Latest / Becker’s Healthcare Digital Health + Health IT / Doug King, Senior Vice President and Chief Information Officer at Northwestern Medicine
Transcript
- 0:02At athenahealth,
- 0:03we know your ambulatory practice wants healthier, a
- 0:06healthier business, healthier care teams, and healthier patients.
- 0:10But the complexities of modern health care tech
- 0:12make it hard for you and your care
- 0:14teams to focus on what matters
- 0:16most? That's where athenahealth can help. Our AI
- 0:19native all in one solutions reduce administrative burdens,
- 0:22streamline billing and payments, and deliver critical insights
- 0:25when clinicians need it most. That means fewer
- 0:28clicks, more time for patients, and stronger bottom
- 0:31lines.
- 0:32Practicing medicine is complex, but running a practice
- 0:35can be that much simpler with athenahealth.
- 0:38See how simpler is healthier@athenahealth.com.
- 0:43Hello, everyone. Welcome to the Becker's Healthcare Podcast.
- 0:46I'm Scott King, thrilled today to be joined
- 0:48by Doug King, senior vice president and chief
- 0:51information officer over at Northwestern Medicine. Doug, how
- 0:54are you doing today? I am pretty good,
- 0:56Scott. Thanks for asking. Yeah. Thanks so much
- 0:58for joining us. I'm running into a lot
- 0:59of big topics,
- 1:01in health care on the podcast. But before
- 1:03we do that, I was wondering if you
- 1:04could please just kinda introduce yourself and tell
- 1:07us a little bit about your background.
- 1:09Yeah. Sure. Happy to do it. So, I've
- 1:11been at Northwestern
- 1:13for nineteen years.
- 1:14Within,
- 1:15those nineteen years, I've been in 11 different
- 1:17roles.
- 1:18Really all, the vast majority,
- 1:20within, the technology umbrella,
- 1:22on the technical side, on the application side,
- 1:25interoperability,
- 1:26and then just kinda grow our group, through
- 1:29the ranks, as Northwestern
- 1:31grew. And here we are today.
- 1:34That's awesome. Thank you for thank you for
- 1:35sharing that that background info.
- 1:38First kinda question I wanna get to is
- 1:40what opportunities and headwinds do you have your
- 1:43eye on right now?
- 1:45Yeah. I think the the headwinds are really,
- 1:48you know, about seeing as many patients as
- 1:51we can,
- 1:52and delivering
- 1:54highest quality care to make sure that we
- 1:55have taken care of that patient. But that
- 1:57is then also
- 1:59mixed with what does that look like for
- 2:01reimbursement
- 2:02rates? What does that look like the impact
- 2:04on our financials?
- 2:05How is MedicaidMedicare
- 2:07going to be impacted by that? The payer
- 2:09contract. So there's a lot of lot of
- 2:11headwinds, that we're still trying to figure out.
- 2:13And since those headwinds are not clean and
- 2:16crisp, it's really trying to adjust and adapt
- 2:19to make sure we still deliver,
- 2:21that high quality care,
- 2:23and at the same time,
- 2:25being able to adapt when something new hits
- 2:27us. I think the opportunities
- 2:29really,
- 2:30are to solve those problems in unique ways,
- 2:33with technology.
- 2:34I think that, technology
- 2:36is one of,
- 2:38the best levers, if not the only lever
- 2:40we have really to start to take care
- 2:43of patients,
- 2:44in their home, virtual settings, wearable types of
- 2:47things. And at the same time, when a
- 2:49patient is in our,
- 2:50four walls of one of our,
- 2:52institutions,
- 2:53how do we give them the best care
- 2:55with technology?
- 2:56Make sure that we are monitoring them and
- 2:59using technology
- 3:00to treat them in a high quality manner
- 3:02and then get them out as fast as
- 3:04possible,
- 3:05so that we can see the next patient
- 3:07that really needs to see. So lots of
- 3:09opportunities and I really do see it,
- 3:11within, within technology and,
- 3:14artificial intelligence continuing to have an impact.
- 3:17Yeah. It's definitely having an impact as we
- 3:19see more and more use cases. Just just
- 3:22to follow it up, are you someone who
- 3:24sees
- 3:24have you kinda trained yourself to see headwinds
- 3:27as opportunities and kinda use those terms interchangeably
- 3:30to kinda I don't know. Maybe it helps
- 3:31to have a more
- 3:32positive mindset when challenges arise?
- 3:36I think that when you are grow up
- 3:38in the world of technology,
- 3:41that you have been faced,
- 3:43with challenge after challenge after challenge.
- 3:46Some of them are novel new challenges, some
- 3:49of them are old ones and now you're
- 3:51just solving,
- 3:52in new ways.
