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- Prepare to dive into the forefront

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of healthcare innovation at
our 14th annual meeting coming

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up on April 8th

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through 11th at the Hyatt Regency
in Chicago, with thousands

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of industry leaders converging
over four dynamic days

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of discussions on crucial
topics from health IT

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to executive leadership.

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It's where the future of
healthcare takes shape.

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We can't wait to connect
with you in person

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and engage in these
important conversations.

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- Welcome to the Becker's
Healthcare Podcast, made

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for the people who power US healthcare.

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I'm Molly Gamble at Becker's,

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and today I'm sitting
down with Scott McLean,

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senior Vice President and
CIO of MedStar Health.

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Scott, welcome to the podcast.

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Thanks so much for being our
guest. How are you today?

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And where does the podcast find you?

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- Thanks, Molly. I'm really
pleased to be with you all

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and I'm at our systems
headquarters in Columbia, Maryland.

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- Well, Scott, if you can
start off by, from listeners

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who are less familiar with MedStar Health,

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but wanna be more familiar,

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can you share a few key
facts about the organization

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and just help us better
reacquaint ourselves?

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- Certainly. We're an integrated
delivery system in the

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Baltimore, Washington DC region.

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We have 10 hospitals and, uh,
about 300 ambulatory sites.

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Last year, our revenues
were, uh, about $7.3 billion.

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And, um, we have, uh, a large
number of ambulatory, uh,

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outpatient visits, over 6 million.

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We, um, are affiliated

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with Georgetown University Medical School.

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We have an insurer in
both Maryland and uh, DC

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and we have about 8,000
nurses and 4,000 physicians.

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So it's a, a large operation,

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and we take care of, uh,
many people here in this,

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uh, in this region of the country.

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- Perfect. And Scott, you

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and I are speaking, we're,
we're rounding out Q1 here.

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It's already been a, a
really busy and dynamic year.

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What have you been
spending most of your time

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and energy on as of late in your work?

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- Terrific question. And for
us that we're running on our Q3

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of our fiscal year, we finished
up our fiscal year in June.

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So it's, uh, we're, we're
trying to strive to the,

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to the finish line with all the
goals we have for this year.

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And I, I think what to
talk about here, Molly, is

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how we're organized.

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And as, as CIO, our team has informatics,

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we have applications,
uh, information security,

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infrastructure, uh, telecommunications,

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and we, we partner with
our, our chief, uh,

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innovation officer, our
chief digital transformation

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officer, our VP of analytics and,

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and other senior leaders

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that are my peers in, in the organization.

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And I think a lot of what we've
been spending time on now,

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in addition to, to running
the, the daily systems, right,

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the EHR revenue cycle systems
is, um, we're partnering

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with our innovation officer

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around virtual nursing
intervention interventions.

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Um, we are piloting
ambient speech recognition.

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I'm sure you're hearing this
from other, uh, podcasters

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looking to improve our clinical workflows

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and be able to deal with some
of the issues we have around,

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um, the, the shortages
of, of clinicians and,

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and making their workflows
easier to re reduce their,

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their burden, um,

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and, um, helping them to be
able to focus on taking care of,

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of patients with our Chief
Digital Transformation officer.

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We're supporting our vision

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around an integrated
digital health platform,

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which we would say is more than a portal.

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This is where you as a, a consumer, even

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before your, a patient
can come to us with issues

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and have various channels

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that you might be able to discover care.

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And, uh, like many others, we
have, uh, intake automation

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and self-scheduling and,

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and ways that, that
people can get care, um,

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through telehealth, through urgent care,

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primary care specialty and, and whatnot.

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So, and then, um, we,
we have a lot of data.

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I think we know this
in, in, in healthcare,

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and we're trying to organize it

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well through data governance.

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And we're looking at our next
generation analytics platform.

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So we're spending a lot of
time with the analytics officer

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and, and his team.

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Um, our teams do a lot of the, uh, loading

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of data from these
transactional systems into the,

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into the analytics platform.

