1 00:00:00,240 --> 00:00:02,580 Imagine this. You're in the heart of Chicago 2 00:00:02,639 --> 00:00:05,059 mingling with the brightest minds in health IT. 3 00:00:05,279 --> 00:00:07,839 You've arrived at the 9th annual Health IT 4 00:00:07,839 --> 00:00:11,439 plus Digital Health Plus RCM conference taking place 5 00:00:11,439 --> 00:00:14,424 October 1st through 4th at the luxurious Hyatt 6 00:00:14,424 --> 00:00:15,484 Regency Chicago. 7 00:00:15,945 --> 00:00:18,664 Picture the excitement as you collect countless business 8 00:00:18,664 --> 00:00:22,425 cards, forging invaluable connections with over 25 100 9 00:00:22,425 --> 00:00:23,884 executive level attendees. 10 00:00:24,425 --> 00:00:26,585 Feel the buzz of ideas flowing as you 11 00:00:26,585 --> 00:00:29,460 engage in meaningful conversations about the future of 12 00:00:29,460 --> 00:00:30,440 healthcare technology. 13 00:00:30,980 --> 00:00:34,200 Envision yourself attending sessions led by over 415 14 00:00:35,140 --> 00:00:36,039 elite speakers, 15 00:00:36,420 --> 00:00:39,000 gaining insights that could transform your organization. 16 00:00:39,539 --> 00:00:43,015 From digital transformation and telehealth to clinician burnout 17 00:00:43,015 --> 00:00:43,755 and cybersecurity, 18 00:00:44,615 --> 00:00:47,174 each topic is designed to spark new ideas 19 00:00:47,174 --> 00:00:49,895 and provide actionable takeaways, but it doesn't stop 20 00:00:49,895 --> 00:00:53,015 there. Imagine sitting in a packed auditorium listening 21 00:00:53,015 --> 00:00:55,210 to motivating keynotes from some of the biggest 22 00:00:55,210 --> 00:00:58,189 names in sports. Four time Super Bowl champion, 23 00:00:58,250 --> 00:00:58,990 Rob Gronkowski, 24 00:00:59,689 --> 00:01:00,189 WNBA 25 00:01:00,570 --> 00:01:02,509 champion, and author, Lisa Leslie, 26 00:01:02,890 --> 00:01:04,829 and NFL legend and ESPN 27 00:01:05,209 --> 00:01:05,709 analyst, 28 00:01:06,010 --> 00:01:08,564 Eli Manning, will be there sharing their stories 29 00:01:08,564 --> 00:01:11,525 and inspiring you to reach new heights. All 30 00:01:11,525 --> 00:01:14,244 around you, the future of health IT unfolds, 31 00:01:14,244 --> 00:01:15,784 and you're not just a spectator. 32 00:01:16,165 --> 00:01:17,784 You're an active participant. 33 00:01:18,244 --> 00:01:20,484 Don't wait. You can find the event website 34 00:01:20,484 --> 00:01:22,905 and get registered by visiting peckershospital 35 00:01:33,420 --> 00:01:36,140 Healthcare podcast series. I'm Ryan Mohammed, writer and 36 00:01:36,140 --> 00:01:38,415 moderator of Becker's Healthcare. I'm thrilled to have 37 00:01:38,415 --> 00:01:40,734 with me today doctor Margo Casai, director of 38 00:01:40,734 --> 00:01:43,854 transcatheter bowel therapies at Allana Health Minneapolis Heart 39 00:01:43,854 --> 00:01:47,295 Heart Institute and registered yoga teacher. Doctor, welcome 40 00:01:47,295 --> 00:01:48,894 to the podcast. We're very excited to have 41 00:01:48,894 --> 00:01:50,670 you join us today. To get us started, 42 00:01:50,670 --> 00:01:52,510 would you mind please introducing yourself and telling 43 00:01:52,510 --> 00:01:53,810 us a bit about your background? 44 00:01:55,150 --> 00:01:57,390 Yes. Well, thank you for having us, first 45 00:01:57,390 --> 00:01:59,150 of all. My name is Mario Grisel. As 46 00:01:59,150 --> 00:02:00,369 you said, I'm an interventional, 47 00:02:01,069 --> 00:02:04,209 cardiologist at the Allina Health Minneapolis Heart Institute. 