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Imagine this. You're at the Hyatt Regency Chicago

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immersed in insightful discussions with the health care

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industry's top leaders.

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Welcome to Becker's 12th annual CEO

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and CFO roundtable from November 11th to 14th

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2024.

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Picture yourself networking with over a 1000 executive

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level attendees,

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collecting business cards, and forging valuable connections.

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Feel the excitement as you engage in 4

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days of sessions featuring 400

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elite health system speakers.

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Envision yourself diving deep into critical topics like

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rural health care, digital transformation,

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health equity, and c suite diversity.

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Now imagine being inspired by our celebrity keynotes,

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pro football hall of famers Troy Aikman and

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Emmett Smith, 43rd president George w Bush, and

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author and journalist Jenna Bush Hager. Their stories

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will leave you motivated

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and energized.

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Don't miss this unparalleled

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opportunity.

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Get registered today. Visit beckershospitalreview.com

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and click on the events page to find

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the conference website.

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That's the beckershospitalreview.com

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events page. See you in Chicago.

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Welcome to the Becker's Healthcare podcast. I'm Mariah

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Taylor, assistant editor, and I'm thrilled to interview

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Shlomit Shaul, chief physician executive at Houston Methodist

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and president and chief executive officer at Houston

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Methodist Physician Organization

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on the podcast today. Doctor Schall, thank you

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so much for joining me. I'm so excited

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for this conversation because you're one of our

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upcoming panelists at our CEO CFO conference, and

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we're really excited to get a sneak peek

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into some of your thought leadership.

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But before we dive in, I'd love if

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you could introduce yourself and tell us a

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little bit more about your background.

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Alright. Thank you so much for having me

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today.

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I'm Shlomi Chal. I'm a chief physician executive

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here at Houston Methodist. I'm also the CEO

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of our physician organization here at Houston Methodist.

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And, as a background, I'm a clinician scientist.

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I'm a retina surgeon.

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I've been in academic medicine my entire

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lifetime.

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Maybe you can hear a little bit of

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an accent in my voice,

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maybe a lot. I, made a journey all

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the way from Israel to Kentucky

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through Massachusetts

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where I was the chair of the Department

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of Ophthalmology and Visual Sciences

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at University of Massachusetts.

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And then,

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that was

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really

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recent

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a year and a half ago

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and

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also was the President

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of the Medical Group at UMASS Memorial Medical

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Group. I moved to Houston, Texas about a

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year and a half ago

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and to take this job.

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And I'm really enjoying my time here, especially

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now that we're talking in August, which is

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the hottest month of the year here and

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the most human humid one in Houston.

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Oh, I can only imagine.

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Tell me a little bit about your most

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successful project or initiative from the last year.

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What did you do and what were the

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results?

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So in my role here, I am responsible,

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for everything to do

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quality and patient safety in our entire organization.

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That means all our hospitals and our clinics

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in our Greater Houston.

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I'm also

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responsible,

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for our physician organization.

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So I'm new to the organization, relatively new

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to the organization

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and it's a great organization.

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I'm sure you know that Houston Methodist is

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really a leader in quality patient safety. We

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are really leading also in

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our employee engagement.

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So we call ourselves leading medicine and as

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an executive, when you join such a strong

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team,

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and your job as an executive is to

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make the organization

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even better than it is,

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because really in healthcare, we always

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are on a journey to keep improving and

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getting better.

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How do you do that?

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And what I did together with my team,

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my excellent

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new team that actually I inherited

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when I started here,

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we went on a listening and learning tour

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through the entire organization. At the beginning, we

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did it

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with focus on quality and patient safety.

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And then

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this year,

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this 2024

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year, we actually focused on something that is

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very close to my heart,

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which is

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wellness and physicians, specifically physician well-being

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physician and clinicians. So it's physicians and APPs.

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And what we wanted to know is really

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how are we doing here at Houston Methodist

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and what could we do possibly better

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to make our physicians,

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clinicians and care providers

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better because I truly believe that this is

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in high correlation

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with quality of care. If you have a

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highly engaged physician, highly engaged clinician, they're going

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to deliver

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better quality and safer care to our patients.

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So this became a high priority

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in our physician organization

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this year.

