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Health Ecosystem Leadership Model (HELM™) Podcast Series
35 minutes | Feb 18, 2020
11 – Interview with Rick Pollack, MPA, President and CEO of the American Hospital Association
Rick Pollack is President and CEO of the American Hospital Association, elected in May 2015, having served the organization for more than three decades. The AHA represents more than 5,000 hospitals and 43,000 members nationwide—and works to ensure that the perspective and needs of healthcare providers are heard and addressed in national health policy development. The association has been cited by numerous national publications as one of the most influential and effective advocacy organizations in Washington. Rick has developed a sterling reputation for pressing the hospital group’s agenda on Capitol Hill and beyond. Under his leadership, the AHA launched AHAPAC, now one of the largest health care political action committees in the U.S., supporting congressional candidates who support hospitals and patients. Through his vision, the AHA also helped found in 2000 the Coalition to Protect America’s Health Care, a group of providers, businesses and other stakeholders dedicated to ensuring the financial viability of our nation’s hospitals from the threats of federal cuts in reimbursement for hospital payments. Rick has been a leader in efforts to expand health coverage in the U.S., taking part in many broad-based national coalitions that ultimately led to coverage expansion under the Affordable Care Act. Show Notes There are a number of public policy issues on the horizon that will impact the health ecosystem in the coming year. These include Medicaid payments to hospitals and health systems, eliminating surprise billing, addressing the skyrocketing costs of prescription drugs, ongoing work to ease the regulatory burden in areas that don’t impact patient care, ongoing litigation with the federal government regarding regulations, and of course, the 2020 election. Providers, insurers and pharmaceutical companies can be competitors or collaborators depending on the issue at hand. We’re all working to innovate and improve patient care. The field is moving towards value-based payment. We are seeing an increase in delivery system reforms that will transform the industry to focus on quality and cost. Hospital mergers are good for patients because they provide the scale to manage risk, access capital, and purchase equipment and supplies more efficiently. Hospitals and health systems are working to expand their reach outside the four walls to provide care to patients throughout the community and even in their homes. This includes working to address the social determinants of health, which have an outsized role in the health of individuals.
40 minutes | Nov 12, 2019
10- Interview with Dr. David Shulkin, Ninth Secretary, U.S. Department of Veteran Affairs
Dr. David Shulkin was Ninth United States Secretary of Veterans Affairs from 2017 to 2018 under President Trump and is the author of the new book “It Shouldn’t be This Hard to Serve Your Country” which was released October 22nd, 2019. He was the Under Secretary of Veterans Affairs for Health from 2015 until 2017, appointed by President Obama. He has been described as one of the “high priests” of patient-centered care. Prior to his government service, Dr. Shulkin was the President and Chief Executive Officer of Beth Israel Medical Center in New York City and President of Morristown Medical Center and Vice President of the Atlantic Health System Accountable Care Organization.
52 minutes | Aug 16, 2019
09 – Interview with Dr. Craig Samitt, President & CEO of Blue Cross Blue Shield of MN and Stella
Dr. Samitt is the President & CEO of Blue Cross Blue Shield of MN and its parent company, Stella. He came to Blue Cross in July 2018 from Anthem, Inc., where he served as EVP and President of Anthem’s Diversified Business Group, and as Chief Clinical Officer. Dr. Samitt has led sequential health systems transformations, previously serving as President & CEO of HealthCare Partners and President & CEO of Dean Health System. Dr. Samitt received his undergraduate degree from Tufts University, his Doctorate in Medicine from Columbia University, and his Masters in Business Administration from The Wharton School. Dr. Samitt has been a nationally recognized expert and thought leader on health care delivery and policy. His record of collaborating across the health care system to deliver higher quality care at a lower cost led to him being named as one of the “50 Most Influential Physician Executives and Leaders” by Modern Healthcare in 2018. Show Notes Healthcare leaders of the future should look to the skill sets that leaders in other high-performing industries use to drive sustained success, such as 1) strategic nimbleness, with the realization that healthcare as we know it needs to be reinvented; 2) collaborative intent, with a goal of achieving partnerships between doctors, hospitals, payors, patients and vendors that have aligned incentives and interests, all directed at delivering better care at a lower cost; 3) execution discipline, and moving beyond “success” being defined as incremental progress around the margins of your core business. Mission and margin can coexist as long as the outcomes benefit the consumer. High quality care can be more profitable than lower quality care. The best way we’ve done this is to look to partner and invest in organizations that generate a wellness ROI. Organizations can establish successful partnerships by identifying a common vision, agreeing upon goals, and building common ground. Partner organizations can overcome boundaries and obstacles by keeping a customer-focused view on their problems and by demonstrating “collective sacrifice” when needed. Leaders can accelerate transformative value by matching their risks with innovation; by testing innovative practices on services that need to be changed; those that effect total cost of care and quality outcomes the greatest.