48 00:02:05,564 --> 00:02:07,825 A little bit of my background, I trained 49 00:02:07,965 --> 00:02:09,344 in Europe and Germany, 50 00:02:10,044 --> 00:02:10,544 did, 51 00:02:11,004 --> 00:02:12,305 at least part of my, 52 00:02:13,405 --> 00:02:17,025 yeah, board training there, and then moved over 53 00:02:17,165 --> 00:02:19,245 to United States. Did a lot of fellowship 54 00:02:19,245 --> 00:02:21,344 training at Mayo Clinic, had then 55 00:02:21,860 --> 00:02:24,199 my first, private practice job 56 00:02:24,500 --> 00:02:25,000 at, 57 00:02:25,859 --> 00:02:27,879 Dean Clinic in Wisconsin, and then 58 00:02:28,340 --> 00:02:30,519 was recruited to the Minneapolis Heart Institute 59 00:02:30,900 --> 00:02:31,400 around 60 00:02:32,739 --> 00:02:33,239 2016. 61 00:02:34,180 --> 00:02:36,120 In my interventional world, I, 62 00:02:36,775 --> 00:02:39,354 certainly do the the regular interventional cardiology, 63 00:02:40,134 --> 00:02:41,094 operations or, 64 00:02:41,495 --> 00:02:44,055 services, but my focus is on structural heart 65 00:02:44,055 --> 00:02:44,555 disease, 66 00:02:45,094 --> 00:02:47,354 mainly in the world of transcatheter 67 00:02:47,974 --> 00:02:50,074 valve therapies like TAVR, MitraClip. 68 00:02:50,969 --> 00:02:53,930 We also do pulmonary treatments and and the 69 00:02:53,930 --> 00:02:54,830 WATCHMAN device. 70 00:02:56,409 --> 00:02:58,250 Wonderful. Thank you so much for giving us 71 00:02:58,250 --> 00:03:00,409 that insight into, you know, your background and 72 00:03:00,409 --> 00:03:01,710 what you're currently doing. 73 00:03:02,330 --> 00:03:04,094 What what would you say are the top, 74 00:03:04,574 --> 00:03:07,955 three biggest issues you're following in cardiology today? 75 00:03:09,134 --> 00:03:10,655 Yeah. I was thinking about it. And, 76 00:03:11,215 --> 00:03:13,215 you know, one thing that I have noticed 77 00:03:13,215 --> 00:03:15,935 over the last couple years, which it did 78 00:03:15,935 --> 00:03:17,789 not seem to be an issue before, at 79 00:03:17,789 --> 00:03:20,430 least not in my career, was retention of 80 00:03:20,430 --> 00:03:20,930 talent. 81 00:03:21,550 --> 00:03:24,270 I think that we always had almost no 82 00:03:24,270 --> 00:03:25,310 issues in, 83 00:03:26,509 --> 00:03:27,009 onboarding 84 00:03:27,629 --> 00:03:29,169 really talented cardiologists 85 00:03:29,710 --> 00:03:31,009 of all subspecialties. 86 00:03:32,085 --> 00:03:32,985 But over the 87 00:03:33,284 --> 00:03:36,165 last years and of course many, many reasons 88 00:03:36,165 --> 00:03:36,905 for that, 89 00:03:37,605 --> 00:03:39,625 the retention of that talent has been 90 00:03:40,085 --> 00:03:40,825 one issue. 91 00:03:41,925 --> 00:03:44,805 That personally concerns me simply because I think 92 00:03:44,805 --> 00:03:46,185 our generation then 93 00:03:46,659 --> 00:03:48,680 certainly is responsible for 94 00:03:49,219 --> 00:03:51,460 holding the torch forward for the next, I 95 00:03:51,460 --> 00:03:53,400 don't know, 15, 20 years and, 96 00:03:53,780 --> 00:03:54,439 of course, 97 00:03:55,139 --> 00:03:56,280 creating and 98 00:03:56,580 --> 00:03:58,439 retaining the success of an institution. 99 00:03:58,900 --> 00:03:59,800 So that was 100 00:04:00,324 --> 00:04:00,824 one, 101 00:04:01,844 --> 00:04:02,344 aspect 102 00:04:03,125 --> 00:04:04,424 that worries me or 103 00:04:04,724 --> 00:04:05,784 seems to be a challenge. 104 00:04:06,084 --> 00:04:06,884 The other thing, 105 00:04:07,364 --> 00:04:08,344 I'm also 106 00:04:08,644 --> 00:04:10,025 part of a training program, 107 00:04:10,724 --> 00:04:13,125 for a Master's of Health Administration here at 108 00:04:13,125 --> 00:04:13,864 our university 109 00:04:14,245 --> 00:04:14,905 in Minnesota. 