Latest / Becker’s Healthcare Podcast / Kenneth Waller, Chief Executive Officer of Norwalk Community Health Center
Transcript
- 0:02Every year, Becker's annual meeting brings health care
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- 0:36upper right.
- 0:38This is Laura Dierda with the Becker's Healthcare
- 0:40podcast. I'm thrilled today to be joined by
- 0:42Kenneth Waller, chief executive officer of Norwalk Community
- 0:46Health Center. Kenneth, it's a pleasure to have
- 0:47you on the podcast today.
- 0:49Thank you for having me, Laura.
- 0:51Absolutely. Now I know we've got a lot
- 0:53to talk about. There's so much happening in
- 0:54health care and especially looking at some of
- 0:57the critical spaces for health care in those,
- 1:00without
- 1:01much access to care. But before we dive
- 1:03in, I was wondering if you could please
- 1:04introduce yourself and just tell us a little
- 1:06bit more about Norwalk Community.
- 1:08Yes. Ken Waller, and I am the CEO
- 1:11of Norwalk Community Health Center.
- 1:13We are a multi specialty
- 1:15primary care,
- 1:17organization
- 1:18that,
- 1:19provides services to
- 1:21marginalized
- 1:21individuals who do not have access to primary
- 1:24care services and who are uninsured and underinsured.
- 1:29We offer
- 1:30a portfolio of services,
- 1:33that, really meets the community needs,
- 1:36in our,
- 1:38neighborhoods.
- 1:39And,
- 1:40we do a lot of other things outside
- 1:42of primary care. We offer,
- 1:44services to address social determinants of health,
- 1:48and we have really good strong partnerships
- 1:50with nonmedical,
- 1:52community based organizations
- 1:54to, support our work outside the walls of
- 1:57medicine.
- 1:58That's great to hear. And, you know, that's
- 2:00such a needed resource today in the health
- 2:02care space.
- 2:03And and I'm curious, you know, when you
- 2:05think about about
- 2:06the last year or so, what was the
- 2:08most important initiative that you led? What did
- 2:10you do, and what were the results?
- 2:13I think
- 2:14some of the things we've been able to
- 2:15do is really create,
- 2:18alignment with our nonmedical
- 2:20community based organizations,
- 2:23to improve,
- 2:24access.
- 2:25And we work with them in a way
- 2:27because they have program participants who are undergoing
- 2:31nonmedical,
- 2:32services.
- 2:33And so there is a certain need for
- 2:36those folks to have access to a medical
- 2:38home. And so that is an initiative that
- 2:42we've taken,
- 2:43last year that we thought would help us
- 2:45in so many different ways. One,
- 2:47to ensure people have access to primary care.
- 2:50Two, to ensure that we have some opportunities,
- 2:53to sustain our organization.
- 2:55And so we've we've we've worked very hard
- 2:58with our community based organizations,
- 3:01to ensure that we are we become their
- 3:04provider of choice.
- 3:05And that is one initiative that I think
- 3:07we're very proud of and that we're continuing
- 3:10to scale
- 3:11how we do that. And so we're looking
- 3:13forward in 2026
- 3:15on how do we
- 3:17kinda broaden
- 3:19the tent
- 3:20to bring in other,
- 3:21nonmedical community based organizations,
- 3:24so that they could help with
- 3:26getting their post access to primary care. So
- 3:29that is,
- 3:30an area and an initiative that,
- 3:33we we're really proud of, Laura, that we
- 3:35were able to stand up last year.
- 3:38That's great to hear. And I think, you
- 3:39know, having those types of partnerships and collaborations
- 3:42really make a big difference. It seems like
- 3:45more and more of those are are coming
- 3:47up and and becoming available, and health care
- 3:49organizations are becoming more creative in how they
- 3:51work with the community and others. Is there
- 3:54any specific example of something you set up
- 3:57or, you know, a new type of arrangement
- 3:59that you've had over the last year or
- 4:01so that, you know, is really exciting for
- 4:03the next year ahead?
- 4:05Yeah. I think that what's happening now, I
- 4:07believe, in health care is that
- 4:09the acute settings are are changing.
- 4:12And there is a lot of,
- 4:14downstream,
- 4:16engagement
- 4:17to ensure,
- 4:19that folks are getting getting services. I think
- 4:21a good example for us is we work
- 4:24with the homeless consortium
- 4:26in Fairfield County,
- 4:28and we work with those homeless, facilities.
- 4:31And and in two instances, we have embedded
- 4:35services within those facilities.
