Latest / Becker’s Healthcare Podcast / Expanding Access and Advancing Women's Health with Annmarie Lyons

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Expanding Access and Advancing Women's Health with Annmarie Lyons · Becker’s Healthcare Podcast

• 0:02
  - There's a small circle of people who truly
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  - understand what it takes to lead a health
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  - system right now. The decisions are enormous.
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  - The variables are constantly shifting, and the stakes
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  - of getting a call wrong don't stay contained.
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  - That's not a complaint. It's a structural reality.
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  - And it's why the most effective c suite
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  - leaders are deliberate about where they go to
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  - pressure test their thinking.
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  - Becker's fourteenth annual CEO and CFO roundtable
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  - brings together more than 1,500
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  - executive level attendees
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  - and nearly 400 speakers for four days built
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  - around growth, financial sustainability,
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  - workforce strategy, and the leadership questions that don't
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  - have easy answers.
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  - Join us November second through the fifth in
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  - Chicago.
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  - For the agenda and event details,
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  - visit beckershospitalreview.com
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  - and click on the events tab in the
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  - upper right.
• 0:50
  - This is Scott Becker with the Becker's Healthcare
• 0:54
  - Podcast.
• 0:55
  - We're thrilled to be joined by a leader
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  - who's been running the women's service line in
• 0:59
  - women's healthcare
• 1:01
  - at one of the greatest systems in the
• 1:02
  - country at UPMC for really a couple decades
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  - now. He's been been at UPMC for a
• 1:08
  - for a a good deal of time.
• 1:11
  - Ann Marie Lyons,
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  - tell us a little bit about your career,
• 1:14
  - about yourself,
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  - and you you've been at UPMC now for,
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  - I think, almost, I see, nineteen years, ten
• 1:20
  - months, so for a a an incredible period
• 1:22
  - of time. It's or longer than that now.
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  - Tell us about your career and about UPMC.
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  - Hi. Thanks, Scott. Thank you for having me,
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  - and,
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  - thanks for all the the nice words and
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  - you're welcome. So you got it right. I've
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  - been at UPMC
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  - here in Pittsburgh,
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  - for about twenty years in so many roles.
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  - Being part of a big system affords you
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  - that opportunity. So I've worked with our hospitals,
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  - with our physician groups,
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  - and, you know, with some of our, corporate
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  - strategies
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  - and services.
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  - But for the last four years,
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  - at UPMC,
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  - I've really been focused on women's health,
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  - and,
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  - and it's a role that I have loved
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  - every minute of. I find it super fulfilling.
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  - And what that means for me as the
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  - vice president of the women's health service line
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  - is that I'm responsible
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  - strategy, the operations,
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  - the advancements
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  - in the full continuum
• 2:19
  - of all of women's health. And maybe to
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  - give it a little bit of perspective, we
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  - are a service line with now 16 birthing
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  - hospitals,
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  - 24,000
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  - deliveries, over 700,000
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  - visits, and over 21,000
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  - surgical procedures
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  - every year. So I really am centered on
• 2:39
  - a general principle that women matter,
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  - that women's health matters,
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  - and we have to make it accessible in
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  - all communities and advance women's health through strategic
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  - problem solving,
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  - cross functional partnerships,
• 2:51
  - and bringing a human centered lens
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  - to our system.
• 2:56
  - And talk about the trends that you're watching
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  - in women's health care.
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  - It seems like so many things going right
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  - and so many real challenges.
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  - We end up ranked as a nation very
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  - low in certain women's health areas
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  - in maternal and child health care.
• 3:12
  - We've got labor and delivery shortage throughout the
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  - country. Tell us a bit about the overview
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  - of the trends because there there must be
• 3:18
  - some things that are going well too outside
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  - of so many things we see in the
• 3:21
  - news in in a news cycle.
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  - Yeah. So there are absolutely
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  - some amazing things that we're doing, and a
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  - lot of it is to augment care and
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  - to address some of the issues that, you're
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  - mentioning.
