1 00:00:02,080 --> 00:00:04,660 This is where health care leadership comes together. 2 00:00:04,799 --> 00:00:07,919 Becker's sixteenth annual meeting brings more than 3,500 3 00:00:07,919 --> 00:00:11,119 hospital and health system executives and nearly 800 4 00:00:11,119 --> 00:00:14,419 speakers to Chicago April. 5 00:00:14,775 --> 00:00:17,494 This series event includes keynote conversations with Dallas 6 00:00:17,494 --> 00:00:20,375 Cowboys legend Troy Aikman and former president George 7 00:00:20,375 --> 00:00:23,094 w Bush. For the agenda and event details, 8 00:00:23,094 --> 00:00:25,414 visit beckershospitalreview.com 9 00:00:25,414 --> 00:00:27,015 and click on the events tab in the 10 00:00:27,015 --> 00:00:29,649 upper right. We're looking forward to hosting you 11 00:00:29,649 --> 00:00:30,550 in Chicago. 12 00:00:32,530 --> 00:00:34,950 Hello, and welcome to the Becker's Healthcare Podcast. 13 00:00:35,009 --> 00:00:36,689 My name is Chanel Banger. Today, I have 14 00:00:36,689 --> 00:00:39,090 the pleasure of speaking with doctor Nicole Fox, 15 00:00:39,090 --> 00:00:42,255 associate chief medical officer and medical director of 16 00:00:42,255 --> 00:00:45,295 pediatric trauma at Cooper University Health Care, who 17 00:00:45,295 --> 00:00:47,135 joins the podcast today to share insights in 18 00:00:47,135 --> 00:00:48,655 the health care trends she's keeping an eye 19 00:00:48,655 --> 00:00:50,835 on, advice for leaders, and a bit more. 20 00:00:50,895 --> 00:00:52,734 Doctor Fox, thank you so much for joining 21 00:00:52,734 --> 00:00:55,135 me. Thanks, Chanel, for having me. Happy to 22 00:00:55,135 --> 00:00:57,479 be here. Likewise. Well, to get us started, 23 00:00:57,479 --> 00:00:59,159 could you please introduce yourself and tell us 24 00:00:59,159 --> 00:01:01,259 a bit about Cooper University Health Care? 25 00:01:01,799 --> 00:01:03,799 Sure. Well, as you said, I'm the associate 26 00:01:03,799 --> 00:01:06,280 chief medical officer at Cooper, but I'm also 27 00:01:06,280 --> 00:01:08,540 a trauma surgeon and a surgical intensivist, 28 00:01:09,085 --> 00:01:10,844 as well as the medical director of the 29 00:01:10,844 --> 00:01:13,245 pediatric trauma center. So I serve two roles 30 00:01:13,245 --> 00:01:15,165 there as a trauma surgeon and a hospital 31 00:01:15,165 --> 00:01:15,665 executive. 32 00:01:16,525 --> 00:01:19,085 Cooper is an academic health system in Southern 33 00:01:19,085 --> 00:01:21,564 New Jersey. We have over 11,000 34 00:01:21,564 --> 00:01:22,064 employees, 35 00:01:22,409 --> 00:01:25,129 including over a thousand physicians and over 1,600 36 00:01:25,129 --> 00:01:25,629 nurses. 37 00:01:26,009 --> 00:01:27,769 So it's a busy place. We admit over 38 00:01:27,769 --> 00:01:30,009 32,000 patients a year, and we're the only 39 00:01:30,009 --> 00:01:32,250 one level one trauma center in Southern New 40 00:01:32,250 --> 00:01:34,989 Jersey. And, there's a lot going on. 41 00:01:35,665 --> 00:01:37,584 Well, let's get into what's going on. Can 42 00:01:37,584 --> 00:01:39,584 you talk about what trends you're currently watching 43 00:01:39,584 --> 00:01:41,825 either in pediatric trauma or just health care 44 00:01:41,825 --> 00:01:42,325 overall? 45 00:01:43,104 --> 00:01:45,364 Well, sure. Let's start with health care overall. 