Latest / Becker’s Healthcare Digital Health + Health IT / Ryan Cameron, Ed.D., Vice President of Technology and Innovation at Children’s Nebraska
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 at athenahealth.com.
- 0:43This is Laura Dierdo with the Becker's Healthcare
- 0:46podcast. I'm thrilled today to be joined by
- 0:48doctor Ryan Cameron, vice president of technology and
- 0:51innovation at Childress Nebraska. Ryan, it's a pleasure
- 0:54to have you on the podcast today. Thanks
- 0:56so much for having me. Now I'm looking
- 0:57forward to our conversation because I know technology
- 1:00is moving so quickly, and it's certainly a
- 1:02unique time to be in health care, and
- 1:04just really special to see some of the
- 1:05cool things you're doing at Children's Nebraska. So
- 1:08I'm looking forward to diving in. But before
- 1:09we do, can you introduce yourself and tell
- 1:11us just a little bit about your background?
- 1:13I'd be happy to. So I'm Ryan Cameron,
- 1:16VP of technology and innovation at Children's Nebraska.
- 1:20We are the only full service pediatric hospital
- 1:23in the state. We have more than 50
- 1:25specialties,
- 1:26and we even provide care at some of
- 1:28our neighboring states as well. So, very busy
- 1:31place.
- 1:32My background spans,
- 1:34a little bit of a unique background.
- 1:36Health care is relatively new to me. I've
- 1:38been in health care for about four years.
- 1:40But previous to that,
- 1:42worked for some AI startups,
- 1:44and I also worked in higher education
- 1:47on creating business incubators,
- 1:50accelerators, think tanks,
- 1:52really cool organizations
- 1:53that focus on technology transfer,
- 1:56intellectual property,
- 1:57and how to kind of advance things from
- 1:59an idea
- 2:00to something that's very actionable. So I've spent
- 2:03really the last few years
- 2:05being focused on building things that are not
- 2:08only scalable,
- 2:09but very empathy driven. And I I feel
- 2:11really strongly about having the balance of those
- 2:14two things,
- 2:15in mission driven organizations helps you be really
- 2:18successful.
- 2:19That's great to hear. And, you know, certainly
- 2:22important to have that mission in mind and
- 2:24focus on the patients and everything you do
- 2:27on the technology side and more. So when
- 2:29you think about where you're at today, what
- 2:31are some of the opportunities and headwinds that
- 2:33you have your eye on right now?
- 2:35You know,
- 2:36they're plentiful.
- 2:37It's it's a really interesting time to be
- 2:40in health care and in particular, pediatrics.
- 2:44We're starting to see an uptick
- 2:46in how many startups
- 2:48are really focusing on pediatrics,
- 2:51which is super important.
- 2:53Historically,
- 2:54less than 2% of venture capital dollars and
- 2:57healthcare startups alike
- 2:59are focused on pediatrics, but more than 22%
- 3:02of the patient population in The US depends
- 3:05on pediatric care.
- 3:06So it's it's really needed to see this
- 3:08tremendous uptick in activity and innovation
- 3:11and,
- 3:12new startups.
- 3:13You know, one major opportunity that a lot
- 3:15of people are watching, certainly we're watching it,
- 3:18is this whole notion of agentic AI and
- 3:22and what that can do in the health
- 3:24care space. It's kind of
- 3:26a a perfect,
- 3:28maturity pathway for AI,
- 3:30and I think that's where we're really gonna
- 3:32start to see both clinical
- 3:34and operational value. And and we're deeply exploring
- 3:37how those agents can do things like reduce
- 3:39administrative burden, improve access,
- 3:42and ultimately that, you know, leans into affordability
- 3:44and accessibility of care.
- 3:46Certainly, with the changes that are going on
- 3:49with,
- 3:50Medicaid eligibility
- 3:51requirements,
- 3:53we're anticipating
- 3:54an increased
- 3:55volume of of workload.
- 3:57Moving from a an annual requirement to a
- 4:00six month requirement
- 4:02is a is a bit of a a
- 4:03stressor
- 4:04on on us and certainly other hospitals.
- 4:07So we're actually bootstrapping our our own solution.
- 4:11We're calling it Hey Medicaid, and it is
- 4:13a agentic AI
- 4:16platform to really help our patients navigate that
- 4:18process.
- 4:19And, we're really excited about, deeply exploring what
- 4:23else agentic AI can do.
- 4:25That's amazing to hear. And it seems like
- 4:27a truly,
- 4:28unique innovation, but beneficial one for the community
- 4:31as well as for the health system.
