Latest / Becker’s Healthcare Digital Health + Health IT / Veena Lingam, Associate Chief Medical Information Officer at Moffitt Cancer Center
Transcript
- 0:00Welcome to the Becker's healthcare podcast. I'm Molly
- 0:02Gamble with Becker's. And today, I'm joined by
- 0:04Vina Lingam, associate chief medical information officer at
- 0:07Moffett Cancer Center in Tampa, Florida.
- 0:10Vina, hello and welcome. Thank you so much
- 0:13for joining me as my guest today.
- 0:16Thank you, Molly. Thank you so much for
- 0:18having me, and I'm really excited to be
- 0:20here.
- 0:21Yeah. Well, I I thought we could start,
- 0:23Vina, if you can bring us a little
- 0:25closer to your work at Moffitt Cancer Center.
- 0:28I understand
- 0:29you've been in this role for about a
- 0:31month's time.
- 0:32You're settling in.
- 0:34What have you been spending most of your
- 0:35time and energy on as of late as
- 0:37you're adjusting to your new role?
- 0:40This is my first major career
- 0:43change or move. So I'm really spending a
- 0:45lot of time
- 0:47getting to know the organization,
- 0:49the culture,
- 0:52the layout and the hierarchy.
- 0:54What are the priorities?
- 0:56In my past position,
- 0:58I was at Stony Brook Medicine for 15
- 1:01years and
- 1:03kind of grew along with the organization
- 1:05and its informatics journey.
- 1:07This is a very
- 1:09different,
- 1:11perspective I'm gaining here by being the outsider
- 1:14coming in
- 1:15and learning,
- 1:16a new organization.
- 1:18Mhmm.
- 1:20That's a really important perspective. You know, there's
- 1:22advantages to being part of a program since
- 1:24its beginning like you were at Stony Brook
- 1:26Medicine for 15 years. I mean, that's a
- 1:29big stretch of time and to grow up,
- 1:31like you said, or grow along with the
- 1:33organization
- 1:34in its informatics journey, but also
- 1:37to be an outsider coming in,
- 1:40have you detected or what what can you
- 1:42tell us about some of the priorities that
- 1:44Moffett has in place for its analytics or
- 1:46the chief medical information
- 1:48program.
- 1:50Anything that you've learned that our listeners might
- 1:52find interesting?
- 1:54What I'm really seeing is a
- 1:58a kind of big
- 2:00push and
- 2:02prioritization
- 2:03of investment
- 2:05in informatics.
- 2:07And when I say that, I don't just
- 2:09mean,
- 2:10investing in
- 2:12solutions or vendors and, you know, software.
- 2:16It's also
- 2:17a a big push to invest in informatics
- 2:20personnel,
- 2:22both at leadership level as well as in
- 2:24their,
- 2:25at all levels of their informatics
- 2:29team, as I can see, as I get
- 2:30to know all the layers of the depart
- 2:32of the Department of Clinical Informatics as it
- 2:35exists here at Moffett.
- 2:37Really, that that's a
- 2:39big positive that I see.
- 2:42It takes
- 2:43informatics
- 2:44professionals,
- 2:46that have
- 2:47kind of spent time learning these principles to
- 2:50be able to get the most out of
- 2:52all these solutions that we buy in order
- 2:54to make our health care systems more
- 2:57efficient and effective
- 2:59in delivering care for our patients.
- 3:02So that investment,
- 3:05it is something that I find promising.
- 3:08Mhmm.
- 3:09Yeah. And Another thing I really noticed is
- 3:12everything is about the patient experience. These it's
- 3:15a cancer center, which is
- 3:18very different from my prior experience, again, coming
- 3:21from a general,
- 3:23you know, all specialty
- 3:25academic center to a
- 3:28large organization
- 3:29very much focused on
- 3:31delivering,
- 3:33you know, the best cancer care. And these
- 3:35are patients that are coming in at a
- 3:37very low point in their life or after
- 3:39having received,
- 3:41you know,
- 3:42not the best news. So,
- 3:44I think
- 3:46having all of that sorted out and really
- 3:49centering all the workflows and everything around the
- 3:52patient experience and having giving them the smoothest
- 3:55journey possible seems to be a priority, and
- 3:58I I'm really appreciating that here.
