Latest / Becker’s Healthcare -- Pediatric Leadership Podcast / Workforce Strategy and Culture at Children's National Hospital with Gina Cronin
Transcript
- 0:02The most important health care decisions don't happen
- 0:05in isolation.
- 0:06They happen when leaders come together.
- 0:08Becker's sixteenth annual meeting brings together more than
- 0:113,500
- 0:12hospital and health system executives this April in
- 0:15Chicago.
- 0:16With 800 speakers from Ascension,
- 0:18Cleveland Clinic, CommonSpirit and more, the conversations get
- 0:22real. Leaders will share how their scenario planning
- 0:24for policy shifts, breaking through value based care
- 0:27barriers, and building clinical teams that translate new
- 0:30ideas into real world care.
- 0:32Join top decision makers in the room April
- 0:3513 through the sixteenth.
- 0:37For the agenda and event details, visit beckers
- 0:40hospital review dot com and click on the
- 0:42events tab in the upper right.
- 0:45This is Laura Dierda with the Becker's Healthcare
- 0:48podcast. I'm thrilled today to be joined by
- 0:50Gina Cronin, executive vice president and chief people
- 0:53officer at Children's National Hospital. Gina, it's a
- 0:55pleasure to have you on the podcast today.
- 0:57Thank you so much, Lauren. Very pleased to
- 0:59be with you here today and with Becker.
- 1:02Absolutely. Now I'm excited for our conversation because
- 1:05I know there's so much happening in health
- 1:07care, particularly at Children's National. You do some
- 1:10amazing things. But before we dig in, can
- 1:12you tell us a little bit more about
- 1:13yourself and the organization?
- 1:16Oh, absolutely.
- 1:18I serve as chief people officer here at
- 1:20Children's National Hospital in Washington, DC,
- 1:24and we are one of the few independent
- 1:26freestanding children hospitals in The US. It's a
- 1:29pretty special place to work,
- 1:32and we're very honored and and humbled to
- 1:34be recognized as a top 10 children's hospital
- 1:37in The US.
- 1:38Our history is really, really long and interesting.
- 1:41We have over a hundred
- 1:43fifty five years. We
- 1:45actually started and opened our doors in 1870,
- 1:48serving orphaned children in the civil war. So
- 1:50if you can imagine that.
- 1:52We're the only hospital actually that's headquartered in
- 1:55Washington, DC,
- 1:57and we care for kids and families across
- 2:00the District Of Columbia, Maryland, Virginia, and our
- 2:03primary service area, but also the rest of
- 2:06The United States
- 2:07and many, many children across the globe.
- 2:11Well, mission is is focused on outstanding
- 2:14clinical care, really subspecialized
- 2:17care,
- 2:17innovation,
- 2:19as well as we serve the community pediatric
- 2:23care needs of the kids within our area.
- 2:26For myself personally, I'm, I've joined Children's National
- 2:30about a year and a half ago,
- 2:31and I'm pretty unique, I think, as a
- 2:34chief people officer in that I spent half
- 2:36of my career really in clinical operations.
- 2:39So I feel like I can bring that
- 2:41clinical operations lens
- 2:43into the work that we do within HR
- 2:46to support our workforce, to support our teams,
- 2:49to support our leaders, having kind of that
- 2:51acumen.
- 2:52And it's been a really wonderful and invigorating,
- 2:56past year and a half year.
- 2:58That's amazing to hear. You know, truly, outstanding
- 3:01to have that opportunity,
- 3:03you know, on the clinical side and clinical
- 3:05operations
- 3:06and then figuring out how, you know, you
- 3:08can bring,
- 3:09your specialization for the workforce too and and
- 3:12the chief people officer role, it all ties
- 3:14together so wonderfully.
- 3:16When you think about the last year, year
- 3:18and a half or so, could you tell
- 3:19us about an initiative that you led? What
- 3:20did you do, and what were the results?
- 3:24Yeah. You know, when I joined, I also
- 3:26joined a relatively new CEO.
- 3:29And,
- 3:30task one was really to get Children's National
- 3:33ready to deliver on a new five year
- 3:35strategy that was approved by our board, and
- 3:38we were charged and are charged with really
- 3:40delivering on some ambitious goals
- 3:43around providing care,
- 3:45preeminent
- 3:46research,
- 3:47pediatric
- 3:48education,
- 3:50our patient access and patient experience,
- 3:54big focus on the communities that we serve,
- 3:57and, of course, a pillar of all that
- 3:58is our people. That was an important part
- 4:00of the strategy.
- 4:02So as a new chief people officer with
- 4:04a, relatively new CEO and tenure,
- 4:08My role as chief people officer is really
- 4:10to charge and ready our organization to deliver
- 4:13on that over the past recent year.
