Latest / Becker’s Healthcare Digital Health + Health IT / Kiran Mysore, Chief Data & Analytics Officer at Sutter Health
Transcript
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- 0:38This is Laura Dirda with the Becker's Healthcare
- 0:40podcast. I'm thrilled today to be joined by
- 0:42Kieran Mysore, chief data analytics officer at Sutter
- 0:45Health. Kieran, it's a pleasure to have you
- 0:46on the podcast today. Thanks for having me,
- 0:48Laura.
- 0:49Absolutely. Now I'm really excited for this discussion
- 0:52because I know, Sutter is doing a lot
- 0:53of innovative things. It's a really,
- 0:56unique time in health care right now where
- 0:58innovation is moving so quickly and technology is
- 1:00transforming the way health care is delivered. So
- 1:02I'm looking forward to talking more about what
- 1:04you're doing at Sutter and then how you're
- 1:06thinking about the future. But before we dive
- 1:08in, I'm wondering, can you introduce yourself and
- 1:10tell tell us just a little bit about
- 1:11your background?
- 1:12Sure, Laura. I'm Kieran Meisser. I serve as
- 1:15the chief data and analytics officer at Sutter
- 1:18Health.
- 1:19I lead our enterprise efforts in data strategy,
- 1:23artificial
- 1:24intelligence, analytics,
- 1:25and our collective team's focus is really to
- 1:29deliver
- 1:30better care for our patients,
- 1:32reducing clinician burden, and, improving our overall organizational
- 1:36performance.
- 1:38Now I've spent, you know, more than twenty
- 1:40five years working in data and AI
- 1:43across multiple industries,
- 1:45and that also includes health care.
- 1:48And that sort of cross sector experience gives
- 1:50me a broad lens. But what I'm really
- 1:53excited about is how we can bring some
- 1:55of these ideas to the provider, the health
- 1:58care space,
- 1:59where we can really turn insights into real
- 2:01impact.
- 2:02And so at Sutter, we're using data and
- 2:05AI to tackle some of health care's toughest
- 2:07challenges,
- 2:08whether it's improving patient access,
- 2:11clinician productivity,
- 2:12and so on.
- 2:14I also wanted to give a quick background
- 2:16on Sutter Health. We are one of the
- 2:18leading not for profit
- 2:20integrated health systems. We serve more than three
- 2:23and a half million patients in California,
- 2:25and our vision is to be the most
- 2:27comprehensive,
- 2:28integrated, and coordinated
- 2:30health system in California.
- 2:33That's amazing to hear. And, you know, what
- 2:35great work that you do in serving such
- 2:36an important patient population.
- 2:38Now what are some of the big opportunities
- 2:40as well as headwinds that you have your
- 2:41eye on?
- 2:43Sure.
- 2:44So we're working on some exciting initiatives using
- 2:47data and AI. I'm gonna focus a couple
- 2:49of maybe give you a couple of examples.
- 2:53One example is, you know, we are working
- 2:55to improve
- 2:56speed and accuracy of diagnosis
- 2:59and, you know, flagging patients at risk for
- 3:01serious health events.
- 3:03So we use AI, for example, to act
- 3:06as a second set of eyes for physicians.
- 3:08Right?
- 3:09For example, when you're reviewing a CT's lung
- 3:12scan,
- 3:14where, you know, we're trying to understand
- 3:16early stage lung cancer diagnosis, right, and and
- 3:19provide the diagnosis.
- 3:21With AI's help, you know, sixty percent of
- 3:23these Sutter patients actually received
- 3:25an early stage diagnosis. Now that is significantly
- 3:28better than the national average, which is just
- 3:31at twenty seven percent. So we're really proud
- 3:33of that.
- 3:35When you think about stroke,
- 3:37care,
- 3:38AI based platforms provide,
- 3:40an additional review.
- 3:42They help our specialists identify
- 3:44large blood vessel clots within minutes,
- 3:47And this allows for faster treatment decisions as
- 3:50well.
- 3:51Now AI risk models also proactively flag patients
- 3:55in the hospital
- 3:56who are at high risk for in hospital
- 3:58cardiac arrest, which is one of the things
- 4:00that could happen. It's a leading cause of,
- 4:03in hospital death and c diff infections as
- 4:05well. And by predicting earlier, we're able to
- 4:09take care of our patients much earlier. So
- 4:11those are some examples.
- 4:12Now one of the other thing we're also
- 4:14working on is
- 4:16to improve
- 4:17access to care,
- 4:18by making it more readily available. So
- 4:22one example there is, you know, more than
- 4:24half of those with diabetes,
- 4:26they don't get a recommended eye exam each
- 4:29year, and that places them at a higher
- 4:31risk for blindness.