- 4:33How did you go about putting that together
- 4:35and, you know, bootstrapping that platform,
- 4:39in order to make a difference for the
- 4:41broader community?
- 4:43Yeah. It's, you know, bootstrapping is not easy.
- 4:46It it's tough.
- 4:48A lot of hospitals are are configured and
- 4:50set up
- 4:51in a very particular way. We're well tooled
- 4:55for for research. We're well tooled for
- 4:58really understanding,
- 4:59how to care for our patients end to
- 5:01end,
- 5:01from admit to discharge,
- 5:03education,
- 5:04everything in between. We we have those mechanisms,
- 5:07and we've been really good at those.
- 5:10The United States, we have a fantastic health
- 5:12care system, and there's a there's a lot
- 5:13to be proud of.
- 5:15Hospitals aren't really tooled
- 5:18to
- 5:19to fire up start ups.
- 5:21They're even from a staffing perspective,
- 5:23you know, we have integrators and experts, but
- 5:26not a lot of developers.
- 5:28So the the game changer
- 5:30nowadays is that really with platforms that that
- 5:33either are agentic AI platforms or or just
- 5:36kind of the the prompt based ones that
- 5:38many people are now familiar with is
- 5:41everybody's a developer.
- 5:43And,
- 5:44I'd love the notion
- 5:46of every doctor, every nurse, every provider
- 5:50having these incredible tools at their their fingertips.
- 5:53But I also kind of, you know, as
- 5:54a CIO, I'm gonna lose a little bit
- 5:56of sleep
- 5:57because
- 5:58when you have that much power and you're
- 6:00developing software,
- 6:02you know, there there can be a risk
- 6:03of not doing it well,
- 6:06the notion of of vibe coding.
- 6:08So with HeyMedicaid,
- 6:10a couple of things happened. The the first
- 6:12thing that happened is, you know, we're paying
- 6:13attention to what our our patients are saying.
- 6:16We and our peers are are very involved
- 6:19in being advocates for pediatrics
- 6:22and, just kind of understanding the landscape and
- 6:25what we need to do to provide accessible
- 6:26and affordable care.
- 6:28You know, Medicaid is is central to that.
- 6:31So understanding that those changes are coming,
- 6:33we recognize that we needed a new way
- 6:36to help patients
- 6:38navigate
- 6:39signing up and and doing eligibility.
- 6:41And some of those things, you know, we
- 6:42can be helpful with, and some of those
- 6:44things, it it's really just about us to
- 6:46to be good educators and,
- 6:48provide information and wayfinding. So we built the
- 6:51platform from that understanding, and,
- 6:54what's incredible about it is this notion of
- 6:57rapid development. So we partnered,
- 6:59with some experts in Agentic AI,
- 7:02and we've formed our own company. It's it's
- 7:05kind of a new thing for us.
- 7:07We've spent seventy six years as a as
- 7:10a notable not for profit enterprise,
- 7:12and now we have,
- 7:14an LLC
- 7:15that's called BrightFoundry,
- 7:17and we're starting to really do more joint
- 7:19ventures, IP transfer,
- 7:21and really going down this pathway to be
- 7:24more entrepreneurial,
- 7:26and, we can kind of self sustain our
- 7:28innovation program. You know, we we recognize that
- 7:31philanthropy,
- 7:32while it's critical and important to what we
- 7:35do,
- 7:36it can't be the only answer.
- 7:38We have to, as as a hospital,
- 7:41find new and unique ways to make sure
- 7:43that, you know, the stewardship of the dollars
- 7:45that we have available
- 7:47is not only great, but exceptional.
- 7:50If if we execute on that and we
- 7:52protect our margin, we can do more with
- 7:54our mission, and, really, hey. Medicaid comes from
- 7:57that.
- 7:58Got it. That's interesting to know, and and
- 7:59thank you so much for digging a bit
- 8:01deeper there.
- 8:02Now looking ahead, how are you thinking about
- 8:04growth and adding value to the health system
- 8:06overall?
- 8:08You know, I I was talking about this
- 8:09a little bit earlier. I I feel like
- 8:13a lot of the problems in health care
- 8:15come from this notion that
- 8:17we want scale without empathy.
- 8:20And,
- 8:21growth really for us is is not just
- 8:23about scale. You know, we've seen a lot
- 8:26of people move into Nebraska
- 8:28in the last five years. We've seen a
- 8:30lot of,
- 8:31people move for for for great jobs and
- 8:34to enjoy the Midwest and the lifestyle that
- 8:37that that affords into our neighboring states. But
- 8:39we haven't seen a a huge flux of
- 8:42population.
