The Healthcare Leadership Experience

Lisa T. Miller
The Healthcare Leadership Experience

Healthcare management is ever-changing.  Join Lisa Miller and Jim Cagliostro where you will hear from innovators and leaders within healthcare and from other industries. Lisa and Jim will bring you topics on the business and clinical sides of healthcare on strategy, finance, managed care contracting, nurse engagement, physician engagement, new patient care models, patient satisfaction, innovation, leadership, communication, marketing, plus much more.   This show will challenge you to think differently through proven strategies and innovative approaches that will help you to elevate your healthcare management and healthcare leadership performance for the ultimate goal of providing exceptional patient care.   Enjoy diverse and thought-provoking conversations. Lisa and Jim will present best practices, new strategies, and ideas for you to think about and to implement in your career and your healthcare organization. To contact Lisa Miller, please email: lmiller@viehealthcare.com and on linkedin at https://www.linkedin.com/in/lisamiller/ . To contact Jim Cagliastro, please email: jcagliostro@spendmend.com and on linkedin at https://www.linkedin.com/in/jimcagliostro/   This show is sponsored by VIE Healthcare Consulting; https://viehealthcare.com

  1. 07/11/2024

    How Storage Impacts Your Patients & Your Bottom Line | E. 116

    Storage in healthcare is often seen as a low priority. Brad Fitzpatrick of FitzRight Storage Solutions explains why it plays a critical role for hospitals to Jim Cagliostro.    Episode Introduction Brad explains why he is potentially in the business of ‘’life and death,’’ how Covid changed the storage landscape and the opposing views of storage as luxury versus necessity. He also highlights the positive impact of storage on hospital margins, and shares why success in business comes from a focus on customers and ‘’attracting’’, not chasing.  Show Topics   Two common storage pitfalls The impact of Covid-19 Storage is ‘’potentially life and death’’ Convincing the C-Suite Transforming relationships: A storage success story  Leadership tip: Focus on your passion      04:15 Two common storage pitfalls Brad explained why hospitals push storage down the list of priorities.   ‘’I would say probably the number one would just be the misconception that optimizing your storage is more of a luxury than a necessity. And everybody has different reasons for not moving forward, or for lack of a better word, neglecting. Whether it be, "Well, we intend on doing that one day." Or, "It's out of the budget." Those two are usually the biggest ones. But the one day is a slippery slope because you don't want to wait until you have a fire till you get the sprinklers installed. ‘One day we’ll do it.’ ‘’   05:50 The impact of Covid-19 Brad said the storage landscape changed a lot after the pandemic.  ‘’I'm sure this applies to everything, and it won't surprise you when I say it, but Covid. Once Covid happened, and the pressure came on unexpectedly, I think everybody was able to assess how prepared or unprepared they were when the chips were down. And then, once that dust settled, there were some hospitals that said, "Okay, we never want to be caught off guard like that again. What areas can we fix? How can we fix it?" But then, there were other facilities that said, "We'll wait until the wheels fall off." And, actually, there is one hospital I spoke to recently, and they were told that, "Well, wait until the wheels literally fall off and then we'll redo the room." 11:25 Storage is ‘’potentially life and death’’  Brad said access to supplies and equipment can improve patient outcomes.  ‘’Yeah, I don't think it would surprise you that, first and foremost, I think it impacts patients with reduced delays. We're in the business of potentially being life and death. So quick access to supplies and equipment, it minimizes any treatment delays, and that also improves patient outcomes. That said, also, I think the professional environment, a well-oiled machine doesn't work as well if the gears aren't where they should be. A well-organized hospital creates more of a professional and a reassuring environment which, for their patients and their families, can really go a long way. But hospitals aren't exclusive. A library runs a lot better when it's organized. A restaurant, a law firm, everything works better when things are where they should be and there's no surprises.’’   15:09 Convincing the C-Suite  Brad explained the advantages for leadership in recognizing the value of storage.  ‘’I don't really see myself as the type of salesman who's really trying to convince anymore. I'm more of attract, don't chase. But that said, when I come in, I can read the room. I know when I'm here to give a bandaid, and then I know when I'm here to give open heart surgery. But that said, there's an increasing number of individuals who see the value in storage after years of working with me. And some of the best projects I have are when these individuals, they get relocated to a new facility with a higher role. And then they have a whole clear canvas that they're able to paint and make their own baby and really create. And I don't think it's a coincidence that the individuals who prioritize organization and storage are the ones who are finding themselves getting these new roles and being scouted for them. It speaks for itself, I think.’’   18:14 Transforming relationships: A storage success story Brad shared an example of how storage transformed a customer relationship.  ‘’One comes to mind, is a big hospital system of maybe about 13 hospitals there. Clean supply rooms were all converted over to a system, I won't mention them because I don't want to throw dirt on anybody. But they were sold on the concept on paper. It seemed great. So they went live with it. And out of the gate, they just had a lot of trouble, and they were ghosted by the customer service. And as we said, not to be overdramatic or put my theatrics, but, sometimes, it is potentially life and death. And they just didn't have the margin for error with this system, so they had to take the financial loss. And then they brought me in to convert over to my storage systems. And we had to come in and work weekends when cases weren't going on, and we had to act fast because it's not like one supply room per hospital. It's every floor has a supply room. So I didn't have much of a social life during this conversion, but I learned a lot about my products. I learned a lot about my customer. I like to think that my customer service was put on display, and my relationship with that hospital system became stronger than oak.’’   20:24 Leadership tip: Focus on your passion Brad said success in business isn’t all about the numbers.  ‘’Obviously, I know that I'm not like everybody else. And I zig when everybody else zags sometimes. But I discovered, around 2018, that storage was my passion. And not to sound too corny, but I think it's my purpose in life is working in hospitals, and getting them organized, and helping them run more efficiently. And as I said to you, my numbers are no longer my motivator. I'm not looking at the numbers and saying, "Oh, is this a good month or a bad month, financially?" I don't watch the pot boil. I just focus on taking care of myself. I take care of my customers, and I think the rest just takes care of itself. I'm more mindful and attentive of what my customers are saying, and I'm not trying to push the most profitable product. I'm trying to, if they have a square hole, I have a square peg. If they have a round hole, I have a round peg. I think that that goes a long way. And my relationships, I think, have just really been cemented, especially the last year, ever since I was able to start FitzRight, and really engrave that culture into the company. I feel that my solid relationships have gotten even more concrete with my customers. And where thoughts go, energy flows, and I know that that's a pretty cliche line, but I like to think that my customers can see that. There's a sense of trust. And, again, it's more of attracting, not chasing.’’     Connect with Lisa Miller on LinkedIn Connect with Jim Cagliostro on LinkedIn Connect with Brad Fitzpatrick on LinkedIn   Check out SpendMend    You’ll also hear:    Seeing things in a different light; Brad’s career journey to Fitzright Storage Solutions: ‘’I always marched to the beat of my own drum. I know I don't really have the same energy as a lot of people out there, but I always found that I saw things in a different light. … then, in my old age, I became focused in on the relationships with my customers, and pushing more of a solution than one particular product.’’   Luxury versus necessity; two opposing views of storage: ‘’I have customers who I've had a long relationship, who know the value of getting everything in order and the benefits of it. But then, also, when I'm called in, I also know that if I'm called in because Joint Commission was just in, I'm not there to totally redo the thing. I'm there to put a bandaid on it so they could get Joint Commission or inspection off their back.’’   The positive impact of storage on a hospital’s bottom line: ‘’Efficient use of the storage space can reduce need for additional storage spaces. And in tow, that means a better inventory management, avoiding unnecessary purchases, or stocking up on materials that can expire, and overstocking on those types.’’ What To Do Next:       Subscribe to The Economics of Healthcare.       2.        There are three ways to work with SpendMend: Benchmark a vendor contract – either an existing contract or a new agreement. We can support your team with their cost savings initiatives to add resources and expertise. We set a bold cost savings goal and work together to achieve it.  SpendMend can perform a cost savings opportunity assessment. We dig deep into all of your spend and uncover unique areas of cost savings.      3. If you are interested in learning more, the quickest way to get your questions answered is to speak with Lisa Miller at lmiller@spendmend.com or Jim Cagliostro at jcagliostro@spendmend.com. .