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And what we did, we went on a

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tour and we call it a JIMMY tour.

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We're very proud of the name. JIMMY is

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Joy in Medicine

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Initiative.

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We went on that JIMMY tour and we

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started we focused on our primary care physicians.

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And

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you think about why are we focusing on

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primary care, because primary care physicians are really

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the door

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to our organization.

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A lot of our patients

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door

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to our organization. A lot of our patients

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are referred to our specialty physicians through our

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primary care providers.

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And I wanted to take a chance to

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take the opportunity and get to know them

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better.

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And together with my team and our executive

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team at the physician organization,

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we went

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from site to site

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and met

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in person

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with

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all of our primary care providers.

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These are both physicians and APPs and we

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really asked 3 questions. We asked,

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what are you doing here? Who are you?

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Get to know them. The second question is,

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what's good here at Houston Methodist?

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And then the third question is, what could

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we do better?

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And this was really a humble tour. I

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came from a place that I thought even

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though I'm 30

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years in medicine and in academic medicine and

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I'm a clinician and a surgeon,

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I came from a place of I do

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not know anything about Houston Methodist.

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Tell me how it is to be here

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and help me

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make your life better.

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So it was really,

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a wonderful

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tour where people told us what's good about

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us and what could

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we do better.

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And that helped us devise a

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strategy for our physician

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organization in terms of wellness.

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Now we just didn't only

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we're not only satisfied with these person, because

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these are group meetings, sometimes it was small

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group, sometimes it was bigger groups, our smallest

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group was maybe 14 people, the biggest group

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was more than 80.

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So we didn't

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just settle for these in person meetings. We

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also used

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a press gaining tool called

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crowdsourcing

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where we could get ideas

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from our own

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physicians

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and APPs

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of how to what to focus on in

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our strategy

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to make their

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lives better here

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as clinicians in Houston Methodist.

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And now we are in the process

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of getting information

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from Jimmy Tour, from our crowdsourcing

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and also from

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surveys that we distributed.

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And this is a survey

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out of PWAAC. PWAAC,

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I'm sure you know, but PWAAC is a

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professional well-being and academic consortium

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that is led

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by

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Stanford, but many

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healthcare systems and academic healthcare systems in particular

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are part of PWAs because physician well-being

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is a national

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priority, I would say. We are not the

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only ones who are focusing on it.

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And there is no silver bullet that can

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solve

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the situation. So we

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aligned ourselves with PWAC. We

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distributed their survey

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as really a site in a national survey

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that is distributed

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every year

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in many academic healthcare systems. So

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to devise the strategy,

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we are taking input from this 1 on

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1 meetings in person,

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from the

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crowdsourcing

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and also

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from

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the

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PWAC

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survey.

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And we are going to have

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a big first inaugural

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Jimmy Symposium

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on November 1. If you want to come

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to Houston, Mariah, I'm inviting you.

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And we will

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really

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unveil

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what our strategy is. What I can tell

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you as a preview

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is that we are focusing on really 3

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major things.

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One big thing is efficiency

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of practice.

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We heard so many times from our physicians

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that a good day is a day that

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starts on time,

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that all the patients show up, that our

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physicians

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are able to work at the top of

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their license and deliver care and everything is

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running smoothly.

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And as we know

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an integral part of our work as physicians

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is really technology.

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So

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we in the physician organization are

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here at Houston Methodist, we are focused on

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acquiring

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and piloting technologies to make

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the life of our physicians better. Something like

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some technologies for example

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like ambient listening

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where you don't have to document while you're

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with the patient.

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There is

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an artificial intelligence

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voice recognition

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software

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that really documents

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for you. And we have already

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piloted that and are piloting different

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companies and so far it's been a tremendous

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response

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from our physicians, but not only from our

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physicians,

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all of the teams that are taking care

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of patients.

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And there are other examples, but this is

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one efficiency of practice.

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The other thing is

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personal resilience.

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And when we talk about personal resilience and

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you read the literature,

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personal resilience is not only delivering

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yoga lessons

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and community events and book clubs. We are

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doing all this, but this is also something

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that we discovered during our tour.

