1 00:00:00,380 --> 00:00:02,265 - Welcome to Becker Healthcare Podcast, made 2 00:00:02,265 --> 00:00:03,905 for people who power US healthcare. 3 00:00:04,165 --> 00:00:05,505 I'm Molly Gamble with Becker's, 4 00:00:05,505 --> 00:00:08,545 and today I'm sitting down with Dr. Shaw, vice President 5 00:00:08,545 --> 00:00:09,585 and Chief Medical Officer 6 00:00:09,655 --> 00:00:11,505 with Advocate Condell Medical Center. 7 00:00:12,045 --> 00:00:14,265 Dr. Shaw, welcome. Thank you for being the, 8 00:00:14,285 --> 00:00:15,665 our guest on the podcast today. 9 00:00:15,885 --> 00:00:17,825 How are you? And where's the podcast? Find you. 10 00:00:19,015 --> 00:00:21,275 - Oh, I'm so glad to be joining this podcast. 11 00:00:21,365 --> 00:00:24,395 Thank you so much for having me, and I'm doing really well. 12 00:00:24,915 --> 00:00:28,395 I am, uh, here at the hospital at Advocate Con Medical 13 00:00:28,395 --> 00:00:29,955 Center in the middle of Spring Break, 14 00:00:30,495 --> 00:00:35,155 and really, uh, enjoying the transition of going from winter 15 00:00:35,295 --> 00:00:38,835 to, uh, you know, springtime in Chicagoland. 16 00:00:38,975 --> 00:00:42,195 So really excited to be here and talk about healthcare 17 00:00:42,255 --> 00:00:43,915 and all the amazing transitions 18 00:00:43,915 --> 00:00:45,875 that are happening, uh, throughout healthcare. 19 00:00:47,125 --> 00:00:49,095 - Very much so. For listeners not in the Midwest, 20 00:00:49,195 --> 00:00:52,095 we had our full spring now, second winter. 21 00:00:52,335 --> 00:00:53,855 I think this next time might be the real thing. 22 00:00:53,995 --> 00:00:55,295 Dr. Shaw. Um, 23 00:00:56,155 --> 00:00:59,655 - Can, - Can you share a, a few key facts about 24 00:01:00,375 --> 00:01:01,775 Advocate Con Medical Center? 25 00:01:01,805 --> 00:01:04,695 It's, it's part of Advocate Aurora Health. Correct. 26 00:01:04,875 --> 00:01:06,375 Can you, can you share more about the hospital? 27 00:01:07,075 --> 00:01:10,375 - That's correct. So, advocate Aurora Health, uh, is the, 28 00:01:10,435 --> 00:01:12,175 uh, part of Advocate Health overall, 29 00:01:12,175 --> 00:01:15,215 which is the National Organization health System, uh, 30 00:01:15,465 --> 00:01:17,135 consistent of, uh, 31 00:01:17,285 --> 00:01:20,055 over 60 plus hospitals all throughout the country. 32 00:01:20,635 --> 00:01:25,375 Uh, but, uh, advocate Aurora Health is, uh, co collaboration 33 00:01:25,375 --> 00:01:26,575 between Illinois 34 00:01:26,575 --> 00:01:29,535 and the Wisconsin market, uh, with, you know, uh, 35 00:01:30,135 --> 00:01:31,775 advocate kind of medical center being one 36 00:01:31,775 --> 00:01:33,375 of the hospitals in the Libertyville, 37 00:01:33,615 --> 00:01:35,255 northern suburb of Chicago area. 38 00:01:35,755 --> 00:01:37,415 Uh, we're the largest part 39 00:01:37,415 --> 00:01:40,135 of the largest healthcare network, uh, in Illinois. 40 00:01:40,675 --> 00:01:44,455 Uh, we are the largest hospital in Lake County, uh, 41 00:01:44,465 --> 00:01:46,975 which is a northern county to cook, uh, which is one 42 00:01:46,975 --> 00:01:48,575 of the biggest county in Illinois. 43 00:01:48,945 --> 00:01:51,935 We're, uh, only level one trauma center in Lake County. 44 00:01:52,835 --> 00:01:55,815 We perform the most surgeries at in, in Lake County. 45 00:01:55,835 --> 00:01:57,015 At Con Medical Center. 46 00:01:57,515 --> 00:01:59,375 We have the largest intensive care unit, 47 00:01:59,475 --> 00:02:00,815 the largest medical staff, 48 00:02:01,115 --> 00:02:03,375 and we're the, also the largest employer in the 49 00:02:03,375 --> 00:02:04,575 market in our county. 50 00:02:05,745 --> 00:02:09,245 We have, uh, 275 beds that are part of our hospital. 51 00:02:09,865 --> 00:02:11,245 Uh, we have, uh, 52 00:02:11,555 --> 00:02:14,005 over a thousand deliveries every year at the hospital, 53 00:02:14,685 --> 00:02:19,565 o over 12,000 surgeries, uh, with about 15,000 admissions, 54 00:02:19,615 --> 00:02:23,925 50,000 ED visits, 250,000 outpatient visits. 