On Best Practices

On the other side of the digital front door – part 3

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Two different procedures. Two different specialties. Two different patient communication approaches. Yet both practices use the same EHR and patient portal.

Prep for surgery instructions. Paper. Branded folder to put the paper in. More paper on next visit. A call from practice confirming specific surgery time and then get transferred to recorded message with specific pre-surgery instructions. Day of surgery sent home with post-op instructions – more paper.

Prep for procedure instructions. Available on the patient portal under letters. Texts and emails sent with specific prep information. Timed texts and emails for each major step along a defined prep timeline. Post procedure summary and instructions given to me on paper and available on the portal.

Practice variation is real. At times, it’s required and makes sense given different specialties. But not always.

So how were these two different experiences from a patient communication perspective? For me, there is a comfort having paper – can easily refer to it when needed. That is, if you know where you put it – hence the branded folder they give you. In the other situation, there was a very prescribed set of timed pre-procedure steps so the texts/emails at specified times telling me what to do was helpful.

What wasn’t such a good patient experience? Continue reading →

New year, new health goals, new tools

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On Tuesday, our new trackers arrived. I’ve used a Fitbit since late 2013 and still had the Fitbit One device. It served its purpose as a very basic step tracker. When it started getting less reliable during our January vacation, I decided it was time to up my game with newer tracking technology. Plus, I realized my device was discontinued a few years ago so forget about just replacing it. My husband, Tom, was ready to start more serious tracking as we focused on new health goals in 2022. He had recently downloaded a free step tracker app to his iPhone, but it was only useful if he always had his phone with him.

We carefully compared the different Fitbit devices reading specs and watching the videos. Doing the comparison shopping together on my laptop had me in tears laughing with him. Tom has never been athletic and hated gym class as a kid. We were doing the main feature compare between the Luxe and the Inspire 2. But we thought we should check out the Charge 5 before we called the question. Part way through the short video for the Charge 5, Tom said, “It’s scaring me, it’s like gym class on your wrist”. I told you, I had tears I laughed so hard at that. We each placed an order for a Luxe and the Premium Membership.

Once we had the devices charged and he downloaded the software for the first time, we quickly figured out the main features and how to navigate. We are constantly comparing our stats. I know that will wear off. But there is a new motivation in our house to get in better shape and get out walking longer distances each day. Continue reading →

The “Great Resignation” at the micro level

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We hear a lot about the “Great Resignation” at a macro level. It is usually coupled with advice to employers on how to retain people and address the reasons people are resigning at such record levels. Behind the statistics are real people and everyone has their own, unique story. For some it just happens to be a good time to rethink their career options.

My LinkedIn newsfeed may be an indication of the talent shortage and the number of opportunities out there.  Several times a week I see a health IT leader posting about an open position and opportunity to join their organization.

I’ve recently been contacted by several individuals interested in making a career transition – looking for their next opportunity and challenge. People who have reached out include:

  • A physician who has worked largely in industry, most recently in Asia, but wants to return to the U.S. this year. He is looking for insights on the market and to understand the potential for someone like him moving into a hospital/health system CIO role eventually.
  • A well respected, former colleague who has been at a very successful health IT vendor for several years and is considering what his next level challenge might be. He is looking for advice and connections.
  • A consultant who a colleague introduced to me as he thinks I’ve been a great mentor and advisor for others. The consultant is starting to make a transition and wants to understand potential opportunities.

I am committed to helping next generation leaders so of course I make time to talk to people when I get these requests and introductions.

I listen to where they are at and what they are looking for next. I ask a few probing questions. Then I tailor my input/advice to their situation the best I can. I often suggest other people for them to talk to and offer to introduce them to recruiters if they don’t already have those relationships.

What do all job seekers have in common? Continue reading →

Considering a coach in 2022?

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It’s a new year. Time to reflect. Time to set new goals for yourself. If you have ever used a coach or considered doing so, you know the value of investing in yourself. I have provided leadership coaching and career coaching for many health IT leaders in recent years – all at different stages of their professional development and career. Over the years, I’ve written on the value of coaching and professional development. Here is a short list of posts worth revisiting:

When to use a career coach

Investing in you, the value of a coach

Confidence matters as much as competence

Being valued, doing meaningful work

Welcoming feedback

Note – I am taking a short break from writing new posts in January. With all the blog posts I’ve written over the past 7 plus years, I’m using this break to share some of my “classics”. Thank you for being a subscriber – I hope you will encourage your colleagues to subscribe in the coming year.