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Personal resilience is also to teach our physicians

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how

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00:11:50,125 --> 00:11:50,785
to delegate

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and trust others

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and feel that they can let go when

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they are on vacations, when they are using

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their time off from their organization

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that they feel that it's okay to trust

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somebody else

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to take care of their patients while they're

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gone.

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And

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it's very telling that our physicians take their

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laptops everywhere and they really can't feel that

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they can't

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really connect. So we are going to help

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with that

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and

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it's really a priority for us to teach

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these behaviors, so they can recover,

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because our physicians are human beings like all

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of us. We are all human beings and

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we all need to unplug

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sometimes. And then the third thing, we said

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efficiency of practice, we said personal resilience. The

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third thing is really the culture of wellness.

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I really want everybody to know that here

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at Houston Methodist Physician Organization,

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we care

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not only about the patients and their family,

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which is obvious, this is why we exist,

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but we also care deeply about

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our people, the people who work for us

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at the physician organization. And this is including

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physician, but not only physician, everybody that is

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our employee,

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we care about them because caring for our

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00:13:09,884 --> 00:13:10,384
employees

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00:13:10,764 --> 00:13:14,044
translates into good care for our patients. So

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this was a long way of answering your

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00:13:16,284 --> 00:13:16,784
question

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about a successful project

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from the last year.

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00:13:22,759 --> 00:13:25,000
Excellent. Looking ahead, what is the biggest challenge

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00:13:25,000 --> 00:13:26,679
you're expecting to face in the next year

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and how are you preparing?

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So one thing that is,

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really,

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important to me personally because I have experienced

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this on my,

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00:13:36,865 --> 00:13:39,825
my own skin if you will, is really

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00:13:39,825 --> 00:13:40,325
preparing

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00:13:41,024 --> 00:13:44,485
the leaders of the next generation, specifically physician

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leaders.

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A lot of time

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when we choose physician leaders,

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00:13:52,429 --> 00:13:55,089
we just take the most experienced one,

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maybe the most dominant ones, maybe the one

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who speak louder or care the most.

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But to me,

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00:14:04,995 --> 00:14:06,934
physician leaders can come

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00:14:07,315 --> 00:14:09,254
from anywhere in the organization.

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00:14:09,715 --> 00:14:12,355
They don't need to be the loudest. They

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00:14:12,355 --> 00:14:14,115
don't need to be the ones that are

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00:14:14,115 --> 00:14:15,495
close maybe to the

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00:14:15,955 --> 00:14:19,220
senior executive team. They can come from anywhere

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00:14:19,220 --> 00:14:21,080
and they can really make a big

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00:14:21,700 --> 00:14:23,080
difference in our organization.

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00:14:23,779 --> 00:14:24,279
But

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00:14:25,059 --> 00:14:25,559
usually

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00:14:26,019 --> 00:14:27,320
when somebody finishes,

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00:14:27,779 --> 00:14:30,840
graduates from medical schools, go through internships,

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00:14:32,100 --> 00:14:32,600
fellowships

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00:14:33,235 --> 00:14:35,014
and then becomes an attending,

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00:14:36,754 --> 00:14:39,174
they don't they're not trained

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00:14:39,554 --> 00:14:42,535
we as physicians are not trained to be

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00:14:42,995 --> 00:14:43,495
leaders.

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And

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00:14:45,730 --> 00:14:47,750
once we are looking to identify

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00:14:48,050 --> 00:14:49,830
a leader within our organization,

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00:14:50,769 --> 00:14:51,750
it may be

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00:14:52,050 --> 00:14:53,269
a hit or miss.

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00:14:54,690 --> 00:14:57,330
Usually, they are very good people, but there's

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00:14:57,330 --> 00:14:59,954
a difference between being a good person or

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00:14:59,954 --> 00:15:02,174
a good physician or a good surgeon

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00:15:02,634 --> 00:15:03,454
and a good

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00:15:03,914 --> 00:15:06,554
leader. Really leadership, I truly believe is something

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00:15:06,554 --> 00:15:08,875
that can be learned, that should be learned.

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00:15:08,875 --> 00:15:09,855
It's an expertise

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00:15:10,794 --> 00:15:12,894
like every other profession.