55 00:02:24,465 --> 00:02:26,565 We have a thousand providers on our medical staff. 56 00:02:26,985 --> 00:02:28,805 We have about 2200 teammates 57 00:02:28,825 --> 00:02:33,525 and about 250 plus volunteers that are part of our team, um, 58 00:02:33,595 --> 00:02:36,885 that help us take care of the patients in our county. 59 00:02:39,375 --> 00:02:41,015 - Terrific. So, I mean, this hospital wears a lot 60 00:02:41,015 --> 00:02:43,895 of different caps and hats in the, in Lake County, Illinois. 61 00:02:43,895 --> 00:02:46,055 You also said you're on the, the market 62 00:02:46,055 --> 00:02:48,095 that hinges on Illinois and Wisconsin. 63 00:02:48,915 --> 00:02:51,335 Um, can you tell us about some of the initiatives 64 00:02:51,335 --> 00:02:54,175 or areas of work that have been commanding most 65 00:02:54,175 --> 00:02:56,975 of your energy or attention, SCMO 66 00:02:57,155 --> 00:02:59,405 and Vice President as of late Dr. Shaw? 67 00:03:00,405 --> 00:03:01,975 - Yeah. Uh, as you know, 68 00:03:01,995 --> 00:03:05,255 our healthcare market is emerging out of, you know, uh, 69 00:03:05,275 --> 00:03:06,815 the COVID-19 pandemic. 70 00:03:07,475 --> 00:03:10,975 And as we've emerged out of that pandemic, uh, it's been, 71 00:03:11,315 --> 00:03:12,815 uh, such an interesting journey. 72 00:03:12,935 --> 00:03:15,695 I think we've learned a lot about, uh, you know, 73 00:03:15,695 --> 00:03:19,535 the best place to care, uh, in terms of what is the role 74 00:03:19,595 --> 00:03:21,135 of acute care facilities? 75 00:03:21,635 --> 00:03:24,295 How do we, uh, serve, uh, for the wellness 76 00:03:24,435 --> 00:03:27,015 and wellbeing of all of the communities 77 00:03:27,015 --> 00:03:29,655 that we serve in the surrounding areas, as well 78 00:03:29,655 --> 00:03:32,895 as learning more about the, our, the care model itself. 79 00:03:33,035 --> 00:03:35,895 Is this the ideal model? What can we innovate? 80 00:03:36,115 --> 00:03:38,255 One of the most exciting things that has emerged out 81 00:03:38,255 --> 00:03:41,375 of the healthcare is just the evolution of technology 82 00:03:41,765 --> 00:03:43,335 that could be deployed in healthcare. 83 00:03:43,395 --> 00:03:44,695 So it's been exciting to be, 84 00:03:44,955 --> 00:03:46,615 to being a part of that journey. 85 00:03:46,715 --> 00:03:50,375 It also brings a lot of challenges, uh, key area focus areas 86 00:03:50,375 --> 00:03:51,815 that we continue to work on 87 00:03:52,355 --> 00:03:54,295 at advocate conduct medical centers. 88 00:03:54,485 --> 00:03:57,055 Obviously, first and foremost is the quality 89 00:03:57,115 --> 00:03:59,375 and health outcome for the patients that we serve. 90 00:03:59,795 --> 00:04:02,575 Uh, we wanna make sure that we are the best in terms 91 00:04:02,575 --> 00:04:04,015 of delivering the care model. 92 00:04:04,515 --> 00:04:07,615 We put, uh, us our patients always at the center 93 00:04:07,635 --> 00:04:09,095 of the care model, and make sure 94 00:04:09,095 --> 00:04:11,095 that they're actually getting the highest level of care, 95 00:04:11,495 --> 00:04:14,055 regardless of their background, their ethnicity, 96 00:04:14,055 --> 00:04:15,455 their diversity, or whatever 97 00:04:15,455 --> 00:04:16,735 that may they bring to the table. 98 00:04:17,515 --> 00:04:20,735 Um, our providers have been with us for such a long time, 99 00:04:21,235 --> 00:04:24,175 but continuing to help them grow, emerge outta the pandemic, 100 00:04:24,205 --> 00:04:26,775 support them, uh, with the latest technology 101 00:04:26,835 --> 00:04:30,175 and tools so that we can continue to be the best in class 102 00:04:30,435 --> 00:04:32,255 for delivering the highest quality of care. 103 00:04:33,185 --> 00:04:35,325 At the same time, we also need to balance the quality 104 00:04:35,345 --> 00:04:36,845 of care with safety of care. 105 00:04:37,815 --> 00:04:40,395 And, um, you know, oftentimes that safety 106 00:04:40,495 --> 00:04:43,075 of care may require us to think more broadly 107 00:04:43,175 --> 00:04:46,395 and strategically around some of our efforts, uh, 108 00:04:46,395 --> 00:04:50,755 if our workflows are aligned with the safest outcome as well 109 00:04:50,835 --> 00:04:52,275 as the highest quality outcome. 