In this episode, Krista Hoglund sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* Krista’s huge ‘ah-ha’ moment in regards to change management

* The explosion of technology for virtually every use case

* How healthcare is person-centric, but the EHR is not

* And much more.

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Krista Hoglund, Chief Executive Officer of Security Health Plan of Wisconsin, Inc., is a healthcare executive with a track record of building high-functioning leadership teams, developing corporate strategies that work, achieving strong growth and positive financial results. She makes change happen by listening, analyzing and being willing to take risks.

Krista is a key proponent of Security Health Plan’s strategic imperative calling for stewardship of financial and human resources. She is highly focused on reducing the total cost of care for Security Health Plan customers, and across the health insurance and health care industry. As Chief Actuary and Financial Officer, Krista was a key leader in cost reduction efforts at Marshfield Clinic Health System through which Security Health Plan achieved more than $80 million in year-over-year savings. She has shaped policy, planning and analysis guiding the Health Plan’s decisions that affect its financial performance. She has worked especially closely with the financial leadership team at Marshfield Clinic Health System to ensure financial vitality for Security Health Plan and the Health System overall.

Prior to being named CEO in 2021, Krista built her career through progressively advancing roles within Security Health Plan’s executive leadership, actuarial and business intelligence areas, most recently serving as Chief Actuary & Financial Officer.

Krista is a graduate of the University of Wisconsin-Stout with a bachelor’s degree in applied mathematics, and is working toward her master’s degree in business administration. In addition, she completed the Carol Emmott Foundation Fellowship Program, along with a number of additional executive leadership training programs that have created the foundation of her leadership philosophy. She is an Associate of the Society of Actuaries, and a Member of the American Academy of Actuaries.

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Outline

Here are the timestamps for this episode.

(00:00) - Intro

(01:35) - The changing payer-provider dynamic

(03:40) - The power of data in breaking down provider resistance

(06:05) - When driving alignment between payers and providers, the messenger matters

(09:00) - The unique challenges faced by plans when driving toward value-based care

(11:07) - Deploying technology into the provider space to help make value-based care a reality

(14:25) - What it takes to earn the trust of the provider community

(18:55) - The technology strategies that are being used at Security Health Plan

(22:30) - What fundamentals make the move to value-based care significantly more difficult than it should be?

(27:05) - What does personalized member or patient engagement look like?

(28:00) - Shifting from reactive to proactive patient engagement and care delivery

(29:30) - Healthcare’s opportunity for personalization and automation through technology

(30:34) - What will technology unlock for payers and providers over the next few years?

(32:49) - The optimization of healthcare’s administrative tasks with technology

(34:56) - The role of technology in creating synergies between payers and providers

(36:02) - Advice for those looking to bring plans and providers closer together

(40:14) - End

Relevant links

* Krista Hoglund on LinkedIn

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Erica DeBoer sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* The impact of automation on patient registration and clinical intake

* The role of AI in helping address challenges in nursing

* How the next generation of nurses view the profession

* And much more.

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Erica DeBoer, RN, MA, CCRN, CNL, serves as Sanford Health’s chief nursing officer. A member of the organization’s executive leadership team, DeBoer provides clinical expertise for Sanford Health’s work in quality, safety, research and care management. She also oversees the integration of clinical initiatives.

DeBoer has more than 20 years of experience as a front-line registered nurse, including roles in critical care, clinical leadership and education. She most recently served as Sanford Health’s senior executive director of nursing and clinical services and clinical informatics. DeBoer has also served as adjunct faculty for nursing programs at South Dakota State University and the University of Sioux Falls.

The Sanford Health nursing practice DeBoer oversees is the largest division of the enterprise workforce supporting patient and resident care, including nearly 9,000 nurses across the post-acute, ambulatory and inpatient settings. She believes nurses are a critical part of the fabric binding the many facets of health care work together to achieve safe, high-quality care that exceeds patient expectations.

DeBoer is particularly interested in the link between patient experience and employee experience, knowing that changes in one sphere often directly drive improvements in the other. She sponsors a variety of initiatives in both areas at Sanford, including the use of predictive analytics to inform care and plan workforce needs; leveraging technology to automate non-value-added work so teams can focus on patient care; reducing clinical variations in care; and improving health equity and reducing the barriers patients face in accessing care. DeBoer says nurses are an incredibly flexible, innovative resource in these efforts and are essential to meeting the needs of our patients and communities.