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  - And I'll I'll start with some of the
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  - the rural, health deserts that we have where
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  - we have literally
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  - counties without any obstetric care available.
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  - And I actually think
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  - that that is driven by a lens of
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  - looking solely at cost, and that's important. It's
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  - important for what we do, and it really
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  - does matter. But,
• 3:55
  - you know, we can't solely look at cost.
• 3:58
  - We have to look at the holistic financials.
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  - Because like most things, if you look at
• 4:02
  - an isolated,
• 4:04
  - episode,
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  - a a delivery, a baby delivery,
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  - a lot of times the cost is particularly
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  - high. But some of the ways to sort
• 4:12
  - of overcome it and what we do at
• 4:13
  - UPMC is we look at a holistic financial.
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  - So you're not just looking at one episode.
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  - You're looking at the the impact to the
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  - hospitals, to the physicians, to the clinic,
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  - or factoring in the downstream revenues, you know,
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  - the the closed gaps,
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  - and all the other
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  - sort of ways that you can really drive
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  - what is important.
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  - And the soft side of that sort of
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  - business proposition
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  - is the
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  - the impact that we have on future
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  - market share or future growth is really that
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  - if you capture a woman in your front
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  - door during their reproductive journey
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  - and you do it right and build the
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  - trust, you know, many times there's a a
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  - downstream impact. You know, she's gonna tell her
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  - friends and families and,
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  - really build a a trust and loyalty
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  - to your organization,
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  - but that's sort of the soft side. So
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  - the cost is one big part of it.
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  - You know, from a quality perspective,
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  - I think everybody is building so many responsible
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  - care pathways
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  - across the whole care continuum.
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  - But you mentioned maternity.
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  - For sure, we still have quite a a
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  - global impact on,
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  - unfortunately, still on maternal health. And so
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  - advancing through different pathways
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  - and using our technologies, whether we're monitoring remotely
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  - or using some predictive models, they've really come
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  - a long way
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  - with,
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  - particularly things like postpartum,
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  - hypertension disorders, things of that nature. So we
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  - really have come a long way. But I
• 5:47
  - will share
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  - one thing I'm watching that I think is
• 5:51
  - an underlying
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  - cause of all of it is
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  - understanding what women,
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  - need, what they want, and really getting a
• 5:59
  - better handle on the expectations.
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  - You know, I'm a as a woman myself,
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  - a lot of times, I tend to think
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  - I know what women want and how they
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  - want it delivered. And, you know, it's very
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  - humbling when you actually dig into intelligence
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  - and the data that we have,
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  - to really understand.
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  - You've gotta meet women in where they are.
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  - They've gotta feel trusting and,
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  - you know, different demographics,
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  - view that extraordinarily
• 6:24
  - differently. So as a sorta traditional health care
• 6:28
  - provider,
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  - it changes your whole strategy when you think
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  - about the fact that you've gotta put the
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  - patient first and,
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  - understand where they're at.
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  - Fascinating. What are some of these when when
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  - you sort of have those conversations and I
• 6:43
  - and I love your discussion of that because
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  - as a woman yourself,
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  - you have an intuitive sense of what you
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  - think that other women need. And what are
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  - some of the things that you learn when
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  - you have those open discussions, which so many
• 6:54
  - of us are so uncomfortable?
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  - Sometimes I don't wanna talk to a customer
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  - what they really want because it's hard to
• 6:59
  - hear it sometimes or or hard to sort
• 7:01
  - of open your mind to it. How does
• 7:03
  - that how does that go? And what do
• 7:04
  - you what does something that you learned? So
• 7:06
  - I'm gonna give you something that actually come
• 7:07
  - out under the consumer focus group because I
• 7:09
  - think this will really come make it kind
• 7:11
  - of almost, visual for you.
• 7:14
  - We were,
• 7:15
  - asking
• 7:16
  - midlife women,
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  - about menopause.
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  - They knew nothing. They didn't know what it
• 7:21
  - was.
