1 00:00:00,160 --> 00:00:02,319 This is Laura Dierda with the Becker's Healthcare 2 00:00:02,319 --> 00:00:04,480 podcast. I'm thrilled today to be joined by 3 00:00:04,480 --> 00:00:08,000 Kenneth Waller, chief executive officer at Norwalk Community 4 00:00:08,000 --> 00:00:09,759 Health Center. Kenneth, it's a pleasure to have 5 00:00:09,759 --> 00:00:11,519 you on the podcast today. Thank you for 6 00:00:11,519 --> 00:00:13,695 having me, Laura. Now I'm excited for our 7 00:00:13,695 --> 00:00:15,775 conversation because I know there's a lot going 8 00:00:15,775 --> 00:00:16,975 on in health care right now, and it's 9 00:00:16,975 --> 00:00:19,614 truly a transformational time on a variety of 10 00:00:19,614 --> 00:00:20,114 fronts. 11 00:00:21,054 --> 00:00:22,755 And your leadership of the federally 12 00:00:23,134 --> 00:00:25,660 qualified health center is, you know, something that 13 00:00:25,660 --> 00:00:28,060 is so important within the broader health care 14 00:00:28,060 --> 00:00:31,019 ecosystem and community. So many across the country 15 00:00:31,019 --> 00:00:33,100 are trying to figure out and navigate very 16 00:00:33,100 --> 00:00:35,260 real challenges as well as take advantage of 17 00:00:35,260 --> 00:00:37,579 those opportunities. So I'm excited to hear your 18 00:00:37,579 --> 00:00:40,005 perspective. But before we dive in, could you 19 00:00:40,005 --> 00:00:42,244 introduce yourself and tell us a little bit 20 00:00:42,244 --> 00:00:44,185 more about Norwalk Community Health Center? 21 00:00:44,645 --> 00:00:47,284 Yes. Thank you so much. I've worked in 22 00:00:47,284 --> 00:00:47,784 the 23 00:00:48,245 --> 00:00:50,965 social safety net environment for over twenty years, 24 00:00:50,965 --> 00:00:51,465 Laura. 25 00:00:52,229 --> 00:00:54,409 I've been really much very much engaged, 26 00:00:55,189 --> 00:00:57,829 in the work, and I'm very excited to 27 00:00:57,829 --> 00:00:59,049 be doing this. So, 28 00:00:59,829 --> 00:01:00,649 I come, 29 00:01:00,950 --> 00:01:02,629 with a lot of experience in both the 30 00:01:02,629 --> 00:01:05,724 acute setting and the ambulatory setting, but mostly 31 00:01:05,724 --> 00:01:07,104 working in the social, 32 00:01:07,644 --> 00:01:10,525 safety net environment. And, just thrilled to be 33 00:01:10,525 --> 00:01:11,265 in the space. 34 00:01:12,204 --> 00:01:14,685 That's amazing to hear. Now from your perspective, 35 00:01:14,685 --> 00:01:17,084 what's the biggest winner success story from the 36 00:01:17,084 --> 00:01:18,144 last year or so? 37 00:01:18,609 --> 00:01:20,709 I think having Northwell Health, 38 00:01:21,170 --> 00:01:23,030 entering to our market and, 39 00:01:23,969 --> 00:01:24,709 the capabilities 40 00:01:25,090 --> 00:01:27,090 that they bring and the resources that they 41 00:01:27,090 --> 00:01:28,549 bring is really gonna be, 42 00:01:28,930 --> 00:01:31,890 impactful. And so, we're very excited to have 43 00:01:31,890 --> 00:01:32,709 them join, 44 00:01:33,547 --> 00:01:34,665 us as a partner, 45 00:01:35,045 --> 00:01:37,385 as well as to be in our, catchment 46 00:01:37,444 --> 00:01:39,625 area. So we're very excited to have them. 47 00:01:39,924 --> 00:01:42,084 I think another thing is that we are 48 00:01:42,084 --> 00:01:42,905 really working, 49 00:01:43,604 --> 00:01:46,484 very closely with our community partners to map 50 00:01:46,484 --> 00:01:47,465 out opportunities, 51 00:01:48,209 --> 00:01:49,510 to grow our outpatient 52 00:01:49,890 --> 00:01:51,270 primary care subspecialty 53 00:01:51,650 --> 00:01:52,150 footprint. 