- 4:01Mhmm.
- 4:02Well, that's terrific. I mean, it sounds like
- 4:05when you talk about I so appreciate the
- 4:06distinction. It's not just investing in, like you
- 4:08said, software or vendors,
- 4:11or solutions, but in talent itself at all
- 4:13layers of the organization.
- 4:15That's that's really substantial.
- 4:17Veena, I know it's early days for you
- 4:19at Moffett, but looking ahead to 2025,
- 4:22is there anything you can tell us about
- 4:24some big organizational goals that you're setting out
- 4:26to accomplish with your team?
- 4:29Yes. So my a big part of my
- 4:31role and my recruitment has been to
- 4:35set up and actually recruit and build the
- 4:38clinical informatics fellowship program here at Moffett. It's
- 4:41a,
- 4:42fellowship program for physicians,
- 4:45who have completed their residency training, might be
- 4:48early or late. It's a USF program at
- 4:50Moffett Cancer Center.
- 4:52And
- 4:53my main priority and and top goal here
- 4:56is to,
- 4:57set up and, you know, build and
- 5:00set up this, program successfully.
- 5:02And, again, goes towards the mission of really
- 5:05training that talent.
- 5:07The informatics personnel
- 5:08are the
- 5:10key ingredients, let's say, to building that learning
- 5:13health system that we're all trying to be.
- 5:16I wanted to ask about that because when
- 5:18you said that earlier about investing in talent,
- 5:21I I was thinking to myself, I'm so
- 5:23well versed and aware of the various personnel
- 5:27shortages that health systems face, whether it's from
- 5:29technicians,
- 5:31to
- 5:31nurses and physicians and specialists of all different
- 5:34types.
- 5:35But when it comes to medical or clinical
- 5:37informatics
- 5:38professionals,
- 5:40what what type of talent pipeline are you
- 5:42working with, Feena? Is it constricted, or is
- 5:44it
- 5:45ample? Do do you feel like there's sufficient
- 5:47resources there? Is there scarcity? Can you can
- 5:50you tell us more about
- 5:51what the
- 5:53supply looks like for that type of professional
- 5:56or personnel in your organization?
- 5:59So from what I can see at the
- 6:01organization
- 6:02so far, there's been there's a robust team.
- 6:05They're recruiting really talented people, but I,
- 6:09the recruitment
- 6:10has not been that easy. It is hard
- 6:12to find,
- 6:14experienced or well trained informatics personnel and it
- 6:17goes. It's more of it's
- 6:19both the supply and demand shortage.
- 6:22Informatics,
- 6:23clinical informatics is not a straightforward career.
- 6:27Most residents and, you know, applicants that I've
- 6:29ever spoken to
- 6:31kind of say, well, I just found out
- 6:33because I randomly met the CMIO at our
- 6:36organization
- 6:37and realized this is an actual profession. I
- 6:39could use my medical knowledge and clinical experience
- 6:42in different ways
- 6:44to help the health care system,
- 6:46not just by, you know, going out to
- 6:48see patients or do special, you know, specialty
- 6:52fellowships, etcetera.
- 6:54So it has been
- 6:56challenging
- 6:57to kind of build the clinical informatics workforce.
- 7:01One is really because employers
- 7:05either do not recognize the need to invest
- 7:08in personal, as I mentioned before,
- 7:11as much as they invest in the software.
- 7:14And
- 7:152, they don't understand what kind of or
- 7:18they're not yet so familiar
- 7:20with
- 7:21what kind of skills and
- 7:24knowledge and expertise clinical informaticians
- 7:27bring to the table and how they could
- 7:29really help them realize the value,
- 7:31of all the products that they have.
