Latest / Becker’s Healthcare Podcast / Timothy Seay-Morrison, Senior Vice President of Service Lines and Chief of Ambulatory Care Operations at Stanford Health Care
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
- 0:46Welcome to the Becker's Healthcare podcast.
- 0:49I'm Elizabeth Gregersen, a reporter here at Becker's,
- 0:52and I'm thrilled to interview
- 0:55Timothy c Morrison,
- 0:57senior vice president of cancer care at Stanford
- 1:00Health Care on the podcast today. Thank you
- 1:02so much for joining me. I'm so grateful
- 1:05to share your insights with our podcast audience.
- 1:08Thank you. I'm really glad to be here.
- 1:11Before we dive in, could you
- 1:14introduce yourself to our audience? Maybe tell us
- 1:16a little bit about your role and your
- 1:18organization?
- 1:20Sure. Happy to. So, Timothy c Morrison. A
- 1:23lot of people professionally call me Tim Morrison,
- 1:26and I have been with Stanford Health Care
- 1:28about fifteen years.
- 1:30Stanford is,
- 1:32an academic medical center, academic medical system here
- 1:35in the Bay Area,
- 1:37about 35 miles south of San Francisco in
- 1:40Palo Alto.
- 1:41And we have,
- 1:43a large
- 1:44on campus,
- 1:46quaternary hospital system here in Palo Alto and
- 1:48also a community hospital
- 1:50in Pleasanton.
- 1:52And the system is made up of not
- 1:54only
- 1:56faculty practice,
- 1:59we also have a physician foundation
- 2:01and a very close relationship with the,
- 2:04Stanford Children's Health, which is,
- 2:07here part of Stanford Medicine real large.
- 2:11And I've been here about fifteen years. I
- 2:13recently transitioned into this SVP role for the
- 2:17cancer centers.
- 2:19Cancer is our largest service line and where
- 2:22both
- 2:23the health system and the School of Medicine
- 2:26and the University are very intent on focusing
- 2:28attention and investment over the decade ahead as
- 2:31we
- 2:32aim to increase our capability of caring for
- 2:34people with cancer as the cancer burden grows
- 2:37in the world.
- 2:38And the job I had most recently
- 2:41was as the senior vice president of the
- 2:43service lines,
- 2:4410 of our service lines, and also as
- 2:47the chief of ambulatory care operations.
- 2:50And I'm excited to merge these things together.
- 2:51Cancer is predominantly an ambulatory operation too, so
- 2:54it kind of bridges my interest there
- 2:56and lets me face a new challenge in
- 2:59thinking about cancer care.
- 3:01Perfect. Yeah. And, you know, our audience ranges
- 3:04from the ASC to the academic medical center
- 3:06medical center to those huge health systems. So
- 3:09I think your experience,
- 3:11you kind of touch all those different things.
- 3:13So I'm I'm sure our audience will be
- 3:15really excited to hear,
- 3:17you know, how you're navigating the health industry
- 3:19today.
- 3:20I guess you can take this next question,
- 3:23right, in maybe your previous role,
- 3:26or if you've got something in the cancer
- 3:28care
- 3:28realm to share that. But
- 3:31when you're looking back in the last year,
- 3:342025,
- 3:36what do you feel is the most important
- 3:38initiative you led?
- 3:40And maybe
- 3:41what did it take to get there, and
- 3:43what were some of the results that you
- 3:45saw?
- 3:46Sure. I I'm really excited about work we've
- 3:49done related to ambulatory governance and alignment.
- 3:53So at Stanford Medicine, we don't have a
- 3:55single practice plan. We're made up of
- 3:57faculty physicians across 18 clinical departments and community
- 4:01medical groups, and everyone has an interest in
- 4:04the ambulatory environment.
- 4:06And as the SVP, I also have a
- 4:08physician partner, Chief Medical Officer Jenny Cruz.
- 4:11And our work
- 4:13over the last couple of years, but really
- 4:15landing in this last year, has been around
- 4:18advancing
- 4:19and
- 4:20maturing
- 4:21the governance of the ambulatory platform, and really
- 4:24building that trust and partnership of the key
- 4:26leaders across
- 4:28all of our service lines and all of
- 4:29the departments and the community medical groups to
- 4:32think about org wide decisions
- 4:34so that we have standards in the way
- 4:36that we provide ambulatory care across
- 4:38our network, which has a pretty large geography.
- 4:42And so that's taken, you know, it's taken
- 4:44a couple years
- 4:45of
- 4:46trust building
- 4:48and practicing and thinking about, the decision matrices
- 4:52and where things go
- 4:54in a very complex and matrix organization.
- 4:57But in the last year, it really matured,
- 4:59and and we were able to,
- 5:02through that governance group and I think the
- 5:04the growth of the trust that exists in
- 5:06those leaders,
- 5:07advance standards really specifically around
- 5:10access goals and standards,
- 5:13agreeing on room utilization standards that we use
- 5:15now for allocation for further future growth, but
- 5:18also recalibration
- 5:19of buildings,
- 5:22who has operational oversight of different footprints,
- 5:25and also our quality goals.
