1 00:00:00,080 --> 00:00:03,139 This is Scott Becker with the Beckers HealthCare 2 00:00:03,199 --> 00:00:03,699 podcast. 3 00:00:04,559 --> 00:00:06,399 We're thrilled today to be joined by a 4 00:00:06,399 --> 00:00:09,220 leader from the University of Virginia Medical Center. 5 00:00:09,599 --> 00:00:12,240 We've got the brilliant hospital leader at the 6 00:00:12,240 --> 00:00:15,794 at the UVA Medical Center, Novella Thompson. Novella's 7 00:00:15,794 --> 00:00:18,114 gonna talk about trends she's watching, things she's 8 00:00:18,114 --> 00:00:20,695 excited about, and and a lot more. Novella, 9 00:00:20,835 --> 00:00:22,595 you've been at UVA now for, I think, 10 00:00:22,595 --> 00:00:25,074 fifteen plus years or so. Tell us a 11 00:00:25,074 --> 00:00:27,474 little bit about your career in in UVA 12 00:00:27,474 --> 00:00:27,974 Health, 13 00:00:28,515 --> 00:00:29,414 and and yourself. 14 00:00:30,199 --> 00:00:32,039 Well, thank you. First, thank you for having 15 00:00:32,039 --> 00:00:33,960 me today. I I'm looking forward to the 16 00:00:33,960 --> 00:00:34,460 conversation. 17 00:00:35,640 --> 00:00:37,799 So, yeah, I've been with UVA for over 18 00:00:37,799 --> 00:00:40,840 fifteen years, and UVA Health is a a 19 00:00:40,840 --> 00:00:44,199 four hospital system anchored by our academic medical 20 00:00:44,199 --> 00:00:44,699 center. 21 00:00:45,604 --> 00:00:47,225 We have a level one trauma, 22 00:00:48,164 --> 00:00:52,085 our first Virginia's first NCI designated comprehensive cancer 23 00:00:52,085 --> 00:00:53,304 center, the only 24 00:00:53,844 --> 00:00:56,564 comprehensive transplant center for adults and peds in 25 00:00:56,564 --> 00:00:59,225 the state, and the number one pediatric hospital 26 00:00:59,284 --> 00:01:00,024 in the state, 27 00:01:00,530 --> 00:01:02,609 as well as two provider groups in the 28 00:01:02,609 --> 00:01:04,549 School of Medicine and School of Nursing. 29 00:01:05,489 --> 00:01:08,629 I lead the Department of Population Health, 30 00:01:09,250 --> 00:01:11,090 which has been in place since, 31 00:01:11,489 --> 00:01:12,380 January 32 00:01:12,380 --> 00:01:13,270 2016, 33 00:01:14,025 --> 00:01:16,844 and it encompasses adult and pediatric 34 00:01:17,305 --> 00:01:18,685 population health programming, 35 00:01:19,545 --> 00:01:22,284 post acute, and transitions of care, 36 00:01:22,745 --> 00:01:25,784 adult and pediatric palliative and hospice care, home 37 00:01:25,784 --> 00:01:26,284 health, 38 00:01:26,879 --> 00:01:28,420 community based care integration. 39 00:01:29,680 --> 00:01:32,400 And, the focus for us has has been 40 00:01:32,400 --> 00:01:34,340 extending beyond hospital walls, 41 00:01:35,119 --> 00:01:36,340 to deliver coordinated 42 00:01:36,719 --> 00:01:39,519 patient centered care across the continuum throughout the 43 00:01:39,519 --> 00:01:40,019 Commonwealth. 44 00:01:40,805 --> 00:01:42,185 It's been an extraordinary 45 00:01:42,484 --> 00:01:43,864 ten years, and, 46 00:01:44,484 --> 00:01:44,984 we 47 00:01:45,525 --> 00:01:47,064 have had many opportunities 48 00:01:47,525 --> 00:01:48,265 to really 49 00:01:48,805 --> 00:01:50,905 encompass the work that 50 00:01:51,364 --> 00:01:54,265 enables patients beyond hospital ED 51 00:01:55,019 --> 00:01:57,920 clinic walls to receive the care they need, 52 00:01:58,299 --> 00:01:59,439 tap into resources, 53 00:02:00,459 --> 00:02:01,599 ensure continuity, 54 00:02:02,219 --> 00:02:04,000 and close gaps, 55 00:02:04,379 --> 00:02:05,759 across the care continuum. 