    24 min
  2. 07/03/2024

    Fueling World-Class Performance | E. 115

    Success in every industry is about effective leadership. Business coach and author Steve Lover explains how every organization can inspire world-class performance to Jim Cagliostro.    Episode Introduction Steve explains why confidence is the #1 priority for every employee, outlines the five keys to effective hiring and the three factors to fuel world-class performance and explains why customer service is dead. He also outlines why motivation doesn’t work, why organizations need to get messaging out of the marketing department and why everything happens on the other side of fear.    Show Topics   Defining ‘’world-class’’ Five keys to effective hiring 3 ways to ignite world-class performance Fear and courage aren’t opposites  ‘’Customer service is dead’’ Messaging needs to come from something real  Leadership tip: step into the fear     07:07 Defining ‘’world-class’’  Steve explained why success in every industry is all about leadership.  ‘’I like to say, and this is really, I've said that I say this in two different places in my book, but it's really interesting speaking to a medical group of people. When you walk into a doctor's office, sometimes you'll walk in, and the staff is pleasant and they're nice and they're welcoming and they're caring. And you walk into another office, and you feel like they're doing you the biggest favor by just showing up to work in the morning. Very often they're sour faced, sometimes they're even nasty. Well, I believe that that comes from the doctor. A doctor that really cares how his patients are treated, that's the first office you went to. A doctor that's really worried about what the money in the business is looking or other things or efficiencies. That's the second business. So people have to be, they're going to follow you and how you lead them. And what Willink came out in his book was in the good leader over there, everybody had extreme ownership of what they were doing. And the other one, they didn't. And so really, you had mentioned something earlier, what world-class is. And to me, the definition of world-class is when you decide you want to do something, and you can fulfill it. So we say we want to get this done as a company. The fact that we can get that done based on what we said we wanted is what world-class is about. And when it comes to having people work for you and getting them on the program and then getting them involved and getting them excited, it's a whole different ballpark on how you're going to have those discussions.’’   12:12 Five keys to effective hiring  Steve outlined what every employer needs to look for in a new hire.  ‘’I believe there's five things that you need in a good employee, and they're not the five things most people look for. The first one is, do they have an aptitude for the business? Now, you might have a business that needs a certain amount of skill that they've learned, but experience is never what it's at because very often you have to unteach them. And so do they have the aptitude? Do they have the ability to do this work? Is this work a good job for them? Number two, the most important of the five is, do they have the right attitude? Are they people that are going to be upbeat, optimistic, go, and with a gusto to the business? The third one, the hardest one to find is, do they have a good work ethic? Most people today do not have a good work ethic. And so finding people that have a good work ethic or would like to develop it, as a third one, that's the hardest one to find. The next one would be, are they coachable? Is this somebody that you're going to be able to have a real discussion, help them get better? And they're going to be willing to take that discussion. If they're not coachable, it's a mistake. And then finally, are they a good fit for your culture? If they're not a good fit for the culture, that's going to create waves. …. And if those five things are in place, I believe you can overcome almost anything.’’   14:57 3 ways to ignite world-class performance  Steve explained why he prefers inspiration to motivation. ‘’That's really what the whole third section of the book is about. The shortcut is I told you there's three things that are in place to create confidence, which were taking on a big challenge, doing deliberate work on it, and getting results. So the corollary for the manager or leader is to inspire the challenge, encourage the efforts, and to celebrate the results. And there's a lot to unpack there because first off, I do not like motivation. I believe motivation is totally the wrong thing. Motivate means I get you to do things that I want you to do for my reasons. Whereas if I inspire you, I get you to do things that you want to do for your own reasons. And if you think about what people really want, like the salesman example, I can come to them and say, "Listen, we really need you to do this because this is what our company needs right now." Or you can say, "You'd like to have that extra money? Wouldn't you like to go on vacation this summer and you'd like to get that new car?" Which one do you think is going to help them take on the challenge and do it better? Right, inspiration. So I don't believe in motivation. I always see inspire. Second off, when it comes to the work, anytime somebody's doing something difficult that's off the charts for them that they haven't done before, it's scary. ‘’   16:40 Fear and courage aren’t opposites Steve said leaders need to encourage employees through challenging times.  ‘’A lot of people think that fear and courage are opposites. Couldn't be further from the truth. They're brothers. If you're not fearful, you don't need courage. Courage is only around if you're fearful. If you're not fearful, I don't have to be courageous about anything. But if I am fearful, that's when I get to put on my courage pants or my courage jacket, whatever is, and go do things. And so what they need is to be encouraged. The word encourage means to give somebody else your courage. Now, I'm not doing the hard work. It's easy for me to encourage them. And I like to use example of the guy who's working out and he's doing bench pressing and he takes on a new weight that's higher than he's ever done before and some guy's spotting him and he gets number eight, and it goes tough in nine. He's struggling and the guy spotting him says, "It's all you. Come on, you got it. I'm here for you. Just go a little. Push a little more, push a little more." And he gets his 10 reps because the encouragement.  And that's the same thing that a leader has to do. They have to encourage their people when things are going tough. Not necessarily push them, not necessarily hang it over them, not necessarily berate them, but just the opposite. You have to encourage them. Get them to keep the picture of what they want to do, what inspired them to go do it better. And then probably the most important is to celebrate the results. And most business owners absolutely are horrible at celebrations. They just don't know how to help a person see it. And I'll just give you an example for a kid. A kid comes home with a 99 on a math test and dad could say, "Wow, great job, kid." That's almost not even a compliment, let alone on a celebration.’’   26:22 ‘’Customer service is dead’’ Steve said the customer experience is much more important than ‘’customer service.’’ ‘’But the bottom line is the customer journey is everything. It's a very funny thing, the words “customer service” is part of our lexicon for so long because it was so important, but actually customer service is dead because customer service is about remedial. When something goes wrong, what do I do to fix it? And although you still have to have that, there's something much, much more important, and that's called customer experience. And the way I like to explain it like this, you go to a restaurant and the ambience is beautiful and it looks nice, and the waiters are well-trained. They stay close enough that you can get them if you need anything, but far enough away that they're not intruding on your meal. You look at the menu, everything sounds so good, and the prices are really reasonable. The meals come out, it looks better than it sounded, and it tastes better than it looks, which is usually not the case….You are floating, cloud nine, this was such a great client experience, customer experience, can't wait to tell all your friends. Before you leave, you go to use the bathroom and the bathroom's dirty. Filthy. What just happened to your entire experience of that night out? Instead of telling your friends about the restaurant is, they're going to say, "Don't use the bathroom if you go there…Here's the real funny thing in my example, the bathroom experience has nothing to do with the dining experience. It's a necessary evil. You have to have it there for them, but this is not... They're coming for all the things you did right, but the non-central part that wasn't right is going to screw up the whole experience.’’   30:34 Messaging needs to come from something real  Steve said most mission statements are written for marketing purposes.  ‘’So I think that really starting with the message is putting the cart before horse. And the reason I say that is there are three things, and every time I mention them, of course everybody rolls their eyes. That's a mission statement, the vision statement and the value statements. And the reason they roll their eyes, everybody's heard it a million times before. But the problem is all those statements have usually been taken over by the marketing department. They've been hijacked. And the marketing department writes those things for brochures, for websites, and for walls — not for what's really how the company works. So if you want to look up something really in