43 minutes | Jul 10, 2019
08 – Interview with Nancy Howell Agee, President and CEO of Virginia-based Carilion Clinic
Nancy Howell Agee is President and CEO of Virginia-based Carilion Clinic, an integrated health system which serves more than 1 million. Carilion Clinic includes seven hospitals which employs over 800 providers. Prior to becoming CEO in 2011, Ms. Agee service as EVP and COO. During her time as COO, she co-led Carilion’s reorganization from a collection of hospitals into a full integrated, physician-led clinic. The reorganization resulted in a partnership with Virginia Tech to create a medical school and research institute, which has quickly garnered over $100 million in external funding. Ms. Agee has been recognized as healthcare’s 100 most influential people for the past four years by Modern Healthcare and currently services as past chair for the American Hospital Association. She was recognized by Virginia Business as Virginia Business Person of the Year in 2017 and named among the 50 most influential people in Virginia five years running. Last year, she was honored to be named the recipient of the Gail L. Warden Leadership Excellence Award in 2018. Ms. Agee holds degrees with honors from the University of Virginia and Emory University and honorary degrees from Roanoke College and Jefferson College of Health Sciences. Show Notes: Leaders can find the management philosophy known as servant leadership effective at improving relationships and decision-making by giving employees a greater voice. Efficiency can be maintained in matrix structured organizations by forming networks of leaders that can easily share information and by upholding transparent communication with employees. By giving the local community a say in the internal processes of an organization, medical institutions can keep a consistent pulse on the community needs, maintain a close relationship with the populations they serve, and gain local support. Conflict between partner organizations can be overcome by reframing and agreeing on a common language and by approaching cultural issues together, with an open mind and creativity.
55 minutes | Apr 23, 2019
07 – Interview with Laura Landy, President and CEO of the Rippel Foundation
Laura Landy is President and CEO of the Rippel Foundation and has guided the creation of ReThink Health and FORESIGHT: Designing the Future for Health, the Foundation’s two flagship initiatives. Rippel seeds innovations in health by working with national and regional leaders to better see and execute systemic approaches that can transform our current system – one designed for another time, and create opportunities for better health and well-being for all. ReThink Health works with well-positioned stewards beginning where they are today; FORESIGHT looks ahead at future trends and emerging ideas and how they can accelerate transformative efforts. Laura has nearly four decades of experience addressing changing dynamics in health, higher education, economic development, social services, and culture. Her professional career includes relationships with The Ford Foundation, Pfizer, New Jersey’s public health system, AT&T’s Bell Labs, the 92nd Street Y, Adelphi University, and others. Laura has served in leadership roles in many academic institutions including creating the Institute for Nonprofit Entrepreneurship at NYU’s Stern School of Business, helping lead both NYU’s and Fairleigh Dickinson’s entrepreneurial centers, and serving as adjunct faculty at Columbia University and the New School. She currently serves on the Dartmouth-Hitchcock Health Board of Trustees and is a board member of Grantmakers in Health. Laura received her undergraduate degree from Washington University in St. Louis. She received her MBA from New York University, and is a Fellow of the New York Academy of Medicine. Show Notes: Collaboration among disconnected healthcare entities can be achieved by determining the unique interests of all stakeholders involved and leveraging common co-dependencies among them. To support collaborative solutions, four key areas require focused attention: (1) creating a sound strategy, (2) clarifying values among stakeholders, (3) broadening stewardship across silos, and (4) creating sources of sustainable financing. Engaging with the ecosystem involves continued learning, comfort with change, and thinking about what’s possible. Collaboration is an indispensable technique to solve the tough problems facing population health today such as the mental health national crisis, affordability, and availability of pharmacy and specialty drugs. Embodying mission, vision, and values based on a global concept of health and a better world is about actively living those values when approaching daily work. Health ecosystem leadership must reflect the communities we serve and be centered around the individual with a focus on team-based, whole-person centered care.
48 minutes | Feb 21, 2019
06 – Interview with Robert Allen, Senior Vice President and COO at Intermountain Healthcare
Robert Allen leads the transition to value‐based care, consistent with Intermountain’s mission of helping people live their healthiest lives possible. As SVP and COO, he currently leads teams of key leaders focused on healthcare delivery across the Intermountain Healthcare System. He is an accomplished healthcare executive with experience in Outreach, TeleHealth, Life Flight, Homecare, Clinical Support Services and Environment of Care Services. With over 25 years of leadership experience, Mr. Allen has served in executive positions at hospitals and health systems in Wyoming, New Jersey, Massachusetts, and Utah. He is a Fellow of the American College of Healthcare Executives, holds an MBA from Utah State University, and a bachelor’s degree in operations management from Brigham Young University. Show Notes: To create teams focused on impact, align the team’s mandate to improvements in care and value. The health system business model needs to place the consumer at the center with priority goals of quality, accessibility, and affordability of care. A future-focused strategy is a key ingredient to remain competitive. Understanding the health and wellness needs of the community brings clarity to partnership opportunities. Leveraging external partnerships to bring in new ideas creates a culture of innovation.