110 00:04:52,535 --> 00:04:55,315 And it's the balance of those two that always continues 111 00:04:55,315 --> 00:04:57,995 to drive us forward as our mission and our value. 112 00:04:58,295 --> 00:05:00,235 And that's our, you know, part of our operations 113 00:05:00,235 --> 00:05:03,035 and day to day that begins with our morning huddle, uh, 114 00:05:03,035 --> 00:05:04,595 where we connect with our entire team 115 00:05:04,655 --> 00:05:07,355 and talk about all the issues that relate to safety 116 00:05:07,455 --> 00:05:09,635 and quality for the day, as well 117 00:05:09,635 --> 00:05:11,595 as throughout our every single encounter. 118 00:05:11,815 --> 00:05:15,155 Um, and, and, uh, our, uh, department meetings, 119 00:05:15,375 --> 00:05:16,675 et cetera throughout the day 120 00:05:16,675 --> 00:05:19,675 that we really focus on quality and safety of care. 121 00:05:20,285 --> 00:05:22,825 Mm-Hmm, . The second area that is a focus 122 00:05:22,825 --> 00:05:25,105 for us is around technology. 123 00:05:25,245 --> 00:05:29,225 And how do we embrace the exponential growth in technology 124 00:05:29,255 --> 00:05:30,945 that is being seen in healthcare? 125 00:05:31,885 --> 00:05:34,345 Um, what there are many technology 126 00:05:34,455 --> 00:05:36,265 with this exponential growth comes a challenge 127 00:05:36,325 --> 00:05:40,825 of figuring out which pieces really have, uh, 128 00:05:41,035 --> 00:05:43,145 great value for the patients that we serve, 129 00:05:43,565 --> 00:05:45,985 and which pieces have not been proven yet, 130 00:05:46,005 --> 00:05:47,785 and really need a little more experience. 131 00:05:48,245 --> 00:05:51,705 And so navigating through that, um, you know, 132 00:05:51,705 --> 00:05:52,905 looking at our efficiencies 133 00:05:52,965 --> 00:05:55,545 and healthcare delivery, um, you know, 134 00:05:55,545 --> 00:05:58,685 things like incorporation of automation, uh, as far 135 00:05:58,685 --> 00:06:02,285 as technology is concerned, how do we optimize user for EMR? 136 00:06:02,745 --> 00:06:05,685 How do we make sure that we have, have, um, 137 00:06:06,085 --> 00:06:07,765 adequate resources to support some 138 00:06:07,765 --> 00:06:10,045 of the technology framework that we need? 139 00:06:10,305 --> 00:06:14,005 And then because this field of technology is so vast 140 00:06:14,075 --> 00:06:18,325 with many different systems that are no, 141 00:06:18,375 --> 00:06:21,845 don't necessarily work well together, we continue 142 00:06:21,845 --> 00:06:23,525 to look at our manual processes 143 00:06:23,595 --> 00:06:25,205 that connect these systems together, 144 00:06:25,625 --> 00:06:28,565 and how do we, uh, you know, improve the efficiency of that 145 00:06:28,825 --> 00:06:32,205 or create more automation, more, uh, intrinsic connectivity 146 00:06:32,225 --> 00:06:34,085 to drive that forward forward. 147 00:06:34,665 --> 00:06:36,085 So those are some things we look at. 148 00:06:36,105 --> 00:06:38,885 We, we are constantly focused on our value-based care model. 149 00:06:39,265 --> 00:06:40,965 Are we creating the right value 150 00:06:41,025 --> 00:06:42,445 for the communities that we serve? 151 00:06:43,305 --> 00:06:46,885 Are we creating the, the right, uh, opportunities, uh, 152 00:06:46,885 --> 00:06:48,845 and are we making sure that we're, we're, uh, 153 00:06:49,695 --> 00:06:53,205 decreasing the, uh, health disparities in the markets 154 00:06:53,235 --> 00:06:56,325 that we serve, uh, through our value-based care efforts? 