• 7:22
  - They didn't know there was such a thing
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  - as midlife health,
• 7:26
  - but they certainly knew what a hot flash
• 7:27
  - was and they knew they had them.
• 7:30
  - And so I think, again, you know, you've
• 7:31
  - gotta change your whole paradigm
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  - that, you know, nobody knows what a urogynecologist
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  - is a lot of times. A layperson doesn't
• 7:38
  - know that, but they certainly know that they're
• 7:40
  - having leakage issues. So kinda meeting where they
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  - are.
• 7:44
  - And then also at the highest level,
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  - really simply, you know, our demography,
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  - right, our our demographics,
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  - our older women
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  - do tend to value ex expertise,
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  - clinical knowledge, access,
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  - and really anchor trust in a provider that
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  - that relationship that they have where younger women,
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  - you know, they're seeking ease, you know, ease
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  - of care,
• 8:06
  - making requests, making sure their care is coordinated,
• 8:09
  - having better communication.
• 8:11
  - And unlike the older generation that relies on
• 8:13
  - that provider, our younger women are really
• 8:16
  - looking at relatable
• 8:18
  - relatable sources to them. So digital wellness driven
• 8:21
  - sources, friends, family,
• 8:23
  - coaches, online resources.
• 8:25
  - So it's really fascinating when you think about
• 8:27
  - that you've gotta retain everybody,
• 8:30
  - and the next generation,
• 8:32
  - is, you know, very different, and so you've
• 8:33
  - gotta be able to offer what what people
• 8:35
  - need. You you know, going back to my
• 8:38
  - original response, we've actually changed a lot of
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  - our marketing campaigns to use words that our
• 8:44
  - women told us mean something to them. We
• 8:46
  - were, many times, simply using the wrong words.
• 8:50
  - And and and let me ask you a
• 8:51
  - question. In terms of the world today,
• 8:54
  - in
• 8:55
  - at one point, you might have had an
• 8:57
  - obstetrician, gynecologist that was with you your entire
• 9:01
  - almost adult life.
• 9:03
  - Now so much of that care is done
• 9:05
  - in different ways. It it seems almost
• 9:07
  - fractional or transactional or you you're not seeing
• 9:10
  - the same person, but maybe you're seeing a
• 9:12
  - team. How does the younger generation respond to
• 9:15
  - it? Are that are those do they have
• 9:17
  - just different expectations of it? How does that
• 9:19
  - how does some of that play out?
• 9:21
  - Yeah. So it it plays out, and it
• 9:23
  - does split amongst the generation divide. I think
• 9:25
  - our younger generations are more welcoming of it
• 9:28
  - because,
• 9:29
  - you know, they're they're
• 9:31
  - really putting themselves first and foremost and navigating
• 9:34
  - their care. Where they will notice it's a
• 9:36
  - problem to have a different provider or in
• 9:39
  - some cases, maybe you're being monitored versus having
• 9:42
  - a face to face encounter
• 9:44
  - is if the care does not seem coordinated.
• 9:47
  - So,
• 9:48
  - for many women, it's okay to,
• 9:51
  - just like we had in many times during
• 9:53
  - your pregnancy journey, you tend to see different,
• 9:56
  - providers in the practice. Right?
• 9:59
  - But yet you feel like you're part of
• 10:00
  - a a system and part of a group
• 10:02
  - that's gonna know you and is gonna advocate
• 10:04
  - for you and support you. So that's the
• 10:06
  - main key. And so how do you do
• 10:08
  - that with different,
• 10:10
  - systems
• 10:12
  - where the erecord is sharing the information
• 10:14
  - and that you are building that really, really
• 10:17
  - important trust
• 10:18
  - is is definitely the,
• 10:22
  - the the struggle that we have.