46 00:01:45,504 --> 00:01:47,265 I mean, what aren't we watching really is 47 00:01:47,265 --> 00:01:47,924 the question. 48 00:01:48,680 --> 00:01:50,119 Some of the things that are high on 49 00:01:50,119 --> 00:01:52,459 the priority list are obviously the incorporation 50 00:01:52,840 --> 00:01:54,680 and use of AI in our health system. 51 00:01:54,680 --> 00:01:55,739 That's a big one. 52 00:01:56,119 --> 00:01:58,200 How do we leverage this technology and how 53 00:01:58,200 --> 00:01:59,900 can we make work more efficient? 54 00:02:00,519 --> 00:02:02,519 Of course, the health care policy changes and 55 00:02:02,519 --> 00:02:04,665 how they'll impact the delivery of care is 56 00:02:04,665 --> 00:02:05,405 very important. 57 00:02:06,104 --> 00:02:07,864 But really, the thing that I'm focused on 58 00:02:07,864 --> 00:02:09,485 the most currently is the workforce. 59 00:02:10,425 --> 00:02:12,745 These are challenging times and the question is 60 00:02:12,745 --> 00:02:14,264 how can we keep the people who are 61 00:02:14,264 --> 00:02:17,084 delivering care and helping the hospital run smoothly, 62 00:02:17,145 --> 00:02:17,884 stay happy, 63 00:02:18,185 --> 00:02:18,685 productive, 64 00:02:19,270 --> 00:02:20,009 and efficient. 65 00:02:20,310 --> 00:02:21,830 You know, we can't ignore the fact that 66 00:02:21,830 --> 00:02:23,669 we are entering 2026 67 00:02:23,669 --> 00:02:25,830 after some very difficult years in health care. 68 00:02:25,830 --> 00:02:28,229 The the pandemic for one and and changes 69 00:02:28,229 --> 00:02:29,289 that are on the horizon. 70 00:02:29,909 --> 00:02:32,150 We're tired and our teams are tired, and 71 00:02:32,150 --> 00:02:33,610 that needs to be addressed 72 00:02:34,034 --> 00:02:36,354 and acknowledged and work needs to be done 73 00:02:36,354 --> 00:02:38,275 around that. I can tell you that that's 74 00:02:38,275 --> 00:02:40,455 particularly relevant in trauma care. 75 00:02:40,834 --> 00:02:43,074 We have been busy, we have never stopped, 76 00:02:43,074 --> 00:02:45,074 and the work is difficult. And so really 77 00:02:45,074 --> 00:02:46,995 paying attention to the workforce and what they 78 00:02:46,995 --> 00:02:49,270 need right now is a top priority for 79 00:02:49,270 --> 00:02:50,330 me and my teams. 80 00:02:51,349 --> 00:02:53,590 Got it. Got it. And now going into 81 00:02:53,590 --> 00:02:55,030 2026, 82 00:02:55,030 --> 00:02:56,550 can you talk about what you're most focused 83 00:02:56,550 --> 00:02:57,770 on and excited about? 84 00:02:58,550 --> 00:03:00,310 Sure. Along with the theme that I just 85 00:03:00,310 --> 00:03:02,844 discussed, personally, I'm most focused on and excited 86 00:03:02,844 --> 00:03:05,485 about the development of our workforce and ensuring 87 00:03:05,485 --> 00:03:06,224 their sustainability. 