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Hello, and welcome to the Becker's Health Care

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podcast.

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I'm Elizabeth Gregersen, a reporter here at Becker's,

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and I'm thrilled to interview doctor Wayne Franklin,

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senior vice president of the Heart and Lung

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Center at Children's National Hospital on the podcast

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today.

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Doctor Franklin, thank you so much for joining

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me. I'm very excited to chat as we've

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connected before

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when I was lucky enough to share some

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of your leadership strategies with our cardiology report

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newsletter audience.

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Before we dive in, could you introduce yourself

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and tell us a bit about your background?

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Sure. Thanks for having me, Elizabeth. So I'm

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Wayne Franklin. I served as the senior vice

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president of the Heart and Lung Center here

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at Children's National Hospital in Washington, DC,

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our nation's capital.

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I

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started this role in June

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2024.

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So I've been here for a little over

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a year here in DC.

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And before this, I was,

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the codirect of the heart center at Phoenix

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Children's in Phoenix, Arizona

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for five years. And before that, I was,

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a faculty cardiologist at Texas Children's and Baylor

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College of Medicine in Houston,

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Texas for, for seventeen years, so a long

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time. But in my role now as senior

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vice president, I oversee all things heart and

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lung at our hospital.

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So that is cardiology,

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cardiac anesthesia, cardiac surgery,

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cardiac ICU, and pulmonary and sleep medicine. And

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we also do heart and lung transplants, so

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that falls under my center as well.

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Perfect. Thank you so much for for setting

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that up for us.

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So our audience, you know, is full of

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hospital and health system leaders. Some of them

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touch cardiology.

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Some are, you know, in other areas.

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I'd love to get your insight

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on what you feel are the top three

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biggest issues

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in cardiology today that you think the Becker's

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audience

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should be aware of.

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Sure. So I I think there's three distinct

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ones, and then they're all different areas. So

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I think the first one is workforce.

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I think we as cardiovascular care professionals,

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are facing a a serious workforce

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challenge in the next ten years. And

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by 2035,

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some studies have estimated that we'll be short

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about 8,000 cardiologists.

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And if you don't plan properly, that could

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increase to 12,000.

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Think about how many people and how many

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lives those 12,000 cardiologists can impact. So I

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think it's really important for us to plan

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on ways that we could continue this workforce.

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Many of our older cardiologists

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are retiring, and we're not producing enough, you

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know, younger cardiology fellows to offset those workforce

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reduction. So I think we need to do

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put some things in motion,

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for making training more accessible to removing barriers

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to enter the field to even streamlining

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the certification, recertification

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process and work on some of these ways

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that can help impact the projected

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workforce shortage. Next, you almost can't have a

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podcast without talking about AI, artificial intelligence. Right?

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So I think that that is also an

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exciting,

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area that is set to revolutionize

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cardiovascular care and health care overall.

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I think, there are so much data published

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essentially every day that it's almost impossible

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for a doctor, a clinician to keep up

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with the most current practices.

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And by using AI enabled tools,

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we should be able to harness some of

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these data

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and therapeutic recommendations

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and and hopefully develop

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algorithms that can

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sort of suggest therapies and and management plans

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for almost any disease.

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If you look at cardiovascular imaging itself, you

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know, there's a ton of things we do

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for imaging.

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And what we need to do is use

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AI to hopefully streamline,

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the interpretation, maybe even provide a a preliminary

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read, and that can help a lot of

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the the cardiovascular imagers.

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And then you as I like to say,

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the mundane and simple things, the the things

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that aren't very sexy like note writing and

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billing

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can be impacted with AI. The idea of

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ambient listening where,

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a a a bot can listen to,

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an encounter between a doctor and a patient.

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It can generate a note, and some technology

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is even out there that can suggest what,

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billing or or coding options would be available

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is is huge. And that can really impact

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of what we call the jammer time, which

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is that time spent kind of after hours

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and on weekends,

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you know, doing documentation

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and and charting. I know a lot of

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doctors,

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you know, we sort of dread that, but

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it's part of the part of the process

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now.

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I think that'll help with burnout. The last

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thing I would say, and then I'll go

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it on a limb here,

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is the impact of,

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of private equity.

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I think,

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honestly, these private equity companies are are threat

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to health care.

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I think, a lot of times these companies

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are just all about making a profit, and

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they don't necessarily

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give a real thought or impact to quality.

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And so that can reflect poorly on the

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physician and that can lead to to, you

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know, worse patient outcomes. And so I think

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we need to be really,

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really aware that this is happening. A lot

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of big private equity firms are are buying

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physician practices

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and a lot of times cardiology practices because

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they tend to to make a lot of

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money.

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And I think that's part of the issue.

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And so, you know, they come along with

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these big incentives that buy out. And after

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three to five years, though, doctors aren't left

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with very much.

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And, anyway, I know it's a controversial topic,

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but I think that, it's not really the

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right model for modern health care.

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Thank you so much. I think, you know,

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the workforce,

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AI, and private equity, those are, you know,

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three topics that we see come up almost

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daily in our coverage across all specialties,

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across, you know, our finance line. So,

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I appreciate you kind of

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letting us speak behind the curtain and seeing

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how all those, you know,

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topics are are affecting cardiology today.