- 4:38And so those are examples of how we,
- 4:42scale
- 4:43our our services
- 4:45into the community
- 4:46by working with,
- 4:48not just homeless facilities, but also working with,
- 4:51again, as I mentioned,
- 4:53nonmedical
- 4:54community based organizations. And so we work with
- 4:56them in such a way that their program
- 4:59participants
- 5:00have access
- 5:01to our services in a timely manner.
- 5:04Got it. That's really helpful to know and
- 5:06understand. Thank you for going a bit deeper
- 5:08there. Now I'm curious, looking ahead,
- 5:11what are some of the big priorities and
- 5:13headwinds that you're focused on for the next
- 5:15twelve months
- 5:16or so? Yeah. I mean, things are changing
- 5:18as we discussed.
- 5:20The entire
- 5:21reimbursement,
- 5:23landscape is changing for community health centers. And
- 5:26so health care policy is something we're watching
- 5:29very closely,
- 5:31to see
- 5:33where that those policies will land and how
- 5:35it will,
- 5:37affect our organization. And so we're gonna be
- 5:39watching health care policy.
- 5:41We're gonna be, looking at ways
- 5:44to mitigate,
- 5:46the different public payer cuts that are certain
- 5:50to happen.
- 5:52And, obviously,
- 5:53the,
- 5:54the ACA
- 5:56the ACA exchanges
- 5:57are are definitely something,
- 5:59that we're gonna be watching. And so,
- 6:02our priorities are really to
- 6:04focus on how do we
- 6:07work with our legislators,
- 6:09how do we work with our local hospital,
- 6:12to ensure that,
- 6:14our community health center,
- 6:16stays
- 6:18intact, if you will? And how do we
- 6:20begin to look at ways to increase,
- 6:25sustainability,
- 6:26for our organization. So those are,
- 6:29the things that we are
- 6:31we're watching.
- 6:32We're very much engaged in and hoping,
- 6:36that
- 6:37we land in a good spot so that
- 6:39we can ensure that,
- 6:40the most vulnerable people,
- 6:42in our community have access
- 6:44to safe and timely primary care services.
- 6:48That makes a lot of sense and is,
- 6:50just, you know, so critical these days. I
- 6:53think especially when you're looking at some of
- 6:55the,
- 6:56cuts with the ACA exchange programs and then
- 6:59upcoming for,
- 7:01you know, the Medicare and Medicaid as well.
- 7:04How do you keep your staff and team
- 7:06focused when there's so much,
- 7:08you know, potential challenges in this space? How
- 7:11are you mitigating some of those,
- 7:14that are upcoming in addition to working with
- 7:16the legislators
- 7:17and policymakers, help them understand the impact in
- 7:20in what you're going to need in order
- 7:21to continue providing care?
- 7:24Yeah. So I you know,
- 7:26you know, soft skills are are are strategic
- 7:28skills. Right? And so, you know, the importance
- 7:31of making sure that,
- 7:33you know, I as a leader
- 7:34remain,
- 7:36agile and
- 7:38engage with the staff
- 7:41to ensure them
- 7:42that,
- 7:43we are we are poised to continue to
- 7:45go forward.
- 7:46And,
- 7:47you know, working very closely with our local
- 7:51officials
- 7:52to try to,
- 7:54message, if you will, to not only to
- 7:58the staff at my facility, but also to
- 8:00the community at large that
- 8:03the health center and all the different challenges
- 8:06and uncertainty that is happening in the health
- 8:08care space as it relates to who's gonna
- 8:10be insured and who's not gonna be insured,
- 8:13and making sure that we work with the
- 8:14local leadership to,
- 8:17provide some messagings,
- 8:19to to the community, to ensure
- 8:21that no matter what, if they do not
- 8:23have health care,
- 8:25insurance,
- 8:26based on our charter as a federally qualified
- 8:29health center, we're gonna be there,
- 8:32to service them.
- 8:33So those are some of the things, that
- 8:35we're doing, some of the things that I'm
- 8:37doing,
- 8:38within with intentions to ensure that,
- 8:41we can continue to advance the mission.
- 8:44That's great to hear and so critical these
- 8:46days. So you keep that mission moving forward.
- 8:49Now looking ahead as well, what do you
- 8:51think is gonna be the hardest thing that
- 8:52you have to do next year?
- 8:54Again, I think it's about it's about innovating,
- 8:57and standing up new care models,
- 8:59that's going to align with the care demands,
- 9:02in our Pacific catchment area.