- 7:34So because the employers
- 7:37or the job opportunities as are not as
- 7:40clear cut, it kind of serves as a
- 7:42disincentive
- 7:43for potential
- 7:45future informaticians
- 7:46from kind of choosing this, career path that
- 7:49there's a lot of uncertainty. It's not as
- 7:51clear cut if I go and do,
- 7:54a gastroenterology
- 7:55fellowship after
- 7:57internal medicine, I know my lifestyle. I know,
- 8:01you know, what my salary would be. I
- 8:03know what I would be doing. Informatics has
- 8:06so many possible trajectories, and it kind of
- 8:09seems like, you know, the path less traveled
- 8:11and not as not as laid out. So
- 8:14that serves as a disincentive. So in both
- 8:16ways, I think there's not as many job
- 8:18opportunities
- 8:19posted in general,
- 8:22and there's not as many people choosing to
- 8:25go into
- 8:26this career path
- 8:28due to the, you
- 8:29know, lack of
- 8:31a clear kind of trajectory that they could
- 8:33see for themselves.
- 8:35I see. That makes sense. It's it's almost
- 8:37like it's health care's best kept secret in
- 8:39a way. Maybe it's a less established career
- 8:42path or an org chart like you said,
- 8:45but it sounds like just really ample opportunity.
- 8:50Yeah, definitely. I mean, I started off I
- 8:52mean, I call myself a generalist at heart
- 8:55in residency. I kind of liked every aspect
- 8:58of medicine, but nothing enough to really say
- 9:00this is my passion. I want to go,
- 9:03you know, do oncology or whatever for the
- 9:06rest of my life. I wanted to stay
- 9:08that generalist, but,
- 9:10it is
- 9:12if you have that system,
- 9:15vision and high level kind of problem solving
- 9:18kind of mentality,
- 9:20informatics really gave me that opportunity
- 9:23to have a say to play a role
- 9:25in making things better for both patients and
- 9:29our clinicians in the system.
- 9:32So that really gives me
- 9:34even more fulfillment
- 9:36than
- 9:37having just, you know, been the hospitalist and
- 9:40worked really hard.
- 9:41So I am
- 9:43really
- 9:44I do think it's the best kept secret,
- 9:46and I wanted to not be a secret
- 9:48anymore and really attract these,
- 9:51you know,
- 9:52people in the clinical trend as soon see
- 9:54the problems, who understand the problems, and who
- 9:57have the problem solving mentality,
- 10:00and process improvement mentality to
- 10:03come into the field and and make
- 10:06every the system better.
- 10:09Absolutely. I mean, I I can't imagine a
- 10:11time,
- 10:12more than now, especially with some of the
- 10:15question marks around AI and generative AI,
- 10:18where this role is so important. You know,
- 10:21it's not like it's some pocket of the
- 10:22organization that's
- 10:24an ancillary or nice to have. I mean,
- 10:26for health systems, this is a a really
- 10:28important role,
- 10:29that needs experienced talent, strong leaders,
- 10:32good critical thinkers, like you said. And also,
- 10:34I I respect and appreciate your comment about
- 10:37the generalist, you know, going
- 10:39a mile wide and inch deep,
- 10:42versus vice versa,
- 10:44can be so helpful
- 10:46in the informatics program given how many professionals
- 10:49it touches. Right?
- 10:51So so, Zavina, I you're about a month
- 10:54in at Moffett. You mentioned you were with
- 10:56Stony Brook Medicine for 14 years,
- 10:59a really impressive stretch of time with that
- 11:01organization.
- 11:02Let's talk about you a little bit and
- 11:04and your leadership.
- 11:05How have you been evolving or sharpening
- 11:08or trying to kind of level yourself up
- 11:11with this new chapter of your career?