    39 min
  3. 06/26/2024

    Higher Education for Healthcare Leaders | E. 114

    Higher education plays a vital role in preparing and developing healthcare leaders. Dr Giuseppina Pagnotta explains why to Jim Cagliostro.     Episode Introduction Giuseppina shares her inspiration for going back to her doctorate during Covid, the importance of giving back to the world and how higher education can support career aspirations in nursing and healthcare. She also explains the role of connection, and why time is one of the most precious gifts leaders can offer.          Show Topics   Higher education can open doors  Paying it forward: sharing your knowledge Offering inspiration and guidance through mentoring Self-regulation and building connection  Leadership tip: Giving the gift of time      04:00 Higher education can open doors Giuseppina encouraged people to understand how further education can support your career aspirations.  ‘’And I tell people now, young people or anyone that's getting their nursing degree, whether it be from an associate or a baccalaureate program, to go on for the MSN. It's really important in today's world to get that advanced degree because you can keep it in your back pocket, and then it will allow you to have doors opened for different opportunities in your facility or in education or even as an entrepreneur. There are so many nurse entrepreneurs out now. So I attained my MSN in 2020, and our graduation was outside because of COVID, so we ended up having the graduation outside in August of 2020. And then, during that COVID spring, I realized, "What will I do with the MSN? Will it get me where I want to go?" So on that note, I evaluated, "What would I do with it? What doors will it open?" You always have to consistently evaluate, and I even tell my children, "What doors will your degree open? Where will jobs proliferate? Where can you get employment? What do you want to do with that degree, and what is the propensity of getting a job?" So then, you have to evaluate what employment opportunities does that degree align with.’’   08:44 Paying it forward: sharing your knowledge Dr Pagnotta explained why sharing skills and knowledge can help others.  ‘’I think that if you have a skill, knowledge, skill, abilities, whatever you have, and I don't want to keep them for myself. I am on this earth for this many years and if I can share my knowledge and share my path with you, then you can take it forward and go take it somewhere. I realized in the past few months that it's not about me. It's about what tools I can give to you and what tools you could run with. And I don't even have to hear from you ever again as a teacher-student, but just to know that I impart with you with the skills to learn and to grow and to get excited about learning, that's enough for me. And also, with recent times and my recent role in the Monmouth County School Nurses Association, I realized that I'm giving my leadership skills to others, and I'm teaching them school nursing leadership and nursing leadership, and they're rolling with it. It makes me so happy to see others flourish with the skills that I'm giving them and the excitement and fostering that relationship and creating an excitement in them in the role in nursing leadership.   14:06 Offering inspiration and guidance through mentoring Giuseppina said it’s important for leaders to examine their motivation behind mentoring.  ‘’I think it's dual fold. It takes a lot of work, but yet it's so rewarding. For myself, I started out as an American Nurses Association mentor. I think it was two years ago, and I was matched with a mentee across the U.S., and we would meet, I think, once every two months for 15 minutes and talk and then give each other... I would give strategies as to what her aspirations were or their aspirations, and we would continue the conversation there. It was interesting because I tend to want to inspire you. I want to inspire you in your path, and I want to look up possibilities for you. If you want to go back to college, I will look up colleges for you and look up different programs that you may like to attend in your area or that have the specific degree or certification program where you would like to go….And also, it's important for you to examine why you would like to be a mentor and what purpose does it serve for you. For me, it just serves the purpose of guiding. I love to guide colleagues into their path, colleagues, students, friends. I really get excited and happy about doing that. It gives me joy, lots of joy to do that, to help others and discover what their potential is because sometimes you don't know your true potential. And I have had several colleagues that have shown me my true potential.‘’   18:49 Self-regulation and building connection  Dr Pagnotta highlighted two key elements to support academic success. ‘’…. as a student and as a nurse already advancing in your degree, even if you are in an inpatient unit with a BSN, and you would like to be on a committee, shared governance committee, there are a lot of opportunities. In academia, I think initially, the administration and the chairs and your professors guide you, but then at a certain point, you kind of take over, and it's all you because you yourself, especially in a DNP program, you have to be self-regulated and to regulate your time and to really understand, "I have this much time today. What can I get through?" So it's important as a doctoral student for me to write down what I need to attain and also the deadlines. When is everything due and when am I going to revise? So definitely in that path. In addition, I think that it's really important for academia to set up paths to have the students connect, especially in an online platform. MSN programs are online. DNP programs are online. They have to have a coffee place online, its own place for students to connect to each other. So the nerd that I am, and friends, colleagues can say this that I've had in class with, I would email all of my classmates in the beginning of the semester, say, "Hi, my name is Gius. Nice to meet you all. If you want to connect and chat about the course, here's my number." And so I've met amazing people throughout my time as an MSN and DNP and actually some classmates that I can call friends today.’’   22:03 Leadership tip: Giving the gift of time  Giuseppina said empathy, guidance and giving time through mentoring is highly rewarding for leaders.  ‘’I think the connection with family and friends and colleagues is very important. And also, to have that empathy and caring aspect about yourself, I think that is a big part. I tend to be very empathetic and very caring, even with students and colleagues to guide them in the right direction even if something is... You lost a lot of points on a paper, or something happened, and I will tell them how to get most of the points next time or how to prepare so that it doesn't happen again. I'm that type of person. And also, with mentorship, with my role, with inspiring others, you give yourself, and you give others your gift of time because your time is so important. And you give a gift to others, and you give them a gift of your time because your time is really precious. I think by me giving the gift of time to others, it's rewarding. And you had said nurses burn out…. It's difficult, and you're always giving, giving. But when you are a mentor, you're also getting that feedback from somebody else that's saying, "Thank you. Thank you for your time. I appreciate talking to you. You inspire me." And I think that's important.’’   Connect with Lisa Miller on LinkedIn Connect with Jim Cagliostro on LinkedIn Connect with Dr. Giuseppina Pagnotta on LinkedIn    Check out SpendMend      You’ll also hear:    Gaining a doctorate during Covid: ‘’There's nowhere to go. There's nothing to do… So instead of watching Netflix and binge-watching and discovering new shows out there, I decided to go back to my doctorate. So then, I was immersed in leadership classes, mentorship, and population health, epidemiology. And so, I never looked back.’’   Giving more back to the world: ‘’Do you like your current position? Do you feel like you can give more back to the world? And if you feel like you can give more back to the world in your particular profession, well then, you have to consider ways to give back, either it's with a certification or teaching CPR or teaching others or entrepreneur or patenting something.’’   Why face-to-face connection matters: ‘’I think we're realizing the importance of that face-to-face connection. It's great to have the digital ability, but to meet in a coffee shop, to meet someone, go for a walk, and to really get to know someone, I think that's huge.’’ What To Do Next:       Subscribe to The Economics of Healthcare.       2.        There are three ways to work with SpendMend: Benchmark a vendor contract – either an existing contract or a new agreement. We can support your team with their cost savings initiatives to add resources and expertise. We set a bold cost savings goal and work together to achieve it.  SpendMend can perform a cost savings opportunity assessment. We dig deep into all of your spend and uncover unique areas of cost savings.      3.   If you are interested in learning more, the quickest way to get your questions answered is to speak with Lisa Miller at lmiller@spendmend.com or Jim Cagliostro at jcagliostro@spendmend.com. .