- 8:44So
- 8:45growth for us is is really not about
- 8:47scale. It truly is about
- 8:49meaningful and and deep impact.
- 8:52So we're investing
- 8:54in things like, hey, Medicaid, Adientec AI, robotics,
- 8:58VR.
- 9:00We're, you know, standing up a a free
- 9:02standing,
- 9:03behavioral health and wellness hospital,
- 9:06right now within the next couple of months.
- 9:09And by doing that, we're really looking at
- 9:13creating an ecosystem for health care. We don't
- 9:16wanna be just a lighthouse in the darkness.
- 9:18What we want to be is
- 9:21one of many organizations
- 9:23that help all Nebraskans,
- 9:25have fantastic pediatric care and be able to
- 9:28avail of lots of different resources. So it's
- 9:30it's about us integrating and partnering,
- 9:34across the board.
- 9:35And I I like to think, a lot
- 9:38about value through the lens of also workforce
- 9:41enablement.
- 9:42So,
- 9:44really, growth for us is is about that
- 9:46empowerment. So with our clinicians,
- 9:48what can we do by giving them tools
- 9:51like AI tools
- 9:53so that they they can reduce burnout, so
- 9:55we can improve outcomes for them?
- 9:57And when we do those things and we're
- 9:59thinking about not just scale, but scale with
- 10:02empathy, I feel like that's where innovation becomes
- 10:05really transformative for us.
- 10:07That's helpful to understand. And, you know, really
- 10:09thinking about where growth comes from and what
- 10:12that means, for different organizations is critical and
- 10:15helpful context as then you look at that
- 10:17innovation, those investments,
- 10:19thinking about how agentic AI, robotics,
- 10:21VR, and more,
- 10:23really play a big role in powering the
- 10:25future and helping to develop
- 10:27the access to care that you're looking for.
- 10:30I'm curious. You know, I know resources are
- 10:32slim for a lot of hospitals and systems
- 10:35that,
- 10:36you know, are are part of the Becker's
- 10:37network today, and just looking at uncertainties in
- 10:40the future. So some folks are are wanna
- 10:43make sure that they make the most of
- 10:44their investments. From your perspective, what is one
- 10:47risk or investment that is still worth making
- 10:49in the next twelve months or so even
- 10:51as, you know, you might need to tighten
- 10:53up a bit? I think that's a really
- 10:55powerful question.
- 10:56And a lot of of health care leaders,
- 11:00providers, and in bay basically, anybody in health
- 11:02care right now
- 11:04is is grappling
- 11:05with this notion of what's a risky investment
- 11:08that that you can make this year that's
- 11:10worthwhile.
- 11:11It's tough because I think on some levels
- 11:14with AI, a lot of people are disappointed.
- 11:18And, statistically, if you look at the success
- 11:21rate of AI pilots as they've been rolled
- 11:24out into health care,
- 11:26they're not great, you know, with the exception
- 11:28of maybe things like ambient listening for note
- 11:30taking,
- 11:32maybe some more established AI technologies like prior
- 11:36auth or eligibility checks,
- 11:39maybe even patient follow-up. There there's been some
- 11:42some bright lights there where you see some
- 11:44some good indications there.
- 11:46What what I would say the one risky
- 11:48investment that's worth it this year
- 11:51is to make sure you
- 11:53lean into the wind
- 11:55with something simple like
- 11:57Copilot,
- 11:58GPT, perplexity. Pick pick a model that you
- 12:00really like and get yourself a group inside
- 12:04of your hospital
- 12:05that is
- 12:06cross function, cross disciplinary
- 12:09members of ops, your workforce, your providers,
- 12:12and really have them learn how to be
- 12:15AI champions
- 12:16and,
- 12:17kinda hold them to it. And, you know,
- 12:20it these tools are expensive. You know, they're
- 12:22they're gonna change your your your OpEx budget
- 12:24substantively.
- 12:26And,
- 12:27but the costs are coming down. So with
- 12:30ambient listening, for example, what what's kinda wild
- 12:33is we were early adopter of one platform,
- 12:36and we saw the pricing come down, and
- 12:38we saw three or four competitors pop up.
- 12:41And then we even saw Epic announce that
- 12:43they were gonna have an option. And, I
- 12:45had read some really interesting news that indicated
- 12:48that when Epic made that move, it crashed
- 12:51over 20 startups.