- 4:33Now AI can actually detect
- 4:35even the earliest warning signs in less than
- 4:37a minute just through a picture.
- 4:40And by placing these retinal cameras with FDA
- 4:44cleared AI
- 4:45in primary care offices
- 4:47in a screening for more sort of health
- 4:48patients is really possible.
- 4:52I'm gonna maybe end with one other example,
- 4:54which is all about our physicians. You know,
- 4:56our physician satisfaction is really important.
- 4:59Productivity is really important.
- 5:01So we use AI to assist them generating
- 5:05responses to patient emails.
- 5:08So or to listen during a patient visit
- 5:10to take notes
- 5:12and generate a summary that directly flows into
- 5:14the electronic health record for the patient. Of
- 5:17course, the physicians do review and approve all
- 5:19of this content before it reaches the patients.
- 5:22And we've seen, like, almost a million notes
- 5:25written in the system since our program launched.
- 5:28And this is actually helping our physicians be
- 5:30you know, overall reduce their cognitive burden,
- 5:33and their mental fatigue of even up to
- 5:3530%.
- 5:36So this is a win for our physicians
- 5:39and our patients.
- 5:41That's amazing to hear, and it makes a
- 5:42really big difference when you think about the
- 5:44clinical workforce and how much the last few
- 5:47years has really put a strain on it.
- 5:49So to incorporate technology that can do a
- 5:52variety of those administrative tasks and really add
- 5:55value to their Workday, I I think is
- 5:57critical. And I appreciate you talking through a
- 6:00lot of the work that you've done there,
- 6:01and how you're gauging those results is, fascinating.
- 6:05Now Mhmm. I'm curious. You know, when you
- 6:07look into the future, what are some of
- 6:08the ways that you are thinking about growth
- 6:10and developing
- 6:11and continuing to add value to Sutter overall?
- 6:15Sure. The best way to think about growth
- 6:17and value is through the lens of our
- 6:19mission,
- 6:20which is patients first and people always.
- 6:24Now there are several areas of focus to
- 6:26help with this.
- 6:28You know the first thing is we think
- 6:29about
- 6:31how we act improve access to care.
- 6:34So the problem we face is that
- 6:37too many
- 6:38people experience too many hurdles in getting the
- 6:41care they need.
- 6:42And Sutter is leading the way in removing
- 6:44as many barriers to access as possible.
- 6:47And this is where our digital tools, our
- 6:49innovations play a crucial role in this work.
- 6:51I'll give you one example.
- 6:54Our work actually helps us
- 6:56serve more than a 100,000 new patients,
- 6:59across our system last year. That's 100,000 new
- 7:02patients last year.
- 7:04And
- 7:05we're doing that by improving our online scheduling
- 7:07capabilities.
- 7:09For example, last year, we saw an increase
- 7:11of 27%
- 7:12in online appointment scheduling.
- 7:15This is really great.
- 7:17The second thing we think about is workforce
- 7:20well-being.
- 7:21Now we are growing our workforce,
- 7:23especially our physicians.
- 7:26We hired more than a thousand physicians and
- 7:28clinicians last year
- 7:30while keeping turnover
- 7:31really low.
- 7:33Now burnout is a key factor in all
- 7:35of the work that they do. So our
- 7:37digital tools, like I mentioned,
- 7:39are really helping our workforce,
- 7:42and essentially making their life easier.
- 7:45A good example is the fact that,
- 7:48last year,
- 7:49we saved a million hours of our workforce
- 7:52time through efficiencies in our digital tools, and
- 7:54this is amazing.
- 7:56So these are just two examples of how
- 7:58our work in action
- 8:00really drives,
- 8:01our collective organization
- 8:03and really advance that mission of patients first
- 8:06and people always.
- 8:08I love that. Really tying it back into
- 8:10what health care is all about. Now I
- 8:13I know there's so many hospitals and and
- 8:15systems across the country that have that vision
- 8:17that are trying to serve patients well and
- 8:19figuring out what technology is going to do
- 8:22that the best.
- 8:23And that is, you know, easier said than
- 8:26done. And so when you think about many
- 8:28of these institutions having tight margins or looking
- 8:30ahead and seeing continued belt tightening, what investments
- 8:34should they still make this year, especially
- 8:36thinking about technology,
- 8:38you know, that can make sure they're set
- 8:40up for success?
- 8:41It's a great question, Laura. I think,
- 8:44again, taking a lens of how Sutter is
- 8:46really thinking about this,
- 8:48we'll maybe stick with the same theme of
- 8:50growth and expansion, right? We are actually making
- 8:53some big investments in our ambulatory
- 8:55growth.