155 00:06:57,165 --> 00:06:58,745 How are we doing with our outreach 156 00:06:58,805 --> 00:07:01,665 and making sure that everyone in the counties 157 00:07:01,735 --> 00:07:05,265 that we serve has a fair, uh, chance at, you know, 158 00:07:05,265 --> 00:07:07,345 achieving the best health outcome possible? 159 00:07:08,245 --> 00:07:11,225 Um, the, the fourth area of focus 160 00:07:11,245 --> 00:07:13,745 for us is looking at our staffing and turnover. 161 00:07:14,325 --> 00:07:16,985 I'm sure you all have heard that, uh, staffing 162 00:07:16,985 --> 00:07:18,825 and turnover from a hospital perspective 163 00:07:19,365 --> 00:07:21,985 has been a huge challenge emerging out of the pandemic. 164 00:07:22,335 --> 00:07:25,185 There's been significant burnout from healthcare teams. 165 00:07:25,575 --> 00:07:29,065 There's increasing level of behavioral health needs, um, 166 00:07:29,255 --> 00:07:31,825 even in the medical, uh, care model. 167 00:07:32,885 --> 00:07:36,465 And that has led to a lot of workplace violence and, 168 00:07:36,605 --> 00:07:39,345 and difficulty in the care environment area. 169 00:07:39,565 --> 00:07:42,865 So we continue to work with, um, organizing around that, 170 00:07:42,865 --> 00:07:44,665 providing support to our teammates, 171 00:07:45,005 --> 00:07:47,265 and maybe even thinking about different skill sets 172 00:07:47,265 --> 00:07:49,625 that a lot of our care teams will need 173 00:07:49,625 --> 00:07:52,665 to have going forward, including crisis management, 174 00:07:52,665 --> 00:07:54,865 including thinking about leveraging 175 00:07:54,865 --> 00:07:58,505 and using behavioral health resources more judiciously 176 00:07:58,885 --> 00:08:01,385 and more efficiently, uh, looking at 177 00:08:01,485 --> 00:08:03,425 how do we incorporate behavioral healthcare 178 00:08:03,565 --> 00:08:06,665 and integrate the care model to provide holistic care. 179 00:08:07,245 --> 00:08:09,305 And then last but not least, looking at 180 00:08:09,305 --> 00:08:12,065 what is the optimal place of service for care delivery. 181 00:08:12,605 --> 00:08:15,985 Um, so those are, uh, kind of the things that we're tackling 182 00:08:16,205 --> 00:08:18,545 as part of the staffing and turnover model. 183 00:08:18,925 --> 00:08:21,825 How do we create, um, joy in medicine so 184 00:08:21,825 --> 00:08:24,785 that people enjoy coming to work and healthcare 185 00:08:25,325 --> 00:08:27,105 and not feel like they're burned out from 186 00:08:27,105 --> 00:08:28,185 the demands of healthcare? 187 00:08:29,045 --> 00:08:31,905 One of the great things about, uh, our world today is 188 00:08:31,905 --> 00:08:36,385 that information is so easy to access, uh, through internet 189 00:08:36,405 --> 00:08:38,185 and through multiple resources online. 190 00:08:38,535 --> 00:08:40,305 Some of that information is great, some 191 00:08:40,305 --> 00:08:41,505 of the information is not so great. 192 00:08:41,965 --> 00:08:45,745 Our patients and communities are empowered with a lot of 193 00:08:45,745 --> 00:08:47,105 that mixed information. 194 00:08:47,685 --> 00:08:49,665 And, you know, the new tasks that we have 195 00:08:49,665 --> 00:08:53,185 as healthcare teams is really helping our patients sort out 196 00:08:53,185 --> 00:08:55,365 through that information, really make sense 197 00:08:55,365 --> 00:08:58,525 of what's out there, um, convince them of the science 198 00:08:58,745 --> 00:09:01,485 behind healthcare and the medical knowledge, 199 00:09:01,985 --> 00:09:05,365 and then also continue to advocate for their best interest. 200 00:09:05,905 --> 00:09:08,085 Um, so those are challenges that really are, 201 00:09:08,185 --> 00:09:09,365 are stressing our teams 202 00:09:09,825 --> 00:09:12,165 and continuing to work through how do we support them, 203 00:09:12,225 --> 00:09:15,365 how do we train them, and how do we build the right, uh, 204 00:09:15,685 --> 00:09:17,525 structures around them, um, so 205 00:09:17,525 --> 00:09:20,205 that we can leverage their skillsets to the best 206 00:09:20,205 --> 00:09:22,485 of their ability and really give them the joy 207 00:09:22,485 --> 00:09:23,605 of practicing medicine. 