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00:15:13,759 --> 00:15:14,899
And so

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00:15:15,440 --> 00:15:16,580
in this

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00:15:17,440 --> 00:15:18,500
year 2025,

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00:15:19,279 --> 00:15:21,940
we're going to focus on physician leadership

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00:15:22,399 --> 00:15:24,559
development. We're going to do it in really

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00:15:24,559 --> 00:15:25,379
3 different

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00:15:26,399 --> 00:15:27,620
avenues. 1

400
00:15:28,240 --> 00:15:31,044
is focusing on our employed physicians,

401
00:15:31,664 --> 00:15:33,664
physicians who are employed by the Houston Methodist

402
00:15:33,664 --> 00:15:34,565
Physician Organization

403
00:15:35,264 --> 00:15:36,245
and identify

404
00:15:36,865 --> 00:15:39,664
people who want to become leaders or who

405
00:15:39,664 --> 00:15:40,565
are already

406
00:15:41,190 --> 00:15:43,990
leading in some capacity. They may be chief

407
00:15:43,990 --> 00:15:45,529
quality officers. They

408
00:15:46,070 --> 00:15:49,129
may have a responsibility as medical directors.

409
00:15:49,830 --> 00:15:52,730
These physicians come from all over the Greater

410
00:15:52,790 --> 00:15:54,169
Houston, from all

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00:15:54,950 --> 00:15:55,850
over our

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00:15:56,384 --> 00:15:57,285
healthcare system

413
00:15:57,825 --> 00:15:59,684
and they come from different specialties.

414
00:15:59,985 --> 00:16:02,804
They can be primary care, neurology, neurosurgery,

415
00:16:03,504 --> 00:16:04,804
orthopedics, everything.

416
00:16:05,585 --> 00:16:07,845
And we developed a nomination

417
00:16:08,225 --> 00:16:08,725
process

418
00:16:09,170 --> 00:16:10,550
and we're going to select

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00:16:10,930 --> 00:16:13,170
the best ones and this is a program

420
00:16:13,170 --> 00:16:14,870
that we developed in collaboration

421
00:16:15,809 --> 00:16:16,309
between

422
00:16:16,690 --> 00:16:17,190
us

423
00:16:17,649 --> 00:16:18,389
and Jones

424
00:16:18,850 --> 00:16:21,590
Rice Jones Business School here in Houston.

425
00:16:22,610 --> 00:16:23,430
We did

426
00:16:23,809 --> 00:16:24,309
one

427
00:16:25,304 --> 00:16:26,524
iteration of this

428
00:16:27,465 --> 00:16:28,845
physician leadership program

429
00:16:29,544 --> 00:16:30,924
this past year

430
00:16:31,465 --> 00:16:34,825
and now we are improving it, enhancing it

431
00:16:34,825 --> 00:16:37,304
and putting it into motion and we're going

432
00:16:37,304 --> 00:16:39,750
to start another cohort of physician

433
00:16:41,649 --> 00:16:42,389
leadership development

434
00:16:44,289 --> 00:16:47,889
here in Houston starting in January 2025. So

435
00:16:47,889 --> 00:16:49,350
very excited about that.

436
00:16:49,730 --> 00:16:51,990
But not only that, we are

437
00:16:54,054 --> 00:16:54,554
also

438
00:16:55,254 --> 00:16:55,754
investing

439
00:16:56,294 --> 00:16:59,574
in our existing leaders all the way up

440
00:16:59,574 --> 00:17:01,674
to the level of department chairs

441
00:17:02,214 --> 00:17:02,954
and also

442
00:17:03,894 --> 00:17:06,934
department administrators. So we developed something that is

443
00:17:06,934 --> 00:17:07,434
called

444
00:17:07,759 --> 00:17:10,500
the Chair Academy and the Administrator

445
00:17:10,879 --> 00:17:11,379
Academy.

446
00:17:11,839 --> 00:17:12,899
And these

447
00:17:13,359 --> 00:17:14,419
are really sessions

448
00:17:15,119 --> 00:17:16,819
that are tailored

449
00:17:17,119 --> 00:17:17,619
towards

450
00:17:18,240 --> 00:17:19,700
our really senior

451
00:17:20,079 --> 00:17:22,179
leaders. Department chairs are not

452
00:17:23,375 --> 00:17:24,195
are not new in

453
00:17:26,335 --> 00:17:27,955
their experience in this organization

454
00:17:28,414 --> 00:17:30,115
or in their journey in medicine.