Active in several professional associations, DeBoer holds a bachelor’s degree in nursing from South Dakota State University and a master’s degree in nursing from Augustana University.

DeBoer resides in Lennox, South Dakota, with her husband, Shane, and their two children.

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Outline

Here are the timestamps for this episode.

(00:00) - Intro

(01:25) - Why is the nursing workforce shortage coming?

(02:22) - What are we doing about the nursing shortage?

(03:25) - How nursing will change in 2024 and beyond

(04:42) - Why technology is important but only when properly focused

(06:09) - Examples of ‘unlocks’ that have made nurses lives better

(07:45) - The impact of automating patient registration and clinical intake

(09:34) - As administrative burden is removed for frontline staff, where do they focus?

(10:49) - Sanford Health is the largest rural healthcare system in the United States

(12:16) - The role of AI in addressing challenges in nursing

(14:10) - How Sanford is addressing governance when it comes to AI

(15:20) - How do nurses view AI? Helpful or hurtful?

(20:41) - The critical importance of change management 

(23:10) - Sanford’s job architecture project and defining career pathways

(25:00) - Reimagining nursing and the role of regulation

(26:55) - What do the next generation of nurses want from the profession?

(29:01) - Nearly every nurse wants help removing or reducing this aspect of their job

(34:56) - End

Relevant links

* Erica DeBoer on LinkedIn

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Eric Berger sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* How IT has become a strategic priority in healthcare

* What ROI means in today’s business environment

* What comes next for generative AI in healthcare

* And much more.

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Eric Berger is a member of Bain’s Healthcare & Life Sciences and Private Equity practices with more than 10 years of consulting experience.

Eric advises clients across a range of industries, with a focus in private equity funds as well as healthcare payers and services and biotech / pharma. He has additional experience in industrial goods and services and consumer packaged goods.

He holds expertise in topics related to commercial due diligence, business unit strategy, operating model, organization design, pricing, brand strategy and mergers & acquisitions.

Prior to joining Bain in 2011, Eric worked for a small consulting firm in Boston focused on the pharmaceutical, biotech and medical device industries. Previously, he was a researcher in organic chemistry at Harvard University. Eric has published in Science and the Journal of the American Chemical Society and was awarded a grant from the Howard Hughes Medical Institute and the Jean Dreyfus Boissevain scholarship.

Eric earned an MBA from MIT Sloan School of Management. He holds a BA cum laude and MA in chemistry from Harvard University.

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Outline

Here are the timestamps for this episode.

(00:00) - Intro

(00:15) - The state of healthcare IT

(01:25) - Healthcare executives’ mindset today

(02:55) - Healthcare’s ‘new normal’ is here

(05:30) - IT is a strategic priority in healthcare

(07:40) - Competing priorities and feelings among the healthcare C-suite

(09:40) - The rapidly evolving role of the healthcare CIO

(10:50) - What ROI means in today’s environment

(12:35) - Healthcare executives are making technology investments in these key areas

(13:44) - Why patient experience and quality are significant priorities

(16:19) - Generative AI in healthcare - where are we now?

(18:43) - The leading vanguard of health systems using AI

(19:30) - Using Generative AI for healthcare’s unstructured data

(21:41) - From thinking about AI use cases to a focus on how AI impacts business strategy

(26:52) - What comes next for AI in healthcare?

(29:52) - End

Relevant links

* Eric Berger on LinkedIn

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Dr. Robert Wachter sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* Why the latest AI innovations are a true game-changer for healthcare

* What most healthcare organizations can learn from the Atlanta Braves

* How to balance safety and benefits when it comes to AI

* And much more.

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Dr. Robert M. Wachter is chair of the UCSF Department of Medicine, which leads the nation in grants from the National Institutes of Health and is consistently ranked as one of the nation’s best. His primary interests are health care quality, safety and policy. He coined the term hospitalist in 1996 and is widely credited as the founder and academic leader of the hospitalist specialty in medicine, the fastest-growing specialty in U.S. medical history.

Wachter is an international leader in health care safety and quality. He has published more than 250 articles and six books on health care topics, including Understanding Patient Safety, the world’s top-selling safety primer, now in its third edition. He is a frequent contributor to the New York Times and Wall Street Journal.

