What better time than year end to reflect on our collective progress as an IT team. You will see a lot of “top 10” type stories in December – top trends, breakthroughs, stories, and even top predictions for the coming year. I’ll leave those to people with far more time to research and write. What I’d like to share is the progress my incredible IT team has made in partnership with our many internal customers at UMHS in 2015. These are common journeys for health care CIOs around the country. Continue reading
I have worked in health Information Technology my entire professional career. In high school, I worked as a part-time nurse’s aide in a nursing home. In college, I worked in a hospital as a unit secretary, back before there were computers at the nurse’s station. I never wanted to be a nurse or physician,
but I am passionate about health care and what we do to improve people’s lives. I found the path for me is through health care IT.
But I still remember some of the elderly people that I cared for back at that nursing home: Anna, who never had a visitor but was the sweetest and most grateful little old lady you’d ever find. And Hilda, who was as demanding as any but turned on the charm to make sure you liked her and met her requests. Oscar, who was as grumpy and mean as anyone could be. And Ida, who fought us every time we tried to give her medicine; it took two people most of the time. In spite of their varying personalities and needs, we cared for all of them as best we could, with empathy and support.
My daughter used to joke when she was upset with us that she would put us in a cheap, bad nursing home far away. But for many, it’s no joke. My heart breaks for elderly people alone and without family visitors. I applaud a retired friend who has found “Meals on Wheels” to be his volunteer focus – what a wonderful way to show up for someone. I also applaud a recent retiree from the UMHS ambulatory services leadership team; I saw her in the hospital recently wearing a blue volunteer smock. She is there twice a week as a communion minister.
I remind my IT staff we are part of the extended care team – we don’t touch patients directly Continue reading
In August 2014, I posted “Beyond the core Electronic Health Record” about our primary integrated vendor strategy at UMHS. We have already implemented the core suite of products from Epic. We continue to be committed to this strategy and it continues to serve us well.
We are in what we call MiChart Stage 4 which includes radiology, home care, and part of cardiology. We had agreed that anesthesiology and transplant would be in a future stage. As we plan for those future stages, we’re also considering ambulatory pharmacy, care management, infection control and other specialty areas.
Outside these major stages, there are ongoing needs to support strategic initiatives in capacity management, patient engagement and telehealth. We are planning for the Bed Management module to replace an existing third party product, Bedside in the hospitals that don’t already have a solution, and telehealth functions.
We are also discussing another critical area where Epic is building out functionality. Continue reading
I am committed to developing the next generation of leaders. I also give generously to non-profits that I care about. This week, those two passions converged.
I hosted a “lunch and learn” with five women from Cisco. Jay Roberts, director operations sales, has been a strong supporter of Michigan Council of Women in Technology (MCWT), like many leaders in technology companies. At the annual MCWT gala fundraiser in October, I donated a “lunch and learn” session. I offered to meet with four women over lunch to have an open discussion on women’s leadership issues. Jay bid it up until he had no more competition. He then went back to Cisco and recommended a group of women to participate.
The women who lunched with me all currently work in the sales division for this technology company. They have different backgrounds in terms of college experience, technology education, and family history. They shared their stories and challenges with me. I asked each of them what they wanted to get out of our two hours together. After all, they all had plenty of work to do back at the office.
They wanted to talk about: work life balance and making time for self; how to lead with assertiveness and compassion yet not mother staff; common mistakes women leaders make; and where best to focus their volunteer energy.
I keep my distance from the huge crowds shopping on Black Friday. And Cyber Monday comes way too soon for me. I usually wait until mid-December to actually do any gift shopping. The one gift I decide on early is the “perfect” book for everyone on my leadership team – a tradition I’ve had since my first CIO position. But I know that most people try to get a very early start.
I am committed to encouraging girls to pursue careers in STEM fields. I have spoken on women and technology to several different audiences over the past year, including keynoting at the Michigan Council of Women in Technology annual Executive Connection Summit in May. One part of my talk includes ideas for gifts starting with the very littlest ones through high school to encourage an interest in technology.
If you have any children on your gift list this year, consider some of these ideas that my staff specialist, Chris Greene, and I have found as we gathered information for the talk this past year: Continue reading
As we gather with family and friends this Thanksgiving, let us be mindful of the global society we now live in. It is a difficult time for political discourse, let alone the kind of rowdy yet friendly debates that can erupt at Thanksgiving tables with people we know well and love.
The current political climate in this country is fraught with tension. The 2016 presidential campaign dominates many news stories with more and more outrageous statements and declarations by candidates. We hear that many want to close our borders. We see the Syrian refugees seeking a new home and a safer life as they flee the war in their homeland. We grieve with the victims of the Paris terrorist attacks. And we watch with horror the continued instances of police brutality in our own cities and wonder why people have a problem with the statement “Black Lives Matter”. As I write this, I am following closely the story of white supremacists shooting protestors in my home town of Minneapolis. And on university campuses such as University of Missouri, Yale and Harvard where students seek to learn, there is racial strife that threatens to splinter them.