208 00:09:24,105 --> 00:09:25,285 Mm-Hmm. actually, 209 00:09:25,285 --> 00:09:27,445 physician wellness is also part of that. 210 00:09:27,785 --> 00:09:30,285 And looking at how do we, uh, continue 211 00:09:30,285 --> 00:09:31,965 to prevent burnout from physicians? 212 00:09:32,225 --> 00:09:35,565 How do we continue to support our providers, uh, physicians, 213 00:09:36,065 --> 00:09:40,285 our, uh, advanced practice clinicians, our nursing team, um, 214 00:09:40,645 --> 00:09:44,125 everyone so that we have a very healthy work environment. 215 00:09:44,805 --> 00:09:48,365 Everyone works as a team and there's joy in, uh, practice 216 00:09:48,365 --> 00:09:49,405 and delivering of care. 217 00:09:50,675 --> 00:09:53,935 Uh, reimbursement constraints always earned on our mind 218 00:09:53,995 --> 00:09:56,455 as we think about how do we innovate in a space 219 00:09:56,865 --> 00:09:58,775 where reimbursements are tightening up? 220 00:09:59,075 --> 00:10:02,455 You've heard that Medicare, um, is continuing 221 00:10:02,455 --> 00:10:04,895 to push forward with some cuts to providers 222 00:10:04,895 --> 00:10:06,375 and to, uh, facilities. 223 00:10:06,435 --> 00:10:09,215 And so as we look at that model, how do we continue 224 00:10:09,375 --> 00:10:11,335 to look at how do we fund programs 225 00:10:11,335 --> 00:10:13,535 that innovate in the space of 226 00:10:14,055 --> 00:10:16,575 reducing healthcare disparities, creating more, 227 00:10:16,645 --> 00:10:20,855 more health equity, uh, delivering the right care model, uh, 228 00:10:20,855 --> 00:10:22,375 incorporating new technology. 229 00:10:22,475 --> 00:10:23,775 All of that requires investment. 230 00:10:24,435 --> 00:10:26,775 And so thinking through how do we balance that 231 00:10:27,815 --> 00:10:31,535 reimbursement, uh, tightness with continued innovation 232 00:10:32,155 --> 00:10:34,855 is another challenge that we face at the hospital, 233 00:10:35,435 --> 00:10:36,735 but we continue to work through that. 234 00:10:36,795 --> 00:10:37,895 And I think, you know, 235 00:10:37,895 --> 00:10:39,855 the best support we have is continuing 236 00:10:40,035 --> 00:10:41,655 to develop our leadership model, 237 00:10:41,795 --> 00:10:43,335 having support at every level, 238 00:10:43,355 --> 00:10:46,935 and working as a team to navigate through these issues that 239 00:10:47,035 --> 00:10:49,775 as our healthcare markets emerge out of the pandemic 240 00:10:49,875 --> 00:10:52,215 and look at new opportunities to, uh, 241 00:10:52,215 --> 00:10:54,175 deliver care in a more efficient 242 00:10:54,175 --> 00:10:56,375 and more value oriented manner. 243 00:10:57,935 --> 00:11:00,305 - Yeah. Well, Dr. Shyman, you just hit on so much, 244 00:11:00,405 --> 00:11:03,545 and I, I appreciate the, the rich overview you shared there. 245 00:11:03,685 --> 00:11:05,505 You know, when you started your response, 246 00:11:05,605 --> 00:11:08,545 you had made mention of emerging out of covid to 19. 247 00:11:08,685 --> 00:11:11,705 And just for listeners, I mean, we are meeting 248 00:11:11,805 --> 00:11:13,345 and talking, I would say about, 249 00:11:13,345 --> 00:11:14,545 right about the four year mark 250 00:11:14,545 --> 00:11:16,305 of just when things started to really unfold. 251 00:11:16,885 --> 00:11:19,385 And, you know, one thing I would love your perspective on, 252 00:11:19,465 --> 00:11:24,105 I remember 2021, even 2022, a great amount of attention 253 00:11:24,405 --> 00:11:28,985 and curiosity around what types of disruptions would unfold 254 00:11:29,165 --> 00:11:33,425 as people either put off care, delayed care did not go in 255 00:11:33,425 --> 00:11:34,785 for checkups and appointments. 256 00:11:35,485 --> 00:11:36,745 Has that played out to, 257 00:11:36,805 --> 00:11:38,705 to be a big disruption for the system? 