- 5:27And in this last year too, we unified
- 5:30our Visiant quality data and reporting to include
- 5:33the foundation practices in addition to our faculty
- 5:36practices.
- 5:38And
- 5:39that takes our agreement and alignment. But
- 5:41we we moved ourselves into number six in
- 5:44the ambulatory quality and accountability scorecard
- 5:47because we saw how that unified system helps
- 5:50us improve new patient access, overall patient access,
- 5:54reduce our lag time to getting people in,
- 5:57as well as improving things like our, you
- 5:59know,
- 6:00high utilization
- 6:01rates and and management of complex conditions
- 6:05that we don't want having,
- 6:06additional utilization of hospital emergency rooms. So I'm
- 6:10I'm really, really proud of that kind of
- 6:13energy that I think took a lot of
- 6:15leaders,
- 6:16coming together.
- 6:18Yeah. Absolutely. You know, I
- 6:20I have seen just that shift into
- 6:22outpatient and ambulatory
- 6:24care
- 6:25so
- 6:26heavily covered this past year. And and I
- 6:29always love to hear from leaders when they
- 6:31say it took a lot of people coming
- 6:33together to, you know, make care
- 6:35access for all sorts of different service lines.
- 6:38Right? It's not just cancer care. It's not
- 6:39just one or the other.
- 6:41So I think a lot of our listeners
- 6:43will be able to relate to what you
- 6:44said and and probably learn from that kind
- 6:46of shared governance mindset.
- 6:49Shifting gears a little bit, instead of looking
- 6:51back, I'd love to look ahead.
- 6:54As you step into your new role as
- 6:55well, are there any kind of big priorities
- 6:58or maybe even headwinds that you're focused on
- 7:01as you look into 2026?
- 7:05Definitely.
- 7:06Certainly, like many
- 7:08of the listeners,
- 7:09we're all focused on headwinds with sort of
- 7:12a changing
- 7:13regulatory environment and pressure on health systems. And
- 7:16so for us
- 7:18in in this academic system, we think about
- 7:20site of service changes, the the Medicaid
- 7:23shifts, and sort of the liability of
- 7:26understanding
- 7:27what will be covered and won't, and,
- 7:31the liability of telehealth legislation. That has a
- 7:33big impact here at Stanford Healthcare. We're a
- 7:35very high user of virtual care. We have
- 7:37remained
- 7:38at a very high percentage
- 7:40of virtual visits across our enterprise,
- 7:43and it is a it's a leading part
- 7:45of our access strategy
- 7:46because
- 7:47of sort of the real estate compression that
- 7:49exists. We're able to extend our reach by
- 7:51using
- 7:52telehealth. So it's really, really important to us.
- 7:55Sort of stepping into cancer, but it bridges
- 7:58these things to,
- 8:00the research funding implications
- 8:02and changes in overhead and,
- 8:05NIH funding,
- 8:06I think are things we're really watching because
- 8:09in our minds, they pose a threat to
- 8:11the integrity of academic medicine and also our
- 8:13shared mission, which
- 8:15is about being able to advance
- 8:17the science so that we can then
- 8:20continue to help the democratization
- 8:22of great healthcare treatments and expand
- 8:24the kind of care that places like Stanford
- 8:27and other AMC's get get the privilege of
- 8:30engaging in the development of, but making sure
- 8:32that that kind of research and innovation can
- 8:35then reach other people.
- 8:37And so,
- 8:39specifically in cancer, we look to continue to
- 8:42think about
- 8:43making sure that our research enterprise and our
- 8:46capability to expand clinical trials and clinical trials
- 8:48enrollment across geographies and across all across our
- 8:52network, can be strong
- 8:54through and that takes, you know, infrastructure
- 8:57capability and enhancement, and it takes creativity around
- 9:00funding and efficiency.
- 9:03And and I think it's really important. And
- 9:05it's also a super exciting part about why
- 9:07we work in academic medicine is this integration
- 9:10of where science meets care. And so I'm
- 9:12really, I am looking forward to that, even
- 9:14though
- 9:15I know that it's going to be a
- 9:16big challenge for the years ahead.
- 9:19Absolutely. And speaking of challenges,
- 9:21you teed me up perfectly for my next
- 9:23question.
- 9:25We can't, you know, only talk about the
- 9:27exciting,
- 9:29priorities and growth opportunities
- 9:32without, you know,
- 9:33talking about maybe some of the harder things
- 9:36or the challenges that you'll have to face
- 9:38in the coming year. Are there any that
- 9:41are top of mind that you're thinking about
- 9:43right now?
- 9:45Well, most pressing for me in the year
- 9:48ahead, I'm gonna transition my oldest kid to
- 9:50middle school. That kind of thing.
- 9:52That's really hard.
- 9:54But, you know, like, the changing pressures of
- 9:57aging family members and their needs, you know,
- 10:00at the same time. I'm sure all of
- 10:02you appreciate, like, the
- 10:05the the other part of our lives. Right?
