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This is Chris Sosa with the
Becker's Healthcare Podcast.

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I'm thrilled today to
be joined by Ryan ta,

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ed d Vice President of Technology and
Innovation at Children's Hospital and

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Medical Center in Omaha. Ryan,
thank you for joining us today.

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Oh, thanks for having
me. Great to be here.

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Ryan,

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could you please introduce yourself and
tell us a bit about your background?

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Yeah, I'd be happy to. You know,
um, I'm brand new to healthcare and,

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uh, my background is, is a little jumbled,

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but I've always been around
technology and, and really have a,

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a passion for creating
positive social change, uh,

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applying technology to a variety
of different things. Years ago, I,

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I had this dream and aspiration that
I was gonna direct music videos for a

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living. Um, and that journey didn't
quite pan out, and I ended up, uh,

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going into to education and using
a lot of computers along the way.

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Eventually you get to a point where, uh,

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people ask you to kind
of lead that endeavor,

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and I've been lucky and
fortunate enough to be given the,

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the vote of confidence to,

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to be kind of an IT manager and
leader for many years. Uh, before I,

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I joined the healthcare organization
here at Children's Hospital and Medical

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Center. I worked for an artificial
intelligence startup, uh, called IV ai,

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and then previous to that I was with
Creighton University, go j's, um,

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and worked in their IT leadership there.

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What do you think was the catalyst to
go from someone who wanted to do music

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videos to transition into healthcare.

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<Laugh>? Wow, that's an
awesome question. Um, you know,

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I've always been fascinated with, with
what technology can do, and, you know,

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it, it's one of these incredible tools
that can be a source of empowerment,

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but it can also be a, a source of, of
heartache and, and complexity too, if,

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if it's not applied well. So
wh when I look at it, I, I,

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I look at it as something that really,
truly can be magical. And whether you're,

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you're directing a, a music video and
using that to, to tell a story or,

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or evoke a certain emotion,

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or whether you're using that technology
to help a patient or a patient family,

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um, have a better care experience or
a better day, fundamentally, they're,

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they're more or less the,

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the same kind of applications of
technology in those universes. Um,

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I love Omaha, Nebraska. I, I love
this community. It's, it's been a,

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a wonderful place to,

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to live and to grow and to
have the opportunity to kind of

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contribute to that, uh, through
children's hospital is something I,

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I really couldn't pass up. So I,
I've been really fortunate, uh,

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even though I've got kind of
that unusual background, uh,

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to be given a vote of
confidence to work in my role.

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Well,

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I have to understand and think that
having an attitude of such positivity

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toward technology, which
can be a bit confusing,

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certainly is very helpful. What are top
priorities in your role at this time?

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Wow. Hey, you know, it's funny
you ask that because, uh,

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sometimes people feel like everything
is a priority, right? It's,

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it's always priority one, <laugh> <laugh>.

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So for us at Children's Hospital
and Medical Center, it's,

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it's really about growth over
the next couple of years.

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So I would say maybe two
things come to mind. First,

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a lot of our priorities are, are
always focused on maintaining the,

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the highest quality of care. And, uh,

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we always want to do that as we
continue to, to work hard and make our,

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all of our services as accessible
as possible for everyone.

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And we provide services
not just in Omaha, uh,

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but throughout Nebraska and for
our neighboring states as well.

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So reaching out to those
rural communities, uh,

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really leaning on telehealth,

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digital health and those technologies
is super important. We're always,

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always asking ourselves, how can we be
1% better tomorrow than we are today?

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So, you know, what you would
call iterative innovation, uh,

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is something we're always focused on and,

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and I feel like we're really
great at this as an organization.

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The second thing that comes to mind
is an area of, of growth for us,

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and I think it's an area of growth
for many pediatric hospitals,

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and that's what I would call kind of
the, the moonshot effort. You know, the,

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the really advanced innovation
things are disruptive innovation,

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and those efforts are really
needed in pediatric healthcare.

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Um, the statistics that pop out that
really kinda shock people is, you know,

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around 20% right now, between 20 and 22%,

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depending on the
statistic you look at, uh,

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of the patient population in the US today
falls under the realm of pediatrics,

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yet, uh,

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2% or less of investment dollars
that are going into healthcare

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startups are focused on pediatrics.

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So that creates an incredible
gap on, you know, the,

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the innovations that we really need
to help all of our patients, you know,

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from the, the simple checkups and
physicals all the way to, you know,

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high acuity and, and
medically complex things.

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And so what we're doing is we're
bootstrapping all of that on our own,

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and we're doing that really through
partnership and working with a lot

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of, um, the folks in our
community. And I'll tell you the,

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the community in Nebraska, in our region,
it's unparalleled to other regions.

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Uh, we're very, very
fortunate that, you know,

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we have a very active
and engaged community.

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So working with our partners in
unique ways, above and beyond the,

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the traditional vendor or, or
donor approaches is a game changer.

