Latest / Becker’s Healthcare Podcast / Rebranding, Service Line Strategy, and Digital Transformation at Powers Health
Transcript
- 0:02Every year, Becker's annual meeting brings healthcare leaders
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- 0:38This is Laura Dierda with the Becker's Healthcare
- 0:40podcast. I'm thrilled today to be joined by
- 0:42doctor Alan Kumar, who's the chief operating officer
- 0:45at Powers Health. Doctor Kumar, it's a pleasure
- 0:47to have you on the podcast today. Thank
- 0:48you for having me, Laura. Absolutely. Now I'm
- 0:51looking forward to our conversation because we'll be
- 0:53able to spotlight some of the cool things
- 0:54that you're doing at Powers Health as well
- 0:56as gain your perspective on how you're looking
- 0:58at the future. But before we dive in,
- 1:00can you tell us a little bit more
- 1:01about yourself and the health system? Absolutely.
- 1:04So quickly about myself,
- 1:06Alan Kumar. I'm the chief operating officer at
- 1:08Powers Health, which is a four hospital,
- 1:11acute health care system in Northwest Indiana about
- 1:1430 miles outside of Downtown Chicago. So we
- 1:16would consider ourselves a Chicagoland suburb, which we
- 1:19are.
- 1:20About two thirds of our market is local
- 1:23to Northwest Indiana, and about 20 to 35%
- 1:26of our market comes from the Chicagoland area
- 1:28as well, basically.
- 1:30We have grown immensely in the past ten
- 1:32to twelve years where our operating revenue has
- 1:35more than doubled.
- 1:36We are a double a rated with Fitch
- 1:39and double a minus with S and P
- 1:40bond rating,
- 1:42and we are about 1,500,000,000.0
- 1:43in annual revenue at this point with about
- 1:461,200 physicians on the medical staff, 500 employed
- 1:49physicians roughly,
- 1:51and about a little under 10,000 total employees
- 1:54in the health system.
- 1:56Awesome. Amazing to hear. And, you know, such
- 1:58a and a fascinating place that you sit
- 2:00to be able to serve,
- 2:02populations from a variety of different areas, and
- 2:04I can imagine just, you know, a lot
- 2:06of, folks coming in and a lot of
- 2:08ability to, make the community healthier.
- 2:11Now what was the most important initiative that
- 2:14you led in the last year? What did
- 2:15you do, and what were the results?
- 2:17So I think one of the biggest changes
- 2:19we made is we went through a branding
- 2:22exercise where we changed our name. So we
- 2:24were community health care system,
- 2:27for the last twenty three years. And then
- 2:30last year the year before at the end
- 2:32of last 2024 and late twenty twenty four
- 2:34and then all of 2025, we went through
- 2:36a branding exercise
- 2:38of the new name we have, which is
- 2:39Powers Health. And there's two reasons for that.
- 2:42One, the problem with community health care system
- 2:45was that it was fairly generic. Plus in
- 2:48the state of Indiana, we had
- 2:50community health care system, a community health systems,
- 2:53a community health net, and a community health
- 2:55network.
- 2:56And that caused significant amount of market confusion.
- 2:59And we chose the name Powers because the
- 3:02founder of the flagship hospital in the system
- 3:05was Don Powers,
- 3:07and he's was part of the system, one
- 3:09of the founders from the nineteen seventies, and
- 3:11he was CEO of the organization for many,
- 3:14many years.
- 3:15And as an homage to him, we did,
- 3:17name the system after him as a tribute
- 3:19to him, although he'd be very embarrassed about
- 3:21it if he was still alive, but we
- 3:22named it Powers Health after him.
- 3:25Oh, that's fascinating and, you know, truly an
- 3:27homage to,
- 3:29the health systems founding and then looking at,
- 3:31you know, where where it's headed. I think
- 3:34anytime a health system goes underneath undergoes a
- 3:37rebrand,
- 3:38you know, there's a lot that goes into
- 3:39it. It's a a huge decision. So as
- 3:41you're going through this process in the last
- 3:43year, what did you learn? What were some
- 3:44of the things that,
- 3:46you had to maybe
- 3:47reconsider
- 3:48or or things that you leaned into more
- 3:50heavily, as you went along the process?
- 3:54Communication is key in these areas. When you
- 3:56make a change, there was a lot of
- 3:58assumptions in the community that we had been
- 3:59purchased by somebody else, that we were merging
- 4:01with somebody else, and that honestly wasn't the
- 4:04case. We did this purely as a rebranding
- 4:06to help identify our product more clearly along
- 4:09everything that we're doing, and it fit with
- 4:11the strategy that we've had over the past
- 4:12few years as we've gone into our three
- 4:14year strategic plan. And this was one of
- 4:16the primary
- 4:17focuses of the first three year strategic plan
- 4:20we had that ended in 2025.
- 4:22So it was very important to us. Communication
- 4:25was key, and we found that we had
- 4:26to dispel many myths along the way.
- 4:29It has come through in late twenty twenty
- 4:31five very well. It's been very well accepted
- 4:33in the community,
- 4:34and we've seen only growth in the area
- 4:36and acceptance, and the brand differentiation
- 4:39has been beneficial to us.