- 10:06Right. It's still still is happening at the
- 10:09same time.
- 10:10That's right.
- 10:12But related to work, you know, I
- 10:14I think the hardest stuff continues
- 10:16to
- 10:19think about how we motivate the healthcare workforce
- 10:22physicians
- 10:23to remain engaged and feel excited about this
- 10:26work
- 10:27at a time that feels highly pressured
- 10:30and where there are many, many financial headwinds
- 10:33facing not only us, but many other
- 10:36organizations in the nation,
- 10:37the struggle of the community health organizations to
- 10:40meet the demand of the community
- 10:42at the time ahead where we're unsure about
- 10:45the funding of,
- 10:47people who don't have good access to care
- 10:49or,
- 10:50don't have the financial means that everybody does.
- 10:53And I think we're all gonna need to
- 10:54focus on that balance so that all the
- 10:57health systems can remain
- 10:58healthy
- 10:59and,
- 11:01and think about the shared burden of, you
- 11:03know, the American health system. I think that's
- 11:06some of the hardest stuff. And I worry
- 11:08about
- 11:10the, resilience of our physician workforce and the
- 11:14pressures on physicians. And so our challenge to
- 11:19provide all the professional fulfillment that comes from
- 11:22the joy of taking care of people
- 11:24and what it the reason we were called
- 11:26to this work,
- 11:28and and why physicians were called to this
- 11:30work, that we're making sure our practice environments
- 11:33continue to support that so that that we're
- 11:35thinking about, you know, the marathon, not just
- 11:37the sprint.
- 11:39Absolutely. And, you know, I think all of
- 11:41the
- 11:42important initiatives and programs and everything you've shared
- 11:46with us today, the backbone of all that,
- 11:48right, is the health care workforce. So I
- 11:50think that's such an important point that,
- 11:53like you said, our audience will be able
- 11:55to relate to as as always kind of
- 11:57that ever present concern that, everyone's focusing on.
- 12:02That's right. Yeah. You know, AI is super
- 12:04exciting, and and we're gonna see so many
- 12:06opportunities to
- 12:09to advance and democratize
- 12:11protocols and how healthcare is delivered. And we're
- 12:14still a human service at the core of
- 12:16it. All the people
- 12:17have to be
- 12:19shored up through this journey together.
- 12:22Definitely.
- 12:23Well, for my last question, I'd love to
- 12:25wrap it off. On a high note, where
- 12:27do you see the best opportunities
- 12:29for organizational
- 12:31growth at your organization right now?
- 12:34This is a a really exciting year for
- 12:37Stanford Cancer Centers. We are embarking on some
- 12:41new things for us, and we have a
- 12:43joint venture with another health system
- 12:46in Northern California, and we're building a building
- 12:48together that we intend to open in the
- 12:51fall. And this is an incredible learning experience
- 12:54about bringing a very large
- 12:56community system together with an academic system that
- 12:58helps us extend our reach into
- 13:01Oakland, a different geography, an area that
- 13:05we are excited about serving the community and
- 13:07bringing the best of both organizations together. And
- 13:10it's a a really exciting,
- 13:12I think, learning opportunity about bringing these systems
- 13:14together.
- 13:15That sort of coupled with other cancer network
- 13:18capabilities as we look at how we're partnering
- 13:21with other organizations throughout the state and here
- 13:24in the in the Western Region
- 13:26to think about extending the capabilities
- 13:28of what Stanford offers,
- 13:30again, to other communities as we think about
- 13:32expanding access and care.
- 13:34And
- 13:36and and the opportunities for those of us
- 13:37in academic medicine
- 13:39are are helping us think about the prioritization
- 13:41of our portfolio so that we continue to
- 13:43do what we're best at and are providing
- 13:45the power
- 13:46and leverage and support to deliver
- 13:49the other types of care that exist in
- 13:51in other communities. And I think that's gonna
- 13:53help us
- 13:55grow because it's going to,
- 13:58provide the strength that the community needs and
- 14:00at the same time then provide the capacity
- 14:02and capability to do what's best in an
- 14:04academic center.
- 14:07Perfect. And, yeah, you know, selfishly, I do
- 14:09cover oncology news and access,
- 14:12you know, in the community is always such
- 14:15a hot topic. So I'm really excited to
- 14:17hear more about the cancer center that you're,
- 14:20partnering on and and excited to cover its
- 14:23opening
- 14:24later this year.
- 14:25Thank you so much for joining me on
- 14:27the podcast. I I feel like it's been
- 14:29an amazing and informative discussion, so I really
- 14:31appreciate you sharing your time and your insights.
- 14:34Thank Thank you so much. Thanks for having
- 14:35me.
- 14:36Perfect. And I invite our listeners to tune
- 14:38in to more podcasts from Becker's Healthcare
- 14:41by visiting our podcast page at beckershospitalreview.com.
- 14:46I hope you all have a wonderful rest
- 14:48of your day. Bye.