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This is Laura Dirda with the Becker's Healthcare

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Podcast. I'm thrilled to be joined by doctor

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Neil Tanna, senior vice president of system preoperative

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services and strategy at Northwell Health. Doctor Tanna,

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it's a pleasure to have you on the

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podcast today.

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It's great to be here.

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Absolutely. Now I'm excited for our conversation because

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I know at Northwell, you're doing some really

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innovative things. So we'll dig into that a

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little bit and then your perspective on how

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you're thinking about the future. But before we

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dive in, can you tell us a little

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bit more about yourself as well as

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Yeah. So, you know, I am a a

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practicing surgeon. My specialty is, you know, plastic

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surgery. I think that's important because, you know,

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you have to lead by example. I mean,

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that's really, really important in anything we do.

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And, you know, within the domain that I'm

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in,

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it's,

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you know, looking at the perioperative space, so

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the operating rooms.

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And we're a large health care system.

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You know, we are,

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in in the entire you know, in the

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Northeast Region, and we span, you know, various

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practice sites, various disciplines, various geographies.

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And, it's an exciting time.

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I love that. And, you know,

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as it is a very exciting time, a

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lot happening in health care space today and,

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you know, really truly evolving more quickly than

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ever before. So what are some of the

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trends that you're currently watching? What's top of

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mind for you as you think about where

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you're at today as well as where

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Yeah. So I it's interesting. This is one

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of those few times,

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in

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in

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history,

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that

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all disciplines

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are facing the same,

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disruptive innovations.

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And that that's artificial intelligence. So that is

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first and foremost.

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And how do we incorporate artificial

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intelligence?

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You know, how do we leverage it

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to improve our efficiency,

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to reduce workload, to improve outcomes, whatever those

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may be?

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And and unfortunately, there's a lot of noise.

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Right? So it's it's trying to decipher

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what is

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real and what's not real, what is going

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to be a benefit, what is not gonna

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be a benefit.

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It's it's incredible. And then you've got some

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major players,

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tech players,

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that I think we're gonna see some exciting

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things from as well.

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So so I would say artificial intelligence,

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is gonna be a potential game changer.

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I love that. I I think that makes

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a lot of sense. And, you know, when

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you think about AI, there's so much potential

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right now, but I I know also some

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anxiety around it too just because a lot

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is unknown about AI and and how it

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could work in the health care space. And

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so at Northwell,

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what are some of the ways that you

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are using AI? How are you thinking about

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it, especially in the clinical space? And, you

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know, what are you excited about as well

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as what makes you nervous?

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Yeah. I think I think anytime you're dealing

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with,

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you know, protected health information,

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and technology, it can be a little,

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you know, scary or, you know, you have

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to proceed cautiously. And then, you know, at

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the end of the day,

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you know, what AI doesn't give you is

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accountability. Right? And that that can be also

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a source of

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fear or anxiety.

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You know, we're you we're utilizing it in

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various clinical spaces, you know, ambient listening, you

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know, with artificial intelligence, helping our clinicians,

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you know, helping our providers

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effectively

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document their encounters with patients,

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reducing the workload,

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better notes,

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you know, essentially

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eliminating

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the cost and overhead of a scribe,

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or,

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you know, the cumbersome nature of of some

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of that documentation.

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So that's just one area.

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I think that there's other,

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you know, areas on the horizon.

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You know? For example, in my space, in

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the perioperative space,

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you know, I think what's gonna be great

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is that

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you know, just imagine

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how great the aviation industry is in terms

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of, you know, a plane taking off, the

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next plane coming to the gate, the next

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plane going, you know, and and it being

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very

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pretty close.

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You know, I know for the for the

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avid flyers, you may have stories or or

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harsh words of flights being delayed and whatnot,

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but it is much more accurate than we

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are in the operating room. So now imagine

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using AI to understand,

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you know, patient factors

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that and and be better able to

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understand what the length of the surgery is

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gonna be, which will then translate into more

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efficient, you know, operating room time or,

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you know, better utilization. So I think, you

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know, these are

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on the horizon

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potential applications,

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that, you know, will will change the destiny

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of health care.

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That's really exciting to hear, and it definitely

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will be a lot of,

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fun to see. How certainly, obviously, some challenges

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to work through, but at the end of

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the day, makes, you know, the the health

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care experience better. Now could you tell me

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a little bit about a project or initiative

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you're most proud of from the last six

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to eighteen months or so? What did you

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do, and what were the result?

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Yes. You know, one of the areas in

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a large,

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integrated

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health care system is to consider the site

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of surgery.

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And, you know, not all surgeries have to

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be done

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at the same place. Right? And so, you

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know, creating

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brand identity, creating a program that's

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what a patient wants is sometimes beneficial.

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You know, and that's that's also beneficial in

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terms of, you know, outpatient versus inpatient surgery.

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So something that, you know, I'm proud of

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personally is a, you know, a program that

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we we created at Northwell, you know, called

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the Katz Women Surgery Center, and it's a

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program designed

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specifically for women who are having

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breast surgery or GYN surgery. And it really

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encompasses

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not just great clinical outcomes by providing clinical

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expertise, but it integrates that care, right? So

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a woman is able to have

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her breast surgery, GYN surgery done at the

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same time. It provides psychosocial

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services.

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It really allows for a woman to understand

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the operation,

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understand what that means for her in terms

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of intimacy and what that means for, you

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know, how do I tell my coworkers or,

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you know, what ancillary services and and they

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also integrate nonsurgical

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specialties, you know, like a woman who's, you

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know, having her ovaries removed. What does that

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mean in terms of fertility or menopause, right?

