CardioSource WorldNews September 2015 | Page 40

CLINICAL INNOVATORS Interview by KATLYN NEMANI, MD Expanding Care for the Sickest: An Interview with Gary Gottlieb, MD G ary L. Gottlieb, MD, MBA, served as president and CEO of Partners HealthCare, Massachusetts’ largest private employer and biggest health care provider, from January 2010, to March 2015. He recently became the CEO of Partners In Health, a Boston-based global health organization. After receiving his B.S. cum laude from the Rensselaer Polytechnic Institute, Dr. Gottlieb earned his MD from the Albany Medical College of Union University in a 6-year accelerated biomedical program. He completed his internship and residency, then served as Chief Resident at New York University/Bellevue Medical Center. Dr. Gottlieb also earned an MBA with distinction in health care administration from the University of Pennsylvania’s Wharton School of Business. In addition to his noteworthy academic, clinical, and management record, Dr. Gottlieb has published extensively in geriatric psychiatry and health care policy. You have had a remarkably varied career— transitioning from a practicing psychiatrist to a national health care leader. Can you describe your journey? I chose to train at Bellevue because I had an interest in caring for the patients with greatest need—patients with brain disease, with severe and persistent mental illness in the context of poverty, substance use, and medical risk. One of my mentors at Bellevue encouraged me to become a Robert Wood Johnson Foundation Clinical Scholar and I went to the University of Pennsylvania for the program. While I was a Clinical Scholar I earned an MBA in health care administration and was recruited to build Penn’s first program in Geriatric Psychiatry. I had the good fortune of being supported in learning how to manage and how to build programs from scratch in areas that I was passionate about, becoming Interim Chair of Psychiatry and Associate Dean for Managed Care of Penn’s Health System and then CEO of Friends Hospital. 38 CardioSource WorldNews In 1998, Partners HealthCare and its visionary CEO, Sam Thier, made a major commitment to invest in psychiatry and behavioral neuroscience when peer institutions were diminishing their investments in mental health. Sam recruited me to become chair of Partners Psychiatry, and gave me the opportunity to work with some of the greatest people in the field. From there I became President of North Shore Medical Center and, in 2002, President of Brigham and Women’s Hospital. When I started at the Brigham, Victor Dzau, a brilliant cardiologist who was Chair of Medicine, was working with Paul Farmer to create a new division of global health equity in the Department of Medicine at the Brigham. Together with Howard Hiatt and Marshall Wolf, they developed a superb “My wife and I went down to Haiti in the weeks that followed [the earthquake]. I saw first hand the kind of work that had inspired my career, trying to figure out how to bring the best and brightest people to care for the sickest and neediest populations.” division and a global health residency program. I was swept away by their passion and vision and I had the privilege of supporting their work. We recruited Jim Kim back from the World Health Organization to become the chief of that division. Soon after, I joined the board of Partners In Health (PIH) and traveled to Rwanda and Haiti. Needless to say, I fell in love with Paul Farmer and Ophelia Dahl and the work that they were doing. I helped to continue supporting their work when I became the CEO of Partners HealthCare in 2010. About 12 days after I started as the CEO of Partners HealthCare, one of the great tragedies of the western world occurred with the massive earthquake in Haiti. We already had people on the ground from PIH and the Brigham, and the Massachusetts General Hospital (MGH) immediately deployed its Disaster Management Assistance Team and assisted with the work of the USNS Comfort. My wife and I went down to Haiti in the weeks that followed. I saw first hand the kind of work that had inspired my career, trying to figure out how to bring the best and the brightest people to care for the sickest and the neediest populations. At what point did you begin thinking about transitioning from CEO of Partners HealthCare to CEO of Partners In Health? Well, last year as my 60th birthday approached, I was thinking about what opportunities might lay ahead and we heard that Ophelia Dahl was going to step down as Executive Director of PIH. A couple of fellow board members ultimately approached me to see if I might be interested in making this major shift in my life. I discussed it that night with my wife, who is my most powerful inspiration and is a much better person than I am (she has an endowed chair in public and community psychiatry at the MGH and is the director of the Kraft program for community health). She said, “You have to do this. This is why we became doctors.” So I made the decision to do it last fall. September 2015