88 00:03:07,004 --> 00:03:09,004 So the demands of on our system are 89 00:03:09,004 --> 00:03:10,685 tremendous and we need to ensure that as 90 00:03:10,685 --> 00:03:12,205 things get tougher, we have people who are 91 00:03:12,205 --> 00:03:14,064 still ready and willing to do the work 92 00:03:14,210 --> 00:03:16,450 and meet the challenges. So I'm very proud 93 00:03:16,450 --> 00:03:18,230 of the culture we build at Cooper 94 00:03:18,610 --> 00:03:20,530 and the fact that we're constantly looking for 95 00:03:20,530 --> 00:03:22,610 ways to keep people informed, to make their 96 00:03:22,610 --> 00:03:25,650 jobs easier, and remove barriers to getting their 97 00:03:25,650 --> 00:03:28,155 work done. So in my specific role, for 98 00:03:28,155 --> 00:03:28,655 example, 99 00:03:28,955 --> 00:03:29,935 physician engagement, 100 00:03:30,314 --> 00:03:32,875 physician well-being is very important, and I'm proud 101 00:03:32,875 --> 00:03:34,474 of some of the programs we put in 102 00:03:34,474 --> 00:03:34,974 place 103 00:03:35,514 --> 00:03:37,215 and are in the process of developing 104 00:03:37,675 --> 00:03:40,189 to assist with that. So one example would 105 00:03:40,189 --> 00:03:42,930 be our peer support program for physicians, 106 00:03:43,629 --> 00:03:45,870 and also advanced practice providers. We have a 107 00:03:45,870 --> 00:03:48,430 large team of peer supporters who are willing 108 00:03:48,430 --> 00:03:51,250 to serve as support for their colleagues. 109 00:03:51,794 --> 00:03:53,974 And we're also developing a coaching program, 110 00:03:54,594 --> 00:03:57,634 for physicians and APPs and working with the 111 00:03:57,634 --> 00:03:58,935 American Medical Association 112 00:03:59,474 --> 00:04:01,254 on our joy in medicine program. 113 00:04:01,794 --> 00:04:03,495 So, really, all efforts 114 00:04:03,810 --> 00:04:04,550 geared around 115 00:04:04,930 --> 00:04:07,170 trying to keep people engaged, wanting to come 116 00:04:07,170 --> 00:04:09,349 to work, excited to be in health care, 117 00:04:09,490 --> 00:04:11,250 and giving them the tools they need to 118 00:04:11,250 --> 00:04:11,990 stay resilient 119 00:04:12,610 --> 00:04:13,349 and focused. 120 00:04:13,890 --> 00:04:15,409 Thank you so much for walking us through 121 00:04:15,409 --> 00:04:16,850 that, doctor Fox. And, 122 00:04:17,524 --> 00:04:19,125 kind of expanding on that, can you talk 123 00:04:19,125 --> 00:04:20,805 about what you're most proud of from the 124 00:04:20,805 --> 00:04:21,944 past year or so? 125 00:04:22,564 --> 00:04:24,645 Well, I'm really proud of the fact that 126 00:04:24,645 --> 00:04:27,145 our engagement results across the organization 127 00:04:27,605 --> 00:04:29,925 are very high. It shows that the people 128 00:04:29,925 --> 00:04:32,085 that work at Cooper wanna be there, they 129 00:04:32,085 --> 00:04:33,145 intend to stay, 130 00:04:33,500 --> 00:04:35,819 and they're enjoying their work. And so I 131 00:04:35,819 --> 00:04:38,960 wanna continue that momentum forward in 2026, 132 00:04:39,340 --> 00:04:41,580 find maybe where some gaps exist and there 133 00:04:41,580 --> 00:04:43,580 are spaces that we need to fill. But 134 00:04:43,580 --> 00:04:45,500 overall, we're in a very good position with 135 00:04:45,500 --> 00:04:48,139 our workforce, and people are happy to be 136 00:04:48,139 --> 00:04:48,960 in our system. 137 00:04:49,785 --> 00:04:51,384 Got it. Got it. And as we all 138 00:04:51,384 --> 00:04:53,865 know, health care is evolving rapidly. And with 139 00:04:53,865 --> 00:04:55,544 that and all of your experience, I'm curious 140 00:04:55,544 --> 00:04:57,064 to know what advice do you have for 141 00:04:57,064 --> 00:04:59,144 the next generation of health care leaders stepping 142 00:04:59,144 --> 00:05:00,285 into the field today? 