Wachter received his medical degree at the Perelman School of Medicine at the University of Pennsylvania. He completed a residency in internal medicine, serving as chief resident, at UCSF. He was a Robert Wood Johnson Foundation Clinical Scholar at Stanford University, and he studied patient safety in England in 2011 as a Fulbright Scholar.

—- 

Outline

Here are the timestamps for this episode.

(00:00) - Intro

(01:24) - Your book Digital Doctor from 10 years ago - what did you get right and wrong?

(03:33) - Avoiding unintended consequences with digital in healthcare

(04:33) - How the industry is cautiously approaching GPT-4 and new AI innovations

(05:00) - The biggest opportunity in healthcare? Focusing on this area

(05:40) - How the Atlanta Braves compare to the average healthcare organization

(06:29) - Have GPT-4 and LLMs helped us move beyond the ‘AI winter?’

(10:19) - Why the latest AI innovations represent a step-change for healthcare

(11:43) - What problems in healthcare are most ripe for solving with AI?

(14:54) - Balancing safety and benefit as we think about AI in healthcare

(19:11) - What is top of mind as we head into 2024?

(22:24) - The future risk of AI complacency

(25:27) - End

Relevant links

* Bob Wachter on LinkedIn

* Bob Wachter on Twitter

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Michael Hancock sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* The role of data and analytics in moving a value-based model forward

* The criticality of aligned incentives in transitioning to a value-based care model

* How AI can impact future care models

* And much more.

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Mike Hancock serves as Executive Director of Operations Transformation for Castell. In this role, Mike leads the Operations Transformation and Care Traffic Control teams that support Intermountain Medical Group and Affiliate Partner Clinics. Mike has worked for Intermountain Healthcare for eight years in service line, geographic operations, and practice management roles leading a variety of outpatient clinic and hospital outpatient services.

Before working for Intermountain, Mike worked for three years in the ambulatory setting with HCA/Mountainstar. Mike earned both a Master of Health Administration and undergraduate Health Administration degrees from Weber State University.

—- 

OUTLINE

Here are the timestamps for this episode.

(00:00) - Intro

(01:11) - What inspired Hancock to get into healthcare?

(01:56) - What is operations transformation and what is the role?

(03:52) - Operations transformation started in primary care, where does it go from there?

(05:17) - Top lessons learned from transitioning primary care to a value-based model

(07:42) - The role of data and analytics in moving a value-based model forward

(11:37) - Exploring financial models for ‘care traffic controllers’ and care managers

(15:00) - How the make-up of the practice staff has evolved

(19:22) - Success metrics of a value-based care model

(21:26) - The criticality of aligned incentives in transitioning to a value-based care model

(22:00) - What is the sweet spot for provider incentives?

(22:43) - How AI can impact the future of these care models

(26:33) - Staying current with trends in care delivery and operational transformation

(27:53) - Do not be afraid to take action, test, and iterate to get to a value-based model

(30:18) - End

Relevant links

* Michael Hancock on LinkedIn

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Dr. Patrick McGill sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* Why transformation requires courage and how to be a courageous leader

* The need to think about ROI in terms that go beyond just financials

* The promise of Generative AI for healthcare

* And much more.

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Patrick McGill, MD, is an executive vice president and Community Health Network's chief transformation officer, a role he assumed in November 2021.

Dr. McGill is responsible for population health management, value-based care, envisioning data-enabled strategies, overseeing information technology and digital transformation, and leading Community’s effort to use analytics to drive transformation.

Since joining Community in 2010 as a family medicine physician, Dr. McGill has advanced through a variety of roles. After working in informatics, he was named medical director for physician informatics. In 2017, Dr. McGill was named vice president, clinical transformation, and shortly thereafter became senior vice president, clinical strategies.

Dr. McGill holds a bachelor of science degree from the University of Georgia and received his medical degree at the Medical College of Georgia School of Medicine in Augusta, GA. He completed his family medicine residency at Ball Memorial Hospital in Muncie, IN. He is board-certified by the American Board of Family Medicine.

—- 

OUTLINE

Here are the timestamps for this episode.