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So it's quite, quite an aggressive agenda.

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And, uh, you know, I'm,

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I'm sure you have many other
people we talked to that,

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that are dealing with
these kinds of, of things,

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but we're enthusiastic
about what we're doing

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and the, the platforms
that we're running in order

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to serve our clinicians

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and the people administering
the, the enterprise and,

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and ultimately in service of location.

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- Yeah, I have, I have a
question for you there.

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When you mentioned ambient
speech recognition, you know,

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as a reporter, I remember sometimes

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the way the language we
use around technology,

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it sometimes doesn't
evolve as the tech evolves.

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We still use the same terms to refer

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to really different
capabilities over time.

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When we talk about ambient
speech recognition being put

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to use for healthcare workers

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and clinicians today, what,
what should we keep in mind?

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How has it grown? How has it advanced

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or grown more sophisticated
from your perspective over time?

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And what, what is it capable
of now that excites you?

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- Well, we, we've gone from dictation

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and transcription right to,
to backend speech recognition,

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to real time speech recognition, to

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what I use the term ambient
for is the, the listening

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between a clinician and a patient

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and the, the technology
being able to capture

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that conversation,

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extract the important
clinical pieces from it,

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and create a, a note in the
electronic health record,

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which then would obviously be
reviewed by the clinician and,

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and signed off upon.

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And I, I've seen this demonstrated,

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we have several pilots going
on of, of various technologies

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as we've been following this
the last couple of of years.

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And, and our clinicians
are finding it helpful

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and being able to reduce their,
their documentation burden.

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And, uh, and I think that
we've done a lot of this

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with physicians, but
now we're also looking

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to explore it in, uh, in
nursing interactions as well

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to see if there are use
cases that are applicable.

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So does that, um, resonate with, with what

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- You're hearing it?

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It does. It does.

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And I, I imagine from what
we've heard about clinician

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and physician burnout, this is something

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that's really warmly welcomed.

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Have you encountered any concerns

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or maybe nervousness with the
staff that you've had to work

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through with 'em about
this tool being put to use?

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- Not specifically about this tool.

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I, I, I think we have a lot of
technology and it's important

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and people like to, uh, to use
technology to solve problems.

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And I think just like we
always talk about, we, we have

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to organize it in a way that
people can understand it,

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they have a good process,

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and then the tech is applied
in a way that they can,

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they can use it well and optimally.

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So I, I haven't heard specific
concerns about this as much

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as there, there are a lot

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of different workflows and it will work.

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Um, it'll work well for some,

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it may not apply as well to others.

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And that's why we're, we're not
drawing in on any one single

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uh, vendor yet as we,

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we wanna check these different
use cases in different

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specialties and, and
see what works for them

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and, uh, and how it helps them. Mm-Hmm,

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- <affirmative> and then Scott
to, to check in on something.

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I know last year when you spoke
with Bucker, you had noticed

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a significant investment on
behalf of the system toward

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engineering talent and engineering talent.

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It's just one aspect of
the healthcare talent pool

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that can be pretty easy to
overlook at times, just given

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how much attention is paid
on the clinician shortages

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facing our, our country.

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What's important to keep
in mind about recruiting,

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retaining, growing, and,

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and being a hub for engineering talent in,

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in healthcare today?

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I, I wanted to get your
take on this specialty.

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- Sure. Thanks, Molly.
I mean, I think it's

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important to, to all of us.

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Um, attracting

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and retaining, uh, talent is,
is important for any leader.

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And we're, we're very fortunate,

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I think in at MedStar Health, uh, and,

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and many healthcare providers

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that people are very interested

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and engaged in the mission
of caring for people

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and working on EHR configurations

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and revenue cycle configurations.

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Um, architectures are, are things

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that people can participate
in the care process

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because, uh, our clinicians are

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so dependent on it on these days.

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And so we're, we're very
fortunate to have people

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who are extremely
dedicated to this mission.

