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Hello, everyone. Welcome to the Becker's Health Care

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podcast. I'm Scott King. Thrilled today to be

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joined by Matthew Harenstein, vice president and associate

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chief medical officer over at Northwell. Matthew, thanks

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so much for joining us today. How are

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you doing?

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I'm great. Thanks so much for having me,

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Scott. It's a it's a great honor to

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be here and a a pleasure to share

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a little bit about what we've been doing.

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Of course. And we really appreciate your time,

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and and we're gonna appreciate your expertise diving

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into some kind of big topics and trends

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going on in health care right now. But

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before before we jump to the questions, just

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wondering if you could please introduce yourself and

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just tell us a little bit about your

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background.

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Yes. Absolutely. So I'm doctor Matthew Harenstein.

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I am, vice president and an associate chief

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medical officer at Northwell Health. I'm also a

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practicing cardiologist

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and have spent, much of my career focused

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on, cardiovascular imaging, specifically nuclear cardiology

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and echocardiography,

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as well as assessment of, perioperative patients and,

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in cardio oncology.

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Before joining Northwell, I spent about fifteen years

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at UPMC in Pittsburgh.

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I held roles, that bridge clinical medicine, physician

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leadership, and administration,

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both domestically and internationally.

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What really drew drew me to

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Northwell was its phenomenal and unique culture.

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I think one that balances clinical excellence,

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optimal care of the patients, innovation,

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and really focuses on, the workforce.

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In my current role, I work, with our

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chief medical officer in the CMO office,

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as well as hospital leaders to help advance

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system integration, efforts to strengthen our culture,

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support our providers,

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and enhance engagement across our system.

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Thanks so much for sharing that background information.

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And to get to the the trends in

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health care I I had mentioned,

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what opportunities and headwinds do you have your

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eye on right now in health care?

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Great question. There there's a number of opportunities,

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really across the continuum, but, you know, the

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the couple that I'm focused on specifically are,

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really around using data and digital tools to

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advance our care and to allow providers, to

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spend more time with the patients and also

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helping to identify patients who may benefit,

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from specific types of care. So a lot

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of opportunity to use AI and, you know,

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look at patients who might qualify for particular

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treatments or procedures

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and help them to to receive the right

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care that they need and also to really

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help with, our providers and promote,

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you know, a culture that allows them to

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be as satisfied as possible.

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I think if we can use some of

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these tools to identify patients who'd benefit from

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procedures such as diabetes or cardiovascular care or

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things like structural heart procedures,

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we can help to really optimize our clinical

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pathways and workflows.

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Think another,

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opportunity

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is really for us around the integration between

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Northwell and Nuvance Health, which started, this year.

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It's it's not really just about combining two

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systems, but it's really about creating,

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a system that's even stronger. It's now,

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allowing us to unify, you know, best practices

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from both Northwell and Nuvance,

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elevate,

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quality across, the regions,

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and really leverage all of the resources and

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clinical expertise that now,

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sit anywhere between Long Island through New York,

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and into Connecticut,

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and to really make those available to to

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all of our patients.

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I think at the same time, regarding the

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headwinds that we're that we're seeing, I think

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a lot of these are ones that many

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health systems are facing right now in terms

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of workforce challenges,

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financial constraints, and the pace of change.

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The key is, I think, maintaining a culture

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where people feel valued and supported, and their

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well-being is promoted.

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From my perspective, I think when employees

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feel satisfied in their roles, when they feel

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seen or heard or connected to their purpose,

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I think everyone is more efficient, productive, and

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ultimately happier. So if we can make sure

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that every one of our staff members from

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administration

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to ancillary services to the provider level is

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satisfied in what they're doing. I think everybody,

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works better. And, really, who benefits the most

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is, our patients who receive the best care,

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and have the best experience.

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And, doctor Herndon, I just wanna follow-up on

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on something you said. You you said you're

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using

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your system's implementing AI to free up time

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with patients, and that that way you have

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more time to patients and and can really

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listen to them. How has that kinda early

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implementation worked? Are you already seeing a lot

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more time with patients,

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at your system versus having to do, you

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know, all all the kind of administrative stuff?

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Yeah. So from that perspective, I think a

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lot of, systems are moving more towards the,

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Ambient

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AI in terms of, how to,

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better be able to produce clinical notes and

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focus, you know, less on the documentation

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and more on time spent with patient care.

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And so this is, certainly something that is,

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going to be, rolled out at Northwell

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and, you know, creates an opportunity for, you

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know, more focus on the patient and and

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hopefully more satisfaction for the providers.

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Absolutely. And I also want to ask you,

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how are you thinking about

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growth and adding value to your organization?

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So I think from a, you know, Northwell

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perspective,

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growth really isn't just

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measured by geography or or clinical volume, but

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it's also about, you know, value and and

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impact.

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So we're focused on growing intelligently,

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really strengthening our clinical programs around transplantation,

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surgical areas, including cardiac, neurosurgery,

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abdominal,

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and others, and then leveraging digital tools to

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expand access and, building integrated teams that, you

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know, can help deliver care seamlessly across the

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health system.

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I think focusing on our network and focusing

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on strengthening our hospital medical staffs is really

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critically important.

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The more that we can connect to the

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ambulatory to the hospital and make sure that

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people feel,

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a part of the community and know how

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to get their patients to move throughout the

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system,

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is really critically important. That's how patients are

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gonna be able to receive the care that

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they need, hopefully, as close to home as

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possible.

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And the more we function as a network,

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the more providers are gonna know how and

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who to get in touch with and the

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more that ultimately the patients will be able

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to receive the best care.

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I also think, you know, as far as

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as growth, we're really deeply committed to cultivating,

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you know, a culture

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that is really more of a strategic asset.