• 10:25
  - I would say
• 10:26
  - that where we do have some
• 10:28
  - women who prefer to see, you know, a
• 10:31
  - one
• 10:32
  - one person I have a relationship, you know,
• 10:34
  - maybe they delivered
• 10:35
  - myself, my kids, their kids,
• 10:38
  - You know, we have a harder time trying
• 10:41
  - to really
• 10:42
  - maybe feel folks have folks trust us and
• 10:45
  - feel confident that they can be seen by
• 10:47
  - others. And sometimes
• 10:49
  - that
• 10:50
  - paradigm shifts
• 10:51
  - simply due to access. Right? You know, I
• 10:54
  - I get it. If you really wanna see
• 10:56
  - doctor Smith,
• 10:57
  - it's gonna take a while, but I can
• 10:59
  - get you in more expeditiously.
• 11:01
  - And, hey, we share the same protocols and
• 11:03
  - the same, you know, commitment to your care
• 11:06
  - and and putting you in in the driver's
• 11:08
  - seat. So it it it's really considering how
• 11:11
  - you're gonna be
• 11:13
  - how our patients receive care
• 11:15
  - and knowing that somebody, whether it's one person
• 11:18
  - or many, has their best interest in heart
• 11:20
  - for all of their needs.
• 11:21
  - I think that's fantastic. And and when you
• 11:23
  - look at women's health
• 11:25
  - and UPMC,
• 11:27
  - take a moment on what you're most focused
• 11:29
  - on and excited about this rest of this
• 11:31
  - year and going into next year. What are
• 11:33
  - you most focused on and excited about currently?
• 11:36
  - So I think one thing I'm excited about,
• 11:39
  - but I'll be honest, we do it every
• 11:41
  - year and probably almost my entire career, it's
• 11:44
  - on access.
• 11:46
  - And I think why I get excited about
• 11:49
  - access is that we're really getting smarter about
• 11:51
  - it, and we are providing it in areas
• 11:54
  - of need.
• 11:55
  - In the women's health spectrum at UPMC, we
• 11:57
  - really do want to, we have a hub
• 12:00
  - and spoke model
• 12:01
  - and really wanna make that care available.
• 12:04
  - And we've embraced a philosophy that patients shouldn't
• 12:07
  - assume the burden of navigating their care. You
• 12:10
  - know, our people, processes, and technology have to
• 12:13
  - be as consumer centric as possible. And,
• 12:16
  - you know, many systems, not just UPMC,
• 12:18
  - are fortunate that there's a lot of, tools
• 12:21
  - and EMRs that
• 12:22
  - we can really maximize, and I think we're
• 12:24
  - getting much smarter about it. We understand workflows.
• 12:28
  - We use as much automation
• 12:30
  - as possible from Epic or other systems
• 12:34
  - and, just really being there for patients in
• 12:37
  - ways,
• 12:38
  - that frankly can be different.
• 12:40
  - But we also are respectful
• 12:43
  - of the patient's choice too. Right? So
• 12:46
  - in everything we do, it's, you know, some
• 12:48
  - patients prefer virtual,
• 12:50
  - some prefer or need face to face. There's
• 12:52
  - a geography.
• 12:54
  - You know, there's all the things that kinda
• 12:56
  - go into really
• 12:58
  - surrounding
• 12:59
  - the patient in the middle and letting letting
• 13:02
  - us kind of be there for them and
• 13:03
  - and get them where they need.
• 13:05
  - We have virtual care centers that are set
• 13:09
  - up to,
• 13:10
  - when a patient has a need for a
• 13:12
  - condition, but they don't know where to go.
• 13:15
  - You know, I I have this pain. It
• 13:16
  - sounds a lot like endometriosis. I don't know
• 13:18
  - who takes care of endometriosis.
• 13:20
  - We have a virtual care clinic that you
• 13:23
  - can make an appointment with our endometriosis
• 13:25
  - care. It's you don't have to know which
• 13:27
  - doctor it is. And what we do in
• 13:29
  - that virtual visit is really I mean, it's
• 13:32
  - a it's a fully,
• 13:34
  - it's a full visit. You're you're with, an
• 13:36
  - expert in that
• 13:44
  - development
• 13:45
  - of sort of the care plan. Right? Where
• 13:47
  - do you need to go next? Where do
• 13:48
  - you need to be seen? And, hey. Might
• 13:49
  - be on the other side of the state,
• 13:51
  - but that's okay. UPMC is over there. I
• 13:53
  - I see you live a few hours away
• 13:54
  - from me. So I'm kind of excited for
• 13:56
  - all the things that we're able to do
• 13:58
  - with access.