455
00:17:31,295 --> 00:17:34,015
But we think that they still need to

456
00:17:34,015 --> 00:17:36,730
learn and they can still develop. And also

457
00:17:36,730 --> 00:17:38,429
perhaps most importantly,

458
00:17:39,369 --> 00:17:41,549
we're going to give them the basic education

459
00:17:41,769 --> 00:17:44,029
in parallel to their department administrators,

460
00:17:44,490 --> 00:17:46,190
so we can align everybody

461
00:17:46,890 --> 00:17:49,130
to become the best leaders that they can

462
00:17:49,130 --> 00:17:51,634
be. And this is very important because

463
00:17:52,654 --> 00:17:54,034
the entire organization

464
00:17:54,974 --> 00:17:57,634
is inspired and moved forward

465
00:17:58,255 --> 00:18:01,234
by leaders. And in order for the organization

466
00:18:01,454 --> 00:18:03,089
to move straightforward

467
00:18:03,789 --> 00:18:05,649
like a vector in one direction,

468
00:18:06,029 --> 00:18:07,250
we need all our

469
00:18:07,630 --> 00:18:10,750
leaders to be aligned. So last year, we

470
00:18:10,750 --> 00:18:14,049
had 3 topics that we discussed in this

471
00:18:14,190 --> 00:18:15,250
chair and

472
00:18:16,109 --> 00:18:19,305
administrator academy. The 3 topics were leadership,

473
00:18:19,924 --> 00:18:21,545
philanthropy and communications.

474
00:18:21,924 --> 00:18:23,065
This was last year.

475
00:18:23,365 --> 00:18:26,025
And this year, we already designed the 3

476
00:18:26,644 --> 00:18:29,365
topics and these are going to be everything

477
00:18:29,365 --> 00:18:31,465
that a leader needs to know about

478
00:18:31,799 --> 00:18:32,700
human resources,

479
00:18:34,120 --> 00:18:35,660
the art of storytelling,

480
00:18:36,120 --> 00:18:38,539
how to give a presentation that is engaging.

481
00:18:39,240 --> 00:18:39,740
And

482
00:18:40,519 --> 00:18:43,820
the third topic is diversity, equity and inclusion.

483
00:18:43,880 --> 00:18:45,900
And I have to say that these topics,

484
00:18:46,534 --> 00:18:48,554
they came to us by the

485
00:18:49,255 --> 00:18:50,154
our own leaders.

486
00:18:50,615 --> 00:18:53,095
This is our own leaders, our own chair

487
00:18:53,095 --> 00:18:56,214
saying I need more education and I need

488
00:18:56,214 --> 00:18:57,034
more training

489
00:18:57,654 --> 00:19:00,375
to know about these topics. So very excited

490
00:19:00,375 --> 00:19:01,809
about this, and I think it's,

491
00:19:02,609 --> 00:19:04,629
I'm looking forward to this in 2025.

492
00:19:05,809 --> 00:19:06,309
Absolutely.

493
00:19:06,769 --> 00:19:08,849
So many exciting things happening over there in

494
00:19:08,849 --> 00:19:11,750
Houston. This has been such a great discussion,

495
00:19:12,210 --> 00:19:14,129
and thank you for joining me on the

496
00:19:14,129 --> 00:19:15,315
podcast today.

497
00:19:15,855 --> 00:19:18,734
If you wanna catch more of doctor Shahl

498
00:19:18,734 --> 00:19:19,634
at our upcoming

499
00:19:20,015 --> 00:19:22,414
clinical leadership forum, you can join us at

500
00:19:22,414 --> 00:19:25,934
Becker CEO and CFO roundtable November 11th through

501
00:19:25,934 --> 00:19:27,075
14th in Chicago.

502
00:19:27,455 --> 00:19:29,535
We have limited space available for attendees and

503
00:19:29,535 --> 00:19:32,430
sponsors, so contact us at agenda team at

504
00:19:32,430 --> 00:19:32,930
beckershealthcare.com

505
00:19:34,029 --> 00:19:35,010
to learn more.