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The Gary Bisbee Show

The Gary Bisbee Show

The Gary Bisbee Show is a weekly podcast discussing how leading health system CEOs and healthcare leaders are navigating the evolving healthcare landscape while leading high-performing teams and driving innovation across the industry.

Latest From Series

72: A Guide to Fixing American Health Care

Ep 72.The Gary Bisbee Show Notes“A Guide to Fixing American Health Care” with David Nash, M.D. “We find the black box and, no surprise to hardened investigators, it's a multifactorial.”                                                                                                                          – David Nash, M.D. Meet David Nash, M.D.:David Nash, M.D. is the Founding Dean Emeritus and the Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, at the Jefferson College of Population Health.He also serves as a Special Assistant to the Chief Physician Executive of Jefferson Health. He is a prolific author, with a forthcoming book, “How Covid Crashed the System: A Guide to Fixing American Health Care.” Dr. Nash received a Bachelor’s in Economics from Vassar College, a medical degree from the University of Rochester, and an MBA in Health Administration from the University of Pennsylvania. Key Insights:Dr. Nash analyzed the pandemic like an investigation into a flight crash. The black box revealed a variety of misaligned incentives in our current healthcare system. Heroism is Counter-productive. Dr. Nash pushes back on the habit of calling doctors “heroes.” It reinforces the mythology that doctors can fix and control everything in healthcare. While individual doctors did their best, in reality it was the American health system that failed during the pandemic. (27:41)Pay-vidors. Dr. Nash points to the benefits of joint venture or ownership models, where payers and providers are economically aligned. This type of model incentivizes prevention, wellness, and upstream care. Kaiser Permanente and Humana are models of this. (34:58) How to Fix Healthcare. Dr. Nash has core recommendations to fix American Healthcare: improve medical education, realign healthcare payment incentives, refocus leadership on the patient, improve connectivity with consumer, and make digital health more inclusive. Relevant Links: Check out Dr. Nash’s forthcoming book “How Covid Crashed the System: A Guide to Fixing American Health Care”Follow Dr. Nash on Twitter
July 14, 2022

71: Wisdom from a Chief Clinical Officer

Meet Tom Balcezak, M.D., MPH:Tom Balcezak, M.D., MPH is the Chief Medical Officer of Yale New Haven Hospital. Previously, he was the Senior Vice President and Chief Quality Officer for Yale New Haven Hospital. He has been with the organization for over 30 years. Dr. Balcezak is an internist and received his medical degree from the University of Connecticut, and his MPH from Yale University. Key Insights:Dr. Balcezak provides insight into the position of Chief Clinical Officer, and the role it plays in the c-suite, strategy, and decision making.The Role: Chief Medical Officer. CMOs have the responsibilities of what historically has been a Chief Physician Executive. His direct reports include Chief Medical Officers and Chief Nurses, and he plays a role in quality, safety, accreditation, policy regulations, as well as pharmacy and supply chain. From a strategic perspective, Dr. Balcezak centers his decisions around the clinical needs of the patients and broader community. (6:50)Integration at Scale. Yale New Haven Hospital was able manage the large influx of patients during the pandemic due to the large size of the organization, combined with a high level on integration. The institution could pivot quickly due to system-wide standardizations related to EMRs, practice groups, and care protocols. (12:43)Staffing Shortages. America’s aging population combined with pandemic burn out is causing staffing shortages in healthcare. Additionally, Dr. Balcezak notes wage competition is occurring from parts of the economy that healthcare doesn’t normally compete with. Staffing will be one of the biggest challenges ahead given the person-intensive nature of healthcare. (25:57)Relevant Links:“Thomas Balcezak, MD, MPH appointed Chief Medical Officer of Yale New Haven Hospital”Learn more about Yale New Haven Health
July 7, 2022

70: 4th of July: A Presidential Perspective, with Tevi Troy, Ph.D., Senior Fellow, Bipartisan Policy Center