• 14:00
  - That's fantastic. Literally fantastic. And and take a
• 14:02
  - moment, Ann Marie. You've had this amazing career,
• 14:05
  - did a master's at Johns Hopkins too, and
• 14:08
  - then twenty years at the same system. We
• 14:10
  - said to anybody that's been two decades at
• 14:12
  - the same system,
• 14:13
  - they've gotta be a nice person who is
• 14:15
  - generally likable, and they've gotta be good at
• 14:17
  - what they do. Because because anybody spends twenty,
• 14:18
  - thirty years, if you're not a nice person,
• 14:19
  - it's somewhat you get sideways with people. So
• 14:21
  - you gotta be a good person, and you
• 14:23
  - gotta be quite competent. So a fantastic career.
• 14:26
  - Talk for a second about what advice do
• 14:28
  - you give to emerging leaders?
• 14:30
  - Sure. So I would say this. The first
• 14:32
  - thing just going to UPMC in general,
• 14:35
  - I've also been very blessed. So I you
• 14:37
  - know, being here for twenty years,
• 14:39
  - I've never had the same job, even though
• 14:42
  - I probably had eight formal jobs across that
• 14:44
  - journey. And so you really
• 14:46
  - grow and learn and, you know, build off
• 14:49
  - of other people, and, I think that's really
• 14:51
  - important.
• 14:52
  - And I think my advice is,
• 14:55
  - you know, no matter how much you know
• 14:57
  - and, you know, everything that you've done, whether
• 14:59
  - it's, you know, two years or twenty years,
• 15:01
  - for all the achievements you have,
• 15:03
  - you need to be humble.
• 15:04
  - Right? There's people there helping you and people
• 15:06
  - you're helping, and you need to stay curious.
• 15:10
  - Part of why I've grown in in my
• 15:12
  - career is I'm I'm curious. I wanna see
• 15:14
  - how how things work, you know, in a
• 15:17
  - different area or somebody has a problem and
• 15:19
  - they think I could help fix it. But
• 15:21
  - the other thing I would say is
• 15:23
  - you really need to know your drive.
• 15:26
  - And I think, you know, some of us
• 15:28
  - get a little bit older in our careers.
• 15:30
  - We do realize that finding a role that's
• 15:33
  - personally fulfilling is like the icing on the
• 15:35
  - cake. Right?
• 15:36
  - So you might succeed in many, many things,
• 15:39
  - but when you drive impact
• 15:41
  - in an area that matters to you,
• 15:44
  - you will be more engaged,
• 15:46
  - and then
• 15:47
  - everything you do will be so much more
• 15:50
  - effective.
• 15:51
  - And then lastly, you gotta stay true to
• 15:53
  - your core values. You know, you never break
• 15:55
  - your values, that you have the values of
• 15:58
  - your organization.
• 15:59
  - So, yeah, that's my advice I would be,
• 16:01
  - shouting out there.
• 16:03
  - No. I I I love that, and I
• 16:05
  - love this concept of
• 16:07
  - when you determine what's right for you, the
• 16:10
  - right spot, the right road for you, what
• 16:11
  - you want to do for your career,
• 16:14
  - my perspective is that's when people's career satisfaction,
• 16:18
  - their professional satisfaction
• 16:20
  - accelerates and goes through the roof. When when
• 16:22
  - you're doing something, you've decided it's the right
• 16:24
  - thing for you. It could be that I
• 16:26
  - want to be the leader in this. I
• 16:27
  - wanna contribute in this area. It could be
• 16:29
  - that you just want a job, and you
• 16:31
  - gotta take care of your family at home.