- 4:16So the focus we had was really from
- 4:19from a people lens on a few things.
- 4:22The first, it was really important for us
- 4:23to get leader alignment. So as we had
- 4:25the strategy,
- 4:27how did we get all all of our
- 4:29leaders aligned to the strategy
- 4:31for them to understand their role in delivering
- 4:34that, inspired around that change,
- 4:38to be clear eyed about the headwinds and
- 4:40challenges we have, but also to be optimistic
- 4:43and know that we have the capability
- 4:46and the skills,
- 4:47to deliver and inspire that. So we spent
- 4:50a lot of time around leader alignment within
- 4:52that, convened leaders together with our CEO and
- 4:55and board chair with each other.
- 4:58A second part of that was the organization
- 5:00design. Right? So how we really wanted to
- 5:03look at how we were structured to deliver
- 5:05on the strategic goals
- 5:07and what did we need to do to
- 5:09adjust.
- 5:10Did we need to adjust to be contemporary
- 5:12children's hospital? So we looked across the organization
- 5:15at
- 5:16how we were organized, our our roles within
- 5:18the clinical
- 5:19operation space,
- 5:21research, administrative. What are those structures,
- 5:25that are needed? How did we need to
- 5:27look at our decision making in order to
- 5:29support that?
- 5:30So that was a it was definitely a
- 5:32big focus we had.
- 5:34We also developed our leaders. So when we're
- 5:37looking at how we deliver on that strategy,
- 5:40how do we really invest intentionally invest in
- 5:43our leaders to prepare them to lead?
- 5:46So with a phased approach, we we started
- 5:49with our executive team. We started with our
- 5:52directors and above,
- 5:53and then we've really rolled it out to
- 5:55all supervisors and managers
- 5:57with a focus on getting that common leader
- 6:00culture. What are we all about as a
- 6:02leadership team? What is our mindset?
- 6:05Equipping our leaders with a common set of
- 6:07frameworks and tools in order to, have the
- 6:11abilities to do that,
- 6:13and really walking the walk of this. Right?
- 6:15So we wanted it to be embedded everywhere.
- 6:18So we're now in progress actually
- 6:20in developing a series of listening sessions because
- 6:23we want to really curate what are our
- 6:26expected set of leader behaviors that we can
- 6:28use across the organization
- 6:31to develop our leaders, to select,
- 6:34to measure performance again. So so that's kind
- 6:36of what the space we've been looking in
- 6:39around leader develop.
- 6:40And then finally,
- 6:43change management. Right? So knowing that we've got
- 6:46org design and we've got this this five
- 6:48year strategy ahead, how do we equip equip
- 6:51our leaders
- 6:52with the ability to lead through that change
- 6:54to support them with being able to frame
- 6:57to their teams the why. Right? Why are
- 6:59we doing this? And having those tools to
- 7:02to get their teams,
- 7:03to the other side of it.
- 7:06So that's what what we've been focused on
- 7:08on the past year. It's been amazing work,
- 7:11but it it's been really invigorating
- 7:14to to watch everyone lean in together into
- 7:17it.
- 7:18I love that. I think it's so critical
- 7:20to have that type of executive alignment and
- 7:22making sure you've got everything in place. So
- 7:25then, you know, as you're developing
- 7:27what what your strategic plan is going to
- 7:29be and then listening to,
- 7:31your teams in the front lines as well,
- 7:33it just really makes a big difference, to
- 7:35have all folks have influence over it quite
- 7:38frankly and then being able to move forward.
- 7:40And I like what you just said too
- 7:42about framing the why and and making sure
- 7:44you have, the tools for your team to
- 7:47get there.
- 7:48I'm curious, you know, when you look into
- 7:50the next year or so, what are some
- 7:52of your priorities and headwinds that you're focused
- 7:54on as you're continuing to go through this,
- 7:57process in 2026?
- 7:59Right.
- 8:00Well, headwinds, I think that's another word for
- 8:02opportunities. Right? How do how do we frame
- 8:04that, so that knowing that we have the
- 8:07ability to tackle them? I think as we
- 8:09look into 2026,
- 8:11a big focus from us, from a people
- 8:14perspective is is really creating strategic workforce capabilities.
- 8:19And,
- 8:20what we're particularly facing, we've got three big
- 8:23transformations underway. We are really seeking
- 8:27to enhance the experience of of our children
- 8:30and families across all of our ambulatory services
- 8:33so that they
- 8:34have a very standard and outstanding
- 8:37experience across any location or or facility where
- 8:42they're receiving care.
