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This is Laura Dirdo with the Becker's Health

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Care podcast. I'm thrilled today to be joined

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by doctor Patrick McGill, chief transformation officer at

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Community Health Network. Doctor McGill, it's a pleasure

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to have you on the podcast today.

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Thanks you. Thanks for having me on.

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Now I'm really looking forward to our discussion

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because there's so much happening in health care

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right now, and specifically just looking at technology

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and how it's transforming the health care space.

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And so I I'm looking forward to your

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perspective. But before we dive in, can you

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tell us a little bit more about yourself

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and your background?

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Absolutely.

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So like you said, Patrick Miguel, I'm the

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chief transformation officer at Community Health Network.

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I've been here about 15 years. I'm a

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family physician by background, still practice

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patients,

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clinically.

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As the chief transformation officer, I have a

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broad range of responsibilities.

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I oversee everything from IT and analytics, population

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health, value based care,

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health equity. I have some operational areas

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such as

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home care,

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hospice, palliative care, geriatrics.

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And then recently, we started personalized medicine. So

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I have personalized medicine,

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that rolls up to me as well.

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Wow. There's quite a variety of accountabilities

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that you have that, you know, really, I

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can imagine they all weave together very much

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when you're thinking about the entire spectrum of

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patient care.

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Yeah. You're exactly right. Then we've organized ourselves

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in order to

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be able to deliver on bringing these things

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together.

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And,

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and and and you're right. When they roll

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up to one vertical, it's easy to break

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down some of those silos,

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resource constraints,

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and really, deliver on, you know, our brand

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promise of exceptional care simply delivered. It's easy

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to

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allocate resources and have a common vision and

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strategy

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and just really move things forward.

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Well, that's great to hear. Now from your

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perspective, what are the opportunities and headwinds that

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you have your eye on right now?

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I think there's a lot of opportunities.

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You know, a lot of talk around technology.

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You know, there's a lot of skepticism on

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technology. So I think it's a huge opportunity.

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And one of the things we always talk

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about is the technology is only gonna continue

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to get better. So how do we lean

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in and really see that as an opportunity

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to,

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drive that patient experience, drive the caregiver experience,

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but really,

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you know,

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drive down the cost of care,

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and just really make the entire

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health care platform

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better. You know, I think there's from headwinds,

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I think there's some short term headwinds.

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Certainly, what's gonna happen in the regulatory

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space with the upcoming election,

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artificial intelligence,

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Medicare Advantage, that's been in the news quite

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a bit. Certainly,

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any changes in the economy,

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the challenges that we've had recently from the

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pandemic and after with the workforce, those challenges

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and headwinds

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continue. I think there's some long term headwinds

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that we have to address. You know, what's

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happening with our population, the aging population, and

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is the health system gonna be able to

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sustain,

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the aging population? And how do we configure

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ourselves,

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to be able to do that, especially with

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provider shortages, nursing shortages, and some of the

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other challenges that we have?

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Absolutely.

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You know, I know there's, as you mentioned,

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just across the board so much that, you

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have to think about right now as a

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leader in health care and really, you know,

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technology, it seems like, gets into many of

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those spaces and can be,

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in part, potentially a solution in some ways,

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whether it's looking at,

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you know, the staffing challenges or how you're

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utilizing

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it with the revenue cycle or operations in

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in clinical care. And I know you mentioned

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precision medicine too,

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funneling up to you. And and so,

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it's it's really cool to just kinda think

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about how all of those

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areas are are really touching the technology side

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of things as well.

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Absolutely. You know, there's a lot of,

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a lot of moving pieces and parts. And

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so, again,

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health care historically has really been

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vertical vertically organized. You know, it's been primary

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care, specialty care hospitals, ERs, outpatient.

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Really, patients expect us to be

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horizontally

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integrated,

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especially when you start to think about,

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cancer screening, early detection of cancers,

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treatments,

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screenings, all these health equity, all these things

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really coming together.

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And you're right. The common thread through all

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of that is technology.

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Technology is gonna make it easier. We laid

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the groundwork and the framework

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many years ago with with, you know, with

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the implementation of enterprise EMRs, and I think

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now it's the next evolution, the next wave.

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And I I'm actually personally

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very bullish on AI and where AI is

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gonna take us,

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in the in the near and long term

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future.

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That makes a lot of sense. You know?

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Really, just fascinating to see how fast AI

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has grown and make a huge impact on

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the health care space and, you know, possibilities

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almost seem endless at this point.

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But how are you thinking about growth and

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adding value to, Community Health Network overall?

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Well, I think the the number one thing

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that we have to do to really add

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value and and growth is we have to

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address the cost of care. The health care

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is expensive.

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It's unaffordable for many people.

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Our our first and foremost thing, we have

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to address,

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and bring down the cost of care. You

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know, when we're thinking about growth, you know,

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growth is predicated on on being able to

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have,

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access for patients. If patients can't get in

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to see their primary care or specialist,

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you know, there's no there's no growth. And

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so how do you open up access but

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deliver on that exceptional experience?