    25 min
  4. 06/19/2024

    The Power of the Language We Use in Healthcare | E. 113

    Language can have a powerful impact on the patient experience and our perspectives on illness. Claudia Cometa, author, pharmacist, and founder at Peace Advocacy Group explains why to Jim Cagliostro.    Episode Introduction Claudia explains how her passion for advocacy arose following her father’s illness, and how moving away from images of a cancer ‘’battle’’  helps us to see our bodies as allies, rather than adversaries. She also highlights the barrier to healing created by the language of competition, how she found inspiration from the Princess of Wales, and why no patient should feel like they are a burden.                Show Topics   ‘’How is this the patient experience?’’ Seeing our bodies as allies, not adversaries Moving away from an ‘’illness identity’’ Overcoming the language of competition  Creating a more peaceful patient experience Leadership tip: Twofold knowing      02:44 ‘’How is this the patient experience?’’ Claudia said it was her father’s cancer diagnosis that prompted a heart-centered decision towards advocacy.  ‘’…my father was diagnosed with cancer in 2016, and I quickly was in crisis resolution mode. I was on the other side of the equation, jumped headfirst into that side as it just made sense. I was the only one in my family who was medically trained. And so I saw the other side of the system for the first time of any significance and was mortified like, "How is this the patient experience? How did I, number one, not know this was the patient experience and how am I just now coming to grips with what is happening on the other side of where I'm working?" And it was very discouraging. Obviously helping my father, you want the best care for your loved ones. And so to not be able to get that, to be dismissed, I ended up firing several hospital systems. It was a really, really negative experience. And that was with my oversight. That was with my deep understanding of the medical system, how to navigate it. …. And so I vowed at that point that I have to do for others what I did for him. There's just no other way around it. …. It was a feeling that I've never felt before. It was a heart-centered decision-making I had never done before…’’   06:32 Seeing our bodies as allies not adversaries  Claudia said using ‘’battle’’ language around cancer makes it sound like our bodies are the enemy.  ‘’… if I go back to when I was helping my dad, I hadn't really come to this realization yet. And so I was the daughter who was posting on social media, "We're going to fight this, cancer chose the wrong girl." I just fell into the trap of what sounded like what I'm supposed to say. Like, "Yeah, I'm going to win this battle." And it wasn't until years later, well beyond when he passed away that I really started to question, some of this being part of my spiritual growth too and personal development, but how are those words really helping us? If we are really talking about whether it's cancer or another illness as if we're going into battle, and ultimately, we're going into battle with our own body. So if we are going into battle, there has to be a winner and a loser. It's no different from any war that we're used to in history class or any wars that happen right now. There's going to be somebody who's going to come out victorious and somebody who's going to be a loser. Is that the approach we have to take? Is it just that that's what we have heard, that's what's been modeled for us, that's what society has taught us? And so it feels good. It feels like, "Yeah, we're going to fight this." And so we have this internal, "Yeah, maybe this will fire me up if I feel like I'm going to go into battle and I'm going to put on my boxing gloves and I'm going to win this thing." Is there a better approach? Can we start to shift that into, instead of being at war or an adversary to our bodies or our bodies being the enemy, can we actually come back to it being an ally? So is it possible that the symptoms that we're experiencing, whether it's cancer or literally anything else, anything else that is a symptom we are experiencing, can that be seen as a message from our body? Because our body obviously isn't able to speak a language.’’   11:04 Moving away from an’’ illness identity’’ Claudia said a ‘’mind over medicine’’ approach can help to change the language around cancer.  ‘’So number one is, okay, maybe a second opinion wouldn't be cancer. I don't know. But then there's the second part of this deep-seated illness identity of if I move through my life with the statement, "I have cancer," running through my mind at all times, then I am acting like what I think a cancer patient is. And so it becomes a deep-seated shift in our identity. And I saw it with my dad. I wasn't able to process it till later. But it's like, "Okay, well, now I'm that person." And this is actually mind over medicine, it's actually a thing. It's actually a book. It's a fantastic book. It's a well-researched concept. In fact, there's studies showing that women with breast cancer, if they are told they're getting chemotherapy, even if they're not, so they're told they're getting chemotherapy, they actually get placebo, they lose their hair because they're so convinced of the identity that comes with chemotherapy like, "Okay, when I get chemo, I lose my hair." So there was no pharmacologic or physiologic reason for them to lose their hair, other than the deep-seated identity that that gave them. So I really do think that our language around illness and how we process the identity around our illness is so important. It doesn't mean it's easy because you're swimming upstream. The easy societal swim on the lazy river is just do what everybody else is doing. Right? And so how do we start to shift this paradigm? And it's hard when nobody else around you is. And so it takes each of us to start making that shift.‘’   15:50 Overcoming the language of competition   Claudia said our cultural language can block out messages from our bodies.   ‘’…..there is an element in our society of competition, and there are some settings where competition makes complete sense and sports is one of them. That makes sense. I don't really believe in participation trophies. When you are playing a sport, it's competition. It just is what it is, but that has permeated... The concept of competition has permeated our society so far beyond sports and so far beyond the arenas where it needs to be, and sickness isn't immune from that. We feel like we're always fighting something, we're always competing with something. So if we're in business, we're competing with the business owner who does the same thing we do. And even in social dynamics and high school, it's like we're always competing. We want attention. We want social media. And so it's almost like in every aspect of our lives, there's this trying to win something, win attention. And it's rare that we just are okay in what's happening and able to quiet ourselves down and evaluate what's happening and learn from it. It's like we just want to keep getting louder, like, "Now we're going to be the louder one. So my body's getting loud, I can be louder." And it is not to anybody's fault. I fell into this trap with my dad. So I think that when we start to shift in... Perspective is the perfect word, is when we start to shift our perspective that what if your body really is doing everything it can possibly do to share a message with you that could change this? That it's basically saying, "Look..." The body has an innate amazing resiliency and ability to heal, but it can't do that. …… our bodies also cannot undergo the healing processes that it so divinely knows how to do if we don't give it what it needs. And so can we just get to a point where it's like, "Okay, I hear you body. What is it that is lacking here?" Maybe it's something tangible like a shift in food, movement. Maybe it's something intangible like stress. Maybe it's connecting to your intuition, maybe it's loneliness. Maybe you've been isolated. We saw this obviously a lot in COVID.’’   22:14 Creating a more peaceful patient experience Claudia explained why preparing for healthcare appointments can help to reduce stress.  ‘’So you are allowed to have health goals. You are allowed to have intentions for appointments. You're allowed to voice those intentions for appointments. You're allowed to prepare, and you should prepare for appointments. If I have an intention at this appointment that I want to get this specific thing answered, let me backtrack and see what information might be helpful for that physician to help me clarify that and help me get to where I want to go. And so I'm going to start taking notes, taking journals. Maybe I just started a medication. Let me take notes on how I'm feeling after the medication. Maybe I have trackers of my blood pressure. Let me keep all that information instead of sitting in the doctor's office and the waiting room, scrolling my phone or looking through magazines. What else do I want to get from this appointment? And let me get in the right mindset of being an activated patient. So a lot of the environment and healthcare that is already chaotic and stressful, we don't necessarily have a lot of control over. So what we can do is what is in our control, and that is the things I've just laid out and many more. And the verbiage that we use and our choice of physician, right? There are some really great matches, physician to patient……what can you do within your control, language being one thing, and these things being another, that that can help your healthcare environment and your healthcare journey be way more peaceful?’’   32:02 Leadership Tip: Knowing is twofold Claudia explained the importance of ‘’getting quiet.’’ ‘’So I t