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I'd love to know

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how you see

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heart care evolving

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over the next year, eighteen months?

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You touched on a little bit with AI,

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but are there any kind of events on

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the horizon

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that perhaps we should be preparing for?

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Yeah. That's a good question. You know, I

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think

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to to address this AI topic again, I

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think it's really a a great time

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to to look forward to the future of

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of cardiovascular care and cardiology. If you just

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look at the basic things like ambient listening,

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that can, you know,

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translate a a note for us. So but

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it's done by the time we get out

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of the room.

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Chart review and scanning. Right? So it can

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really just digest the whole long

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chart and and come up with some short

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paragraphs that can summarize all of the imper

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pertinent data.

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I think to our revenue cycle folks,

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I think, you know, the idea of a

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software that can suggest billing and coding, that's

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another,

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big thing that that we,

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sort of need help with. And I was

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just in meeting today,

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about,

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prior authorization and and medication denials and procedure

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denials. Again, these are basic

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business of medicine things

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that, you know, we as doctors may not

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really think about but are so important as

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you know for hospital,

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financials and and for hospital leaders. And if

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we could automate a lot of that and

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decrease the administrative burden but also become more

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effective at it, I think that would really

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that's really where we need to go. And

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there's so many

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start ups and companies out there that are

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investing in this and developing products. I think

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it's an exciting time, and we're really really

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gonna see a lot of these come come

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through in the next year or two.

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Yeah. Yeah. You're echoing a lot of things

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that we hear where, you know, there's just

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so many companies that are are getting their

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foot in the door and so many solutions

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that are popping up. So I think that's

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definitely something we'll be seeing, like I said,

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in the next year, eighteen months of which

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ones are still working and which ones, you

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know,

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are actually moving the needle for for hospitals.

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I guess keeping that forward momentum,

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what are you excited about

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today when you think about the future of

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cardiology?

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And, you know, candidly,

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are there any aspects that

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maybe make you feel nervous when you think

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about the future?

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Yeah. You know, I tend to be an

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optimist. So I'm gonna start, with the nervous

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part, and I'll end with the exciting part

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so we can end on a high note.

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Things that make me, yeah, things that make

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me nervous,

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are are really honestly the public's perception

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of health care.

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And even though I live and work in

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Washington, DC, I won't get too political,

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but I think it is really

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incumbent on the physicians and the scientists to

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lead the way regarding public health recommendations

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and direct patient care. You know, I think

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we need more humanism in medicine.

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I remember when I was in medical school,

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UCLA,

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we would learn about the science of medicine.

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We'd also learn about the art of medicine.

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And when I think about the art of

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medicine, I think we now call this care

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delivery. Right? How do we foster and manage

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the doctor patient relationship?

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And I think it'll be really important as

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a lot of changes are happening that, we

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use evidence based medicine delivered in a humanistic

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approach

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where the patients and families can trust us.

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So I think that's what makes me nervous

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is that we really have to, you know,

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drill down to the the way care delivered

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on a on a, you know,

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provider to

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patient level in order to really

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engender trust and to move forward together.

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What am I excited about?

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There's a lot of things that excite me.

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I think it's a great time to be

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in health care and as a physician.

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I think modern technology, again, with the idea

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of artificial intelligence or so called augmented intelligence

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as one of my doctor friends calls it,

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I think we're on the precipice of really

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making huge impacts in how we care for

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patients and how we deliver care.

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I think things like telemedicine

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and remote monitoring,

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wearable technology,

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I think we have such a large amount

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of data

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and, that we can use it at our

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fingertips. But the challenge for us as providers

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and as clinicians is how to harness these

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data

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and really how to translate that into better

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health outcomes for patients.

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But, you know, I don't want to say

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that's the fun part of being a doctor

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is to be able to use these data

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and science in really an innovative way to

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benefit patients.

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That's what drives me,

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and that's why I'm excited,

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to wake up and to come to work

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every day here at Children's National.

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Amazing. Yeah. I think that's such a great

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point. I never really thought about it that

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way before, but hearing you talk, it's kind

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of like, you know, even a few years

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ago,

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we would have or health care leaders would

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have been desperate for the amount of data

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that they have today. And but now we've

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got the data, and it's now figure taking

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that next step of figuring out, like you

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said, how to harness it. I think that's

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I think that's super exciting as well, so

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I'm glad to hear,

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it excites you.

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That's all the time we have today. So

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I just wanna thank you again for joining

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me on the podcast.

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I really feel like it's been a great

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informative discussion,

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and

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I just wanna thank you again for sharing

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your time and your insights.

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Well, great. Thank you so much, Elizabeth. Thanks

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for having me, and I wish you guys

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have a good day.

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Absolutely. And I invite all of our listeners

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to tune in to more podcasts from Becker's

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Healthcare

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by visiting our podcast page at beckershospitalreview.com.

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Thank you again, doctor Franklin, for your time,

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and I hope everyone has a great rest

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of your day.

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At athenahealth, we know your ambulatory practice wants

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healthier,

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a healthier business, healthier care teams, and healthier

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patients.

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But the complexities of modern health care tech

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make it hard for you and your care

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teams to focus on what matters most.

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