(00:00) - Intro

(01:57) - Why having courage is critical in bringing transformation to healthcare

(03:37) - Any transformation project must start by clearly defining the problem to be solved

(04:30) - Breaking down healthcare’s traditional mindset of siloed thinking

(07:51) - Why healthcare organizations need to think about ROI differently

(10:29) - The healthcare workforce now and in the future

(13:15) - Healthcare problems that were once intractable can now be solved with AI

(14:34) - Using AI for segmentation and personalization in healthcare

(15:33) - Examples of failed programs and the leadership lessons learned

(17:34) - The critical importance of alignment in driving change and transformation

(19:14) - Why right now is one of the most exciting times for the healthcare industry

(21:21) - End

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Relevant links

* Dr. Patrick McGill on LinkedIn

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Dr. Topol sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* How AI can make healthcare human again

* Patient autonomy and access to care

* The medical community’s resistance to change

* And much more.

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Eric Topol is the Founder and Director of the Scripps Research Translational Institute, Professor of Molecular Medicine, and Executive Vice-President of Scripps Research.

He has published over 1,200 peer-reviewed articles, with more than 320,000 citations, was elected to the National Academy of Medicine, and is one of the top 10 most cited researchers in medicine. His principal scientific focus has been on individualized medicine using genomic, digital, and A.I. tools.

He authored three bestseller books on the future of medicine: The Creative Destruction of Medicine, The Patient Will See You Now, and Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Topol is the principal investigator to two large NIH grants, the All of Us Research Program that supports precision medicine and a Clinical and Translational Science (CTSA) Award that promotes innovation in medicine. He was the founder of a new medical school at Cleveland Clinic (Lerner College of Medicine), was commissioned by the UK to lead a review of their National Health Service, and is active clinically as a cardiologist. 

—- 

OUTLINE

Here are the timestamps for this episode.

(00:00) - Intro

(01:26) - How AI can impact the doctor-patient relationship

(05:00) - What is the next book Dr. Topol will write that correctly predicts a future trend?

(06:07) - Why it took a pandemic to get telemedicine off the ground

(06:32) - Resistance to change in the medical community

(07:00) - How LLMs and advanced AI can change the mindset

(10:23) - Why the industry needs to seize the moment we are in

(12:01) - Exploring how to build trust in AI among the medical community

(14:30) - Which areas are seeing the most uptake in terms of AI in healthcare?

(16:28) - Keeping the doctor-patient relationship at the core as AI becomes more widely deployed

(18:45) - Tips for staying current on the latest trends and news

(21:43) - End

Relevant links

* Eric Topol, MD on LinkedIn and Twitter

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives

In this episode, Dr. Hasselberg sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:

* The power of advanced AI and LLMs to dramatically reduce development time

* How pre-trained models are being used to power automated form fillers

* The drivers and motivations of being an early adopter

* And much more.

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Dr. Michael Hasselberg is the first Chief Digital Health Officer at University of Rochester (UR) Medicine and is the co-Director of the UR Health Lab, the health system’s digital health incubator. He is also an Associate Professor of Psychiatry, Clinical Nursing, and Data Science at the University of Rochester. 

Board certified as a Psychiatric Mental Health Nurse Practitioner, Dr. Hasselberg completed his Ph.D. degree in Health Practice Research at the UR and a postdoctoral certificate in Healthcare Leadership at the Johnson School of Management at Cornell University.

His expertise expands health and technology as a Robert Wood Johnson Foundation Clinical Scholar Fellow and advisor on digital health modalities to the New York State Department of Health, the Department of Health & Human Services, and the National Quality Forum.

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Outline

Here are the timestamps for this episode.

(00:00) - Intro

(02:02) - Trying to solve complex healthcare problems before GPT-4

(03:41) - Solving the patient messaging problem with GPT-4 in just two days

(08:03) - Non-patient facing use cases for LLMs and generative AI

(09:22) - Building automated form fillers (workers comp)

(10:54) - Using LLMs to build tools for the IT Help Desk at a health system

(12:45) - Generative AI for ambient documentation

(14:45) - What’s the motivation to be an early adopter of technology?

(18:40) - Why banning the use of generative AI is not a winning strategy

(19:28) - Exploring the incentives for continued innovation

(23:22) - What guardrails does an innovation incubator operate within?

(27:45) - End

Relevant links

* Dr. Michael Hasselberg on LinkedIn

* Dr. Neinstein on LinkedIn and Twitter

* Notable on LinkedIn

* Notable Perspectives