Meet Tevi Troy, Ph.D.:Tevi Troy, Ph.D. is a Senior Fellow at the Bipartisan Policy Center as well as a Senior Fellow of the Hudson Institute. He is the founder and CEO of American Health Policy Institute. His career extends into the public sector as a former member of President George W. Bush’s transition team, a Deputy Secretary in HHS, and Acting Assistant to the President for Domestic Policy. Additionally, Dr. Troy is a prolific writer with 4 books on presidencies and over 300 articles commenting on political trends.Key Insights:Dr. Troy reflects on the 4th of July through the lens of past presidencies. Bonds of Liberty. During the 4th of July, Presidents look for ways to unite the country. Dr. Troy points to an overarching message of liberty as a way to remember our shared bonds as Americans. (1:49)Did You Know? Thomas Jefferson and John Adams both died on the same day, July 4th, 1826, 50 years after the signing of the Declaration of Independence. (3:32)How We Celebrate. Sometimes Presidents host activities on the 4th of July that advance policies of their administration, like parades or naturalization ceremonies. However, most often Presidents go to a vacation place they are comfortable with and celebrate with family. (6:12)Relevant Links: Follow Tevi Troy on TwitterTevi Troy has published 4 books analyzing past and present presidentsRead Tevi Troy’s article in National Affairs
June 30, 2022

69: The Pulse of Innovation, with Michael A. Mussallem, Chairman and CEO, Edwards Lifesciences

Meet Mike Mussallem:Mike Mussallem is the Chairman and CEO of Edwards Lifesciences. Prior to Edwards, he was at Baxter International. Currently, Mike serves on the board of the Advanced Medical Technology Association (AdvaMed) and is an advisory board member for the Leonard D. Schaeffer Center for Health Policy & Economics at the University of Southern California. He is a trustee of the University of California, Irvine Foundation and the Rose-Hulman Institute of Technology. Mike received a Bachelor’s in Chemical Engineering from the Rose-Hulman Institute of Technology.Key Insights:For Mike Mussallem, Edwards Lifesciences has a responsibility to the patients they serve. That mission is baked into their technology, culture, supply chain, and strategy.Culture of Innovation. Mike emphasizes the importance of culture. Edwards, like many medical technology companies, wants a culture of innovation. To achieve that requires rewarding true innovation, not just increases in sales, as well as creating an environment where employees can admit failure and build off of it. (19:12)Supply Chain Resiliency. The pandemic had a limited impact on Edwards due to built-in redundancy. Edwards has multiple production plants and suppliers, with facilities around the globe that support their specific geographic area. Effective strategy combined with strong culture helped Edwards tremendously during the pandemic. (24:42)Culture Eats Strategy. Another fundamental aspect of Edwards’ culture is its dedication to helping patients. The company brings that element to life through storytelling. Conferences or other events often showcase short films about how their technology directly impacts patients. When asked, 90% of Edwards employees think about patients each day when they make decisions. (29:36)Relevant Links:Learn more about Edwards LifesciencesRead “Edwards Lifesciences CEO Mike Mussallem on balancing innovation, ethics and resilience”
June 23, 2022

68: Advancing Military Medicine, with Joseph Caravalho, Jr., M.D., MG, U.S. Army, (Ret.), President and CEO, Henry M. Jackson Foundation for the Advancement of Military Medicine

Meet Retired Major General Joe Caravalho, Jr., M.D.:Retired Major General Joe Caravalho, Jr., M.D., is the CEO of the Henry M. Jackson Foundation (HJF) for the Advancement of Military Medicine. Prior to joining HJF, Dr. Caravalho served in the U.S. Army in various position for over 30 years, including Joint Staff Surgeon and Chief Medical Adviser to the Chairman of the Joint Chiefs of Staff. Dr. Caravalho received a Bachelor’s in Math from Gonzaga University, a Master’s degree in Strategic Studies from the Army War College, and an M.D. from the Uniformed Services University of the Health Sciences School of Medicine. Key Insights:Retired Major General Joe Caravalho, Jr., M.D. has led a distinguished leadership career in and supporting the U.S. Military.Career Development. In your early career focus on establishing technical expertise. As your career progresses, continue to develop new skills, particularly related to leading people. The skills necessary for one promotion may not be enough for the next. (24:06)Mentorship. Dr. Caravalho never asked for help or sought out mentorship. He was fortunate to have a commanding officer begin a mentorship relationship without him even realizing. He advises young leaders to not be like him, and instead seek out mentorship relationships early and throughout your career. (26:21)Henry M. Jackson Foundation Explained. HJF is a civilian not-for-profit organization that partners with the military to facilitate multi-year studies and programs. Their research priorities align with the dynamic priorities of the Department of Defense. For example, HJF is currently focused on vaccines and disease prevention. (1:58)Relevant Links: Learn more about the Henry M. Jackson Foundation for the Advancement of Military MedicineRead more about Dr. Caravalho
June 16, 2022