- 11:14And how have you been
- 11:16making yourself at home now at Moffett? Any
- 11:19advice that you would share with other leaders
- 11:20who are looking to make a similar change
- 11:22like you after spending such a significant portion
- 11:25of time of their career with 1 organization?
- 11:29Yeah. I think one,
- 11:31thing is I'm learning. I'm glad,
- 11:34that I
- 11:35took the leap. It was definitely a leap
- 11:37getting out of the comfort zone.
- 11:40We're coming from a system like we you
- 11:42know how everything works to an entirely new
- 11:45system and and way of doing things.
- 11:49I am
- 11:52trying to think
- 11:53bigger,
- 11:54or a high level picture, trying to understand
- 11:57what
- 11:58is driving a majority of the decisions at
- 12:01this organization
- 12:04and taking things slow, really trying to learn
- 12:07in the 1st few months
- 12:10rather than just, you know, come in and
- 12:12do.
- 12:15Also, another big career change,
- 12:18I guess, advice or lesson learned
- 12:21is
- 12:22it's definitely
- 12:24an opportunity
- 12:25to,
- 12:26as you said, level up and kind of
- 12:28reinvent
- 12:29myself.
- 12:30The 15 years at Stony Brook, I started
- 12:33off as an intern.
- 12:34So pretty, you know, low on the totem
- 12:36pole, very narrow thinking of just my patient,
- 12:40you know, my medical knowledge.
- 12:43And along the way, with you know, great
- 12:46mentorship and opportunities, I was able to
- 12:49develop
- 12:50the leadership
- 12:52mentality. So what I'm really trying to do
- 12:54is own that and start off at that
- 12:56level and then build upon it.
- 12:59There I have great leaders here,
- 13:01that I consider mentors at Moffett,
- 13:05who played a big role in me choosing
- 13:07to come here,
- 13:08the CMIO, doctor Perkins. I'm really trying to
- 13:11learn again, use this opportunity to
- 13:13level up, grow, learn and build upon
- 13:17my skills.
- 13:18So things like process improvement,
- 13:22learning the technology
- 13:24or learning, you know, large language models or
- 13:27at least how they work.
- 13:29That's,
- 13:29you know, kind of more granular.
- 13:32But at a high level, I'm trying to
- 13:34also fill up the gaps where I may
- 13:36not have learned so much all along, like
- 13:38the finances of health care
- 13:41or other, you know, kind of leadership strategies
- 13:43at a larger level.
- 13:47Mhmm. Well, it sounds like you're off to
- 13:48a terrific start. I I think, as as
- 13:51you described it, to take things slow and
- 13:53to to really learn and have things stick
- 13:56versus to come in and and do right
- 13:58away as you put it. Sounds sometimes
- 14:01easy in theory. I know that's a lot
- 14:03of work itself, though, to be observant,
- 14:06to make connections, to, like you said, try
- 14:08to better understand what's driving the majority of
- 14:10the decisions made at Moffett.
- 14:12So, Vina, it sounds like you have,
- 14:15made yourself at home, but still have been
- 14:17taking a really strategic approach
- 14:19to your transition.
- 14:21Wanna just wish you continued success in that,
- 14:23and, hopefully, we can catch up again
- 14:26soon when you're a few months to a
- 14:27year end and see how things have been
- 14:29going for you.
- 14:30Yeah. I'd love to. And hopefully, by that
- 14:32time, I'll be,
- 14:34you know, after the races with our fellowship
- 14:36as well. Yeah. Oh, yes. Yes. We'll check-in
- 14:39on that as well.
- 14:41Well, Vina Lingam, I I just wanna thank
- 14:42you again for being my guest today. Listeners,
- 14:45Vina is the associate chief medical information officer
- 14:47with Moffett Cancer Center in Tampa. Vina, thank
- 14:50you so much again for being my guest.
- 14:53Thank you, mom,
- 14:55for having