35 minutes | Jan 17, 2019
05 – Interview with Lauren Steingold, Head of Strategy for Uber Health at Uber
Lauren Steingold is the Head of Strategy for Uber Health at Uber – driving the company’s global efforts in the health space. She spearheaded the launch of Uber Health, Uber’s HIPAA compliant product that enables healthcare organizations to request or schedule rides of behalf of patients. For her work on this launch, Lauren was named on the San Francisco Business Times’ list of the Most Influential Women in Business in 2018. Prior to her role at Uber’s San Francisco Headquarters, Lauren helped launch Uber in Miami, Boston, and Rhode Island. Lauren led Uber’s on demand flu prevention campaign, where riders were able to receive a flu shot from a nurse in 2014, 2015, and 2016 nationwide. The initiative won an Immunization Excellence Award for Innovation at the National Influenza Immunization Summit in 2015. Before joining Uber in 2013, Lauren held roles at Allen & Gerritsen, an advertising agency in Boston, and the Institute for Healthcare Improvement in Cambridge. Show Notes: As a social determinant of health, access to reliable transportation is pervasive through the ecosystem and requires cross-system collaboration. 3.6M Americans miss their doctor appointments every year due to lack of transportation to their appointments, resulting in a cost to the health ecosystem of approximately $150B a year. Uber Health sought to align with diverse stakeholders from multiple industries, specifically those who shared their passion for solving patient access and willing to learn and manage challenges together. Committed to continued learning and open to innovative thinking, Lauren Steingold at Uber Health demonstrates ecosystem focused leadership by utilizing technology and talent in collaborative partnerships in their work towards removing transportation as a barrier for care.
41 minutes | Dec 11, 2018
04 – Interview with Nicolette Sherman, Vice President, Global Leadership Development, Sanofi
Nicolette is the lead for the Global Center of Excellence for Leadership and Executive Development for Sanofi Pharmaceuticals. She is responsible for leading a global team of 45 + resources to drive strategic initiatives for building leadership and managerial competency across the organization. Nicolette received her BA in government from Lehigh University, an MA in Political Science from University of Delaware, and an MA in Human Resource Management from Rutgers University. She serves on the Board of Trustees for Deirdre’s House in Morris County, has held leadership roles in the Boston Chapter of the Healthcare Business Women’s Association (HBA), and is a 2X PharmaVoice 100 honoree. Show Notes: Collaboration, especially in problem solving, is a learned leadership skill which requires accessing the power of diverse views. Today’s healthcare leaders need a high level of learning agility, courage, and the safety to fail fast and recover faster. Creating a shared purpose can leverage leaders to drive collaborative solutions. Focusing on health ecosystem leadership is a necessary investment to create opportunities for better outcomes for all sectors.
37 minutes | Nov 14, 2018
03 – Interview with Rod Hochman, M.D., President and CEO of Providence St. Joseph Health
Rod Hochman, M.D., is the president and CEO of Providence St. Joseph Health, a faith-based not-for-profit health and social services system comprised of over 111,000 caregivers serving patients and communities in 50 hospitals, 829 clinics and hundreds of programs and services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Rod has been selected multiple times as one of the 100 Most Influential People in Healthcare and 50 Most Influential Physician Executives by Modern Healthcare. He is a board member for the American Hospital Association (AHA), chair of AHA’s Regional Policy Board 9 and vice chair of the board of trustees for the Catholic Health Association. Rod served as a clinical fellow in internal medicine at Harvard Medical School and Dartmouth Medical School. In addition, he is a Fellow of the American College of Physicians and a Fellow of the American College of Rheumatology. Show Notes: Health ecosystem leaders are working with partners and recruiting talent from new places, all contributing to where healthcare is going. Engaging with the ecosystem involves continued learning, comfort with change, and thinking about what’s possible. Collaboration is indispensable as a technique to solving the tough problems facing population health today such as the mental health national crisis, affordability, and availability of pharmacy and specialty drugs. Embodying mission, vision, and values based on a global concept of health and a better world is about actively living those values when approaching daily work. Health ecosystem leadership must reflect the communities we serve and be centered around the individual with a focus on team-based, whole-person centered care.
47 minutes | Sep 30, 2018
02 – Interview with Dr Bonita Stanton, Founding Dean of the Hackensack Meridian School of Medicine at Seton Hall University
Dr. Stanton’s career has focused on bringing the healing and compassion of healthcare to the world’s most vulnerable and improving health outcomes for all regardless of race, ethnicity, socio-economic status or geographic location. She has consulted for numerous national and international agencies including the World Health Organization, the World Bank, UNICEF, Elsevier and USAID. Show Notes: Initiatives to promote health ecosystem solutions are best led by a democratic/collaborative leadership style in which all key stakeholders are viewed as partners to drive positive change. U.S. healthcare expenditures far outweigh those of other industrialized countries while producing poorer results on most major indicators of health and wellness. New technological advances in the clinical care setting has the potential to deliver more affordable, accessible, and equitable services to all patients regardless of socioeconomic status. To promote health ecosystem leadership, medical education should stress cross-disciplinary training to enable clinicians to learn approaches to health and wellness and prevention of preventable disease.
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