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So this includes priorities such as
building a new behavioral health center.

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Um, we have a new innovation
program in place, and, uh,

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we even have a, a business incubator.

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So we have our own LLC where
we're actually developing
a lot of our ideas into

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businesses so that we can share those
with other pediatric organizations.

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How often do you offer yourself
up as a model for a way to make

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technology and innovation
more accessible in pediatrics?

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Every opportunity we get, um, you know,

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that that gap is consistent, you know, it,

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it doesn't matter which
state you go to, you,

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you'll see a lot of children's
hospitals like ours, um, you know,

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really focusing on innovation and
those sorts of things. And so we,

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we talk every week. Uh, we have some
really great consortiums that are forming,

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uh, through the, the Children's
Hospital Association, and,

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and we share our best practices as much
as possible. Um, you know, our mission,

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just like the missions of other children,
hospitals out there, is to prove,

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improve the life of every child. And so,

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regardless if that happens in
Nebraska or if that happens, you know,

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in Texas or California
or, or wherever, uh,

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we wanna make sure that we're actively
communicating with all of our partners

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and everybody in our network
to kind of go forward. It,

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it is interesting that on
occasion we do have, uh,

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a technology company or, or a business
that will call us up and say, Hey,

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we, we saw this news article
about you doing X, Y, or Z.

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How did you go about
that? Um, and so that,

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that's the greatest compliment that
we can get because we often look to,

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you know, the business community for
inspiration in terms of what we do next.

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Why do you think the benefits of
technology and innovation have not reached

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pediatrics the way they have other areas?

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There's a lot of reasons
for that. Um, you,

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you really can look at populations
and generative populations

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too. So a lot of effort
right now and rightfully so,

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is being focused on, uh, taking
care of the baby boomers.

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And so as, as, as they transition
with their healthcare and, you know,

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smaller generations follow behind
them, whether that's, you know,

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gen Xers like myself, which is a very
small generation in terms of population,

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uh, moving all of our way through
millennials, gen Y, gen Z, and even, um,

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gen Alpha, now they're
smaller. And so when a,

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a company looks at, they have to develop
a medical device, uh, get, you know,

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FDA approval, all of those
things that go along with that,

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it's very expensive endeavor,
very difficult endeavor. Uh,

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they simply have to prioritize and,

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and they look at the dollars and
cents a associated with launching a,

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a new software, a new product, uh,

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something that we need in our
con continuum of care. And, um,

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it just doesn't add up for them.

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So a lot of the times we have to
lean on developing it ourselves, uh,

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making things into not-for-profit
models, open source, uh,

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really creative ways so that we, we
can still get those things developed,

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get them approved, that they're
safe to use. Um, but you know,

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it just kind of comes down to
the bottom line, unfortunately.

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Along those lines,

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what sort of resistance have you found
to embracing innovation and how do you

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break through that?

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You know, it's, it's all about change and
everybody, uh, everybody loves change,

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right? <laugh> cha change
just can be really scary.

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It can be really tough. Um, and, you know,

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it's about generating trust, confidence,

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and really understanding why people are,

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are fearful or apprehensive to
make a change. Um, you know,

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moonshot efforts are risky,
so it requires investment,

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it requires vision, and you kind
of have to be willing to fail. Um,

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but a good innovation program,
if you do this right, you're,

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you're able to kind of have a safe,

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controlled environment
to work on those things,

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and you can fail fast and
learn from those failures. The,

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the best advice I would, I would give
somebody, and it sounds kind of wacky,

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but if, if you have even a small
innovation and it doesn't work out,

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celebrate it, um, actually have a, a,
a failure party, you know, have cakes,

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you know, bring, bring in
pizza, whatever it takes to,

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to reflect upon that and say,

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we are doing the right things
by trying something new, uh,

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becau because we know what
the baggage is, right? We,

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we know what's gonna happen if we continue
to do things that we've always done

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them this way. And, um,
you know, you won't get a,

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a profoundly different result
unless you're willing to
kind of put in that sweat

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ac sweat equity and take that risk.
So celebrate your failures, um,

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help people feel confident and comfortable
when they're trying new things,

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be a good listener. Um, all of
those things that are out there,

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you just have to be implicit about
change management to get it done.

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The concept of a failure party certainly
seems foreign, uh, to a lot of people,

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I would imagine. Yeah, <laugh>.

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They're a lot of fun. I
encourage you to try it.

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Okay. Alrighty. Uh, as far
as, uh, your role right now,

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certainly it's changing constantly.

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What do you see changing over the
next 18 months for you and your team?

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Oh my goodness. You know, we're,
we're constantly re-skilling. Um, I,

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I would say that if you
asked a doctor, a nurse, uh,

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an IT professional, anybody in our,

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in our service and support staff
across our entire organization,

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re-skilling is, is what we're always
doing. We're, we're learning how to,

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to use disruptive technology. We're
learning how to do our jobs better. Um,

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and with my role specifically, you know,
it, it's really changed and evolved.