- 12:52And so that's that's both exciting and troubling
- 12:56at the same time. It's it's tough to
- 12:57kind of balance
- 12:59how you feel about that. But
- 13:01no matter how you feel about that, when
- 13:03you look at it, the affordability and accessibility
- 13:06of AI tools,
- 13:08particularly generative tools, is coming down.
- 13:12And there are ways that you can even
- 13:13do this for free safely if if you
- 13:15get really creative with it. But educate your
- 13:18folks.
- 13:20You know, it's it's gonna be a completely
- 13:23different world, and I like in AI skills
- 13:27much like when when office was a thing.
- 13:30I'm I'm old enough to remember
- 13:32an era when you would put office competency
- 13:35on your resume.
- 13:37Now now, you know, when I talk to
- 13:39younger people, you know, early career professionals that
- 13:42are in the workforce, that sounds so alien
- 13:44and so bizarre, but it really was a
- 13:46thing. There was a time where you would
- 13:48have, you know, beginner, intermediate
- 13:50expert level,
- 13:52office suite proficiency that that went on your
- 13:54resume.
- 13:55Now I would say things like prompt engineering,
- 13:57how many different AI models you utilize,
- 14:00have you built your own AI agents yourself.
- 14:04It's
- 14:05pretty easy to do. It just requires a
- 14:08little bit of time and a little bit
- 14:09of investment. So if if, you know, looking
- 14:12at the lens of dollars that I have
- 14:14available, even if it's a small group of
- 14:16five people,
- 14:18you really, really should have
- 14:20a a cooperative
- 14:22pilot going right now,
- 14:24and a plan that says this is how
- 14:27we're gonna upskill and train or educate our
- 14:29workforce to understand
- 14:31what AI is going to do inside of
- 14:33a hospital and how it's going to affect
- 14:35everything from the clinical environment through every aspect
- 14:38of ops.
- 14:40That's fascinating to think about, you know, and
- 14:42really
- 14:43amazing to look at the evolution of technology
- 14:45in those platforms. You know, I definitely can
- 14:48relate in looking at, you know, the office
- 14:49competencies and spreadsheets
- 14:52and all of those kinds of things, then
- 14:54all of a sudden, you know, that is
- 14:56just taken for granted. So I'm so glad
- 14:59you remember that too. It doesn't make me
- 15:00feel, you know, hating.
- 15:03For for sure.
- 15:06Alright. Well, I I think, you know, when
- 15:08we look at,
- 15:10look ahead, I'm curious. What do you see
- 15:12as some of the best opportunities for growth
- 15:14in the future? I know we talked a
- 15:15little bit about where things stand today and
- 15:17the investments that you're making, but how do
- 15:19these all align
- 15:21into the strategy to make sure that,
- 15:25the health system is in a really strong
- 15:27position going forward?
- 15:29Well,
- 15:30yeah. Wow. What a great great question.
- 15:34The reality is that
- 15:36health care is just gonna be different,
- 15:38and it it's it's a it's a deeply
- 15:42tough thing to navigate.
- 15:44And it it doesn't matter, you know, what
- 15:47what your specialty is or or what your
- 15:49expertise,
- 15:50you know, happens to be. Everybody
- 15:52is really feeling this this incredible
- 15:56evolution.
- 15:57I liken it to, you know, what happened
- 15:59in the automotive industry a few decades ago,
- 16:02what
- 16:03happened or is still happening with higher education
- 16:06and and how they're grappling with a lot
- 16:08of change.
- 16:09It's kind of like health care's turn
- 16:11and the convergence of things,
- 16:14like rapid technological development and growth,
- 16:17changes in in geopolitical situations,
- 16:20changes in,
- 16:21you know, new diseases and new drugs. And
- 16:24the convergence of all these things are are
- 16:26really creating
- 16:28an exciting time, but also a very stressful
- 16:30time. So the best opportunities
- 16:32ahead are going to really sit at that
- 16:35intersection
- 16:36of, I would say, equity,
- 16:39access,
- 16:40and,
- 16:41you know, maybe where some of these technologies
- 16:44come into
- 16:45play. In in pediatrics, AI is a hot
- 16:47topic, but I would also say that maybe
- 16:50VR and robotics,
- 16:52is an even hotter topic right now. We're
- 16:55seeing a lot of turnkey affordable solutions that
- 16:58that are ready to go, that have great
- 17:00clinical evidence that can help people.
- 17:02But you really wanna start from that notion
- 17:05of saying, what can we do to proactively
- 17:08support
- 17:09underserved populations, especially children,
- 17:12that not only kind of get out those
- 17:15those outcomes,
- 17:17but also at the same time reduce those
- 17:19costs in that overhead. We have to do
- 17:22those two things.