56 00:02:07,034 --> 00:02:08,715 Thank you. And and talk for a second 57 00:02:08,715 --> 00:02:10,474 about you talked about sort of, I I 58 00:02:10,474 --> 00:02:12,794 think, at least, remote hospital or hospital at 59 00:02:12,794 --> 00:02:14,014 home and so forth. 60 00:02:14,634 --> 00:02:16,555 Long term, I know right now with the 61 00:02:16,555 --> 00:02:19,375 government shutdown, there's been some challenges on 62 00:02:20,379 --> 00:02:22,460 that. What do you see there longer term 63 00:02:22,460 --> 00:02:23,919 in terms of hospital at home? 64 00:02:24,539 --> 00:02:27,180 Yeah. So so remote patient monitoring for us 65 00:02:27,180 --> 00:02:28,539 has been around since, 66 00:02:28,939 --> 00:02:30,400 October 2017. 67 00:02:30,699 --> 00:02:31,520 And so 68 00:02:31,925 --> 00:02:32,425 we, 69 00:02:32,965 --> 00:02:33,784 find ourselves 70 00:02:34,084 --> 00:02:37,305 in a position where we continue to provide 71 00:02:37,444 --> 00:02:38,985 that care, those services, 72 00:02:39,844 --> 00:02:40,344 and, 73 00:02:41,125 --> 00:02:43,625 manage what's happening at the federal level 74 00:02:44,159 --> 00:02:44,979 through systemic 75 00:02:45,599 --> 00:02:46,099 impetuses, 76 00:02:46,639 --> 00:02:48,800 and and working with rev cycle for our 77 00:02:48,800 --> 00:02:51,759 patients so that there's been no pause in 78 00:02:51,759 --> 00:02:53,060 the care that we're providing 79 00:02:53,599 --> 00:02:56,400 while we manage or mitigate what's happening on 80 00:02:56,400 --> 00:02:57,459 the federal level. 81 00:02:58,525 --> 00:03:00,145 Thank you. When you look at population 82 00:03:01,004 --> 00:03:02,944 health, how is that changing currently? 83 00:03:03,724 --> 00:03:05,724 What are people thinking about in terms of 84 00:03:05,724 --> 00:03:06,705 population health? 85 00:03:07,004 --> 00:03:08,525 It it it seems like it's a it's 86 00:03:08,525 --> 00:03:09,264 an area 87 00:03:09,645 --> 00:03:12,385 that is undergoing lots of change, particularly 88 00:03:13,169 --> 00:03:15,729 with lots of shortages of physicians and nurses 89 00:03:15,729 --> 00:03:17,329 and so forth. What what are you seeing 90 00:03:17,329 --> 00:03:18,769 in population health? What are the big trends 91 00:03:18,769 --> 00:03:21,189 you're watching? Yeah. I I I am currently 92 00:03:22,129 --> 00:03:25,489 very focused on on four different areas. And 93 00:03:25,489 --> 00:03:28,555 and and, yes, there there there are shortages 94 00:03:28,935 --> 00:03:31,495 and and access has been an issue for 95 00:03:31,495 --> 00:03:31,995 years, 96 00:03:32,694 --> 00:03:35,014 not just the last several years post, 97 00:03:35,574 --> 00:03:39,094 COVID pandemic. But I'm looking at behavioral health 98 00:03:39,094 --> 00:03:39,594 integration, 99 00:03:40,990 --> 00:03:43,409 care beyond hospital walls, digital 100 00:03:43,710 --> 00:03:44,210 transformation, 101 00:03:44,830 --> 00:03:45,330 and 102 00:03:45,710 --> 00:03:47,650 advanced data and predictive analytics. 