- 3:53So ultimately,
- 3:54I think what has happened,
- 3:57through the years is that the technology arm
- 4:00of a lot of different health systems
- 4:02has really become the process improvement arm because
- 4:04it's one of the fastest ways that you
- 4:06can improve a process. It's one of the
- 4:07fastest ways that you can solve a problem.
- 4:11And it takes thoughtful collaborative leadership, not just
- 4:14IT, but working with physicians and working with
- 4:17clinicians and back office.
- 4:19And I think having to do that over
- 4:21and over and over,
- 4:23people that continue to work in technology
- 4:25just know that, yep, we gotta go take
- 4:27that on and we're gonna do it and
- 4:28we're gonna give it our best. And you
- 4:30have to have a positive,
- 4:31optimistic attitude because people are now coming to,
- 4:35Technology Arms to solve those problems. And if
- 4:38you look at it in the art of
- 4:39the possible and a yes if attitude instead
- 4:42of a no because,
- 4:44I think it just naturally starts to build
- 4:45within you to say, okay, let's take down
- 4:47that problem and let's let's get to work.
- 4:50Honing in on on that leadership
- 4:53perspective you just mentioned,
- 4:54how are you thinking about adding growth
- 4:57and adding value to your organization?
- 5:00Yeah. I think that, you know, on the
- 5:02growth side,
- 5:03I think it's really about,
- 5:06standard growth. Greenfield, adding positions, doing that in
- 5:10a way that is delivering a quality product,
- 5:12so that as soon as we open a
- 5:14new institution,
- 5:15the technology works. You know, there's two parts
- 5:18of technology. One, LODO. Lights on, doors open.
- 5:21It means the systems are running. The utility
- 5:23element of IT so that physicians and clinicians
- 5:26can take care of those patients.
- 5:28And we're also getting the revenue associated with
- 5:30that. The other element,
- 5:32is really
- 5:33new stuff. How can you leverage technology in
- 5:37that platform you have to treat patients in
- 5:39new ways? And I think a lot of
- 5:41that is going to be,
- 5:43in the home setting to take care of
- 5:45those patients,
- 5:46where you can. Being able to fill as
- 5:48many patient appointments you can through open scheduling
- 5:52so a patient can do it themselves so
- 5:53that you are adding that growth naturally and
- 5:56organically
- 5:58just by
- 5:59offering up the health system services in new
- 6:01ways. I think that the other thing that
- 6:03you can do,
- 6:05is partnership. You know, partner with different companies,
- 6:08whether they were large digital
- 6:09giants or whether they are with new,
- 6:13startups and to see what unique ways do
- 6:16they bring technology to healthcare
- 6:18that either increases your margin
- 6:21or it drives more volume through,
- 6:24or it's increasing your quality. And all of
- 6:27those really then trigger into value because it's
- 6:30not just about hard ROI anymore.
- 6:33That is something that we want to get.
- 6:35That is something that we need to achieve.
- 6:37But it's about patient experience. So it's about
- 6:39delivering healthcare where that patient wants to receive
- 6:42that healthcare. It's about offering up optionality.
- 6:46Where do you want to get your MRI?
- 6:47What's most important to you? Is it most
- 6:50important that you get it today? Well, here's
- 6:52the one that you have to drive further.
- 6:53But if it's most important to stay close
- 6:55to your home, it might take a little
- 6:57longer. So adding the value through experience,
- 7:00through quality, through efficiency
- 7:02and through hard ROI,
- 7:04those are really the key areas that we
- 7:07try to focus in on.
- 7:09What's one risk or investment
- 7:11worth making this year that could help add
- 7:13that value?
- 7:14You know, I think,
- 7:16it's what everyone is saying. And I think
- 7:18it is around,
- 7:21AI
- 7:22in the areas of efficiency,
- 7:24but do not over invest. It needs to
- 7:27be a thoughtful and intentional
- 7:30investment
- 7:31and you need to understand what you are
- 7:33measuring
- 7:34upfront
- 7:36so that you can understand that the value
- 7:38is being achieved
- 7:39or it is not. And if it is
- 7:41not, it should be shut down. Because if
- 7:44it's not providing that value, then all it
- 7:46is doing is adding burden and expense to
- 7:49the bottom line. So
- 7:52when you think about that, there's proven areas.
- 7:55Revenue cycle, automation,
- 7:57call centers,
- 7:58symptom checkers. All of those types of things
- 8:01are proven. And so we're going to continue
- 8:03to lean in on those areas where we
- 8:06know we're going to generate the value.