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Uh, the expectations for, for IT service
and support are very different. Um,

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so I'm always working on the operational
blow roadblocks that you're familiar

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with. Um, getting time, getting
capacity, making sure that, you know,

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email and network is working really
well every day. Um, finding ways to,

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to do self-service tools
to empower our, our users.

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But what I'm really
starting to see is our,

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our roles are changing in that
we have to become really good

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partners, uh,

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hospital to business relationships with
high tech companies are becoming more

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and more important. So when
you have a project team,

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you find that, you know it,

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it's not just your internal
staff working on that project,

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you find that you're
working with, uh, some,

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some different companies or startups
or another hospital, and it's really

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multidisciplinary, uh, very diverse teams.

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And so I would say that my role
along with everybody else's I

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is, you know, trying to figure out how
to be a good partner, a good consultant,

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a good project manager on
top of other, you know,

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the regular technical skills
that we need to get things done.

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E everything that we're
doing related to that,

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that re-skilling is really
around meeting the individual

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needs, uh, for our patients
and our patient families. Uh,

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that is a top priority for
us. So we need to evolve and,

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and master what I would
call consumer technologies.

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So the things that are already out
there that are associated with AI and

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chatbots and text messaging and
web-based services, they're seamless.

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They're easy to use, they're
very familiar to people.

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And as a healthcare organization, our,

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our challenge is to rides to that same
standard of accessibility and usability.

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And so we're partnering with
companies that are experts in this.

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And, um, you know, we,
we have a whole series,

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a whole program of projects called
our Digital Front Door Initiative,

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and it's really designed around truly
understanding our patients and what their

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needs are so that we can
meet them where they're at.

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I'm so glad.

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You mentioned some of these technologies
that are evolving constantly,

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whether it's AI or drones.

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What sort of things are you excited about
right now and what makes you a little

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bit nervous?

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Uh, yeah, so excited. Good news.

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I would say that that virtual reality, um,

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in my assessment is gonna be one of
the most impactful technologies in

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healthcare, certainly in in pediatrics
over the next year, maybe two.

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The reason behind that is virtual
reality has really grown in maturity.

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And, uh, a couple of years ago wasn't
ready, but, but now it's ready.

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We've got research that's, you know,

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indicating really positive outcomes
for pediatric patients. Uh,

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one example I'll give you is
imagine how scary it is, uh,

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for a kid to go to a hospital and then,
you know, go and get a, a, a CT scan.

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Um, that's scary for me as an adult.

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So there are VR simulations out there
now where you can actually do a rehearsal

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and, and help your child, you know,

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be more familiar with what
that environment's gonna
look like before they go to

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the hospital. Um, there's great
evidence that shows, you know,

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we don't have to sedate
kids when, when, uh,

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they get that opportunity
to kind of become familiar
with that environment using

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vr. So VR is ready to be applied
in clinical environments. Uh,

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we are doing a lot of work as a, as a
hospital and organization in that space,

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and the simulations are getting better
every day. And mo most importantly,

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the content for pediatrics
becomes, you know,

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more available every day on
things that scare me a little bit,

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you know, with, as much as I
love artificial intelligence and,

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and that is a hundred percent, you know,
my field of, of research and interest,

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it scares me a little bit
just due to the fact that I,

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I personally feel like we have a weak
regulatory system around it. And, um,

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you know, the, the EU has,

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has made some valiant attempts to
kind of put some guidelines around it,

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even some policies and laws
about data ownership and,

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and individuals having rights
to their own data. Um, I,

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I would say that here
in the United States,

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we still have some work to do there
and, uh, whether it's, you know,

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your average person kind of speaking
up about, wow, that's, that's really,

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you know, a magical technology, I'm so
glad about its capabilities. I agree.

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I think it, it opens the
door to, unfortunately,

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people who would use it for unethical
or, or immoral practices. And so,

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um, you know, a, as a, a believer
and an advocate for the power of ai,

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uh, I'm, I'm very careful to,

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to work with as many people as I can to
encourage them that if you've got those

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concerns about that technology,
you know, work, work with, um,

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your legal experts, go and talk
to your representatives, uh,

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make this an issue so that, you know,

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we can really get expertise
around it and develop a,

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a regulatory environment for ourselves
that allows for AI to grow at a great

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pace so that we can lead in, in
that area of technology advancement,

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but also we can do it in a very safe way.

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Ryan, it's been just an absolute
pleasure of speaking with you.

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And thank you for spreading your
enthusiasm for the magic of technology,

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even though there might be
a pitfall down the road,

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it seems like there's a
lot of promise as well.

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Don't, don't be afraid of those
failure parties fail fast. It's,

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it's great to to be with you,
and thanks for having me.

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Thank you again, Ryan.

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Take care.