103 00:03:48,270 --> 00:03:51,790 All of those areas are integral to not 104 00:03:51,790 --> 00:03:53,955 only what's happening at the federal and state 105 00:03:53,955 --> 00:03:56,455 level, but what is best for the communities 106 00:03:56,754 --> 00:03:57,495 we serve 107 00:03:57,875 --> 00:04:01,174 to address the needs that we are continuously 108 00:04:01,394 --> 00:04:03,875 learning about that in some ways stay the 109 00:04:03,875 --> 00:04:05,894 same and in other ways 110 00:04:06,229 --> 00:04:07,129 through resolution 111 00:04:07,509 --> 00:04:08,889 are constantly changing. 112 00:04:09,750 --> 00:04:11,349 Thank you. And when you look at the 113 00:04:11,349 --> 00:04:13,590 rest of this year moving into next year, 114 00:04:13,590 --> 00:04:14,090 Novella, 115 00:04:14,469 --> 00:04:16,550 what are you most excited about? What are 116 00:04:16,550 --> 00:04:17,769 you most focused on? 117 00:04:18,149 --> 00:04:20,323 Yeah. What I'm most excited about is that 118 00:04:20,323 --> 00:04:20,889 nearly after nearly a decade, 119 00:04:23,485 --> 00:04:26,444 founding this department, I'm so excited to see 120 00:04:26,444 --> 00:04:28,064 the vision of integrated, 121 00:04:28,444 --> 00:04:28,944 accessible 122 00:04:30,045 --> 00:04:33,964 population health care fully realized at UVA Health. 123 00:04:33,964 --> 00:04:34,865 You know, today, 124 00:04:35,300 --> 00:04:38,339 care beyond hospital walls isn't an aspiration at 125 00:04:38,339 --> 00:04:39,800 UVA Health. It's operational. 126 00:04:40,100 --> 00:04:40,600 And 127 00:04:41,220 --> 00:04:44,420 from street medicine to home based monitoring to 128 00:04:44,420 --> 00:04:46,439 behavioral health integration, we're transforming 129 00:04:47,220 --> 00:04:49,620 how care is delivered and how healthy outcomes 130 00:04:49,620 --> 00:04:50,360 are achieved. 131 00:04:51,305 --> 00:04:54,524 During the pandemic, our infrastructure allowed us to 132 00:04:54,904 --> 00:04:57,884 prevent more than eighteen hundred hospital admissions 133 00:04:58,345 --> 00:05:00,444 when beds were scarce and, 134 00:05:01,625 --> 00:05:02,685 needs were changing, 135 00:05:03,145 --> 00:05:05,960 hour to hour. We were able to demonstrate 136 00:05:06,100 --> 00:05:08,980 the true value of innovation and readiness. And 137 00:05:08,980 --> 00:05:11,939 and so today, I'm I'm excited that screening 138 00:05:11,939 --> 00:05:12,680 for SDOH, 139 00:05:13,379 --> 00:05:16,259 recognizing that you've gotta understand the why to 140 00:05:16,259 --> 00:05:18,199 behavioral utilization of services, 141 00:05:18,634 --> 00:05:19,615 And then the services 142 00:05:19,995 --> 00:05:20,894 that we provide 143 00:05:21,595 --> 00:05:23,774 are operational, not aspirational. 144 00:05:25,514 --> 00:05:27,995 What I'm most proud of, I have the 145 00:05:27,995 --> 00:05:30,794 most incredible team that does this work with 146 00:05:30,794 --> 00:05:31,294 me, 147 00:05:31,699 --> 00:05:33,779 and none of it would, you know, be 148 00:05:33,779 --> 00:05:36,420 possible without them. There's a 154 149 00:05:36,420 --> 00:05:37,800 members of the department. 