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And what I mean by that is,

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you know, programs,

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you know, in our perioperative areas where we're

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reinforcing what it means to lead with purpose

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and empathy in some of our hospitals,

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We really are emphasizing the best culture possible.

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And when you have a a really great

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culture where people feel respected, part of the

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team, it creates really the safest and highest

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quality care for the patients. And so really

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focusing on, you know, culture as a growth

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asset,

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is important,

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as well. And, and, ultimately, when pay when

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people feel empowered and respected, they're gonna contribute

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ideas, solve problems, drive improvement, and that's only

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gonna lead to, to more growth opportunities.

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You mentioned digital tools. Obviously, we're we're seeing

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and and hearing about a lot of systems

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investing in more and more of them. What's

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one risk or investment worth making this year,

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you think? And would it be a a

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digital tool or something else?

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Yeah. So,

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so great question and and one that definitely

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applies in our case. And, you know, I

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think one of the, you know, the the

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way I would phrase it is one of

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the most meaningful investments that we can make

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is is in our people and particularly,

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you know, leadership development,

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engagement,

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and and well-being.

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And

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one of the things that we have just

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implemented at Northwell is, the first wave of

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of EPIC. And so, EPIC is going to

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be the new electronic health record, at Northwell,

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and it's going to be, implemented across a

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a couple of different waves. And we just

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had our first wave in several of our

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hospitals and ambulatory sites, and it's really,

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really occurred with great success.

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You saw,

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physicians, nurses,

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you know, frontline leaders who are all,

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working, you know, around the clock and really

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in concert with one another to make sure

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that this,

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you know, moves forward seamlessly.

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And I was just so impressed with how

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well everything,

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worked out. And I had the opportunity,

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over the last week or so to visit

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many of our sites

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and talk with,

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people at all levels of the organization.

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And, really, we heard,

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myself and and one of my colleagues who,

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visited some of these sites, nothing but enthusiasm.

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You know, this time when you're moving from

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one EHR to another,

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particularly from a,

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you know, a different company,

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can be daunting for providers. It's a new

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system. It's something that they're not familiar with.

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You know, even with all the training that

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you go through, once it's it's finally time

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for prime time, you know, it can be

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challenging.

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But we heard nothing but, excitement, and people

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were just talking about,

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already how much they're seeing improvement in some

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of their workflows

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and, that this is only gonna be more

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positive for their daily lives and for for

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the patient care. So really just, you know,

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extremely,

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excited.

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And I think another investment, you know, when

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we think about it is is really moving

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forward with, you know, this this idea of

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this new EHR and what Epic can do

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for us is some of the the digital

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analytic capabilities. You know, again, how can we

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utilize AI to,

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help us with,

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you know, creating notes, with creating discharge summaries.

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We talked about that, previously.

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How can we, you know, better monitor patients?

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And so all of these things that we

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can now do will will only enhance our

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communication amongst ourselves with the with the patients

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and hopefully,

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improve the well-being of, of our staff.

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It's great to hear the epic rollout is

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going very well, over at Northwell. That's wonderful

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news. And

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the last thing I wanted to ask you,

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doctor Harenstein,

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where do you see the best opportunities for

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growth in the future?

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So from my perspective, I think the growth,

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really lies in connection.

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Connecting,

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our health systems between,

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Northwell Nuvance,

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connecting data, and, you know, really, connecting our

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people. And, you know, the the integration with

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Nuvance is a great example of that. We're

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bringing together,

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many talented teams,

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complementary

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resources,

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and, shared values, to deliver exceptional care in

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the communities.

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But, also, it's important to think about strengthening

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our network to make sure that everyone has

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access to every resource in the health system

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that allows us to identify patients and, you

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know, to make sure that they're placed in

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in the right place for care. And so

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the more that we can

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connect our medical staffs, connect the community physicians,

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across all of our different areas, the more

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successful we'll be. If you,

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enter care through, a primary care physician, which

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is a wonderful opportunity for us to think

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about growth in the future,

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if they know who to go directly to

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to receive care,

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that will just occur seamlessly. And now all

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of a sudden, that patient who may struggle

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to figure out, you know, where do I

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go next? Who do I go to for

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my referral?

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Now is going to be able to get

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that appointment,

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get into the system, and then, again, get

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the treatment they need. That might be making

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sure that they're monitored for prevention purposes. It

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might be being,

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told that there's an opportunity for them to

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get a procedure that's going to help them

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that they now qualify for to to help

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them live longer or live a more, you

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know, healthy life. So

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these are, I I think, you know, just

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critical,

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opportunities for growth is is really to make

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those connections and to, you know, make sure

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that people know how to get through the

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system. And for the procedures that might not

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be closest to home, now patients really throughout

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our health system can have access to those

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high acuity,

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procedures

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like transplantation

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and others. So I think that's really where

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I see,

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the most growth. And, you know, overall, I

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think health care is about, you know, people.

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It's the people we care for,

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the people that deliver the care.

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I think when we have this this environment

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of connection,

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and, you know, promotion of well-being,

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Everyone has the opportunity to flourish, and, you

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know, hopefully, we can deliver the the best

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care,

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with the highest quality and and hopefully with

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a high level of innovation overall.

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Absolutely. And and certainly some great strategies and

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and

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insight on on growth there. And, doctor Henstein,

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thanks so much for joining us on the

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podcast. It was a great conversation. I look

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forward to working with you again soon. Thanks

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so much. I appreciate the opportunity to join

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you and look forward to speaking again.

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At athenahealth, we know your ambulatory practice wants

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00:13:08,334 --> 00:13:08,834
healthier,

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