143 00:05:01,064 --> 00:05:02,985 Sure. I mean, two things. The first one 144 00:05:02,985 --> 00:05:05,240 sounds simple, but staying connected 145 00:05:05,699 --> 00:05:06,920 to your why 146 00:05:07,300 --> 00:05:09,699 and finding ways to help others do that 147 00:05:09,699 --> 00:05:11,319 as well is really important. 148 00:05:11,860 --> 00:05:14,520 The pace and the sheer volume of information 149 00:05:14,660 --> 00:05:16,439 we're subject to each day 150 00:05:16,964 --> 00:05:19,285 causes us to really get lost in the 151 00:05:19,285 --> 00:05:21,764 mechanics of the work. So, for example, I 152 00:05:21,764 --> 00:05:23,605 find myself, it's really easy for me to 153 00:05:23,605 --> 00:05:25,524 tell people what I do and how I 154 00:05:25,524 --> 00:05:27,865 do it, but it's easy to get disconnected 155 00:05:28,004 --> 00:05:29,845 from why I went into health care in 156 00:05:29,845 --> 00:05:31,925 the in the first place, why I do 157 00:05:31,925 --> 00:05:34,220 what I do. So with my teams, taking 158 00:05:34,220 --> 00:05:36,139 the time to step back and trying to 159 00:05:36,139 --> 00:05:37,759 focus on this when you can 160 00:05:38,139 --> 00:05:40,699 is really important and kinda bringing people back 161 00:05:40,699 --> 00:05:42,379 to that. And and most people have lost 162 00:05:42,379 --> 00:05:45,100 it, and that's understandable as time goes on. 163 00:05:45,100 --> 00:05:47,745 But doing activities with them and exercises to 164 00:05:47,745 --> 00:05:49,745 try to reconnect to their why, I think, 165 00:05:49,745 --> 00:05:51,125 is very important for leaders. 166 00:05:51,664 --> 00:05:52,865 You know, and I would say the other 167 00:05:52,865 --> 00:05:55,264 thing is, as leaders, we generally have the 168 00:05:55,264 --> 00:05:55,764 opportunity 169 00:05:56,464 --> 00:05:57,845 to see the bigger picture 170 00:05:58,269 --> 00:06:00,610 and understand what's going on behind the scenes 171 00:06:00,750 --> 00:06:02,909 and why certain decisions are being made in 172 00:06:02,909 --> 00:06:03,490 the system. 173 00:06:04,509 --> 00:06:06,610 Communication around that is critical, 174 00:06:07,310 --> 00:06:09,310 to keep people engaged and the lines of 175 00:06:09,310 --> 00:06:12,209 communication open. So making sure that we're sharing 176 00:06:12,349 --> 00:06:14,814 what we know, making sure that we're being 177 00:06:14,814 --> 00:06:17,534 clear about why decisions are being made and 178 00:06:17,534 --> 00:06:18,034 how 179 00:06:18,334 --> 00:06:19,235 they are reached 180 00:06:19,774 --> 00:06:21,615 is even more important now than it than 181 00:06:21,615 --> 00:06:22,354 ever before. 182 00:06:23,454 --> 00:06:25,694 Excellent advice. Well, doctor Fox, I wanna thank 183 00:06:25,694 --> 00:06:27,294 you for your time today. But before I 184 00:06:27,294 --> 00:06:28,800 let you go, is there anything else that 185 00:06:28,800 --> 00:06:30,399 listeners should know? I I know that you 186 00:06:30,399 --> 00:06:31,139 have a podcast, 187 00:06:31,519 --> 00:06:32,019 Prognosis 188 00:06:32,800 --> 00:06:33,300 Ikigai. 