258 00:11:38,965 --> 00:11:40,425 Uh, is that something that 259 00:11:40,965 --> 00:11:44,145 the healthcare system was relatively able to absorb 260 00:11:44,325 --> 00:11:46,905 or was it something that just didn't exactly pose 261 00:11:46,965 --> 00:11:50,425 as much disruption as maybe people feared or anticipated? 262 00:11:52,485 --> 00:11:54,665 - And I think great question and, 263 00:11:54,725 --> 00:11:59,025 and I, I, uh, you know, completely, um, agree with, 264 00:11:59,125 --> 00:12:02,425 you know, kind of your sentiment about that, that curiosity, 265 00:12:02,615 --> 00:12:05,545 that, um, sort of anxiety that we had going 266 00:12:05,545 --> 00:12:07,585 through the pandemic in terms of delayed care. 267 00:12:08,045 --> 00:12:09,545 We are seeing little bit of that. 268 00:12:09,545 --> 00:12:10,905 And if you look at this year 269 00:12:11,005 --> 00:12:14,025 and look at the performance of hospitals across the country, 270 00:12:14,725 --> 00:12:17,625 uh, every single hospital in every environment has seen a 271 00:12:17,625 --> 00:12:19,065 significant increase in volume. 272 00:12:19,645 --> 00:12:22,185 And I think part of that volume really comes from 273 00:12:22,615 --> 00:12:25,425 that delayed care that we had seen during the pandemic. 274 00:12:25,805 --> 00:12:28,825 Um, obviously some of the delayed care, especially 275 00:12:28,825 --> 00:12:32,145 with a lot of the chronic conditions, delayed surgeries, 276 00:12:32,645 --> 00:12:34,385 we had an immediate catch up period 277 00:12:34,485 --> 00:12:35,825 as we emerged outta the pandemic. 278 00:12:35,925 --> 00:12:39,985 But we're still recovering a lot from that resurgence of 279 00:12:39,985 --> 00:12:42,945 that delayed care when it comes to chronic condition. 280 00:12:42,985 --> 00:12:45,385 A lot of delayed care led to, uh, 281 00:12:45,405 --> 00:12:46,665 you know, potential complications. 282 00:12:46,675 --> 00:12:50,065 We're seeing some beginning of that right now in terms of 283 00:12:50,125 --> 00:12:52,625 how do we catch people up with their health and wellness? 284 00:12:53,085 --> 00:12:56,225 How do we get them caught up with all of the procedures, uh, 285 00:12:56,245 --> 00:12:57,905 you know, that were put off during that time. 286 00:12:58,405 --> 00:12:59,705 Uh, to give you one example, 287 00:12:59,795 --> 00:13:02,425 we're seeing a significant increase in surgical volumes at, 288 00:13:02,685 --> 00:13:04,305 uh, advocate Condo Medical Center. 289 00:13:04,365 --> 00:13:07,345 And part of that increase in volume is related 290 00:13:07,525 --> 00:13:08,945 to elective procedures. 291 00:13:09,365 --> 00:13:11,785 And these were procedures that truly were put off 292 00:13:11,785 --> 00:13:12,825 for the last two, three years. 293 00:13:13,285 --> 00:13:15,345 Uh, as people were unsure about the safety 294 00:13:15,365 --> 00:13:17,785 of these procedures, they were unsure about the safety 295 00:13:17,845 --> 00:13:19,465 of the environment in the hospital, 296 00:13:20,045 --> 00:13:21,505 and they, you know, continue 297 00:13:21,505 --> 00:13:23,025 to question, do I really need it? 298 00:13:23,405 --> 00:13:27,265 And I think now it's coming to the point where we are, 299 00:13:27,395 --> 00:13:31,025 we're comfortable with, you know, uh, the emerging out 300 00:13:31,025 --> 00:13:32,065 of COVID-19 and, 301 00:13:32,285 --> 00:13:35,185 and really reassuring ourself, uh, to return back 302 00:13:35,185 --> 00:13:37,945 to the normalcy that we had prior to 2019. 303 00:13:38,085 --> 00:13:43,005 And so I think, um, we, we are seeing, uh, you know, 304 00:13:43,325 --> 00:13:46,845 a tail effect of that, um, emergence and, 305 00:13:46,845 --> 00:13:49,165 and then I think there's gonna be a second wave of 306 00:13:49,165 --> 00:13:51,245 that effect, which is gonna be part of 307 00:13:51,245 --> 00:13:52,725 that delayed screening and care. 308 00:13:53,305 --> 00:13:55,845 Um, and we're hoping to catch a lot of people up 309 00:13:55,845 --> 00:13:59,205 with those screenings so that we can continue to be ahead 310 00:13:59,205 --> 00:14:01,965 of this trend and, you know, protect people and, 311 00:14:02,065 --> 00:14:03,165 and their health and wellness. 