54 00:01:52,450 --> 00:01:53,510 And that has really, 55 00:01:53,890 --> 00:01:54,870 been a rewarding, 56 00:01:56,130 --> 00:01:58,689 process for us because we're able to touch 57 00:01:58,689 --> 00:02:00,790 more lives and we're able to really, 58 00:02:01,569 --> 00:02:02,390 get input, 59 00:02:02,689 --> 00:02:05,555 from our community to help us design care 60 00:02:05,555 --> 00:02:06,775 models that really, 61 00:02:07,155 --> 00:02:07,974 meet the needs, 62 00:02:08,435 --> 00:02:10,614 of the patients in our catchment area. 63 00:02:11,474 --> 00:02:13,474 Absolutely. That makes a lot of sense. And, 64 00:02:13,474 --> 00:02:14,134 you know, 65 00:02:14,914 --> 00:02:17,395 great to hear that Northwell coming into the 66 00:02:17,395 --> 00:02:18,689 market could be such a, 67 00:02:19,250 --> 00:02:22,849 support system for US community partners. Now when 68 00:02:22,849 --> 00:02:25,189 you think about figuring out how you can 69 00:02:25,569 --> 00:02:28,849 expand that access to care and, really redesign 70 00:02:28,849 --> 00:02:31,104 those care models, what is the that look 71 00:02:31,104 --> 00:02:32,784 like to you if we're digging one bit 72 00:02:32,784 --> 00:02:34,305 deeper in here? How do you see, 73 00:02:34,705 --> 00:02:35,444 those conversations 74 00:02:35,824 --> 00:02:38,544 playing out with your broader leadership team and 75 00:02:38,544 --> 00:02:38,944 then, 76 00:02:39,745 --> 00:02:41,284 applied across the organization? 77 00:02:42,625 --> 00:02:44,544 Yeah. I think, you know, we we're talking 78 00:02:44,544 --> 00:02:48,099 with our community stakeholders. That's that's everybody. Right? 79 00:02:48,099 --> 00:02:48,840 That's the 80 00:02:49,379 --> 00:02:50,199 local legislators 81 00:02:50,659 --> 00:02:52,759 that's speaking with the clergy 82 00:02:53,459 --> 00:02:54,759 and other nonmedical, 83 00:02:55,699 --> 00:02:57,000 community based organizations, 84 00:02:58,175 --> 00:03:00,355 getting in a room and having those conversations 85 00:03:00,495 --> 00:03:03,135 about what the needs are and looking at 86 00:03:03,135 --> 00:03:04,094 all the different, 87 00:03:04,655 --> 00:03:06,995 uncertainty and challenges that are happening, 88 00:03:07,534 --> 00:03:09,615 at the federal level and trying to figure 89 00:03:09,615 --> 00:03:10,115 out 90 00:03:10,840 --> 00:03:13,580 a clear map that will help us, 91 00:03:13,959 --> 00:03:16,939 one, to sustain our organization and our mission, 92 00:03:17,000 --> 00:03:19,340 but also to identify opportunities 93 00:03:19,800 --> 00:03:20,699 within this, 94 00:03:21,159 --> 00:03:21,659 uncertainty 95 00:03:22,199 --> 00:03:23,800 on how we are going to take care 96 00:03:23,800 --> 00:03:25,944 of the broader community. And that is the 97 00:03:25,944 --> 00:03:26,604 the undocumented, 98 00:03:27,944 --> 00:03:30,185 community that are really in need of services. 