We sang a new hymn at church this past Sunday that really struck home for me. “Our World is One World” by Cecily Taylor included this verse:
Our world is one world, the thoughts we think affect us all. The way we build our attitudes, with love or hate, we make a bridge or wall.
When I participate in our IT department meetings and events I am reminded how wonderfully diverse we are. Continue reading
I have lived and worked in Ann Arbor for 3 years now and have made many trips to Lansing and Detroit for meetings and events. In Lansing I go to about 5 different locations: my car is almost on auto pilot. I have been to various locations in downtown Detroit and the surrounding suburbs. What would I do without the GPS technology we all take for granted?
I have a built-in navigation system in my car, but you probably have the same ability with a map app on your smart phone. My daughter warns me though, to not depend on GPS when you are down to the last mile; “Use your eyes,” she says. That’s what I do when I’m going to the Ren Center in downtown Detroit. My biggest concern then is that I will be in the wrong lane and end up taking the tunnel to Windsor, Canada. You can’t just do a U-turn on the other side; you need your passport with you. Unless I carry my passport in my car, it would be a major delay. I have heard about people who missed events by an hour just by making that mistake.
And there is a lot of road construction with detours on my way out of Detroit these days. I must rely on my GPS to adjust my route and use my eyes to keep track of the detour signs.
Do you remember those thick spiral-bound books of maps for a metro area? You needed a magnifying glass to read it. You also needed a co-pilot in the passenger seat. A real challenge if driving alone at night!
I remember when we stuck add-on Garmin devices to our inside windshield or tried to somehow balance them on the console.
I still sometimes use the online Mapquest or Google Maps service to print out the directions in advance; sometimes I want the big picture visual with me.
But the convenience of a built-in navigation system with voice directions in my 2008 car is far better. I rely on it whenever I’m headed someplace new.
But what about when you are inside a large building complex? Wayfinding in hospitals is a challenge for both patients and staff, especially in large academic medical centers with old and new buildings connected on a sprawling campus. Continue reading
The past month has been a particularly busy one for me. I have spoken locally a few times and gone out of town on business several times as well. I’ve been to the CHIME Fall Forum, made a site visit at Duke, and attended an AAMI board meeting. During that same period, I’ve given a talk on “Women in Technology” and participated on a CIO panel at the Midwest Fall Technology Conference in Detroit. I spoke on “High Impact IT” at the 2015 ICHITA Conference sponsored by the Center for Health Information Technology Advancement at Western Michigan University in Kalamazoo. I was one of two CIO guests on the CIO TalkRadio Show last week. And we published our monthly newsletter and held one of our twice a year department all staff meetings.
I have a busy schedule of meetings at multiple UMHS locations every day, so how did all these commitments come off without a hitch? The visual board my support staff and I started some weeks ago has made the difference! The only commitment that I scrambled on at the last minute was the one that hadn’t made it onto the board. That’s telling.
Prior to our visual board, I sometimes scrambled at the last minute to finish a presentation or finalize flight arrangements in time to get a reasonable price. Now, as a team, we can see into all the major events and commitments and take an organized approach to the shared tasks involved. Continue reading
I had my Academy Awards host moment this week at our IT department all staff meeting. It was great fun! Our Medical Center Information Technology (MCIT) department is over 600 people strong and we gather together twice a year. We present the annual employee awards at our fall meeting.
The STAR and Golden Mouse Awards are staff-to-staff awards – that means all nominations are submitted by fellow staff members. Nominations are reviewed and the winners are selected by members of the MCIT Appreciation and Recognition Team (ART).
The ART team was established to help MCIT develop and sustain a culture where contributions are recognized and accomplishments are celebrated. We are building an environment which recognizes MCIT staff who make a difference and ensures that their contributions are valued. We are creating a culture where employees are valued through events, programs, communications and awards. We measure success by increased employee engagement scores in the areas of appreciation and recognition. Continue reading
Recently I wrote that October was Quality Month and I highlighted Dr. Richard Shannon’s excellent talk, part of our Lean Thinker’s Series. I “teased” that I would comment on the Quality Month poster sessions in an upcoming post.
For two days, 48 quality improvement teams displayed their stories as posters. I spent about an hour checking out the posters and talking with people from the teams. I targeted the ones with potential scalability or an IT connection.
Here are a few worth noting:
Got Portal? –The Briarwood Center for Women, Children and Young Adults
We rolled out our patient portal more than 3 years ago. Patient enrollment has been fairly successful with over 200,000 active users but this is still not at the level we need. This health center established specific goals for making portal functionality part of everyday clinic workflow and used by patients and families. They increased their marketing efforts and established staff incentives for meeting short term goals. They purchased iPads to help staff sign up patients. They added the portal metric to their daily huddle. The result: Briarwood Center for Women, Children and Young Adults has the highest percentage of patients on the portal when compared to other clinics! Continue reading