110 00:04:15,860 --> 00:04:17,399 And as we go through the training, 111 00:04:17,779 --> 00:04:20,579 we obviously talk a lot about value based 112 00:04:20,579 --> 00:04:21,319 care and 113 00:04:21,779 --> 00:04:23,779 there I feel like we have still a 114 00:04:23,779 --> 00:04:24,759 lot to do and 115 00:04:25,699 --> 00:04:27,220 we can talk about it. Is it coming, 116 00:04:27,220 --> 00:04:29,720 not coming? How quick is it coming? But 117 00:04:30,185 --> 00:04:32,185 as we think that it is coming and 118 00:04:32,185 --> 00:04:34,185 coming maybe quicker than we think, I'm not 119 00:04:34,185 --> 00:04:35,165 sure that we are 120 00:04:35,705 --> 00:04:37,464 ready for that. And I say that from 121 00:04:37,464 --> 00:04:39,564 a provider level. I think from an administrative 122 00:04:39,785 --> 00:04:41,545 level, I'm sure a lot of people have 123 00:04:41,545 --> 00:04:42,525 thought about it, 124 00:04:42,839 --> 00:04:44,839 but I think it is something that is 125 00:04:44,839 --> 00:04:47,240 being discussed maybe in C suites and other 126 00:04:47,240 --> 00:04:47,740 levels. 127 00:04:48,279 --> 00:04:49,879 But I'm not sure that we as providers 128 00:04:49,879 --> 00:04:52,279 really know what that means and how we 129 00:04:52,279 --> 00:04:52,759 can, 130 00:04:53,800 --> 00:04:55,899 service can help with that 131 00:04:56,279 --> 00:04:57,500 and make it a success. 132 00:04:58,264 --> 00:04:59,865 And then the third one that I was 133 00:04:59,865 --> 00:05:00,665 thinking about is, 134 00:05:01,305 --> 00:05:02,665 and it has to do maybe with the 135 00:05:02,665 --> 00:05:05,384 first one, the retention, is really the burnout 136 00:05:05,384 --> 00:05:08,105 that we see in physicians and how they 137 00:05:08,105 --> 00:05:08,605 are 138 00:05:09,225 --> 00:05:11,704 valued or not feeling valued. And I think 139 00:05:11,704 --> 00:05:12,204 especially 140 00:05:12,750 --> 00:05:14,290 around COVID, after COVID, 141 00:05:15,550 --> 00:05:17,949 I've seen that in our group and other 142 00:05:17,949 --> 00:05:20,270 groups as well. And I think that worries 143 00:05:20,270 --> 00:05:20,930 me that, 144 00:05:21,550 --> 00:05:22,610 physicians traditionally 145 00:05:23,470 --> 00:05:26,055 may not speak up about it enough and 146 00:05:26,115 --> 00:05:27,894 and and hold it to themselves. And, 147 00:05:28,995 --> 00:05:31,014 I I feel that this is also something, 148 00:05:32,194 --> 00:05:34,034 yeah, one of the the the three major 149 00:05:34,034 --> 00:05:35,254 issues that I see. 150 00:05:36,675 --> 00:05:38,595 Yeah. Yeah. Definitely. Thank you so much for 151 00:05:38,595 --> 00:05:39,814 giving us that insight. 152 00:05:40,579 --> 00:05:42,579 If we could look into the the near 153 00:05:42,579 --> 00:05:44,660 future here, how do you see hard care 154 00:05:44,660 --> 00:05:45,160 evolving 155 00:05:45,539 --> 00:05:47,399 over the next 18 months or so? 156 00:05:49,060 --> 00:05:51,300 Yeah. What what I what I see us 157 00:05:51,300 --> 00:05:51,800 doing 158 00:05:52,995 --> 00:05:54,375 more than before 159 00:05:55,634 --> 00:05:56,935 is actually also involving, 160 00:05:57,395 --> 00:05:59,814 especially here in Minneapolis, some of our 161 00:06:00,194 --> 00:06:01,014 more diverse 162 00:06:01,395 --> 00:06:02,774 neighborhoods. And I think 163 00:06:03,074 --> 00:06:03,574 many 164 00:06:04,194 --> 00:06:04,935 and traditionally, 165 00:06:05,235 --> 00:06:07,235 there has been a neglect and many people 166 00:06:07,235 --> 00:06:08,295 have realized that. 167 00:06:08,970 --> 00:06:10,650 But I think I'm very proud of of 168 00:06:10,650 --> 00:06:11,790 our group, our foundation, 169 00:06:12,970 --> 00:06:15,210 our health care organization, also