312 00:14:03,795 --> 00:14:05,325 I'll give you one example of that. 313 00:14:06,525 --> 00:14:10,785 We have almost increased our colonoscopy screening volumes 314 00:14:10,805 --> 00:14:13,225 by 150% at the hospital. 315 00:14:13,965 --> 00:14:15,865 And part of that was the delayed care 316 00:14:15,865 --> 00:14:17,105 that we had for a couple of years. 317 00:14:17,655 --> 00:14:19,185 There's also been more increasing, 318 00:14:19,235 --> 00:14:22,345 we're finding in our communities of health awareness where, 319 00:14:22,605 --> 00:14:24,705 uh, there may have been reluctance 320 00:14:24,805 --> 00:14:26,825 to pursue these procedures, 321 00:14:27,205 --> 00:14:30,505 but the vulnerability in our health really was, you know, 322 00:14:30,565 --> 00:14:31,985 was highlighted during the pandemic. 323 00:14:32,085 --> 00:14:36,145 And so there's lot more, um, eagerness to, uh, pro, 324 00:14:36,145 --> 00:14:38,185 you know, take advantage of preventative services 325 00:14:38,525 --> 00:14:41,105 and making sure that the preventative screenings are done. 326 00:14:41,205 --> 00:14:44,865 So I, I feel like there is that emergence back out 327 00:14:45,005 --> 00:14:48,465 and some of the positive effects of, of pandemic are driving 328 00:14:48,975 --> 00:14:49,985 sort of that, uh, 329 00:14:50,075 --> 00:14:53,405 increasing demand in healthcare services. Mm 330 00:14:53,465 --> 00:14:54,465 - Mm-Hmm. 331 00:14:54,465 --> 00:14:56,365 , I, I appreciate you speaking to that 332 00:14:56,365 --> 00:14:58,925 because it's been something that we, we know it's, 333 00:14:58,965 --> 00:15:00,125 I imagine it's difficult 334 00:15:00,125 --> 00:15:03,165 to suss out exactly when there's changes in volume like 335 00:15:03,165 --> 00:15:05,445 that, exactly what the origins or causes are. 336 00:15:05,585 --> 00:15:06,845 But I was curious 337 00:15:07,165 --> 00:15:08,405 'cause I I think too, part 338 00:15:08,405 --> 00:15:09,925 of it's not all on patients, right? 339 00:15:09,955 --> 00:15:11,525 It's like if they are trying to resume care, 340 00:15:11,705 --> 00:15:13,005 access is also part of it. 341 00:15:13,385 --> 00:15:15,645 Um, and ensuring that it can be seen in a timely fashion. 342 00:15:16,875 --> 00:15:18,175 - You bring up a very good point. 343 00:15:18,235 --> 00:15:20,255 That's the next challenge that we have, right? 344 00:15:20,435 --> 00:15:23,175 And, um, you can imagine that, you know, 345 00:15:23,175 --> 00:15:25,175 strategically thinking through this is 346 00:15:25,195 --> 00:15:26,215 so critically important. 347 00:15:26,835 --> 00:15:28,895 How sustainable is this model? 348 00:15:28,995 --> 00:15:31,615 Is this a transient demand that is going 349 00:15:31,615 --> 00:15:32,975 to subside at some point? 350 00:15:33,475 --> 00:15:36,015 Uh, and then we need to really think strategically about 351 00:15:36,115 --> 00:15:39,295 how do we create more flexibility in our healthcare model. 352 00:15:39,795 --> 00:15:41,495 Um, uh, you know, in United States, 353 00:15:41,495 --> 00:15:43,175 especially in this country, we are 354 00:15:43,195 --> 00:15:45,415 so rigid in our healthcare approach, right? 355 00:15:45,915 --> 00:15:47,255 For acute care needs. 356 00:15:47,435 --> 00:15:49,775 We, we always look at hospital being the environment. 357 00:15:50,075 --> 00:15:51,495 If you need any procedures. 358 00:15:51,955 --> 00:15:53,535 Um, still majority 359 00:15:53,555 --> 00:15:56,295 of procedures are done in the inpatient hospital setting. 360 00:15:56,675 --> 00:15:59,815 Uh, we, we don't utilize the ambulatory surgery centers 361 00:16:00,075 --> 00:16:03,375 or, uh, office-based procedures as quickly 362 00:16:03,555 --> 00:16:05,015 and as readily as we should. 