- 17:24So we just can't really focus on on
- 17:27legacy processes and systems.
- 17:29You can't let yourself
- 17:31fall into the trap of saying,
- 17:34health care has always done it this way.
- 17:36You know, I would even argue that things
- 17:39like how how a clinical space is designed
- 17:41and set up
- 17:43really shouldn't be left to regulators alone to
- 17:45decide,
- 17:47but we have to kind of get loud
- 17:48and we have to move faster.
- 17:50So the best opportunities ahead, I think, are
- 17:52are training and education
- 17:54and looking at how the landscape of technology
- 17:57has changed,
- 17:58that notion of everyone's now a developer and
- 18:01and vibe coding and AI.
- 18:03And anything that you can do, whether it's
- 18:05ultra low cost or for free,
- 18:08or making a big bold commitment across your
- 18:11workforce that says,
- 18:13we're not gonna do this process this way
- 18:15anymore.
- 18:16You know, we're we're gonna empower everybody with
- 18:19these great AI tools.
- 18:21They can do their own data visualization. They
- 18:23can do their own analysis. They can do
- 18:26rapid research now. Of course, check it. You
- 18:29know, check your work. These things hallucinate, and
- 18:31they are new.
- 18:32Be safe about what you're doing, but,
- 18:35lean into that wind. If you don't,
- 18:38I think you're going to be in a
- 18:40tough spot where you have to sacrifice
- 18:42the the kingdom to sell the castle. And
- 18:46I I do see some health systems,
- 18:49you know, struggling and and making those moves,
- 18:52wrong or right based on the needs of
- 18:54of their patient populations. But for us,
- 18:58because rural health care is so important,
- 19:00because we are the the one and only
- 19:03freestanding children's hospital in
- 19:05the state,
- 19:06because we're kind of, you know, that that
- 19:08beacon of hope,
- 19:10we really have to profoundly and deeply look
- 19:13at how do we provide affordable accessible care
- 19:17to everyone,
- 19:19regardless if they live in the metro, if
- 19:20they live in a rural environment, even a
- 19:22neighboring state.
- 19:23And so,
- 19:25if if we do those things and and
- 19:27we look at tools that improve processes that,
- 19:29you know, save on the margin and and
- 19:31help us invest more in AI and and
- 19:33roll it out further, I think we're gonna
- 19:35win. And, that's ultimately what it's all about.
- 19:38It's it's making sure that, you know, our
- 19:40patients walk away and they feel like,
- 19:42we were able to be really helpful for
- 19:44them,
- 19:45and,
- 19:46they feel safe and they feel like there's
- 19:49a a great resource that they can turn
- 19:51to as kids kinda grow.
- 19:53I love that, Ryan. Thank you so much
- 19:55for joining us on the podcast today. This
- 19:57has been such an interesting and insightful conversation,
- 19:59and I look forward to connecting with you
- 20:01soon.
- 20:02Yeah. I appreciate you having me. It's it's
- 20:04always great to to be a a part
- 20:06of Becker's and a part of the conversation.
- 20:08And, you know, we we were talking just
- 20:11before the podcast. I I wanna thank Becker's
- 20:13for for having a particular focus in pediatrics
- 20:17and,
- 20:18really kind of recognizing the the nuance difference
- 20:21to to what we do, how we care
- 20:22for young people.
- 20:24That means a lot to every pediatrician and
- 20:27everybody in pediatrics that you recognize that. Sometimes
- 20:30it it can be forgotten,
- 20:31and, thanks so much for your support and
- 20:33for sharing some of our message. Oh, yeah.
- 20:36Anytime. We associate you and everything you do
- 20:38for such an important patient population.
- 20:43At Athena Health, we know your ambulatory
- 20:45practice wants healthier,
- 20:47a healthier business, healthier care teams, and healthier
- 20:50patients.
- 20:51But the complexities of modern health care tech
- 20:53make it hard for you and your care
- 20:55teams to focus on what matters most.
- 20:57That's where athenahealth can help. Our AI native
- 21:01all in one solutions reduce administrative burdens,
- 21:04streamline billing and payments, and deliver critical insights
- 21:07when clinicians need it most.
- 21:09That means fewer clicks, more time for patients,
- 21:11and stronger bottom lines.
- 21:14Practicing medicine is complex,
- 21:16but running a practice can be that much
- 21:18simpler with athenahealth.
- 21:19See how simpler is healthier at athenahealth.com.