    35 min
  5. Educating The New Supply Chain Workforce Via Social Media | E. 112

    06/05/2024

    Educating The New Supply Chain Workforce Via Social Media | E. 112

    A competitive environment can prevent healthcare organizations from engaging online. Justin Poulin shares his insights into the untapped potential of social media with Jim Cagliostro.    Episode Introduction Justin explains why the key to a successful podcast is consistency, how the pandemic masked issues with supply chain workforce shortages, and how silos in healthcare hold people – and organizations - back. He also explains why competition makes people fearful of social media, provides key tips to getting started and explains why ‘’chasing the money’’ will always leave you dissatisfied.   Show Topics   Consistency is the key to successful podcasting Bring your whole self to an organization The supply chain workforce shortage came in under the radar Healthcare supply chain needs more mentorship Tailoring content to your target audience Competition creates a fear of social media  Getting started online Leadership tip: ‘’Promote, promote, promote’’     02:56 Consistency is the key to successful podcasting Justin said creating a regular schedule is the most important factor for long-term success.  ‘’….podcasting, so much of it is a soft skill. I could give you little tips and pointers, but the most important thing about podcasting, and you're doing a great job with this, it's just being consistent. Making sure that you are putting content out on a regular schedule that people know what to expect. I see a lot of startup podcasts and they come out with a lot of gusto, and they do a bunch for about two or three months. And then, all of a sudden, there's a four-month gap. And those ones never really take off. I've always told everybody who wants to get involved and do it, "Hey, nobody's trying to own this space. It's a fun, creative outlet. But one of the things you have to do to be good with it is make sure that you are constantly putting out consistent content." You could do a podcast once a quarter, as long as you deliver it once a quarter on a schedule that people can expect…..It's like the TV series that comes to this great cliffhanging end of season two, and then they don't get renewed. And you're just left going, "Why? Why did you do this to me?" And so, yeah, that's the experience. And so, if you're doing podcast, just stick with it.’’   11:24 Bring your whole self to an organization Justin said healthcare can be siloed but merging skills and interests benefits every organization.  ‘’…what a convergence of my passion to do this radio show podcasting, my clinical background as a nurse, and then this entrepreneurial sales side. It's all just merged into this role and what this company is. And who would've thought all of that would've intersected, what I was doing? And I saw it as something separate. So I'd also encourage people to consider their diverse interests and experiences. And not try to partition or segment them but, actually, bring them to the table and bring their whole self to their employer, or help them create their dream job for themselves. It's really important that I think a lot of times we're taught diversify your revenue streams, you hear that, so it's all segmented. And you think about healthcare and it's very siloed. But we actually do that to ourselves. We silo our skills and interests, instead of merging them into what makes us a unique human being, which is, ultimately, how we can bring the most tremendous value to any organization that we're involved in.’’   14:28 The supply chain workforce shortage came in under the radar Justin explained the impact of the pandemic on staffing shortages.  ‘’I feel like the supply chain shortage, or workforce shortage, is sneaky. It came in under the radar. I'm sure people in supply chain might've been aware that it could be become an issue, but I don't think it was as transparent as the one that everybody talked about with nursing. We could have planned better, for sure, but we knew it was coming. I think some of the things that had happened with supply chain was really the emergence of strategic sourcing and these other roles that, at one point, when you said supply chain, in a lot of ways, you meant logistics or materials. And maybe a little bit of contracting and purchasing. But what has happened since the Affordable Care Act and value-based purchasing is we've now really expanded on the skillset that's required, where you can take your career.. But then, obviously, I think the fact that we didn't have enough people with enough experience in growing into these advanced roles in supply chain really came to a head when we hit the pandemic. Because, prior to that, it was pretty easy to say, "We're doing okay." Because we're consolidating agreements, we're looking for discounts based on volume and economies of scale, really. And I think once the supply and demand and the supply chain itself got disrupted, I think it really exposed something that was inherently there that we dodged dealing with for a really long time.’’   18:19 Healthcare supply chain needs more mentorship Justin explained why time constraints are affecting leadership's ability to nurture talent.  ‘’I definitely think there needs to be more mentorship, but I think there's plenty of willing mentors out there. The problem is, with the constraints that we're under, you're talking about taking somebody and their time that is incredibly valuable right now. So I feel like we're a little upside down on that. I think there's a lot of willing mentors that are in leadership positions. But it's about nurturing the talent and that takes a lot of time away. And, honestly, if you're already short on talent, then you're in a position where you're already lifting up, just with your own personal efforts. So how does the senior staff in a supply chain carve out that time right now to really mentor and nurture the individuals that are coming onto their team? So I think they can still do it, but I think they need a lot of augmented resources to help. And if you just even look at standardized training, like we've got the CMRP through ARM and there are some other programs that are out there, but, by and large, most of the training is institutional. And some of it needs to be tailored to the healthcare organization because everybody does things a little bit different. They use different ERPs. And so you can't just put a standard training package together. It requires, I think, the new blood coming in to be quite motivated, and also able to self-educate and be self-motivated to educate. And so, for that to really happen, you've got to inspire them. And you've got to give them resources that not only give them information, but that also give them encouragement.’’   21:26 Tailoring content to your target audience Justin explained how social media enables people to find valuable content.  ‘’… …So I think the answer to the question that you just asked me is individualized. And I think this is one of the keys of social media. What it does enable people to do is to find the content that they find valuable. And as a matter of fact, LinkedIn, in the way that they continue to do developments in their platform, is geared around connecting people with noted experts that are talking about the things that somebody wants to be learning about. They're very focused on that. And they also throttle... They don't want big media blasts. They don't want content in a commodity sense, where you just hit everybody and hit them with a ton. They don't want the users of the LinkedIn platform to get washed out. They want them to be pulled in and find value for being on their platform because it helps them grow professionally. That is different than the approach for Facebook. However, I still believe in all forms of social media having a purpose. But you do have to tailor the content to that targeted audience, and which platform they're on, and maybe the reasons that they're on that platform. So I prefer LinkedIn for a lot of reasons. But, mostly, I believe in their philosophy about connecting people to the resources that they are looking for and/or needing.’’   25:20 Competition creates a fear of social media  Justin said collaboration and transparency can help to transform healthcare. ‘’We talk a lot about transparency, collaboration. There are a lot of themes that people incorporate into their vision for how to transform healthcare, not just in the supply chain but across the board. But, yet, we say those things, but a lot of what happens is we live in a very competitive environment. And I believe that we haven't really taught our culture here in the United States how to work collaboratively and competitively with a certain amount of respect. And I think a lot of people are fearful of social media because of that reason. But if we actually learned how to do what you just said, where we could converse even with our competitors on certain topics... Because guess what? Your competitors, because you're bringing different value props to the table, it's not a one size fits all. It's different perspectives on how to solve similar problems. And those perspectives match up with different cultures in different ways. And I think we fail to recognize that it's not you're everything to everybody. You're hopefully, and every good business owner knows this, you're hopefully aligning yourself with a good customer for your company so that they have a good experience and that only builds your reputation. I think we absolutely need to do a better job, not even just in healthcare,  but in general, of how can we come to the same table with our competitors in a professional manner and both benefit?’’   30:34 Getting started online Justin said getting involved is about more than being a content consumer.  ‘’… the best way to do it is to follow some hashtags, like #HealthcareSupplyChain, HealthcarePurchasing. Just loo