99 00:03:30,185 --> 00:03:32,905 And and really, you know, trying to make 100 00:03:32,905 --> 00:03:34,764 sure that our local hospital 101 00:03:35,145 --> 00:03:35,645 emergency, 102 00:03:36,425 --> 00:03:39,290 departments are not negatively impacted, 103 00:03:39,750 --> 00:03:42,229 with the inflow of of patients who can 104 00:03:42,229 --> 00:03:44,949 no longer access care, at the community health 105 00:03:44,949 --> 00:03:45,689 center level. 106 00:03:46,550 --> 00:03:48,069 Got it. That makes a lot of sense 107 00:03:48,069 --> 00:03:50,229 and, you know, certainly something to keep close, 108 00:03:50,229 --> 00:03:52,405 close eye on. And, you know, I I'm 109 00:03:52,405 --> 00:03:54,085 curious overall, what are the top two to 110 00:03:54,085 --> 00:03:55,764 three issues that you're focused on right now? 111 00:03:55,764 --> 00:03:57,284 What takes up most of your time and 112 00:03:57,284 --> 00:03:57,784 attention? 113 00:03:58,645 --> 00:03:59,544 Yeah. I think, 114 00:03:59,925 --> 00:04:02,164 workforce development is is is an is an 115 00:04:02,164 --> 00:04:03,865 important priority for us. 116 00:04:04,245 --> 00:04:06,405 You know, that's important because we know that 117 00:04:06,405 --> 00:04:08,900 there is a shortage of clinicians, 118 00:04:10,000 --> 00:04:12,159 and that we need to be really trying 119 00:04:12,159 --> 00:04:14,979 to create that pipeline so that we can, 120 00:04:15,520 --> 00:04:18,160 ensure that we have folks and the talent 121 00:04:18,160 --> 00:04:20,959 needed, to provide care. So that's top of 122 00:04:20,959 --> 00:04:23,495 mind. The other one, as I mentioned earlier, 123 00:04:23,495 --> 00:04:24,394 is the sustainability, 124 00:04:25,095 --> 00:04:27,334 of our mission is how do we create 125 00:04:27,334 --> 00:04:30,055 an environment to continue our mission through developing 126 00:04:30,055 --> 00:04:33,035 new revenue streams and looking at ways to, 127 00:04:33,495 --> 00:04:33,995 create, 128 00:04:35,014 --> 00:04:35,514 services 129 00:04:35,814 --> 00:04:37,949 that align with the care demands within our 130 00:04:37,949 --> 00:04:40,350 catchment. And the last and probably the most 131 00:04:40,350 --> 00:04:40,850 important, 132 00:04:41,550 --> 00:04:42,449 is infusing, 133 00:04:42,910 --> 00:04:43,410 technology, 134 00:04:44,029 --> 00:04:45,089 to improve efficiencies, 135 00:04:46,110 --> 00:04:48,209 as well as getting folks timely, 136 00:04:48,750 --> 00:04:51,464 access, whether it's through virtual or telehealth care. 137 00:04:51,944 --> 00:04:53,384 So those are the three things that I 138 00:04:53,384 --> 00:04:55,004 think are top of mind for us, 139 00:04:55,544 --> 00:04:57,884 as we as we advance this work. 140 00:04:58,904 --> 00:05:00,504 Absolutely. I think that makes a lot of 141 00:05:00,504 --> 00:05:02,685 sense and, you know, really matches the trajectory 142 00:05:02,745 --> 00:05:04,125 of, so many organizations, 143 00:05:04,904 --> 00:05:06,925 that I hear from on a daily basis. 144 00:05:07,220 --> 00:05:09,139 And I I'm curious when you think about, 145 00:05:09,139 --> 00:05:10,840 especially that workforce development, 146 00:05:11,620 --> 00:05:13,939 what have you noticed in terms of trends 147 00:05:13,939 --> 00:05:16,819 right now? What is working well to attract 148 00:05:16,819 --> 00:05:19,300 new talent and retain them? Or how do 149 00:05:19,300 --> 00:05:19,860 you really, 150 00:05:20,314 --> 00:05:20,814 see 151 00:05:21,115 --> 00:05:23,834 the environment transforming to meet the needs of, 152 