- 4:41That's great to hear. Very much,
- 4:43exciting to have that success story. And now
- 4:46I can imagine going ahead, you know, there's
- 4:47so many possibilities. And to to think about
- 4:49the next year or so, what are some
- 4:51of the big priorities and headwinds you're focused
- 4:53on?
- 4:54I will say there's two primary areas. I
- 4:56mean, service line integration is something that's a
- 4:58buzzword in many health systems nationwide. We've
- 5:03been
- 5:04doing things similarly across the hospitals, although we
- 5:07never
- 5:08really pushed for standardization
- 5:10at a high level.
- 5:12We allowed some level of customization, which we
- 5:14still allow to a little bit, but we're
- 5:16trying to get best practices from each of
- 5:18our hospitals
- 5:19of how we're doing things and really standardize
- 5:21that approach across
- 5:22multiple service lines. And the focus is really
- 5:25on the service lines where we see significant
- 5:27opportunity for growth at this current phase. So
- 5:30orthopedics,
- 5:31oncology,
- 5:32cardiology,
- 5:32neurology, and primary care are the five primary
- 5:36pillars that we are using for our service
- 5:38line strategy of standardizing
- 5:40across
- 5:41the enterprise. And the health system cuts across
- 5:43two counties
- 5:44and about a total patient population of about
- 5:47serviceable population of about 800 to 850,000
- 5:50in those two counties plus surrounding.
- 5:52So we're really focusing on
- 5:55those areas where we can really give people
- 5:57a very standardized and a very
- 5:59reliable product. So it's the same wherever they
- 6:02show in the system, so they're getting a
- 6:03very consistent product that they can rely on,
- 6:05and that's really shown up in our NRC
- 6:07scores
- 6:08on an ongoing basis.
- 6:10The second area I would say that we've
- 6:12really focused on in important initiatives is digital
- 6:15transformation.
- 6:16We're really looking at a road map what
- 6:18we're doing with our IT infrastructure
- 6:20to support the organization.
- 6:23Everyone since COVID has realized that the status
- 6:25quo is no longer sufficient anymore, and you
- 6:28have to be able to do more with
- 6:29less.
- 6:30You're having changes on a state and federal
- 6:32level in terms of changes that are happening
- 6:35financially,
- 6:36in terms of access to care, in terms
- 6:38of insurance, in the payer market as well.
- 6:40So in as much, we're finding that the
- 6:42rules, the regulations, and how to give great
- 6:45quality
- 6:46hasn't changed, but our ability to fund that
- 6:48has changed. And so having to create levels
- 6:51of automation,
- 6:53streamlining, and create ways of getting more with
- 6:55less
- 6:56is really how we move forward. And that
- 6:58level of automation for us is starting with
- 7:00digital transformation across our enterprise.
- 7:02For example, we have a current initiative that
- 7:04we're looking at natural language processing
- 7:06to automate a lot of the data entry
- 7:08we do across many of our get with
- 7:10the guidelines,
- 7:11our
- 7:12various quality initiatives that we're on to make
- 7:15it easier to get more value out of
- 7:17each employee that we have because there's always
- 7:20a demand for more people needed to enter
- 7:22all the information and gather all of this.
- 7:24So finding ways of standardizing that has been
- 7:26very valuable for us.
- 7:28That's fascinating to hear. And, you know, it's
- 7:30truly helpful. I think especially when thinking about,
- 7:33you know, the digital transformation
- 7:35side, looking at technology,
- 7:37looking at, you know, artificial intelligence comes in
- 7:39here in some ways too in in the
- 7:41natural language processing is fascinating.
- 7:44When you're thinking about the technology and this
- 7:46transformation,
- 7:47what has to, resources do you have to
- 7:50continue to put into it? How you decide,
- 7:52you know, financially as well as from the,
- 7:55people and energy resource side to make sure
- 7:57that you're getting the value you need from
- 7:59the technology you're incorporating into the health system.
- 8:02I found that AI is a buzzword that
- 8:04a lot of people use, but it means
- 8:06different things to different people. For us, step
- 8:09one is getting a handle on the data
- 8:11we have in the system. So and that's
- 8:12not just within our EPIC platform, which is
- 8:15our base EMR both in and outpatient,
- 8:17but also making sure our quality data is
- 8:20entered into a system that can talk to
- 8:22EPIC,
- 8:23that our financial systems can align in and
- 8:25then all the other various support systems that
- 8:28we have. So having end to end data
- 8:29visibility
- 8:30is very important, and that's probably the first
- 8:33thing that we had to do was make
- 8:34sure that all of our systems have end
- 8:36to end data visibility.
- 8:38And then you can overlay
- 8:40machine learning, natural language processing, AI tools over
- 8:43the top of that to look across
- 8:46your various datasets
- 8:47and a data warehouse to be able to
- 8:49bring it together and look for,
- 8:51key insights that you couldn't have picked up
- 8:53on your own or
- 8:55allow you to force multiply what you're able
- 8:58to do as an individual because you have
- 9:00a tool that's bringing more information to your
- 9:02fingertips
- 9:03out of the gate. And that has been
- 9:05a multiyear process that we're in the middle
- 9:08of right now. We've had very good initial
- 9:10success, but we're only,
- 9:12I would say, 30 to 40% down this
- 9:13journey at this point.