67: How to Work with Anyone (Even Difficult People), with Amy E. Gallo, Author, “Getting Along: How to Work with Anyone (Even Difficult People)”

Meet Amy Gallo:Amy Gallo is the author of the “HBR Guide to Dealing with Conflict,” and the forthcoming “Getting Along: How to Work with Anyone (Even Difficult People).” She is a co-host of the Women at Work podcast and is a contributing editor at Harvard Business Review. She is a public speaker and founder of Amy E Gallo Consulting, Inc as well as a Coach and Consulting Partner at Paravis Partners, LLC. Amy received a Bachelor’s in Sociology from Yale University and an MPA in Public Policy from Brown University.Key Insights:Amy Gallo realized there were many exceptions to the generalized rules about dealing with conflict. She set out to write a book that provides more specific advice for dealing with different types of difficult people.Being Better at Conflict. When conflict arises, we tend to go on the defensive and lose sight of the other person. Instead, try to think about the other person in an empathetic way. Additionally, do preparation for the conversation. Ask yourself: what are the facts of the situation, what assumptions am I making, and what don’t I know? And, what if I’m wrong, what would I do differently? (11:28)Working with Passive-Aggressive Types. Some co-workers may defy orders and not be straightforward or honest. Amy recommends creating situations where that coworker feels comfortable sharing their disagreements, and feels seen and heard. Additionally, create group norms that create positive peer pressure so that person delivers on their agreements. If those tips don’t work, call out the behavior with examples. (29:05)Working With Know-It-Alls. To navigate disagreements with a know-it-all, focus the conversation on facts and data. Additionally, overconfident people tend to respect confidence in others, so present your data with conviction. Remember that their behavior likely is a reflection of their own insecurities, and not a judgement of you. (32:09)Relevant Links:Check out Amy’s websitePre-order “Getting Along: How to Work with Anyone (Even Difficult People)”Check out the “HBR Guide to Dealing with Conflict”
June 9, 2022

The Gary Bisbee Show

The Gary Bisbee Show is a weekly podcast discussing how leading health system CEOs and healthcare leaders are navigating the evolving healthcare landscape while leading high-performing teams and driving innovation across the industry.
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Host

Gary Bisbee, Ph.D.

Gary Bisbee, Ph.D.

Founder and CEO, Think Medium

Dr. Gary Bisbee’s leadership positions have spanned Wall Street, academia, health policy and entrepreneurial ventures. He is Founder, Chairman and CEO of Think Medium, which explores learning and leadership through peer-to-peer conversations.

He is a frequent speaker and facilitator for executives and boards of directors. Gary is well published and he most recently co-authored, n=1: How the Uniqueness of Each Individual is Transforming Healthcare. His weekly video/audio podcast, The Gary Bisbee Show, pursues his interests in learning and leadership and features guests of significant accomplishment.

He has been a founder or leader of five venture companies. Most recently, he was Co-founder, Chairman and CEO of The Health Management Academy. He has been a member of multiple public and not-for-profit boards, and he currently sits on four boards, including Cerner Corporation. He is an advisor to investment funds.

Gary holds an M.B.A. in finance and healthcare from the Wharton School of the University of Pennsylvania, and a Ph.D. in chronic disease epidemiology from Yale University, where his dissertation was part of the development of DRGs. His undergraduate degree is from North Central College.

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