    40 min
  6. 05/15/2024

    Why Your Old Healthcare Marketing Strategy Isn’t Working | E. 111

    Marketing effectiveness has fallen by nearly a quarter since 2020. Ian Baer, Founder & Chief Soothsayer at Sooth, offers his insights on how healthcare organizations can respond, with Jim Cagliostro.   Episode Introduction Ian shares how 90% of today’s marketing decisions are emotional, and 80% are made on impulse, and the challenges of ‘’marketing by the pound.’’ He also explains why a regulatory environment means healthcare often stays in the shallow end of the marketing pool, how data unlocks empathy between brands and audiences, and advises everyone to ‘’bring your soul to work every day.’’   Show Topics   Making emotional connections in marketing Sooth helps brands to understand the truth Healthcare has unique marketing challenges ‘’Marketing by the pound’’ The roadmap of healthcare marketing is the most complicated The power of patient stories Leadership tip: Bring your soul to work every day     08:13 Making emotional connections in marketing  Ian said 90% of the decisions people make when spending money are emotional.  ‘’AI, it's very buzzwordy, but what it does for us is it allows me to take what used to require one or two years of custom research that might cost hundreds of thousands of dollars, into a methodology that we can execute in a few weeks to give a brand a very clear understanding of the emotional journey of the individual that they're trying to reach. Now of course, the impact in healthcare is huge because look, 90% of all the decisions people make when it comes to spending their money are emotional. It's a big mistake marketers made for decades upon decades in thinking there's a balance between the rational and their emotional. No, there isn't. People make emotional decisions, and then they seek rationale to back up where their heart has already gone. And Harvard did some brilliant work that they published in 2016, an article I recommend to anybody and everybody get their hands on, called The New Science of Customer Emotion. .. And what they found was, of the thousands of different emotions we all experience, it's been estimated that people experience 34,000 different emotions. … But what they found is there are actually only 10 things that we feel as humans that have a positive correlation to the way we spend our money.’’   14:54 Sooth helps brands to understand the truth  Ian explained the background to his company name, and its purpose.   ‘’So, I went looking through my LinkedIn profile, just going through all my experience and, "How can I describe what I do?" And I found a LinkedIn recommendation from a former client in which he referred to me as, "Soothsayer." And it reminded me that very often, when we were at a time of crisis for his brand, he would pick up the phone and call me and say, "Oh, soothsayer." And that would very often start our conversations. I thought, "Well, that's a really interesting word." I always thought a soothsayer was somebody who predicts the future. It's not. Soothsayer is somebody who tells the truth. The word sooth literally means truth. It just went obsolete in the English language about 400 years ago when Shakespeare got done with it, which is what enabled me to actually trademark it as the name of a business. It's pretty hard to get a vernacular word as the name of your company. So, when we decided to name the business Sooth, because in reality that is exactly what we're doing is helping brands understand the truth, then it just followed suit that I should be the soothsayer, that we actually have two practices at the company. We have the soothsaying practice, which is determining what the truths are, and then our client partnership practice, we call those people ‘’soothsolvers’’ because what they do is actually take the truth and put it to work in really smart marketing recommendations, and work in partnership with senior leaders on the client side.’’   17:23 Healthcare has unique marketing challenges Ian said the regulatory environment means that healthcare is averse to taking marketing risks.  ‘’Because of the regulatory environment, healthcare marketers have learned to play it extremely safe, and it's understandable. The last thing you want is a slap on the wrist, or much worse, from the FDA when you've spent countless millions of dollars, let's say, bringing a drug to market. But the result is most healthcare marketers have become conditioned to stay in the very shallow end of the swimming pool. And where that becomes unfortunate, we spoke earlier about no industry really needing empathy in their marketing more than healthcare. Well, we now have the ability through use of data, through use of technology, through one-to-one connection and interaction, through experience design, to create a really special personal experience. And yet, data privacy is a scary thing. Engaging with someone, one-on-one, whether it's through social media or other, that's a scary thing because you may wind up having to capture adverse reaction information that you then have to report to the FDA, that a lot of people would prefer not to get their hands up. So, the result is you have too many brands that don't say enough to really be helpful to people, and they're holding back way too much. And one of the biggest challenges there is the unregulated side of the healthcare space, the area that a lot of healthcare marketers might not want to acknowledge as legitimate, companies selling nutritional supplements, companies selling devices that don't really have any medical benefit, but they're claiming, "Just put this on your wrist. Just put this on your knee. Just sit up against this thing." They're not operating under the auspices of the FDA. They're making outrageous claims, and almost daring consumers and competitors to sue them. And because we live in a world now, where it's very hard for anyone to find one truth in any area of marketing or the news, consumers are somewhat in the crosshairs here. So, if healthcare marketers play it too safe and continue to stay in the shallow end, the ones who lose are the very patients and families that they're trying to help, because they'll chase false promises that really are leading healthcare marketers can fulfill in a much more meaningful way.’’   21:35 ‘’Marketing by the pound’’ Ian said marketing effectiveness is down by nearly a quarter since 2020 and 80% of people make decisions on impulse.  ‘’Yeah, marketing effectiveness overall is down 23% since 2020, as a global practice, across all industries. Marketing is significantly less effective than it was 20 years ago. So, we have more data than ever, more technology than ever, more access to people than ever. And we're getting so bad at this that most brands have now shifted much more to managing the economics of marketing, how much they're spending. It's become somewhat of a marketing by the pound model because if we can't get it to produce more, then we just have to spend less on it. And everyone has gotten to settle for this reduced level of performance. How did we get here? Well, impulse is a huge issue. The extent to which people make purchase decisions, and a decision to seek out a certain medication, that falls into the category of purchase decisions. The extent to which people do this on impulse has doubled in the last 10 years, and the amount of money people spend on impulse purchases like that, "I'm going to click twice on this Facebook ad and get those gummies and throw out my metformin." That's happening faster than ever. So, when 90% of decisions are emotional, when 80% of people are making decisions on impulse, which means they're not gathering the facts, they're not gathering information, they're not calling their doctor, they're not asking other people who are suffering with the same condition. They're just saying, "Yep, that's for me." That's how we got here.   26:33 The roadmap of healthcare marketing is the most complicated Ian explained why patients and professionals walk one path, with multiple points of view at every step.  ‘’Here, every step of the way, there's an advisory relationship going on. There are certain things the consumer can do without the professional. There are certain things they cannot do without the profession, and it really is a pathway that needs to be curated. We need to understand where they come together and the information they need to reach the right decisions, and where they're going to be off on their own, exposed to different information. So, I think starting with the fact that there is no differentiated journey between the patient and the professional, but actually it's one journey, it's one path, and they're both walking it. They just enter and exit at different times. I think that's the most critical truth to understand, to start to do this thing the right way and to see every one of the decision points through multiple sets of eyes: the patient, the professional, often caregivers are involved. Sometimes you have primary and specialist professionals, institutions, payers. There are multiple points of view at every stage that need to be considered. It is the most complicated roadmap of marketing that exists.’’   30:32 The power of patient stories  Ian said there’s no substitute for hearing people’s ‘’data-rich’’ real stories.  ‘’There's a lot of things a drug company can't say, that a patient can. And I think the more drug companies get comfortable giving voice to the people who are actually on the journey with that disease or that illness, it's really going to help bridge the gap between this kind of odd mix of old school branding and clinical detail. But within all of that, I have a hard time finding the humanity, and I think the more brands get comfortable, letting people tell the story of what it's really like to experience the uncertainty of disease, the hop