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And, you know, it's a, it's
a bit of a 24 7 job, right?

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We, we need to be available

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whenever there's an issue with any

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of our technologies available
to be responsive to the,

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the care processes.

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When I was talking to
the podcast last year,

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I think I was probably
talking about our, um,

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our infrastructure is outsourced.

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And so we invested a lot in
the last couple of years about,

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um, improving that, that
outsourcing relationship.

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And that came with, uh, specific engineers

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and architects who are,
are very knowledgeable

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with the technology
and, and in healthcare.

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And I think we, we had
an outsource strategy

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for infrastructure for,
um, since 2008 now.

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And, uh, we really think in
this region, particularly

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where there's a lot of
government and defense

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and that kind of industry, that if we go

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to a global service provider
on IT infrastructure,

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we can have consistent resources and,

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and a consistent cost,
uh, that's predictable.

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And so that's, um, that's why we do it,

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and that's worked out for us.

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And, and I think the investment
we made last year in, uh,

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changing some of the,
the talent that we have

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puts us in a place where we're able

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to architect our networks

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and our, our, um, data center,
server room storage, uh,

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and, uh, right up to the end,
end user computing devices

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and, and be able to take
advantage of new technologies, um,

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software defined networking,
new security technologies and,

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and ways of, um,
organizing data that make,

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make it most useful for the
anticipation of, um, applying

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artificial intelligence and
other algorithms to it, to,

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again, make it, uh, most easily

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and helpful, helpful to our
clinicians who are trying

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to make decisions at the point of care.

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- Mm-Hmm, <affirmative>.
Well, Scott, I wanna thank you

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for the updates on what you're doing

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and leading at MedStar Health as CIO.

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Is there anything I didn't ask you

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or a thought that you
wanna leave our listeners

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with as we wind down?

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- Sure. It's a great question, Molly.

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I, I think a lot about the,
uh, conflicts in the world,

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and I know people worry about this a

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lot for, for good reasons.

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And so I've been thinking
a lot about reconciliation

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and what it means for
people to really listen

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and understand each other

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and respect different points of view.

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And I I also know, we all
know that there, there are

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so many social determinants of
health for people's wellness

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that are outside the healthcare system,

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or at least outside the
acute ambulatory system.

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And so I, I think a root
of a lot of challenge,

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uh, that we have is people
not having the right food,

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the right housing, the right
education, um, opportunities

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for, for, um, economic development.

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And that plays into, as
we see, uh, people's, uh,

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ability to be well.

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And, um, so, uh, I'm personally
involved in our community

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and, and trying to help with
some of those, those issues.

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Their, they're, they're big tasks and, uh,

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but I, I see it as part of my role as a,

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as a health system leader regionally here,

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to be thinking about that

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and helping people understand
what, uh, our, our, our

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ultimately our patients out
there in the community are up

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against, um, so they can get well

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and, and stay outta the hospital.

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- Mm-Hmm, <affirmative>, I
really appreciate that, Scott.

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And I think there's, it's,
it's tough to think about

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an aspect of societal

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or community living that isn't
somehow correlated to health.

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So to hear that you are
taking time in your,

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in your free time to even
touch those factors further

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upstream, I mean, what a,
what a great leader, um, you,

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you must be to not only
be working toward health

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and outcomes and patient care,

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but then even, uh, on your
own time trying to, uh,

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support those measures further away

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from the health system too.

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- Well, thanks. Yeah. I mean, it's just,

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I'm just one, one person.

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What, what I, what I can do
is talk about the issues and,

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and do leadership

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and in the community like
I do at admit our health

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and, um, you know, be able
to bring the, the explanation

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of what's, what's actually
happening and, uh, and,

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and bring resources toward it.

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- Scott McLean, senior Vice President

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and CIO of MedStar Health,
I wanna thank you again

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for being my guest on the
podcast today, for checking in

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with us, getting us up to speed on your

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work and your initiatives.

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Hope we can do this again soon.

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- Thanks, Molly. It was
great being with you.