- 8:08But so since we're getting the value out
- 8:10of there, we're also going to start to
- 8:12experiment in new ways. And how do we
- 8:14deploy
- 8:15technology that might not have the value, but
- 8:17again, we're going to measure it. So we're
- 8:20going to balance. We understand that these are
- 8:22proven areas. We're gonna lean in and deploy
- 8:24those more, as well as we're gonna continue
- 8:26to experiment. But all of that is really
- 8:29under the umbrella of advanced technology and artificial
- 8:31intelligence.
- 8:33Getting back to growth, where do you see
- 8:34the best opportunities for growth in the future?
- 8:38I think that,
- 8:40the area
- 8:41of wearables
- 8:43mixed with
- 8:44algorithms on top of them is something that
- 8:46is going to start to
- 8:48really hit within the next three to five
- 8:52years.
- 8:53They're out
- 8:54there, they're working, but no one really has
- 8:56it truly figured out right now on how
- 8:58you can deploy those types of things at
- 9:01scale to where a health system can get
- 9:03reimbursed for the work and the care they're
- 9:05providing that is working for the clinician, the
- 9:08patient, as well as the technology is seamless
- 9:11and easy to set up. I do think
- 9:13that those things are continuing to converge
- 9:16and over the next three to five years,
- 9:18we're really going to see that accelerate.
- 9:20Because when we have an aging population
- 9:23and there's so many only so many beds
- 9:25in The US, that's an area where we're
- 9:28gonna have to get better as an industry
- 9:30and as a society if we're gonna continue
- 9:32to take care of our aging population,
- 9:35and they wanna get care at home. So
- 9:36we need to be able to really
- 9:38figure that one out.
- 9:40Lot of investment going in there, lot of
- 9:42an experimentation
- 9:43going in there, and I think that we're
- 9:45gonna be able to finally turn the dial
- 9:47up to where that value is actually being
- 9:49realized over the next three to five years.
- 9:51So I think that that's an area where
- 9:54we're gonna continue to see opportunities for growth
- 9:56in the future,
- 9:57and it's not just building brand new plants.
- 10:00That will still continue to occur, but it
- 10:02will be balanced, with providing care in alternative
- 10:05settings.
- 10:06That sounds great, doctor. Hopefully, that happens in
- 10:08the next three to five years. I think
- 10:10that'd be wonderful.
- 10:11Last question I wanted to ask you. How
- 10:13have you evolved as a leader?
- 10:15I would say that, you know, over my
- 10:17my career,
- 10:19it's gone from
- 10:20technology and truly just focusing in on,
- 10:24taking the technology that we have and deploying,
- 10:28and deploying it in a way,
- 10:30that is built for that specific clinician. And
- 10:33what has happened
- 10:35over the really, probably been accelerating over the
- 10:38past six years
- 10:40is a lot of information services departments have
- 10:43made the leap from being order takers in
- 10:46an expense,
- 10:48a necessary expense to the business
- 10:50to actually having a seat at the table,
- 10:53and being able to lead through problem solving
- 10:56and being able to get technology to be
- 10:58viewed as a strategic asset. And I think
- 11:01with that transition of technology requires
- 11:04that you adopt,
- 11:06as a leader because you need to be
- 11:08able to explain technology that is incredibly complex
- 11:12in a care setting
- 11:13to a way that everyone can understand it
- 11:15so that they can come to the table
- 11:17with you to solve the problem. So it's
- 11:19no longer
- 11:20just a world of this is the system
- 11:22we want, please implement it. It's more along
- 11:25the lines of this is the problem we
- 11:27have, how can we leverage technology,
- 11:31to help make it better? And I think
- 11:33with that,
- 11:34really does require,
- 11:35the evolution of an individual's,
- 11:38leadership
- 11:39as well as the department,
- 11:41that they're leading. Otherwise, you're going to fail.
- 11:44Doug, thanks so much for joining us on
- 11:45the podcast. I think it was a great
- 11:47informative conversation. I look forward to working with
- 11:49you again soon. Sounds good. Thank you.
- 11:54At athena Health, we know your ambulatory practice
- 11:57wants healthier,
- 11:58a healthier business, healthier care teams, and healthier
- 12:01patients.
- 12:02But the complexities
- 12:04of modern health care tech make it hard
- 12:06for you and your care teams to focus
- 12:07on what matters most. That's where athenahealth can
- 12:10help. Our AI native, all in one solutions
- 12:13reduce administrative burdens,
- 12:15streamline billing and payments, and deliver critical insights
- 12:18when clinicians need it most. That means fewer
- 12:21clicks, more time for patients, and stronger bottom
- 12:23lines.
- 12:25Practicing medicine is complex, but running a practice
- 12:28can be that much simpler with athenahealth.
- 12:30See how simpler is healthier at athenahealth.com.