talking about telehealth for decades now,
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  and it's been very much focused on physicians.
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  Um, again, a byproduct of our experience coming out
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  of Covid, uh, was reflecting on the bedside care
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  paradigm for both nurses and for patient care technicians.
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  Um, we've been working with a company called Care ai.
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  Um, we're in the midst of deploying 400 plus, um,
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  telehealth sensors per, um,
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  room across our East Texas market.
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  And the goal there is to actually drive virtual nurses,
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  virtual techs and virtual attendings.
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  Uh, this is about load balancing workflow for nurses,
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  but also load, uh, balancing acuity
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  and patient volumes across, uh, a whole market.
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  And our hub and spoke model.
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  When we look at the virtual nurses,
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  we are specifically thinking again, what can we do
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  to improve the workflows for our nurses
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  and technicians working in the hospital?
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  And we thought we could deploy virtual nurses
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  who could take care of elements of the admission process,
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  medication reconciliation, rounding the discharge process,
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  creating an environment where the nurses
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  who are now present on site are not going to have to be
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  so profoundly task focused
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  that they can concentrate more on critical thinking.
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  And that's what we think is going to lead
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  to a safer environment, both for our patients, our nurses,
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  and our techs as they're trying
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  to execute on their patient care.
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  When we realized that we could do that for nurses, we began
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  to realize we could also extend this to bringing
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  attendings from our tertiary care centers
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  to our secondary hospitals for a multitude
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  of clinical service lines to
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  therefore increase the capability of our secondary hospitals
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  and open up capacity to our tertiary care centers
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  to take more patients in from the community.
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  - Wonderful, wonderful.
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  Thank you so much for giving us that insight.
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  And Doctor, before I let you go, what is your best advice
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  for aspiring physician and nurse leaders?
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  - We have become nearly
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  symbiotic with technology.
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  I know that's a dramatic statement.
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  We no longer look at things like Epic as an EMR.
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  It really has become our clinical operating system.
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  Um, and there are increasingly will be tools that are going
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  to allow us to go through a tremendous amount
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  of patient data and really bring us down
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  to the pertinent positives and the pertinent negatives.
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  And that's gonna be happening in the nursing front.
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  That's gonna be happening in the physician front.
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  There's a new skillset that people are going to have
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  to really embrace.
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  It's not just how well you take a history.
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  It's not just how well you come up
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  with differential diagnosis
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  or how well you do a physical exam.
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  There's also going to be a skill
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  and people are really gonna have to commit to learning
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  the new skills around how do I leverage the tech,
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  leverage the technology around me to most effectively
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  and efficiently take care of the patients that I have.
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  So that is something that people associate with, Hey,
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  you're going to be able
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  to more effectively do your workflows if you gain
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  mastery over EMR.
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  But there are gonna be new systems
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  that are gonna be driving this clinical decision support
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  systems, artificial intelligence systems,
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  and having that comfort level
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  and having that understanding of necessity
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  to gain mastery over these new technology systems,
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  information systems coming in.
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  I think people are gonna have to really know
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  that their success
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  and their happiness in this work
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  will involve embracing these technologies.
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  - Yes. Thank you so much for those final thoughts, doctor.
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  This has definitely been an amazing
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  and informative discussion.
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  So again, I wanna thank you so much
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  for coming on Becker's Healthcare
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  and I look forward to connecting with you again soon.
• 8:15
  - My pleasure. Take care.
• 8:17
  - Nuance is a pioneer
• 8:19
  and a leading provider of conversational AI in cloud-based,
• 8:22
  ambient clinical intelligence for healthcare providers used
• 8:26
  by 77% of hospitals
• 8:27
  and 10,000 healthcare organizations worldwide.
• 8:31
  Our AI powered solutions capture 300 million patient
• 8:34
  stories each year.
• 8:36
  We help unburdened clinicians, radiologists,
• 8:39
  and care teams with efficient new ways
• 8:41
  to capture clinical information,
• 8:43
  applying real time intelligence
• 8:45
  for better decision making across the continuum of care.
• 8:48
  Now a Microsoft company Nuance brings industry leading
• 8:52
  generative AI and deep vertical expertise.
• 8:54
  To address your biggest challenges
• 8:56
  and accelerate healthcare outcomes, visit
• 9:00
  www.nuance.com/healthcare for more information.