to to reach 170 00:06:15,210 --> 00:06:16,110 out to our 171 00:06:16,490 --> 00:06:19,210 very diverse neighborhoods and make sure that that 172 00:06:19,210 --> 00:06:23,069 everybody gets same kind, and access to 173 00:06:23,404 --> 00:06:24,465 high level care, 174 00:06:25,324 --> 00:06:27,884 that we and others here provide. And I 175 00:06:27,884 --> 00:06:30,064 think that's something I see, 176 00:06:30,525 --> 00:06:32,064 you know, really being 177 00:06:32,525 --> 00:06:35,004 fostered here, and I'm excited about that. And 178 00:06:35,004 --> 00:06:36,384 when we go back to 179 00:06:36,930 --> 00:06:39,170 value based care, I also see that there 180 00:06:39,170 --> 00:06:41,410 is a little bit more movement in really 181 00:06:41,410 --> 00:06:41,910 bringing 182 00:06:42,689 --> 00:06:44,850 everybody to the table. And I say that 183 00:06:44,850 --> 00:06:47,089 in a sense of us providers, health care 184 00:06:47,089 --> 00:06:48,230 systems, but also 185 00:06:48,995 --> 00:06:50,615 especially in interventional cardiology, 186 00:06:51,074 --> 00:06:54,774 thinking about how vendors, how manufacturers of devices 187 00:06:54,835 --> 00:06:56,774 can maybe be put at the table 188 00:06:57,555 --> 00:06:59,254 to have, some responsibility 189 00:07:00,194 --> 00:07:02,435 in the sense of value based care. I 190 00:07:02,435 --> 00:07:04,910 always feel like, as I said, the more 191 00:07:05,129 --> 00:07:07,949 training you do, the more education you get, 192 00:07:08,650 --> 00:07:10,270 that this difference between, 193 00:07:10,810 --> 00:07:11,550 the nonprofit, 194 00:07:12,650 --> 00:07:15,129 part of health care, which we are, and 195 00:07:15,129 --> 00:07:17,930 the profit part, which, of course, the vendors 196 00:07:17,930 --> 00:07:20,634 are, there's a disconnect. And I think 197 00:07:21,414 --> 00:07:22,954 that disconnect is so striking 198 00:07:23,254 --> 00:07:25,254 that we have to find a way of 199 00:07:25,254 --> 00:07:28,235 collaborating. It cannot be that one is responsible 200 00:07:28,375 --> 00:07:30,055 for that and the other one is just 201 00:07:30,055 --> 00:07:32,394 responsible for the stock market. I think 202 00:07:33,009 --> 00:07:34,850 hopefully, we can we can find a good 203 00:07:34,850 --> 00:07:36,629 way of of bringing really everybody, 204 00:07:37,170 --> 00:07:37,910 to the table. 205 00:07:39,410 --> 00:07:41,170 Yeah. Thank you so much for giving us 206 00:07:41,170 --> 00:07:42,709 that that insight there. 207 00:07:43,170 --> 00:07:44,770 Doctor, before I let you go, the last 208 00:07:44,770 --> 00:07:46,550 thing I really wanted to ask you is, 209 00:07:46,745 --> 00:07:48,665 what are you most excited about today? And, 210 00:07:48,665 --> 00:07:50,824 also, what is making you nervous? Whether it's 211 00:07:50,824 --> 00:07:52,824 something you're seeing in the news or something 212 00:07:52,824 --> 00:07:54,685 you're currently doing within your position. 213 00:07:56,024 --> 00:07:56,524 Yeah. 214 00:07:56,824 --> 00:07:58,125 What what I see, 215 00:07:58,665 --> 00:08:01,645 really exciting is that despite all the negativity 216 00:08:01,944 --> 00:08:03,600 that I probably brought in here for a 217 00:08:03,600 --> 00:08:04,100 while, 218 00:08:04,879 --> 00:08:06,980 I see that we still have 219 00:08:07,360 --> 00:08:08,580 so much talent, 220 00:08:09,199 --> 00:08:12,660 coming from medical schools, from internal medicine programs, 221 00:08:13,439 --> 00:08:16,165 applying to our fellowship programs, whether that is 222 00:08:16,165 --> 00:08:17,064 general cardiology, 223 00:08:17,444 --> 00:08:18,585 intervention cardiology, 224 