- 8:43We also are,
- 8:45implementing Workday, a new ERP,
- 8:48and we're also launching an implementation of Epic,
- 8:51a new EHR.
- 8:52So we've got three big transformations,
- 8:55and we know that those are gonna really
- 8:57fundamentally
- 8:58change the way that our team members work.
- 9:02So we're looking to build a capability
- 9:05at Children's National within HR that we can
- 9:08strategically look at our workforce. So we can
- 9:10have the ability
- 9:11to look across jobs,
- 9:14capture, you know, potential business cases around standardization,
- 9:18modernization,
- 9:20look at workforce redesign,
- 9:22readiness,
- 9:23and really take jobs and deconstruct them, look
- 9:26at a task level,
- 9:27and perhaps create new jobs that haven't existed
- 9:30before,
- 9:32allow our team members to operate at the
- 9:34top of their license,
- 9:35as we're creating these new workflows.
- 9:39So that's what our focus is gonna be.
- 9:40We wanna be proactive and not be reactive.
- 9:43And, you know, everyone is really talking about
- 9:46what the implications
- 9:48to the workforce will be around
- 9:50AI. And,
- 9:52we think if we can start looking at
- 9:54work force
- 9:56design around these big areas, ambulatory redesign,
- 9:59epic redesign,
- 10:01that will have that good strong capability
- 10:04to handle any type of disruption
- 10:06that AI may have for some of our
- 10:08workforce.
- 10:10The the other
- 10:11big opportunity
- 10:12that we are focused on is really looking
- 10:15at well-being
- 10:16at Children's National, and we made a very
- 10:19intentional effort to create that as a strategic
- 10:22imperative for our workforce.
- 10:24And we are taking in all kinds of
- 10:27data points around that and and looking what
- 10:29are the opportunities
- 10:31to substantially
- 10:33impact well-being,
- 10:35across the organization, whether that is around
- 10:38financial well-being,
- 10:40mental health well-being,
- 10:42structural well-being. Right? How do we make sure
- 10:45that our systems and processes
- 10:47work pretty frictionless across the organization
- 10:50to make the everyday
- 10:52lives of our clinicians better?
- 10:54So we're really looking at a lens of
- 10:57doing that, and that work,
- 10:59is really we're we're supporting it from HR,
- 11:02but it's partnering very deeply with our with
- 11:04with everyone across the organization from nurses to
- 11:07physician leaders,
- 11:08operational leaders, and more. So those are really
- 11:11the two big focus focus areas we have
- 11:14ahead around strategic workforce design and well-being.
- 11:18I love that. And, you know, it's, both
- 11:20aspects are so critical. And I know especially
- 11:22today when you think about bringing AI into
- 11:25the health care organization operations and, you know,
- 11:29anything along those lines, there there's always gonna
- 11:31be a little bit of challenge or or
- 11:34fear of the unknown. But it sounds like
- 11:36being able to have the right message to
- 11:38your teams and, understanding that redesign and and
- 11:41caring for them and and how they're,
- 11:43fulfilled within their roles, it it makes a
- 11:45big difference.
- 11:47And and I'm curious. Can you share with
- 11:48us? Yeah, anything, you know, one bit deeper
- 11:51about kind of some of that transition and
- 11:54how you're making sure you're prepared for that.
- 11:56And I know there'll just be more AI
- 11:58and more opportunities,
- 11:59for for things to come into the organization.
- 12:01So how do you create, like, that nimble
- 12:03and and resiliencies?
- 12:05You you know, you're,
- 12:06moving quickly, I I think, especially, right now
- 12:09when technology evolves so quickly.
- 12:12Yeah. Absolutely. I think that's why we wanna
- 12:14start working on it today. Right? And so
- 12:16what we do know is changing
- 12:18is, we do have this this imperative to,
- 12:22really make ambulatory experience first rate. So how
- 12:25do we look at the jobs that are
- 12:26being done today
- 12:28and, have that standardization
- 12:31create, you know, less friction within that. And
- 12:34we've got these two big technologies coming in.
- 12:36So we feel like if we can get
- 12:38our feet wet in these current changes and
- 12:41get really pretty nimble and agile
- 12:43on how to change those roles for the
- 12:46future,
- 12:47that we should be able to have that
- 12:49resiliency,
- 12:50that capability,
- 12:51that when when an AI change,
- 12:55impacts us, we'll have the toolkit to know
- 12:57how to approach it. So that's why we're
- 12:59we're hoping to lean into it and not
- 13:01kind of be back in our heels and
- 13:02reacting to it.