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So looking at

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the full spectrum

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of patient care through the lens of a

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program or the lens of a problem instead

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of, you know, we're taking care of that

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entire woman instead of just a body part.

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So I think that that's something that just

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resonates in the last twelve to eighteen months

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is to see

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how we can create a successful

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program

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and look at it,

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through, you know, various aspects, not just clinical

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outcomes, but philanthropy, marketing, patient access, patient experience,

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etcetera.

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So, it's exciting. It's very exciting.

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That's amazing to hear. You know, I haven't,

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really had a conversation,

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about, that in the past. I haven't heard

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of other organizations that are doing it similarly,

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but,

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that's really cool and seems to make a

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lot of sense to bring together so many

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different aspects of how the health system runs

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in in the business in addition to the

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clinical side.

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I'm curious. Was there anything, I guess, surprising

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that you've,

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uncovered or learned throughout the process of standing

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up standing this up that would, be helpful

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or interesting for our listeners who might wanna

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try something like this at their own organizations

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to know about?

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Yeah. I think, you know, what is key

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is stakeholder engagement.

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And so what that means is

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you,

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you know, quite, you know, quite often, you

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you have an idea inception,

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and you bring a group of people to

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the table.

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And you put the,

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you know, pen to paper and you and

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you write out the idea. The key, though,

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is to understand that

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to make it truly successful, you have to

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have the buy in from all stakeholders.

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And if you leave someone out

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and you try to bring them on secondarily,

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then then the the the plan is flawed

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from the beginning. So what we learned is

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it's better to have those conversations,

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leverage those relationships.

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And in the idea, the inception,

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the the the the beginning

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to bring those stakeholders

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together,

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and they don't all have to be in

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one meeting at one time point, but but

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definitely have those series of meetings. You know,

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think about every single stakeholder and and even

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things like the community.

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Right? Because, you know, health care is about

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delivering

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care to patients, the people in the community.

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And sometimes

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if we just

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design a program or a plan or an

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initiative

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with the stakeholders in the room, in the

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in the building, in the in the health

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care system, we may fail. You know? So

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that's just even even that was surprising. It's

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like, you know, we sometimes have to bring

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the community,

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stakeholders into into the room. So I would

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say,

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what was very surprising or what was very

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telling and and it's quite intuitive in retrospect

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is that bring all the stakeholders to the

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table and think hard, think twice,

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and really make sure you've gotten every single

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stakeholder. Otherwise, the plan is flawed.

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That's such good advice, and it's so, so

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helpful,

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to to to really make sure something like

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this is,

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is successful in the future.

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Is there anything else you're most focused on

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or excited about when you think about the

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future? Where do you, really see some of

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these, additional initiatives? I know you mentioned going

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outpatients,

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side of surgery,

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huge, huge topic across the board. And so,

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anything else along those lines that you're focused

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on and excited about when you look into

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the next twelve months or so?

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I think data. I think data is gonna

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be really, really key. I mean, we are

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in an era. Just forget about even medicine

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or or health care. I mean, you know,

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you ask an athlete or or, you know,

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any sports industry, you know, performance data, they

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can rattle it off. You know, you we

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can we can rattle it off about

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athletes.

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Look at even wearables. Right?

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We can tell how much we slept, what's

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our heart rate, how many steps we've had.

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I I think that same

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continuous,

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easy to access,

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reliable

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data

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is really what is going to shape

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the decisions

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and the

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outcomes that we,

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you know, make in in health care. So

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I think,

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and it's gotta be continuous. It has to

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be accurate, and it has to be easy

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to obtain.

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Those are really the key elements that I

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think

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are are what we need and and what

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I'm excited for in the next twelve months.

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That makes a lot of sense. So really,

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cool to have that data and then the

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AI alongside of it makes a difference. Now

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before we wrap up, I'm curious, what advice

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would you give evolving leaders today, especially those

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who are, trying to elevate in their careers

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and really, put themselves into positions to make

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a big difference within their organizations?

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I think,

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you know, two things. I think,

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you know, data, technology,

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artificial intelligence,

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those are all,

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they augment

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the strategy, the thinking.

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I would say that, you know, don't forget

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relationships. Right? It's it really is,

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you know, the data,

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technology and artificial intelligence

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supporting the relationships. Right? And that's that's something

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that's really, really important.

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You know, and if you're approaching a group,

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approaching an individual, you know, and you bring

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data, don't forget it's the relationship that's,

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you know, behind that data or in front

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of that data that's gonna really,

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help achieve those objectives and shared goals.

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And then I would say probably the other

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thing is,

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and this is a very hard one, is

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just learn to love the gray. Learn to

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love the ambiguity. Right? And I think the

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mind is,

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especially in this era with

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the readily available data, you know, and, you

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know, the on demand, anything you want, whether

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it's it's car service, food, you know, I

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think sometimes we have to, in health care,

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understand that there is gonna be ambiguity, and

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there is gonna be gray. And it may

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not be a yes or no today,

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and maybe a maybe. And and we have

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to learn to accept that and be comfortable

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with that.

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That makes a ton of sense.

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Doctor Tanner, thank you so much for joining

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us on our podcast today. This has been

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such a valuable conversation. I think, you know,

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you made so many excellent points in terms

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of looking at technology.

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I think, you know, really,

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it's integrating into the workflows today and how

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we're,

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elevating care within the whole organization in community

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as well. So I appreciate your time today.

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It's been exciting to speak with you, and

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I look forward to seeing you as well

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at our periapse summit coming up in September.

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I think it's gonna be a lot of

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fun speaking.

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We'll continue this conversation there.

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Looking forward to it, and thank you for

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having me.