363 00:16:05,275 --> 00:16:08,255 And so I think part of this is that we, we have such 364 00:16:08,895 --> 00:16:11,175 rigidity in our, uh, care delivery. 365 00:16:11,755 --> 00:16:14,415 Um, and one of the things that the pandemic has taught us is 366 00:16:14,415 --> 00:16:17,295 that we really need to be a lot more flexible in terms of 367 00:16:17,315 --> 00:16:18,335 how we deliver care. 368 00:16:18,365 --> 00:16:19,695 What do we think about our care model? 369 00:16:20,205 --> 00:16:22,175 What, what else can we incorporate 370 00:16:22,175 --> 00:16:23,855 and how can we leverage technology 371 00:16:24,395 --> 00:16:26,815 to create this flexibility going forward? 372 00:16:26,955 --> 00:16:29,455 And so I think it's one of the active parts of discussion 373 00:16:29,455 --> 00:16:31,495 that we have every day, which is really thinking 374 00:16:31,495 --> 00:16:33,535 through what's our strategic approach? 375 00:16:33,675 --> 00:16:36,335 How do we manage the demand and access to care 376 00:16:36,715 --> 00:16:39,895 and making sure that, um, with this increasing demand, 377 00:16:40,115 --> 00:16:44,335 we don't push on, uh, continued health disparity, right? 378 00:16:44,355 --> 00:16:47,135 We are, we are providing equitable care to everybody 379 00:16:47,595 --> 00:16:50,135 and then we're creating equal access for everybody 380 00:16:50,325 --> 00:16:53,375 that we're not disadvantaging one community over another. 381 00:16:53,835 --> 00:16:57,015 Um, so that is a constant vigilance that we need to have. 382 00:16:57,395 --> 00:17:01,415 And at the same time, what do we do when, you know, 383 00:17:01,415 --> 00:17:03,895 the demand may not be there if it goes up and down. 384 00:17:04,315 --> 00:17:07,615 Uh, I know we invest a lot in creating new resources. 385 00:17:08,155 --> 00:17:10,055 How do we funnel those resources 386 00:17:10,115 --> 00:17:11,895 to something more efficient down the 387 00:17:11,895 --> 00:17:13,175 road, if that is needed? 388 00:17:13,275 --> 00:17:15,535 And building that right off the bat is critically important 389 00:17:15,875 --> 00:17:17,975 to, to being that flexible in the future. 390 00:17:19,395 --> 00:17:22,455 - Mm-Hmm. , Dr. Mike Shaw, vice President 391 00:17:22,455 --> 00:17:25,055 and CMO with Advocate Condo Medical Center. 392 00:17:25,215 --> 00:17:28,215 I mean, you surely have given us a very helpful overview 393 00:17:28,215 --> 00:17:30,215 of the work behind us and the work still in front 394 00:17:30,315 --> 00:17:33,695 of other CMOs like you and their, and their executive teams. 395 00:17:34,235 --> 00:17:36,175 Is there anything else you wanted to add in closing 396 00:17:36,235 --> 00:17:37,375 for our listeners today? 397 00:17:38,605 --> 00:17:40,635 - Molly, thank you so much for this opportunity. 398 00:17:40,875 --> 00:17:42,275 I just wanna say that this is an 399 00:17:42,475 --> 00:17:43,515 exciting time in healthcare. 400 00:17:44,015 --> 00:17:46,515 Uh, we are going through some very big 401 00:17:46,515 --> 00:17:47,915 changes in the next decade. 402 00:17:48,205 --> 00:17:50,485 Healthcare delivery will be transformed 403 00:17:51,465 --> 00:17:53,845 in such a meaningful way for all of us. 404 00:17:54,225 --> 00:17:56,525 And I think it's in our, all of our best interests 405 00:17:56,525 --> 00:17:59,405 to stay on top of the trends in the market, as well 406 00:17:59,405 --> 00:18:01,125 as continue to contribute to the best 407 00:18:01,125 --> 00:18:03,445 of our ability in navigating through this change 408 00:18:03,705 --> 00:18:06,485 and also creating a better future for all of us. 409 00:18:07,065 --> 00:18:08,965 So I hope to be part of this journey. 410 00:18:09,305 --> 00:18:11,445 And again, thank you so much for the opportunity 411 00:18:11,545 --> 00:18:12,605 to be part of the podcast. 412 00:18:13,775 --> 00:18:14,885 - Thank you for your leadership 413 00:18:14,905 --> 00:18:17,005 and your active participation, Dr. Shah. 414 00:18:17,455 --> 00:18:17,885 - Thank you.