150 00:05:38,500 --> 00:05:40,279 And over the past eighteen 151 00:05:40,660 --> 00:05:42,520 months, my team of seven directors 152 00:05:43,139 --> 00:05:45,560 and several other team members collaborated 153 00:05:46,020 --> 00:05:49,435 with our our EMR colleagues to streamline 154 00:05:50,214 --> 00:05:53,334 referrals across the health system. And so now 155 00:05:53,334 --> 00:05:57,495 it's easy for providers across pediatrics and adult 156 00:05:57,495 --> 00:05:57,995 care 157 00:05:58,454 --> 00:05:59,274 to refer 158 00:05:59,709 --> 00:06:02,129 patients seamlessly within their own workflows, 159 00:06:02,509 --> 00:06:04,449 removing barriers for our providers 160 00:06:05,069 --> 00:06:07,089 and the clinical teams who are, 161 00:06:07,870 --> 00:06:08,370 ensuring 162 00:06:08,750 --> 00:06:11,889 that the continuity of care and access 163 00:06:12,269 --> 00:06:13,490 is available, 164 00:06:14,254 --> 00:06:15,555 which it it improves, 165 00:06:15,935 --> 00:06:18,814 timely access to care. It's been very exciting 166 00:06:18,814 --> 00:06:20,194 to see this come to fruition. 167 00:06:21,294 --> 00:06:23,294 Thank you. I'm gonna ask you about leadership 168 00:06:23,294 --> 00:06:25,794 in a second and advice for emerging leaders. 169 00:06:26,334 --> 00:06:28,415 Before I do that, I'm gonna ask you 170 00:06:28,415 --> 00:06:31,050 the most challenging question of the day, Novella, 171 00:06:31,110 --> 00:06:33,110 and and and I wanna know if you're 172 00:06:33,110 --> 00:06:36,250 ready for a seriously tough question. Okay. Yes. 173 00:06:36,870 --> 00:06:39,189 So so so here's the question. With your 174 00:06:39,189 --> 00:06:39,689 background, 175 00:06:40,230 --> 00:06:42,389 do you cheer more for the mountaineers or 176 00:06:42,389 --> 00:06:45,365 the cavaliers? Where's your head at on West 177 00:06:45,365 --> 00:06:46,345 versus Virginia. 178 00:06:47,285 --> 00:06:48,664 I love my cavaliers. 179 00:06:48,964 --> 00:06:51,944 And in good times and in in challenging 180 00:06:52,084 --> 00:06:54,644 times, I I I love them and, 181 00:06:54,964 --> 00:06:56,504 I'm so excited to see 182 00:06:56,884 --> 00:06:57,944 their constants, 183 00:06:59,080 --> 00:07:01,879 constant work per paying off in ways that 184 00:07:01,879 --> 00:07:03,240 I I don't think any of us could 185 00:07:03,240 --> 00:07:05,720 have imagined this year. No. We we love 186 00:07:05,720 --> 00:07:07,160 that. Thank you so much. And let me 187 00:07:07,160 --> 00:07:08,759 ask you the the the the next real 188 00:07:08,759 --> 00:07:10,300 question, which is about leadership. 189 00:07:10,605 --> 00:07:13,085 You've had this fantastic leadership career. You're incredibly 190 00:07:13,085 --> 00:07:15,725 centered, incredibly bright. You deal with people really 191 00:07:15,725 --> 00:07:17,404 well. What advice do you have for people 192 00:07:17,404 --> 00:07:18,705 that are emerging leaders? 193 00:07:19,725 --> 00:07:21,185 I I love that question. 