Leadership revisited

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It’s a new year. Time to reflect and look ahead. Whether you are a leader or an aspiring leader, there is always room to develop your own leadership skills and find ways to help others develop. Over the years, I’ve often written on leadership. Here is a short list of posts worth revisiting:

10 Tips for next generation leaders

7 Ways to develop the next generation of leaders

Leading through a crisis

What we should expect of leaders

Inspiring and developing new leaders – learning from the best

Lead by example

Leader as conductor

Note – I am taking a short break from writing new posts in January. With all the blog posts I’ve written over the past 7 plus years, I’m using this break to share some of my “classics”. Thank you for being a subscriber – I hope you will encourage your colleagues to subscribe in the coming year.

Towards a more civil society

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Healthcare is a people business. I’ve worked with many hospital CEOs and executives in my career. Leaders lead in everything they say and do. Hospital CEOs lead their organization and are considered leaders in their community. Some are considered national leaders as well. Leaders are “always on”.

There may be little behind the scenes moments when you get a glimpse of their personality. But there are many more public moments when you see how they lead and inspire. And for some, there are those moments where they publicly weigh in on societal issues others want to ignore. I saw one of those examples last week.

Michael Dowling is President & CEO of Northwell Health, the largest healthcare provider in New York caring for over 2 million people annually. He is one of the most respected and influential healthcare leaders in our industry. He is not afraid to tell it like it is and take a public stand on issues such as gun violence and immigration. His recent article, “A Call for Civility and Decency”, published in Becker’s Hospital Review on December 30, 2021, is no exception. He describes how the “internet has become a toxic stew of political hostility”. He talks about how the discord is a challenge to our democracy and quotes Abraham Lincoln who said, “A house divided against itself cannot stand”.

He outlines in detail his thoughts on basic steps we can all take to start the healing our country needs:

  • Respect others point of view
  • Choose your words carefully
  • Show empathy
  • Respect diversity
  • Be willing to compromise

In closing he says, “As we turn the calendar to 2022, let’s use it as an opportunity to tone down the rhetoric, reopen dialogue with each other and mend wounds caused by the worst pandemic of our lifetime and years of racial, ethnic and political divide that have worn away at the fabric of our society. It all starts with civility and decency. If we all embrace that behavior, we’ll enjoy a much happier new year.”

Last week I wrote about the importance of taking care of yourself during these challenging times paying attention to both your physical and mental health. This week as we begin a new year, let’s heed the advice of Michael Dowling and commit to work towards greater civility with one another.

End of year thoughts and advice for 2022

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We are entering the third year of this pandemic. Vaccines have been available for over a year – a turning point we anxiously waited for as 2020 came to an end. But 2021 was not the turnaround year we had hoped for. Over 840,000 people have lost their lives in our country since the start of the pandemic – the majority of people who died of COVID since this summer were not vaccinated. Anti-vaxxers proudly proclaim their resistance and misinformation continues to spread. Our health system and healthcare workers are under incredible strain. Hospital leaders are pleading with their communities to get vaccinated and boosted.

It is hard to be optimistic at times.

Those who can continue to work remotely. Kids are in classrooms and used to wearing masks with parents and grandparents viewing school holiday concerts over Zoom. Families cautiously gathered over the holidays or changed plans at the last moment.

We crave normalcy and getting out in the world to do the things we enjoy – spending time with family and friends. live music, sports events, travel and more.

We tend to look ahead to the new year with hopes and dreams of a better year. We ask ourselves how can things get worse? We make resolutions.