00:05:24,074 --> 00:05:25,294 the the care team? 153 00:05:25,834 --> 00:05:28,474 Yeah. It's multifaceted, Laura. I think, you know, 154 00:05:28,474 --> 00:05:30,814 having a good organization culture, 155 00:05:31,675 --> 00:05:33,694 creating, the work life balance, 156 00:05:34,230 --> 00:05:34,730 opportunities, 157 00:05:35,509 --> 00:05:38,089 for providers is is gonna be mission critical, 158 00:05:39,110 --> 00:05:41,290 because of the shortage. And, you know, 159 00:05:41,670 --> 00:05:43,850 providers and and clinicians alike, 160 00:05:44,310 --> 00:05:47,110 they have opportunities. And so the goal, for 161 00:05:47,110 --> 00:05:48,870 us is to really look at ways on 162 00:05:48,870 --> 00:05:49,610 how do we 163 00:05:49,985 --> 00:05:52,305 engage with our provider group, how do we 164 00:05:52,305 --> 00:05:53,365 engage with our clinicians, 165 00:05:53,985 --> 00:05:56,464 to create this environment where we could retain 166 00:05:56,464 --> 00:05:58,865 them and I think work life balance and 167 00:05:58,865 --> 00:06:01,105 again, having them in the room when we're 168 00:06:01,105 --> 00:06:04,350 making decisions has really helped us in 169 00:06:04,889 --> 00:06:07,069 a big way. I mean, we've had really 170 00:06:07,449 --> 00:06:09,069 good success at retaining, 171 00:06:09,689 --> 00:06:10,509 and recruiting, 172 00:06:11,210 --> 00:06:12,430 providers and clinicians. 173 00:06:12,889 --> 00:06:14,750 Year to date, we have a below, 174 00:06:15,290 --> 00:06:17,504 1% turnover rate among our, 175 00:06:18,064 --> 00:06:20,464 provider group. And so that's, that has really 176 00:06:20,464 --> 00:06:20,865 been, 177 00:06:21,345 --> 00:06:22,564 helpful at us 178 00:06:23,024 --> 00:06:24,564 establishing patient loyalty, 179 00:06:25,264 --> 00:06:26,004 and improving 180 00:06:26,464 --> 00:06:29,045 continuity of care with our patients, which ultimately, 181 00:06:29,919 --> 00:06:32,879 foster better outcomes, medical outcomes for our for 182 00:06:32,879 --> 00:06:34,839 our patient community. So those are some of 183 00:06:34,839 --> 00:06:35,379 the things, 184 00:06:36,079 --> 00:06:37,060 that we're doing. 185 00:06:38,000 --> 00:06:40,319 That's great to hear. And, you know, really, 186 00:06:40,319 --> 00:06:42,079 I appreciate you double clicking, 187 00:06:42,399 --> 00:06:45,425 their, you know, the the low 1% turnover 188 00:06:45,425 --> 00:06:47,285 rate in the provider group is really, 189 00:06:47,745 --> 00:06:49,345 something to be proud of and and just 190 00:06:49,345 --> 00:06:51,824 an amazing place to be. So great to 191 00:06:51,824 --> 00:06:52,324 hear. 192 00:06:52,785 --> 00:06:54,225 And when you look in the future too, 193 00:06:54,225 --> 00:06:55,904 what are some of the big opportunities for 194 00:06:55,904 --> 00:06:57,585 growth that you're seeing over the next few 195 00:06:57,585 --> 00:06:58,085 years? 