- 8:56We have a very ambitious,
- 8:59program in ambulatory expansions.
- 9:01This is a billion dollar program.
- 9:03This includes, you know, 76 new care sites,
- 9:07more than 160 hospital beds.
- 9:10I already talked about our physician hiring, which
- 9:12is also a growth area for us. We
- 9:14actually hired, like, 500 physicians this year alone.
- 9:18We're also,
- 9:20on our way to becoming Northern California's
- 9:23largest
- 9:24community based health care training institution. This is
- 9:27great.
- 9:28We're growing our medical,
- 9:30residency programs, our academic partnerships,
- 9:33and workforce development investments to really help our
- 9:36future generations of caregivers be even more efficient.
- 9:40One other thing I'm really excited about to
- 9:42sort of complement the amb ambulatory expansion
- 9:45is that we're rolling out a new
- 9:48fully integrated digital care delivery model, and we
- 9:51call that SutterSync.
- 9:53So this program actually allows our patients to
- 9:56track and manage chronic diseases,
- 9:59such as hypertension
- 10:00and diabetes at home. And they can do
- 10:03this on their schedule in their house Mhmm.
- 10:06And in concert with a dedicated care team
- 10:08that can really provide timely support and treatment
- 10:11adjustments.
- 10:12So our
- 10:14investments in ambulatory expansion coupled with our digital
- 10:17tools like Sutter Sync are really helping care
- 10:20for more
- 10:21patients in more places.
- 10:23That's fascinating to hear. And, you know, really
- 10:25truly embracing that tech enablement,
- 10:28it makes a big difference. You know, those
- 10:29are huge problems trying to expand capacity and
- 10:32increase the number of patients you're seeing. Well,
- 10:35also, you know, dealing with, as we have
- 10:38talked a little bit about here, just some
- 10:39of the challenges with staffing and all those
- 10:41kinds of things. So that's that's amazing to
- 10:44hear.
- 10:45I'm curious before we wrap up here. Looking
- 10:47ahead and and looking at, you know, growth
- 10:49for yourself in particular, what does that look
- 10:51like over the next two to three years?
- 10:52I know, right now, things are changing very
- 10:55quickly, and it likely will continue that way.
- 10:57So how do you see yourself and your
- 10:59teams evolving?
- 11:01I'm excited for the future. I reflect on
- 11:03this all the time. You know? One of
- 11:05the things we think about,
- 11:07and I tell my team to think about
- 11:10growth is to really define what growth really
- 11:12means. Right?
- 11:14It's not just growth for the growth sake,
- 11:17but it's about creating
- 11:18greater access to care, meeting the demand where
- 11:21where we need to.
- 11:23And, like I said, I've given some examples
- 11:25of already, you know, how we do this.
- 11:28I think growth is taking on new forms
- 11:31beyond just the traditional ways.
- 11:33This is where I think digital health, AI
- 11:35innovations play such a big role.
- 11:38I just think some of the work that
- 11:40my team is doing
- 11:42and enabling,
- 11:43especially around AI, these are not just incremental
- 11:47opportunities. These are transformational opportunities.
- 11:49And in some ways, we're changing the way
- 11:52things are done entirely,
- 11:54whether it's workflows, whether it's treatment plan, care
- 11:57care mechanisms, and such.
- 11:59And our clinical areas, our operational areas have
- 12:02tremendous opportunities for growth.
- 12:04And so as we transform all of this
- 12:06easy work, we're actually going to go deeper,
- 12:10maybe towards personalized treatments that will actually truly
- 12:13change our patients,
- 12:15well-being.
- 12:17So,
- 12:18yeah, personally I'm excited about the opportunities for
- 12:21growth in the future.
- 12:22I truly think not just Sutter but just
- 12:25healthcare as a whole has a unique opportunity
- 12:28to serve our patients
- 12:29with better technology, with AI, with data,
- 12:32to elevate the scale,
- 12:34to improve the quality of care. And I
- 12:36think our growth journey is a great example
- 12:38of this.
- 12:40That's fascinating to hear. Well, Karen, thank you
- 12:42so much for joining us on the podcast
- 12:43today. This has been a really fun conversation,
- 12:45and I look forward to connecting with you
- 12:47again soon.
- 12:48Thanks, Laura. Thanks for having me. It was
- 12:50great to talk to you, and I hope
- 12:52that our conversation sparks some new ideas for
- 12:55the listeners to accelerate their own journeys.
- 12:57Thank you.