Anne Klibanski

How do we get care out into the right places?

But at the same time, we have to support those things that are really fundamental to all of our missions and be able to support them in terms of structures, in terms of all of the resources needed to keep them going.

I think the final set of challenges is the challenges of change.

And the rationale for change is very clear.

I meet very few people who don't sit back and say, the rationale for change is clear.

And it couldn't be clearer now, given where we are as a country, in terms of where we are in terms of healthcare, in terms of what lessons we've learned during COVID.

All of these things are true.

But fundamentally, when it comes to changing the way people work, that's a challenge.

So getting people to embrace a bigger vision, not all that hard, although it has challenges of its own.

But when it comes to actually change the way things are organized, how they're run, and fundamentally how it affects each person, their group, their department, that's the challenge.

So I think one of the challenges there was what I'll call the dilutional theme.

The dilutional theme is something I've encountered in many organizations, and that is whatever it is this part of the organization is doing is the best, and anything that is combined with something else will be dilutional.

So that's in some ways a humorous phrase, but it is a very complex one and is quite deep-rooted depending on where you are and what you're doing and who you sit with.

The intersection between research and clinical care was part of that transition.

So I think there was often this siloed approach of this is research and this is clinical care.

Here is innovation in research.

Here is clinical care.

Fundamental to the transition and fundamental to the healthcare system, among many things, is putting research and the drive to innovation, the drive to change into healthcare delivery.

So I think the first thing is putting everything together and saying that kind of innovation, that kind of necessary clinical integration, all of these things that we're doing to make us bigger, to have better impact, all of these things mean how do we take better care of patients?

Bigger is not expansion.