- 13:04I love that. That makes a lot of
- 13:06sense. Now,
- 13:07I'm curious too when you think about the
- 13:10next year, what is the hardest thing that
- 13:11you're gonna have to do? I know, you
- 13:13know, even,
- 13:14having growth initiatives in in some of the
- 13:17opportunities that you've talked about, that are really
- 13:19exciting but don't always come easy when you're
- 13:21trying to do something organization wide. So I'm
- 13:24curious. How are you thinking about those types
- 13:26of things?
- 13:27Yeah. Well, it's it's pretty daunting even the
- 13:30the few imperatives I put out for you
- 13:31for the upcoming year. So I think we're
- 13:34really gonna be keeping a pulse
- 13:36on our organization,
- 13:38our team members, our leaders
- 13:40to make sure that they are,
- 13:43not getting fatigued with all the change.
- 13:46So change is super exciting, especially the the
- 13:48change that we have coming in that we
- 13:50know are going to allow them to care,
- 13:53for patients in in much more contemporary fashion.
- 13:56But when you have too much change, right,
- 13:58you have to be worried about how much
- 14:00how much, the organization can take in without
- 14:03it becoming a bit overwhelming. So we're really
- 14:05trying to keep a close pulse on that,
- 14:08to make sure that there's not a fatigue.
- 14:11And what do we need to pause? Right?
- 14:13So if we are getting to that point,
- 14:15are there priorities that we need to just
- 14:17kind of put on pause for a while
- 14:19until we get through some of these major
- 14:21transformations?
- 14:23That makes a lot of sense. And, you
- 14:25know, it's definitely hard sometimes to hit that
- 14:28pause button or to go a little bit
- 14:30slower, but making that strategic decisions and focus
- 14:32areas, I know is critical.
- 14:35And when you think about, you know, that
- 14:37potential for fatigue or the pause button, what
- 14:40types of things, you know, kind of typically
- 14:42fall into that bucket, or do you anticipate
- 14:44falling into that bucket over the next couple
- 14:46years?
- 14:48You know, Tara, I think I think it's
- 14:51gonna be hard to to know what we're
- 14:53gonna need to pause on. There's certain things
- 14:55that we know we've we've gotta deliver. Right?
- 14:57So we are gonna be implementing
- 14:59a transformational
- 15:00ERP across the organization. We are bringing epic.
- 15:04We are we are committed to the things
- 15:06within our strategic plan. So I think it's
- 15:08gonna have to be we're gonna have that
- 15:10muscle and to build in that
- 15:13that routine schedule where we're revisiting priorities,
- 15:16and we're creating criteria about what is most
- 15:19important for us to take care of children
- 15:23and what really drops down low on the
- 15:25priority. So, you know, we're everyone is super
- 15:28ambitious and and wants to do everything
- 15:31everywhere.
- 15:32But there are points where we're just gonna
- 15:34have to say, this one's gonna have to
- 15:35wait. So I I think it's gonna really
- 15:37be a team effort with us really
- 15:40re being almost ruthless about prioritization
- 15:43around what needs to happen and what's most
- 15:46important for caring for kids.
- 15:48That's helpful to understand. And even, you know,
- 15:50just how you're thinking about that decision making
- 15:52processes,
- 15:53makes a lot of sense. Now before we
- 15:55wrap up here, where do you see some
- 15:57of the best opportunities for organizational growth?
- 16:01Well, again, we have this incredibly special mission
- 16:04of of caring for our most precious, our
- 16:07most vulnerable patients with our children.
- 16:09So for us,
- 16:11we really view it as, an organizational
- 16:14mission to continue
- 16:16to
- 16:17grow the care that we can provide.
- 16:19So highly differentiated,
- 16:21complex, clear. How do we deliver that to
- 16:23more kids and families?
- 16:25So for us, how do we bring that
- 16:26world class pediatric care to more communities, more
- 16:30neighborhoods?
- 16:31That's really gonna be where our focus is,
- 16:34and which is really centered around our victim.
- 16:38Got it. That makes a lot of sense.
- 16:40You know, it's a great way to think
- 16:41about how you can grow and and serve
- 16:43your patient population.
- 16:45Thank you so much, Gina, for joining the
- 16:46podcast today. This has been so much fun
- 16:48to kinda learn from you and,
- 16:50getting your perspective on everything that's going on
- 16:53in health care at Children's National. And, you
- 16:55know, I look forward to catching up with
- 16:56you as well at our annual meeting. I
- 16:57know you'll be speaking on a panel with
- 16:59us, and we talk touching on many of
- 17:01these things too. So I look forward to
- 17:02seeing you there.
- 17:04Thank you so much, Laura. It's great to
- 17:06chat with you, and, I'm excited to, meet
- 17:10everyone in April as well.