• 16:32
  - It could be a million different things. But
• 16:34
  - the difference is when you decide this is
• 16:36
  - the right role for you,
• 16:38
  - I think that's when, really, careers and satisfaction
• 16:42
  - accelerates professionally.
• 16:44
  - A 100%. And you know what? It's really
• 16:46
  - hard to do that at the beginning of
• 16:48
  - your career. Right? You're getting advice from so
• 16:50
  - many people. Do this. Do that. Don't stay
• 16:52
  - here too long. You're not you haven't stayed
• 16:54
  - here long enough. You need to have this.
• 16:55
  - You need to have that. And so I
• 16:57
  - think that we we climb up a mountain
• 17:00
  - that we believe is where we should head
• 17:02
  - for success.
• 17:03
  - And and many times that works. Right? Because
• 17:06
  - we're driven and we're still we're growing and
• 17:08
  - we're we're learning. But sometimes it's really hard
• 17:10
  - to find what we're talking about, Scott, that
• 17:12
  - fulfillment
• 17:14
  - initially.
• 17:15
  - And, you know, sometimes it takes maybe you
• 17:17
  - get to that top of that peak and
• 17:19
  - you look over
• 17:20
  - and, you know, you've done everything, you've been
• 17:22
  - very successful, but, you know, you kinda look
• 17:24
  - out at the skyline and you think, gee
• 17:25
  - whiz, like, what makes this so special to
• 17:28
  - me and and kind of then decide,
• 17:31
  - alright. I'm I'm gonna go up the next
• 17:33
  - peak, but the next peak might look a
• 17:34
  - little different, because when I think about what
• 17:36
  - motivates me. So I I think it's hard
• 17:39
  - at the beginning of careers or sometimes when
• 17:41
  - you're going through changes in a career to
• 17:43
  - put fulfillment first or put your team first,
• 17:47
  - because there's a lot of external forces that
• 17:49
  - are are telling us what we should do.
• 17:52
  - But, again, stay true to stay true to
• 17:53
  - your values. If you stay true to your
• 17:55
  - values, it'll guide you. But but there is,
• 17:57
  - though your point is so well taken. There
• 17:58
  - is some trial and error, some evolution in
• 18:01
  - this as well. I mean, there is. Until
• 18:03
  - you find the right sponsor, you find the
• 18:04
  - right and and as you think about and
• 18:06
  - connect dots to what works for you and
• 18:08
  - what really you want to do. And I
• 18:10
  - think there is. It's an evolution. And I
• 18:12
  - think your point on a young careerist or
• 18:14
  - early in his career, and I can tell
• 18:15
  - you even later on in his career trying
• 18:17
  - to figure this out and having different people
• 18:18
  - coming in with different ideas on it, is
• 18:20
  - is you constantly have to ultimately
• 18:22
  - come back and sort some of it out.
• 18:24
  - And and I'm a huge believer
• 18:26
  - that it's almost impossible to do in a
• 18:28
  - whiteboard type way. You almost have to in
• 18:30
  - an abstract way. You almost have to be
• 18:32
  - into things enough that you really figure out,
• 18:34
  - does this work for me, does it not,
• 18:36
  - and then think. Think and work. Think and
• 18:38
  - act. I I just love that, Ann Marie.
• 18:40
  - And also know that
• 18:41
  - what you might love today, that also can
• 18:43
  - evolve. I think, again, stay curious. You know,
• 18:46
  - everything everything,
• 18:48
  - you know, is constantly whirling around us,
• 18:51
  - you know, personally,
• 18:53
  - you know, in the world today, or a
• 18:55
  - new innovation might really spark your interest. So,
• 18:57
  - you know, never it's okay that you pivot.
• 19:01
  - A 100%.
• 19:02
  - What a pleasure to visit with you. What
• 19:04
  - a magnificent career. What a great system.
• 19:07
  - Thank you so much for joining us today
• 19:09
  - on the Beckers HealthCare podcast. Thank you so
• 19:11
  - much. Oh, thank you. It's my pleasure.