00:08:19,525 --> 00:08:21,465 advanced heart failure, imaging, 225 00:08:21,845 --> 00:08:22,345 electrophysiology, 226 00:08:24,004 --> 00:08:26,985 it is just amazing to see that despite 227 00:08:27,300 --> 00:08:29,639 you know, certain maybe negative developments, 228 00:08:29,939 --> 00:08:32,019 the talent is there. People are excited to 229 00:08:32,019 --> 00:08:33,159 go into this field, 230 00:08:34,500 --> 00:08:36,759 and it is wonderful to work with, 231 00:08:37,459 --> 00:08:39,779 the young talents and and to to bring 232 00:08:39,779 --> 00:08:41,720 them on their way. So that's that's definitely 233 00:08:41,779 --> 00:08:44,225 something that that I'm super excited about. 234 00:08:44,605 --> 00:08:46,544 I mentioned it before. What I'm I'm, 235 00:08:47,644 --> 00:08:49,804 somewhat worried about is really, I think, the 236 00:08:49,804 --> 00:08:52,605 connection of burnout and and at the same 237 00:08:52,605 --> 00:08:56,384 time, this this underlying feeling of being undervalued. 238 00:08:56,684 --> 00:08:58,465 Right? I think that in in stressful 239 00:09:00,120 --> 00:09:03,399 situations like we many health care systems are 240 00:09:03,399 --> 00:09:03,899 that 241 00:09:04,440 --> 00:09:07,399 there's a reflex of a very much top 242 00:09:07,399 --> 00:09:10,759 down approach and then understandably so it's easier 243 00:09:10,759 --> 00:09:12,220 to make decisions that way. 244 00:09:12,845 --> 00:09:13,665 But unfortunately, 245 00:09:14,205 --> 00:09:15,424 you know, dozens 246 00:09:16,045 --> 00:09:19,024 and maybe even hundreds of physicians with with, 247 00:09:19,085 --> 00:09:21,825 you know, lots of experience and and probably 248 00:09:21,884 --> 00:09:23,184 valuable input 249 00:09:24,940 --> 00:09:26,940 are are then neglected and it they feel 250 00:09:26,940 --> 00:09:28,940 undervalued. And I I can I can tell 251 00:09:28,940 --> 00:09:30,259 that, you know, in in in 252 00:09:30,700 --> 00:09:33,200 across the state, it's not just one institution? 253 00:09:33,340 --> 00:09:35,340 You you can feel it when you when 254 00:09:35,340 --> 00:09:38,139 you have conversations with the physicians across the 255 00:09:38,139 --> 00:09:39,360 state, across the nation, 256 00:09:39,845 --> 00:09:41,285 that there's this feeling, 257 00:09:41,924 --> 00:09:43,764 that the value is not there, that the 258 00:09:43,764 --> 00:09:45,445 burnout gets higher. And so that's why I'm 259 00:09:45,445 --> 00:09:46,965 worried about over the next, 260 00:09:47,524 --> 00:09:49,144 18 months and I hope we can 261 00:09:49,684 --> 00:09:52,245 actually combine it somehow that we really have 262 00:09:52,245 --> 00:09:52,745 exciting 263 00:09:53,365 --> 00:09:56,170 new talent coming in and that we all 264 00:09:56,170 --> 00:09:58,570 work on, you know, reducing the burnout so 265 00:09:58,570 --> 00:10:00,990 that that we can retain the talent and 266 00:10:01,290 --> 00:10:03,629 at the same time really give access to 267 00:10:03,930 --> 00:10:04,990 care for whoever, 268 00:10:05,690 --> 00:10:06,430 needs it. 269 00:10:07,690 --> 00:10:09,930 Yeah. Yeah. Absolutely. Well, thank you so much 270 00:10:09,930 --> 00:10:12,195 for those final thoughts, doctor. This definitely been 271 00:10:12,195 --> 00:10:13,014 an informative, 272 00:10:13,394 --> 00:10:14,995 discussion. So I wanna thank you so much 273 00:10:14,995 --> 00:10:16,915 for coming on Bexus HealthCare for the first 274 00:10:16,915 --> 00:10:18,995 time on the podcast, and I look forward 275 00:10:18,995 --> 00:10:20,535 to connecting with you again soon. 276 00:10:21,235 --> 00:10:23,254 Thank you so much. Thanks for having us.