189 00:06:33,680 --> 00:06:35,459 Would you wanna talk about that for a 190 00:06:35,519 --> 00:06:37,279 bit? I do. Sure. I'd love to talk 191 00:06:37,279 --> 00:06:39,839 about it. So Prognosis Ikigai was sort of 192 00:06:39,839 --> 00:06:42,480 a passion project that started for me this 193 00:06:42,480 --> 00:06:42,980 year. 194 00:06:43,305 --> 00:06:46,185 Ikigai is a Japanese word for basically your 195 00:06:46,185 --> 00:06:47,785 reason for getting up in the morning or 196 00:06:47,785 --> 00:06:48,925 your reason for 197 00:06:49,305 --> 00:06:51,305 a living. You could translate it as to 198 00:06:51,305 --> 00:06:52,125 your why. 199 00:06:53,064 --> 00:06:55,064 And I started it because I see the 200 00:06:55,064 --> 00:06:56,830 darker side of health care. I see people 201 00:06:56,830 --> 00:06:59,170 that are disillusioned, people that are disengaged. 202 00:06:59,550 --> 00:07:01,870 And so I decided to focus on speaking 203 00:07:01,870 --> 00:07:04,449 to people in health care who have had 204 00:07:04,910 --> 00:07:07,230 successful and fulfilling careers, and they're all at 205 00:07:07,230 --> 00:07:10,029 different stages, of their journey, and ask them 206 00:07:10,029 --> 00:07:12,204 how they did it. And I really was 207 00:07:12,204 --> 00:07:14,365 surprised I had such a great variety of 208 00:07:14,365 --> 00:07:14,865 guests, 209 00:07:15,485 --> 00:07:18,125 this year. Everybody from our own CEO at 210 00:07:18,125 --> 00:07:18,625 Cooper, 211 00:07:19,084 --> 00:07:21,725 to the first black female transplant surgeon in 212 00:07:21,725 --> 00:07:22,785 The United States, 213 00:07:23,310 --> 00:07:23,810 to 214 00:07:24,189 --> 00:07:27,470 a former paramedic and firefighter who suffered from 215 00:07:27,470 --> 00:07:30,350 severe PTSD and had to retire and became 216 00:07:30,350 --> 00:07:31,069 a licensed, 217 00:07:31,389 --> 00:07:31,889 therapist. 218 00:07:32,589 --> 00:07:35,069 Just stories of people who had made their 219 00:07:35,069 --> 00:07:36,210 way in health care, 220 00:07:36,595 --> 00:07:39,314 who had had interesting journeys, and who were 221 00:07:39,314 --> 00:07:41,175 very happy, very fulfilled, 222 00:07:41,875 --> 00:07:44,355 very connected to their why, and doing what 223 00:07:44,355 --> 00:07:45,014 they love. 224 00:07:45,794 --> 00:07:48,355 And just hearing their stories unfold over the 225 00:07:48,355 --> 00:07:51,540 hour of the podcast was phenomenal, and it 226 00:07:51,540 --> 00:07:53,079 taught me a tremendous amount. 227 00:07:53,779 --> 00:07:55,699 So I I really enjoyed it this year, 228 00:07:55,699 --> 00:07:57,540 and I'm gonna continue it. Next year's theme 229 00:07:57,540 --> 00:07:59,860 in 2026 will be women leading in health 230 00:07:59,860 --> 00:08:00,360 care. 231 00:08:01,060 --> 00:08:03,540 And so, hopefully, everybody will stay tuned for 232 00:08:03,540 --> 00:08:05,000 that, but it's been a lot of fun. 233 00:08:05,555 --> 00:08:07,208 Love to hear it. And for listeners, that's 234 00:08:07,208 --> 00:08:07,974 Prognosis, I k 235 00:08:09,235 --> 00:08:10,454 I g a I. 236 00:08:10,995 --> 00:08:12,754 Well, doctor Fox, I wanna thank you once 237 00:08:12,754 --> 00:08:14,435 again for your time today and for sharing 238 00:08:14,435 --> 00:08:16,435 your insights on the Becker's Healthcare podcast. Thank 239 00:08:16,435 --> 00:08:18,854 you so much. Absolutely. Thank you.