    38 min
  7. 05/08/2024

    The Growth of Patient-Centered Care | E. 110

    US health systems are slowly adopting a patient-focused approach. Shanil Ebrahim, Partner in National Life Sciences & Healthcare Consulting Leader at Deloitte Canada, explains its benefits to Jim Cagliostro.    Episode Introduction Shanil explains why healthcare needs to move away from the ‘’one-size fits all’’ approach to patient care, why patients should be treated as partners, rather than recipients, and the impact of a healthcare model designed around systems. He also outlines why patient-centered care is an investment in quality and efficiency and highlights the benefits of adaptability in leadership.   Show Topics   Patient care goes beyond managing health conditions Healthcare is designed around the needs of the system  ‘’Patient feedback should shape everything we do’’ Funding the cost of change A champion for patient care Improving the patient experience leads to better outcomes Leadership tip: embracing adaptability      05:12 Patient care goes beyond managing health conditions   Shanil said patient-centered care is designed around patient preferences.  ‘’Ultimately, when you think about that term, at its core, patient-centered care is about ensuring that healthcare systems and all of their processes are fundamentally designed around the patient's needs or their experiences or their preferences I should say. And this approach goes beyond just treating diseases or managing health conditions. It's about considering patients as active participants in their own healthcare, which means that any sort of treatments or healthcare plans we develop, it's not about just focusing on clinical guidelines alone, but how do we deeply integrate that with the individual's lifestyle or their cultural background or their personal preferences into how those treatments are actually planned and executed?’’    10:45 Healthcare is designed around the needs of the system Shanil explained how the historical context of healthcare models affects patient care today.  ‘’…your question really gets at the heart of many challenges that we face in healthcare today, irrespective of where you are, whether you're in North America or globally, and you have to consider that historically, our healthcare models were designed more around the needs of the healthcare system than the needs of the patient. All you have to do is look at things like financial models of all of these health systems, which is focused on volume and paying for services that a doctor provides over value of the services or take healthcare organizations like hospitals where they prioritize operational efficiency, where you have a ton of metrics around that over personalized care. And even though we may make patient-centered care sound easy and obvious, transitioning to that type of care is a big paradigm shift when you consider that historical context. And it requires both a shift in mindset and operations.’’   11:48 ‘’Patient feedback should shape everything we do’’   Shanil explained why the starting point is to consider the patient perspective.  ‘’And to me, first and foremost, it starts with leadership commitments, whether your ministers or C-suite execs at hospitals to re-envision what healthcare should look like from a patient's perspective. And this means aligning the organizational culture with patient-centric values and training your workforce to adopt this approach in every interaction in every decision. And when you think about what are practical first steps that you can actually take, it often involves gathering extensive patient feedback to understand their experiences and needs better. Something that we talked about obviously just at a length. And this feedback that we get from these patients should shape everything we do from policy to bedside manner. And technology plays a pretty crucial role here because it can be leveraged to improve communication with patients. It can be leveraged to offer more personalized health management tools or provide healthcare professionals with real-time data that is much more patient-specific, so that they can continue iterating in terms of what they need to do on a daily basis.’’   16:19 Funding the cost of change  Shanil said the initial cost of transitioning to patient-centered care should be viewed as an investment in quality and efficiency.  ‘’Now in the US, where the healthcare system is more privatized, funding might come through insurance reimbursements or through investments by private health systems where they're looking to improve patient satisfaction and reduce long-term cost. You can't think about this as a short-term game, and you have to be able to measure what the value of the investment is now on something that hits long-term as well. And this is where whether your insurer or providers like hospitals, they could also tap into incentives offered by government programs or payers for meeting certain patient care standards and patient outcomes as well. So that's kind of giving you a contrast between those public health systems and the private healthcare systems, right? But regardless of the country, the initial cost of transitioning to patient-centered care needs to be viewed as investments. And these investments, by the way, Jim, are not just financial. They're investments in quality and efficiency, that over time lead to cost savings, right? Because you are reducing interventions over time, you're reducing hospital readmissions over time, and you're also improving the management of chronic conditions. So right now, if we're aligning with those value-based care models, which by the way is gaining a lot of traction worldwide, it provides that financial incentive to improve those patient outcomes and that naturally supports a care approach or a patient-centered care model.’’   19:15 A champion of patient care Shanil said the role of patient experience officer is increasing but change starts with the CEO.  ‘’The question is how do we enable patient experience to be at the heart of the organization, because that's what ultimately it is, right? And usually it is a step-wise approach. So the first thing that we end up trying to see is who's going to be the champion? And largely, we want it to be the CEO of the organization. If it really comes from the top and they have their strategic priorities and strategic comparatives centered around the patient, it sends a message to not only the C-suite, but across the organization as well. So that's where we usually like to see it's starting right from the top. Now as we start to see this penetrate or proliferate throughout the organization, it's an interim solution, which is where you would want someone who owns this as a mandate going forward once the CEO has actually set its goals and the role of the patient experience officer is increasing quite a bit, and especially in larger, more modern type of healthcare settings because it bridges a gap between clinical care and patient satisfaction and someone has a mandate to continuously challenge that. Like isn't it great if we end up seeing the type of conversations that is happening between the patient experience officer and the CFO, which may end up having different imperatives where the CFO is not only thinking about the long-term cost, but of course thinking about the short-term cost as well and focused on operational efficiency indicators, whereas the patient experience officer is thinking about the long-term value that we're providing as a healthcare system.’’   22:55 Improving the patient experience leads to better outcomes  Shanil said capturing and measuring the outcome data is the key focus.  ‘’In a value-based healthcare model, the focus is squarely on patient experience and outcomes. Because the fundamental principle behind this is that these factors directly correlate with the effectiveness of care. And in terms of reducing costs or the burden on the healthcare system, and a better patient experience often leads to higher levels of patient engagement, which is critical for the success or uptake or adoption of treatment plans and ultimately improves overall health outcomes, which is the end goal of whatever we're trying to do, right? So even in simpler words, when a person or a patient feels supported and valued, they're just much more likely to actually follow medical advice and maintain their health regimens. This kind of connecting on the diabetes example that I actually provided earlier as well. And when it comes to the measurement, you can measure these patient outcomes over time to see how effective it is, whether it's measuring recovery rates or complications or taking holistic approach and measuring quality of life, which there's a significant amount of instruments or questionnaires around it, and they all serve as indicators on how we're effectively doing this and how effectively this value-based system is actually operating. But to be able to do that, and this is also turning out to be a fundamental problem or enabler that we need to fix, is we need to be able to capture all of this, this outcome data and these experiences that patients are having, and then we need to measure that data and have some analytics to offer us insights into how we're doing.’’   26:32 Leadership tip: Embracing adaptability  Shanil explained why adaptability has helped him to stay ahead.  ‘’…this is not just from a personal standpoint, but I also think about it from my team and the entire ecosystem because we're moving from traditional models of healthcare and healthcare delivery to highly tech enabled healthcare, and that shift is going to continuously increase as well, right? And ultimately, when you think about that tech enabled world, it's not about new software or fancy tools, it's just about a whole different way of thinking about patient care, thinking about p

