Latest / Becker’s Healthcare Digital Health + Health IT / Anil Saldanha, Chief Innovation Officer at Rush University System for Health
Transcript
- 0:00Philips is a health tech leader focused on
- 0:03innovation that improves the health and well-being of
- 0:06people. Our health care technology and informatics solutions
- 0:09help care teams diagnose, treat, and manage more
- 0:12patients with greater precision, speed, and confidence across
- 0:16the care journey. With Philips, clinicians are empowered
- 0:19with streamlined insights in the moments that matter
- 0:21for every patient. Better care for more people.
- 0:25Philips.
- 0:28This is Chanel Banger with the Becker's Healthcare
- 0:30Podcast, and I'm recording live at the 9th
- 0:32annual Health IT Digital Health and RCM conference
- 0:36in Chicago.
- 0:37And sitting down right now with Anil Saldanha,
- 0:40the chief innovation officer at Rush. Anil, thank
- 0:43you so much for joining me today. Oh,
- 0:45thanks for the opportunity.
- 0:46Perfect. Well, to get us started, can you
- 0:48please share a bit about yourself, your background,
- 0:50and your role at your organization?
- 0:52Sure.
- 0:53So my role is, chief innovation officer. So
- 0:57I'm tasked with, bringing novel
- 1:00ideas,
- 1:02processes,
- 1:03partnerships, and also
- 1:05help out at the intersection of public health,
- 1:07community health, and delivery
- 1:09at, Rush.
- 1:11The organization,
- 1:13Rush,
- 1:14you know, we are a 3,500,000,000
- 1:16health care system here in Chicago as well
- 1:18as Northwest Indiana. We primarily,
- 1:21you know, 3 major hospitals,
- 1:23with outpatient,
- 1:25centers
- 1:26across,
- 1:27you know, the region.
- 1:28We are also on the US News,
- 1:31hospitals on a row for many years, and,
- 1:34we've been highly ranked by, Innoviscient
- 1:37and, CMS star ratings.
- 1:39And multiple specialties at Rush are, the top
- 1:4350,
- 1:44for many specialties, basically.
- 1:46Got it. Thank you so much for the
- 1:48introduction.
- 1:49And as the chief innovation officer at such
- 1:51a prestigious
- 1:52institution,
- 1:53you're the perfect person to ask this. AI
- 1:55adoption is exploding in health care. In your
- 1:58view, what is the most significant or promising
- 2:01application of this technology right now, and how
- 2:03is this informing your organization's innovation strategy?
- 2:06So, in the last, at least 2 or
- 2:093 years,
- 2:10you know, AI has has become the buzzword
- 2:13in
- 2:14whatever the industry is trying to do. In
- 2:16terms of,
- 2:17I think the key,
- 2:19applications or
- 2:21strategies is is scribing, and you might have
- 2:23heard this from many people.
- 2:25So, you know,
- 2:27physician, burnout and, you know, clinician burnout, it's
- 2:30it's a big issue in,
- 2:32in health care. And, Rush, just like any
- 2:35other health care system, is basically looking at,
- 2:38AI scribing
- 2:40capabilities that are provided by various products.
- 2:44And,
- 2:45so
- 2:46AI scribing, primarily AI has been pretty good
- 2:48in, summarization.
- 2:50So that's their, I would say, the key
- 2:53or strengths of AI right now.
- 2:55And, you know, definitely, like, Rush is looking
- 2:59at, scribing,
- 3:00partners,
- 3:01that we are basically piloting,
- 3:03at Rush. And, we've also,
- 3:06looked at, you know, AI,
- 3:09from a conversational AI perspective as part of
- 3:12our, what do you call, rush access center.
- 3:14And, we've introduced, like, Salesforce as a CRM,
- 3:18but we also,
- 3:19you know, brought in, like,
- 3:22partners, doing conversational AI for IVR
- 3:25because,
- 3:26still,
- 3:27when you look at, like, the first touch
- 3:29point for a lot of patients is is
- 3:31still through the telephone. And Rush gets a
- 3:34lot of phone calls from patients,
- 3:35looking for a doctor,
- 3:38looking for guidance, and, you know so
- 3:41to staff up,
- 3:42to cater to the volume of, you know,
- 3:45this touch point from
- 3:46patients through, like, the phone or, you know
- 3:49so we are looking at, AI based solutions
- 3:52to, you know, kind of help us, particularly
- 3:55in the rush access center, to help us,
- 3:57you know, automate some of this,
- 4:00you know, outreach from patients and better guide
- 4:02them and, you know, basically,
- 4:04you know,
- 4:05take care of the volume that you're seeing,
- 4:08basically.
- 4:09Thank you for that specific answer. And kind
- 4:11of going off of that a little bit,
- 4:13On a daily basis, healthcare leaders are managing
- 4:16greater volumes of data and more devices across
- 4:19a growing number of care settings and populations.
- 4:22In this complex environment, what clinical data integration
- 4:26tools or practices are you seeing drive improvements
- 4:28in patient outcomes?
- 4:30And can you share another specific example?
- 4:33So definitely. And, so, you know, Rush has
- 4:36been, using the EMR, like, primarily Epic for
- 4:40the last, I would say,
- 4:4215 years, I would guess, roughly around that.