194 00:07:21,805 --> 00:07:23,105 I think it's so important 195 00:07:23,589 --> 00:07:26,149 to, build people, make them a part of 196 00:07:26,149 --> 00:07:28,949 your strategy, and and I I wanna share 197 00:07:28,949 --> 00:07:32,089 that. If you believe deeply in your work, 198 00:07:32,550 --> 00:07:34,949 as I have over the last, I've been 199 00:07:34,949 --> 00:07:37,004 in health care for thirty two years and 200 00:07:37,004 --> 00:07:39,345 at UVA Health for fifteen plus. 201 00:07:39,725 --> 00:07:41,645 If you believe deeply in your work, hold 202 00:07:41,645 --> 00:07:45,025 steady to it. Lead strategically through the challenges, 203 00:07:45,165 --> 00:07:45,985 the skepticism, 204 00:07:46,365 --> 00:07:47,425 which I've experienced, 205 00:07:47,965 --> 00:07:48,865 and the resistance, 206 00:07:49,399 --> 00:07:52,680 but stay creative, stay innovative, and focus on 207 00:07:52,680 --> 00:07:53,180 solutions 208 00:07:53,639 --> 00:07:56,939 that remove pain points and are as comprehensive 209 00:07:57,240 --> 00:07:59,339 as possible to address the right care 210 00:07:59,720 --> 00:08:00,860 at the right time, 211 00:08:01,240 --> 00:08:03,404 in the right place, with the patient at 212 00:08:03,404 --> 00:08:05,345 the center of everything that you do. 213 00:08:05,964 --> 00:08:06,464 Recognizing 214 00:08:06,764 --> 00:08:08,444 the the second half of that is that 215 00:08:08,444 --> 00:08:10,444 recognizing that it takes a village to do 216 00:08:10,444 --> 00:08:11,105 this work 217 00:08:11,485 --> 00:08:13,665 and to always be open to collaboration, 218 00:08:14,205 --> 00:08:15,425 learning, partnering, 219 00:08:17,040 --> 00:08:19,600 and surround yourself with people who share your 220 00:08:19,600 --> 00:08:20,100 passions, 221 00:08:20,639 --> 00:08:22,100 know them as people first, 222 00:08:22,639 --> 00:08:25,699 empower them, invest in their growth, and celebrate 223 00:08:25,759 --> 00:08:28,639 their strengths. And when you build partnerships, and 224 00:08:28,639 --> 00:08:29,699 I believe this wholeheartedly, 225 00:08:30,725 --> 00:08:33,684 trust. When you build partnerships, you trust people 226 00:08:33,684 --> 00:08:35,144 and you elevate others. 227 00:08:35,524 --> 00:08:38,264 The collective set of success, will succeed 228 00:08:38,884 --> 00:08:41,544 what you could have ever imagined possible. 229 00:08:42,579 --> 00:08:44,339 Novella, I think that's a I think that's 230 00:08:44,339 --> 00:08:47,620 a fantastic perspective. Again, I I wanna thank 231 00:08:47,620 --> 00:08:51,799 Novella Thompson, hospital administrator administrator University of Virginia 232 00:08:52,179 --> 00:08:54,674 Medical Center, also in charge of population health. 233 00:08:54,754 --> 00:08:56,995 Just an absolutely brilliant career and and and 234 00:08:56,995 --> 00:08:58,674 great to visit with Novella. Thank you so 235 00:08:58,674 --> 00:09:00,754 much for joining us. Oh, Scott, thank you 236 00:09:00,754 --> 00:09:02,995 so much. It's my pleasure. It's really exciting 237 00:09:02,995 --> 00:09:04,834 to be here. Appreciate all you do to 238 00:09:04,834 --> 00:09:06,054 keep us in the know. 239 00:09:06,719 --> 00:09:08,319 We are trying, but we need people like 240 00:09:08,319 --> 00:09:09,759 you do it. So thank you so much. 241 00:09:09,759 --> 00:09:11,299 Thank you. Thank you so much.