    30 min
  8. 04/24/2024

    Healthcare Strategy with Cole Lyons | E. 109

    Strategic planning is vital to successful healthcare management. President & Co-Founder of The American Healthcare Journal, Cole Lyons, explains his goal of fostering a community of education to Jim Cagliostro.    Episode Introduction Cole explains why transfer of knowledge is a key goal of the Journal, why healthcare strategy can be described as moving from checkers to chess and emphasizes the importance of thinking before you speak. He also explains the importance of competition in healthcare and identifies humility as an essential leadership trait.   Show Topics   Redefining healthcare strategy A strategic alternative for nonprofits  Breaking down silos in healthcare Join Cole’s community on LinkedIn Applying economic theories to healthcare strategy Leadership tip: why humility matters     05:36 Redefining healthcare strategy  Cole explained why thinking about the impact of your actions matters.  ‘’For me, it's kind of thinking before I speak. I think that's the best way that I've come up with how to explain it. In operations, day-to-day, things are quite hectic, especially at high volume clinics. And you have to make very quickly, fairly educated decisions based on standard operating procedures. But sometimes that doesn't always lead us down the best path. So part of that is creating standard operating procedures that allow you time to think about how it impacts things long-term. So, thinking before you speak for me means instead of just saying what I need to say in the moment, I think about what I say, how it will impact the person hearing it, how it'll impact my image. And if you apply that kind of thinking before acting approach to your actions in the operations space, it means taking a step back and looking at the competitive landscape in your industry, looking at the competitive landscape in your institution, different departments competing for funding, different departments competing for exposure, and looking at how even small actions in the operations world will impact that.’’   08:12 A strategic alternative for nonprofits Cole said the Journal aims to foster improvement and education in strategic thinking for nonprofit institutions.  ‘’… the problem right now is VC-backed healthcare firms, those that are backed by venture capital. They have a high concentration of MBAs who have really good strategic insights. So don't get me wrong, and we can always go into this anytime, but there's a problem with a lot of the strategy theories out there in general that are taught to MBA graduates because it's based on economic theories that don't always play out in the real world. But still when they make decisions, it is much more strategic than in nonprofit healthcare. And so, one of the issues is that I'm not a fan of government-run healthcare, which is a little contrarian. I'm just not particularly a fan of it. I think that free market healthcare is good, nonprofit institutions are my favorite. I love nonprofit institutions. I think that that's the best form of delivering healthcare. But they don't act very strategically, especially compared to VC-backed or for-profit healthcare, which employ all these MBAs, they recruit MBAs from the top schools, they can pay them. …I'm not saying that they're any less educated, they're just educated differently. They have MHAs, they have MPAs, a lot of them have MDs, and they are educated in a very different way. So the journal's purpose is how can we foster this community of improvement and education in strategic thinking for these people who are educated in a much more practical way? An MHA isn’t sitting in their office thinking and going into philosophy a lot of times. A lot of times they're figuring out, how can we solve this problem? How can we deal with this emergency situation?’’   13:36 Breaking down silos in healthcare  Cole said administrative fellowships can help to develop a well-rounded approach. ‘’One of the ways that this is going to work out really well, and a lot of programs are doing this, is through administrative fellowships. I actually have a lot of different things that we're involved with with that, trying to get fellowship certified, trying to get fellowships publicized a lot because administrative fellowships have to rotate through every department in the organization usually. They know all the leaders. And so when they go and work in operations, they are very well-rounded. They have a much better strategic vision of the organization. They know clinicians, they know the house staff, they know the janitors, they know everybody. A lot of times they know the people who are on construction teams building the building. And so that gives them a huge, well-rounded approach that's also going to massively improve strategy. So yeah, the majority of organizations are still struggling. They're siloed or they don't even have really a strategy team, but there is a good trend for improvement I think on the way.’’   16:32 Join Cole’s community on LinkedIn Cole said anyone who wishes to get involved with the Journal can connect on LinkedIn and YouTube.  ‘’LinkedIn is one of the best knowledge communities. There's a bunch of knowledgeable people. All my mentors have come from LinkedIn. The past two jobs I've gotten, including the journal, so I guess my past three jobs, have all come from people I've met on LinkedIn. So I would say go to LinkedIn, the American Journal of Healthcare Strategy is on there. I am on there. Happy to network and connect with anyone. Also, just happy to be kind of a funnel connecting you to other people. If you want to meet someone in the Philadelphia region, I know most of the senior leaders here at least casually, so I can always connect you to somebody if there's somebody you want to meet. So yeah, LinkedIn is definitely the best way until we get that website and mobile app up and running…. I know sales teams have told me that they've benefited a lot, our YouTube channel and our LinkedIn, a lot of time our LinkedIn will link to the YouTube channel.’’   19:08 Applying economic theories to healthcare strategy Cole said education is important to help hospitals adapt to strategy. ‘’I think the first reason that it's important is because if you're an MHA grad and you're interfacing with an MBA graduate or somebody who's a consultant, I guess classically trained in business, you need to understand the economic theories that they're going to be using and you also need to understand why they seem flawed. So when you go through a strategic plan and you utilize one of these theories, it could be like Blue Ocean or you utilize Porter's Five Forces, I like them, I think they're excellent, but they are flawed in some situations. And coming from operations, you'll identify, "Oh, there's something wrong with this," but you might not exactly know how to explain it. And it'll give you the language, it'll give you the techniques. You'll be able to construct these Five Forces plans, the Blue Ocean Plan. There's another one I can't remember off the top of my mind. But then it'll take you and say, "Okay, here's the problems with some of them. Here's how you can identify what the issues are, and here's how you can fix them as well." So, when a consultant comes in and gives you this awesome plan, it'll not have you throw plan in the trash. It'll have you say, "Oh, here's how I can adapt it to fit my organization."    21:55 Leadership tip: why humility matters Cole said humility enables leaders to make connections.  ‘’Humility is really, really important. I've been so privileged to sit with most of the CEOs of hospitals in the Philadelphia region. I think that the humility of some of them is really astounding and it leaves a lasting impact on me. I also think that those are usually the ones who are most respected, being down to earth and being humble, speaking with all the members of staff because you actually need to and want to and not just because it makes you look good…Also, the other lesson Six Sigma, the Gemba walk, the... Before you can become a manager in Japan, you have to go through all the departments…When these people rotate through these departments, I was talking to one the other day that she was in the parking lot looking at the road signs in the parking garage and working with the builders in the state to make sure that these parking lot road signs were constructed correctly. A few years later, she's going to be a hospital administrator, but that experience in the parking lot looking at the road signs, invaluable, because now she has a connection to the whole organization. And you can only make that connection if you're humble.’’   Connect with Lisa Miller on LinkedIn Connect with Jim Cagliostro on LinkedIn Connect with Cole Lyons on LinkedIn    Check out VIE Healthcare and SpendMend    You’ll also hear:    Transfer of knowledge, the goal of the American Journal of Healthcare Strategy: ‘’It’s really essential that we think of things differently. …. what we're trying to figure out is how to transfer knowledge around in a better way, whether that is through consulting one-on-one, whether that's through one-on-one coaching, or whether that's through podcast or video. How can we get a community that is knowledgeable and is empowered by that knowledge? That's what our real goal is at the end of the day.‘’     From checkers to chess; another way of looking at healthcare strategy: ‘’So with checkers, you're kind of looking at the very next move. With chess, the best players are looking many moves ahead. And how one move in one side of the board will affect the move in the other side of the board. It's a pattern of thinking that's very hard to develop even. In the first way I mentioned with thinking before I speak, it's very challenging.’’   The role of competition in American

    26 min

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4.7
out of 5
12 Ratings

About

Healthcare management is ever-changing.  Join Lisa Miller and Jim Cagliostro where you will hear from innovators and leaders within healthcare and from other industries. Lisa and Jim will bring you topics on the business and clinical sides of healthcare on strategy, finance, managed care contracting, nurse engagement, physician engagement, new patient care models, patient satisfaction, innovation, leadership, communication, marketing, plus much more.   This show will challenge you to think differently through proven strategies and innovative approaches that will help you to elevate your healthcare management and healthcare leadership performance for the ultimate goal of providing exceptional patient care.   Enjoy diverse and thought-provoking conversations. Lisa and Jim will present best practices, new strategies, and ideas for you to think about and to implement in your career and your healthcare organization. To contact Lisa Miller, please email: lmiller@viehealthcare.com and on linkedin at https://www.linkedin.com/in/lisamiller/ . To contact Jim Cagliastro, please email: jcagliostro@spendmend.com and on linkedin at https://www.linkedin.com/in/jimcagliostro/   This show is sponsored by VIE Healthcare Consulting; https://viehealthcare.com

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