196 00:06:59,029 --> 00:07:01,670 Yeah. I think predictive analytics is gonna be 197 00:07:01,670 --> 00:07:04,009 important because it's really gonna help us, 198 00:07:04,629 --> 00:07:06,470 try to look at ways on how we 199 00:07:06,470 --> 00:07:07,769 can better serve patients 200 00:07:08,069 --> 00:07:08,730 to prevent, 201 00:07:09,750 --> 00:07:11,990 you know, oncoming chronic illnesses. So I think 202 00:07:11,990 --> 00:07:14,425 predictive analytics is something that I would love 203 00:07:14,425 --> 00:07:15,865 for us to be engaged in, and I 204 00:07:15,865 --> 00:07:17,225 think that is going to, 205 00:07:17,545 --> 00:07:20,425 be the future. I also think that telehealth 206 00:07:20,425 --> 00:07:22,925 and virtual care and patient remote monitoring, 207 00:07:24,584 --> 00:07:26,444 combined with population health management 208 00:07:26,750 --> 00:07:29,150 is going to be, very impactful. And so 209 00:07:29,150 --> 00:07:31,889 these things are really important because, again, focusing 210 00:07:31,949 --> 00:07:32,449 on, 211 00:07:33,069 --> 00:07:33,569 the 212 00:07:33,870 --> 00:07:34,930 decreasing workforce, 213 00:07:35,470 --> 00:07:37,949 when it comes to providing care in terms 214 00:07:37,949 --> 00:07:38,610 of clinicians, 215 00:07:39,150 --> 00:07:41,305 we we need to be proactive. And so 216 00:07:41,305 --> 00:07:42,685 looking at ways to 217 00:07:43,064 --> 00:07:46,685 infuse telehealth and virtual care and overall technology 218 00:07:46,824 --> 00:07:49,245 to help us, ensure that we're getting patients, 219 00:07:49,625 --> 00:07:52,264 timely access. And I think last and probably 220 00:07:52,264 --> 00:07:54,319 least is this, the internet itself, 221 00:07:55,099 --> 00:07:56,079 and the medical, 222 00:07:56,779 --> 00:07:59,120 things that are happening in that space to 223 00:07:59,180 --> 00:07:59,919 to really, 224 00:08:00,539 --> 00:08:01,039 create, 225 00:08:01,500 --> 00:08:03,199 an environment so that patients, 226 00:08:03,659 --> 00:08:04,560 can get access. 227 00:08:05,419 --> 00:08:07,759 So technology, technology, and more technology. 228 00:08:08,894 --> 00:08:11,214 Absolutely. I know that makes a lot of 229 00:08:11,214 --> 00:08:13,454 sense. And technology, I I know, 230 00:08:14,254 --> 00:08:16,814 is very much, being more integrated into aspects 231 00:08:16,814 --> 00:08:18,435 of the health care system, especially 232 00:08:18,814 --> 00:08:22,414 with the data analytics and artificial intelligence coming 233 00:08:22,414 --> 00:08:25,069 in, in a really meaningful way. But I 234 00:08:25,069 --> 00:08:26,750 know, you know, it takes a lot of 235 00:08:26,750 --> 00:08:28,129 time, effort, and resources, 236 00:08:29,069 --> 00:08:31,730 in many regards to bringing new technology. 237 00:08:32,110 --> 00:08:33,790 What is your process for doing that? How 238 00:08:33,790 --> 00:08:35,549 do you make sure that, you know, you 239 00:08:35,549 --> 00:08:36,049 are, 240 00:08:36,350 --> 00:08:37,070 bringing in, 241 00:08:37,629 --> 00:08:39,815 a new technology or implementing something that's gonna 242 00:08:39,815 --> 00:08:40,475 be meaningful 243 00:08:40,774 --> 00:08:43,894 given how many different opportunities and options there 244 00:08:43,894 --> 00:08:44,634 are out there? 245 00:08:45,174 --> 00:08:47,195 Yeah. We're we're assessing our environment. 