- 9:16Got it. That's helpful to understand. Thank you
- 9:18for digging a bit deeper there. Now what
- 9:20do you think is the hardest thing you'll
- 9:22have to do next year will be?
- 9:24So a lot of what we do is
- 9:26plan for the future, and planning for the
- 9:28future requires visibility. And there's a lot of
- 9:31instability that we're seeing both at the said
- 9:33state and federal levels in terms of legislation
- 9:36that they're discussing coming out with, especially in
- 9:38the state of Indiana where they're talking about
- 9:40changing site neutrality inside of service type rules,
- 9:43and that's also having conversations at a federal
- 9:45level. How we make investments for the future
- 9:48really depends on what the rules are. And
- 9:51if the rules are actively changing, it requires
- 9:53us to think twice or plan for multiple
- 9:57possible eventualities.
- 9:59So that is
- 10:01a lot of thought and a lot of
- 10:02process because you're talking about major capital project
- 10:04investments,
- 10:06six, seven, eight, nine
- 10:08figures sometimes. And when you're looking at projects
- 10:10of that size,
- 10:12you do want as much visibility as possible,
- 10:15but that's hard when things aren't determined yet.
- 10:19It takes a lot of thinking and a
- 10:20lot of conversations with a variety of people
- 10:22both at the board level and the senior
- 10:23leadership level to make sure you've truly done
- 10:25your due diligence.
- 10:27Got it. That's amazing to hear. You know,
- 10:29definitely,
- 10:30something that, you know,
- 10:32is so critical,
- 10:34for any health system today as they're looking
- 10:36at where,
- 10:38the the organization is going and how they
- 10:40can think about, you know, allocation and capital
- 10:43allocation in the future.
- 10:44And I think it's particularly, when you talk
- 10:46about,
- 10:47side neutrality, side of service, all of those
- 10:49kinds of things,
- 10:50do you have plans to to grow your
- 10:52services outside of the hospital, whether it's ambulatory
- 10:55clinics or,
- 10:56virtual services? What where do you see some
- 10:58of that growth happening, and and how does
- 11:00that change the inpatient hospital world as well?
- 11:04We have two projects,
- 11:06that together probably add up to about $200,000,000
- 11:10in outpatient,
- 11:13investment outside of the four walls of the
- 11:15hospital that we're looking to put into place
- 11:17at this point
- 11:19to that exact conversation around continuing to offer
- 11:22care where the community wants the care to
- 11:25be.
- 11:26You can always increase in the hospital and
- 11:28build up, but trying to centralize it and
- 11:31force patients to come to larger and larger
- 11:33centers, it's very confusing for them. And the
- 11:36these megalocations
- 11:38are more difficult to navigate. So having more
- 11:40care locations throughout the community where our patients
- 11:43are located in our growing marketplaces, I think
- 11:45that's where we see value and the where
- 11:47we're putting investments in in the short term.
- 11:49Got it. Helpful. Understand. Thank you so much
- 11:52for, digging in there. Now,
- 11:54before we wrap up here, I wanted to
- 11:56talk about growth as well. Where else do
- 11:58you see some of the big opportunities for
- 11:59organizational growth and development?
- 12:01So
- 12:02we really focus on physicians and our caregivers,
- 12:06nursing, respiratory, etcetera,
- 12:08as
- 12:09our key driver and our key differentiator, I
- 12:12believe we have wonderful clinicians to care for
- 12:15our patients both,
- 12:17on the clinical side as well as on
- 12:19the support service side. So investing in our
- 12:22employee base,
- 12:23we have a very low turnover, much lower
- 12:26than the national and state average, both on
- 12:27the physician side as well as on the
- 12:30nursing side. We're proud of that. And what
- 12:32can we do to continue investing in our
- 12:34employees from an educational basis, from a support
- 12:36basis So they have the tools they need
- 12:39to feel that they're supported to do the
- 12:40right care.
- 12:42So a lot of what we're doing in
- 12:43our growth is investing in our employees, and
- 12:46I think that has had great dividends,
- 12:49to decrease the amount of agency, decrease the
- 12:52amount of travelers to almost nothing at this
- 12:54point, and really invest in growing the system
- 12:58by organically finding the right people that fit
- 13:00the mission and vision and the values of
- 13:02the organization.
- 13:04That's fantastic to hear. Doctor Kumar, thank you
- 13:06so much for joining us on our podcast
- 13:08today. This has been a really fun conversation
- 13:10and interesting to hear all the different areas
- 13:13that you're looking to grow and develop and
- 13:14and serve the community better in the next
- 13:16year or two. I appreciate your time and
- 13:18look forward to seeing you in person in
- 13:20Chicago at our annual meeting. I know you'll
- 13:22be there and speaking on a panel, so
- 13:24it'll be great to catch up and just
- 13:25learn a little bit more about how things
- 13:27are going.
- 13:28Sounds great, Laura. Thank you for your time.