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How do we think about opening the funnel

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for on demand care, that virtual care, whether

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it's urgent care or other convenience care. So

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that's how we really feel like we're gonna

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be able to grow

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and add value. And, again,

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technology is woven all throughout that,

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to be able to deliver on on that

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growth,

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but also adding value.

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That makes a lot of sense. And, you

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know, it really just,

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speaks to the mission of health care overall

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and being able to expand access to care,

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provide

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the health care needed, in any many ways

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for,

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the folks across the community.

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And so that primary care challenge, you know,

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really is, something that I know a lot

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of hospitals and health systems are trying to

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figure out and troubleshoot for their own communities.

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And so being able to leverage that virtual

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care,

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in other ways, you know, to to connect

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with patients and and their providers,

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seems like a really big opportunity.

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Absolutely. We we made so

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much progress through the pandemic with telemedicine and

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virtual care, and I think we just have

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to continue to build upon that. You know,

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certainly, there's a regulatory,

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component, which, you know, luckily, many many of

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those regulations have been extended or the rules

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have been extended.

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But I think it's it's really how do

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we drive continued adoption,

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by patients. You know, a lot of patients

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still prefer in person face to face care,

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which is absolutely great. How do we continue

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to deliver

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high quality face to face care with with

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supporting,

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virtual and telemedicine

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at the same time?

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And that it definitely seems like, you know,

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that striking the right balance for your community

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and patient base, you know, is definitely

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top of mind, I can imagine, for a

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lot of, providers out there. Now, you know,

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I know right now, as we talked about

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a bit earlier in the conversation,

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it is challenging, on the financial side for

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many hospitals and health systems, you know, from

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the pandemic to see margins tighten and and

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not the kind of growth that we've had

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in the past. And so, you know, when

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you you look at

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needing to make the right investments,

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even on a tight budget, what's still worth

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investing in this year?

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We really you know, we're in the process

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of moving our EMR. We have an enterprise

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EMR. We're in the process of moving it

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to the cloud. We really feel strongly about,

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you know, where technology is moving, where AI,

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that's gonna,

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really set us up for the technology platform

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of the future. So we're very excited.

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You know, we're also investigating,

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an enterprise

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ERP platform. And I think that as we

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think about workforce and planning

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and bringing how do we bring down

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overhead cost and and be more efficient as

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a business,

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that's important. And so those are those are

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2 that like, you're right. You know, the

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margins are tight,

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but we've got to make some investments so

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that we can grow. And then, again, how

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do we invest,

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smartly

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to really,

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place our bets to open up growth, improve

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access,

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lower the cost of care. So we've got

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some specific technology,

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investments on patient engagement and outreach. We've got

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some investments on understanding that patient journey.

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Those are,

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those are really where we're focusing,

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in, you know, late 24 moving into 25.

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Got it. That makes a lot of sense,

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and, I just love the focus on the

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patient, the journey, and the experience there. Is

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there anything in particular that you're excited about

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or,

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feel like has really yielded some good results

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within those initiatives to just engage patients and

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and really think smartly about how they're moving

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through the system?

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Yeah. We're really excited about a couple partnerships.

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We've got a partnership with,

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a company, Lyrio, about precision engagement,

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precision nudging to get patients into the system.

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And we've got another partnership with Notable to

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really outreach the patients and engage them. Super

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excited about,

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our partnership with Nuance on ambient listening in

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the exam room to help make the clinicians

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more efficient. We just got a lot of

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a lot of things going on that are

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that bring a lot of excitement, and I

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think it's it's an exciting time to be

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in health care. It's a a scary time

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to be in health care, but everybody always

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says that. But I think that we have

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a lot,

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to be,

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forward and a lot to be, the the

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future is very promising.

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And I think that we just have to

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stay focused. And, again, we keep that patient

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at the center

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and and and stay true to our values.

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I think we can deliver on

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on on those promises.

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I love that. I think it makes so

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much sense. Now before we wrap up here,

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I'm wondering, where do you see some of

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the best opportunities for growth in the future?

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I think there's a lot of opportunities.

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We know that we can't do this alone,

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so we're we're very excited about many of

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our partnerships.

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And so that's a huge opportunity for us.

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We have to also,

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through those partnerships, really reimagine how care is

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delivered,

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including pushing it closer to home. A lot

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of patients

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are gonna want care closer to the home

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or in the home, so we've got to

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reimagine how we function as a health system

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to really move that care closer to the

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home. And, again, that's that's predicated on some

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partnerships, and so partnership are predicated on how

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we train our physicians and nurses and others.

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And so I think we see a lot

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of opportunities,

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in in pushing care closer to the home,

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making it more patient centered,

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and really,

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again, improving access and leveraging technology

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throughout the entire system.

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That's amazing to hear. Doctor Miguel, thank you

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so much for joining us on the podcast

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today. This has been just a fun and

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fascinating conversation, and I look forward to connecting

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with you again soon.

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Absolutely. It's always a pleasure, and I really

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appreciate the invitation.