- 9:05And working with,
- 9:07the payers,
- 9:08and working with other community stakeholders,
- 9:12to ensure that, you know, we can continue
- 9:15to exist and and and and go forward.
- 9:19I think I think, you know, reimbursement is
- 9:21gonna be a challenge for us.
- 9:23I believe that, you know, maybe talent shortage
- 9:27may be on the rise because there's such
- 9:29a need,
- 9:30for primary care providers. We're talking by the
- 9:33year
- 9:34'20,
- 9:35'36,
- 9:36there will be,
- 9:37a shortage of 86,000
- 9:40primary care,
- 9:41providers. And we know as a
- 9:44federally qualified health center,
- 9:46individuals
- 9:48don't see us as as as as a
- 9:51as a
- 9:52potential
- 9:54employer. And so what we
- 9:56are working on doing, and we are always
- 9:59continuing to do this, is create an environment
- 10:01within our organization to,
- 10:04retain all of our people.
- 10:05And I'm very proud to say that we
- 10:07have a below 3% provider,
- 10:10turnover rate, month over month, year over year,
- 10:12at least for the past four years. And
- 10:14so we've been able to really retain our
- 10:16providers.
- 10:17But I think, you know, again, just to
- 10:19put it in two buckets, it's it's it's
- 10:22it's payer,
- 10:24relations.
- 10:25It's it's health care,
- 10:28policy,
- 10:29and it is obviously
- 10:31talent,
- 10:32retention.
- 10:33And so those are the three things that
- 10:34I think is gonna be, challenging for us,
- 10:38but we are positioning ourselves,
- 10:40to be able to to power through that.
- 10:43Got it. That's so helpful. And I I
- 10:45love that outlook of being able to think
- 10:47about things innovatively and
- 10:49creatively to solve some of these big, big
- 10:51challenges and and,
- 10:53issues within the space for access to care.
- 10:56And and especially when you look at the
- 10:58primary care provider shortage, you know, that's something
- 11:01that touches, all communities across the country, but
- 11:03then especially
- 11:05those like your own.
- 11:07Before we wrap up, where do you see
- 11:09some of the big opportunities for growth and
- 11:11and development within the organization?
- 11:14Yeah. So I I I say, you know,
- 11:16standing up new
- 11:17care models that align with the demands,
- 11:21in our community. Every community is different. And
- 11:23so being able to identify what those needs
- 11:26are and standing up,
- 11:28Pacific care models that address those needs.
- 11:31Looking at,
- 11:33infusion services
- 11:34as a new service offering,
- 11:37I think is gonna be critical,
- 11:40as well as,
- 11:41continuing,
- 11:43to administer population health
- 11:45as well as, again, I mentioned it earlier,
- 11:47working with the payers. And another important piece,
- 11:50I think, is is not being talked about,
- 11:51is how do we work with pharmacies?
- 11:54How do pharmacies get more engaged in the
- 11:56work,
- 11:57to help obviously improve outcomes,
- 12:00but also to keep the awareness going in
- 12:02terms of people being empowered,
- 12:05to take better care of themselves?
- 12:07And then the last one I think is
- 12:08important is digital health services. Looking at
- 12:12wearables and and different,
- 12:14you know, devices,
- 12:16that patients could use
- 12:18to assist them,
- 12:19with getting access to care,
- 12:22such as, you know, telehealth platforms, mobile apps,
- 12:25etcetera.
- 12:27And then giving patients, you know, more access
- 12:30and convenience and control,
- 12:33and confidence in managing their health.
- 12:36So digital health is gonna be something, that
- 12:38is gonna be important.
- 12:40Again, working with our pharmacies,
- 12:42working with our payers,
- 12:44continuing to optimize population health,
- 12:48looking at standing up infusion services, and always,
- 12:51always looking at how do we design new
- 12:54care models to meet the growing,
- 12:56care demands in our catchment.
- 12:59I love that. Kenneth, thank you so much
- 13:00for joining us on the podcast today. This
- 13:02has been such a fascinating conversation, so helpful
- 13:05to understand how you're thinking about things in
- 13:072026 and beyond.
- 13:09And, you know, I look forward to connecting
- 13:11with you again soon and,
- 13:13seeing you at our annual meeting. I know
- 13:15it's coming up here. You'll be speaking,
- 13:17talking about a lot of these same issues
- 13:19and and some of the successes that you've
- 13:21seen. So looking forward to that and and
- 13:23seeing you in April.
- 13:24Thank you so much, Laura. Appreciate being here.