- 4:44So we've built a lot of capabilities,
- 4:47using EPYC and EPYC data warehouse. And our
- 4:50EPYC teams have built a lot of, data
- 4:52in clinical data integration tools over the years.
- 4:56And one of the products that we primarily
- 4:59use,
- 4:59on the warehouse side is is called
- 5:02the in InnoSystems,
- 5:03HealthConnect.
- 5:04And, that's been,
- 5:06a product that our EPIC teams primarily use
- 5:09in data integration.
- 5:10But, also, we've seen,
- 5:13a, I would say,
- 5:14increasing,
- 5:15adoption of the FHIR APIs,
- 5:18in EPIC. And, you know, tools that help
- 5:22with FHIR, based, interactions
- 5:25are all are also on the rise.
- 5:27And, with, you know, cloud platforms from,
- 5:31Microsoft
- 5:32and Amazon,
- 5:33you know, they're very dedicated and focused FHIR
- 5:36API. So we've seen a lot of integration,
- 5:39needs using these cloud platforms,
- 5:42Microsoft and Amazon, basically, AWS.
- 5:45So these have been the primary or popular,
- 5:48you know, tools that we have seen in
- 5:50a clinical integration or data integration perspective.
- 5:54Got it. And moving forward, how can health
- 5:56care organizations
- 5:57better support IT and clinical teams as they
- 6:00carry out innovation efforts? And what are some
- 6:02common pitfalls here?
- 6:04So, basically, health care organizations
- 6:07have to be on the lookout for
- 6:09their business needs, which is in care delivery,
- 6:12but also, like, you know, they need to
- 6:14be patient centric. And, you know, the patient
- 6:17is at the center of everything a health
- 6:19care organization
- 6:20such as Rush does.
- 6:22So, you know, we have a lot of
- 6:24pain points for patients in terms of access.
- 6:27Health equity is is a big, you know,
- 6:29goal strategic goal for Rush. So equity,
- 6:33is is a driving force for, you know,
- 6:35Rush in terms of the way we do
- 6:37a lot of our clinical operations,
- 6:40across across the system. So
- 6:43in terms of IT and clinical team support,
- 6:46you know, we've built a lot of expertise
- 6:49over the years. I mean, I talked about,
- 6:51you know, Rush embracing EPYC as their EMR,
- 6:55like like, around 4 15 years ago. So
- 6:57we built a lot of expertise around that.
- 7:00But we're also seeing a lot of, like,
- 7:03I would say, shifts in the way the
- 7:05industry is moving. So there's a lot of
- 7:07consumer,
- 7:08you know, transition. You're moving from a inpatient
- 7:11setup to more of an ambulatory
- 7:13setup. We just had a pandemic. So that
- 7:16kind of, you know, made a big push
- 7:18towards digital health. Technologies
- 7:21are,
- 7:22things like, remote patient monitoring, telemedicine,
- 7:25telehealth,
- 7:26you know, think of survey capabilities.
- 7:29You know, they've all been, you know, available
- 7:31to health care organizations. So from my perspective,
- 7:35I think health care organizations
- 7:37have to be open to embracing, like, technologies,
- 7:41companies, startups,
- 7:43and just look around,
- 7:45what other, health systems around the nation are
- 7:48doing, and you don't have to reinvent the
- 7:50wheel. And,
- 7:51my,
- 7:52recommendation for health systems such as Russia's,
- 7:55lot of times it's easier to just partner
- 7:57with another health system that has solved a
- 8:00problem
- 8:01because it's easier to, collaborate
- 8:03and compete rather than just be working in
- 8:06silos and competing, you know. So because we
- 8:09are all work, facing the same problems and
- 8:11challenges, so sometimes it's much easier to collaborate
- 8:14with other health systems that have solved particular
- 8:16problems, you know?
- 8:18Absolutely. And kind of building up the advice
- 8:21for organizations
- 8:22and narrowing it down a little bit. Could
- 8:24you share one piece or your top piece
- 8:26of advice for health care leaders as they
- 8:28prepare for future advancements in technology and greater
- 8:31demands for care? So in terms of, health
- 8:33care leaders,
- 8:35the the big recommendation that I want to,
- 8:37give
- 8:38is is basically just be open, you know,
- 8:41and, you know,
- 8:42be, be open to new ideas, novel ideas.
- 8:46Innovation is
- 8:47is is is important, you know, and, like,
- 8:50you might have,
- 8:52you know, good times and bad times in
- 8:54terms of, you know, like finances
- 8:56or
- 8:57just, you know, things like epidemics or pandemics,
- 9:00you know, things
- 9:02do happen at times. But
- 9:04I would say technology and you know, innovation
- 9:07is
- 9:09something that you can embrace,
- 9:11to bring in new ideas and collaboration
- 9:14into the healthcare system.
- 9:17And, you know, so that's the way to
- 9:19solve problems, collaboration and partnerships,
- 9:21and,
- 9:23basically just experience that you have over the
- 9:26years, you know. Yeah.
- 9:28Absolutely. So remain open and embrace technology. I
- 9:32love it. Well, no, I wanna thank you
- 9:34for your time today. But before I let
- 9:35you go, is there anything else that listeners
- 9:37should
- 9:37know? Oh, thanks for this opportunity,
- 9:40you know? Love it. Well, thank you so
- 9:41much, like, yet again for your time today
- 9:43and for joining me on the Becker's Healthcare
- 9:45Podcast. Thank you so much.