246 00:08:47,575 --> 00:08:50,455 We're looking at where the gaps are in 247 00:08:50,455 --> 00:08:51,434 our overall, 248 00:08:52,669 --> 00:08:55,649 capability in terms of technology, and then we're 249 00:08:55,710 --> 00:08:57,970 we're going to market and we're finding vendors, 250 00:08:58,750 --> 00:09:00,450 that have the software, 251 00:09:01,149 --> 00:09:03,089 that could integrate with our existing, 252 00:09:03,950 --> 00:09:07,304 technology, which is currently our electronic health record, 253 00:09:07,384 --> 00:09:09,304 but also looking at ways on how it 254 00:09:09,304 --> 00:09:11,804 can align with the way we practice care, 255 00:09:12,105 --> 00:09:14,345 with our patients. And then we also put 256 00:09:14,345 --> 00:09:16,845 together, obviously, a a a budget, 257 00:09:17,544 --> 00:09:19,304 that makes sense for us in order to 258 00:09:19,304 --> 00:09:20,845 do those per make those purchases. 259 00:09:21,899 --> 00:09:23,339 Got it. That makes a lot of sense. 260 00:09:23,339 --> 00:09:24,460 And, you know, it sounds like a a 261 00:09:24,460 --> 00:09:25,919 smart way to go about things. 262 00:09:26,700 --> 00:09:28,779 Before we wrap up here, I'm curious, what 263 00:09:28,779 --> 00:09:30,960 will it take to lead a thriving organization 264 00:09:31,019 --> 00:09:33,100 over the next five years, especially given some 265 00:09:33,100 --> 00:09:35,585 of the challenges we've talked about, as well 266 00:09:35,585 --> 00:09:37,664 as, you know, technology and how things are 267 00:09:37,664 --> 00:09:39,924 evolving so quickly within the health care space? 268 00:09:40,464 --> 00:09:42,004 Yeah. I think creative leadership 269 00:09:42,625 --> 00:09:45,184 is gonna be important. I think being able 270 00:09:45,184 --> 00:09:47,664 to really stay out in front of all 271 00:09:47,664 --> 00:09:48,325 the different, 272 00:09:49,190 --> 00:09:51,850 trends that are happening in the health care 273 00:09:51,990 --> 00:09:52,490 sector 274 00:09:52,950 --> 00:09:53,450 and 275 00:09:54,230 --> 00:09:55,210 remaining nimble, 276 00:09:55,750 --> 00:09:57,450 so that you have the opportunity, 277 00:09:58,230 --> 00:09:58,889 to pivot, 278 00:09:59,429 --> 00:10:00,809 when things do change, 279 00:10:01,190 --> 00:10:01,929 and having 280 00:10:02,404 --> 00:10:03,545 a a a organization, 281 00:10:04,325 --> 00:10:05,225 and and people, 282 00:10:05,764 --> 00:10:06,745 who are aligning, 283 00:10:07,125 --> 00:10:07,945 with the mission. 284 00:10:08,404 --> 00:10:10,105 And I think those things combined, 285 00:10:10,485 --> 00:10:11,785 will will will help, 286 00:10:12,245 --> 00:10:13,304 a health care organization, 287 00:10:14,325 --> 00:10:17,144 continue its mission and continue to move forward. 288 00:10:18,019 --> 00:10:20,419 That makes a lot of send sense. Kenneth, 289 00:10:20,419 --> 00:10:21,700 thank you so much for joining us on 290 00:10:21,700 --> 00:10:23,720 the podcast today. This has been a really 291 00:10:23,940 --> 00:10:26,100 fun conversation. I learned a lot, and and 292 00:10:26,100 --> 00:10:28,179 certainly it's inspiring to hear you talk about 293 00:10:28,179 --> 00:10:29,860 all the things that you're doing in Norwalk 294 00:10:29,860 --> 00:10:32,179 Community Health Center. And I look forward to 295 00:10:32,179 --> 00:10:33,164 seeing you at the, 296 00:10:33,565 --> 00:10:35,804 CEO CFO roundtable as well in November. I 297 00:10:35,804 --> 00:10:38,125 think it'll be a great opportunity to reconnect 298 00:10:38,125 --> 00:10:40,684 and just share among so many executives from 299 00:10:40,684 --> 00:10:41,584 across the country. 300 00:10:42,204 --> 00:10:43,804 You bet, Laura. Thank you so much for 301 00:10:43,804 --> 00:10:44,544 having me.