David Muntz, my StarBridge Advisors colleague, recently wrote a blog post, “12 Steps to Prepare for 2022 – Big Challenges – Bigger Opportunities” that was far more than just a professional health IT perspective and advice. As this year comes to an end, I leave you with a few excerpts from his steps 1 and 12: Continue reading →

Thoughts on the Oracle acquisition of Cerner

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Without question, the announcement yesterday that Oracle is acquiring Cerner for $28.3 billion is the biggest health IT story of the year. I won’t speculate on what I don’t know. I’ll leave that to others. But I can

source: www.hitconsultant.net

speak from experience as a CIO who has worked with all the big EHR vendors over the years including Cerner, Epic, Allscripts and Meditech. I’ve talked with and at times commiserated with many CIO colleagues who have experience with some or all of these EHR vendors.

While Cerner clients are trying to figure out what this acquisition will mean for them, good or bad, I’ll go back to the basics. Over the years I’ve written several blog posts on vendor management. They all seem pertinent and good reminders for health IT leaders trying to sort out how to work with Cerner going forward and how to manage within their organizations as they are faced with questions this week that they probably can’t answer.

12 tips for effective vendor management outlines what to look for in your current and future vendors. If I were a Cerner client or contemplating a switch to Cerner, I’d pay particularly close attention to these tips:

  • A good product roadmap
  • More service than sales
  • Excellent customer service
  • Executive level relationship
  • Long term value for the investment

There will be much speculation and commentary in the coming days on what this acquisition means to Cerner clients and the health IT industry overall. At the end of the day, we must keep the Quadruple Aim in mind in all we do to serve our patients and our communities: enhance the patient experience, reduce costs, improve healthcare outcomes, and improve the clinician experience. That has never been more important than during this pandemic. Will Oracle’s acquisition of Cerner help or hinder? Will Cerner provide a superior, more reliable, more integrated EHR in 2022 and well into the future? Only time will tell.

Related Posts:

12 tips for effective vendor management

Keys to successful vendor management

What to expect from your vendors

Vendor relationship management revisited

 

On the other side of the digital front door – part 2

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My health journey continues with multiple focuses. And my journey through digital front doors continues as well. I wrote part 1 on this topic in early November when I was in the middle of various health and dental appointments and scheduling more. I also wrote about what I thought was an awesome example of how technology has evolved in “Patient friendly testing – yes, a positive story!” in September.  The end of that story was not so positive. More on that later.

Here are a few anecdotes from my recent experience:

Cataract surgery – I had my initial consultation appointment the end of November and have surgery scheduled for mid-February. Specialized eye drops were prescribed to start taking a few days in advance of the surgery. As soon as I left the doctor’s office, I received a text message that my eye drop prescription from my doctor was pending payment with this special pharmacy – for immediate delivery to my home I should click the link to pay $82.50. I was a little suspicious of a text asking for payment like that and knew I didn’t need to have the eye drops until February, certainly not immediate home delivery. I called the doctor’s office to confirm the text was legitimate and asked how to handle the timing of delivery. I was told I could just text back regarding delivery timing which I did and got a reply that they could do that. I thought great, there’s a person on the other end. But then I received several more automated text reminders to click the link so they could ship right away. Then they called me. I talked through the timing and gave them my payment info. Their proactive communication (and persistence) was a plus, but I was more comfortable with real-time communication to coordinate specific delivery schedule and payment.

Bone health – I had a virtual visit with a Nurse Practitioner from the Bone Health clinic at my primary hospital. This was part of follow-up from my fall and pelvic bone fracture in August. The virtual visit was easy to get into and very thorough. I learned that more and more elders are asking to be seen in person – not this one unless there is a reason to “lay hands on me”. Continue reading →

With gratitude – family says it all

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I’m challenged to write something brand new on gratitude this Thanksgiving week even though this has been a far better year than 2020. At the same time, it has not been as positive and as “back to normal” as we had all hoped as COVID cases surged over the summer. So, I went back to my 2020 post to see how I had reflected on gratitude a year ago at a time when we weren’t gathering as families the same as we are now. I share it again here as some things haven’t changed.

We celebrated Thanksgiving with our immediate family this past Sunday at our new house. My two daughters, their husbands, and four grandkids. One of my daughters has in-laws in Florida so she and her family will travel there for the holiday. We now live within half hour of our other daughter and her in-laws live near her. We will celebrate with all of them on Thanksgiving as we have done many years in the past.

While my husband is a retired Unitarian Universalist minister, if I suggest we say something before dinner at a special family gathering, he will often pass it over to me. This year it was simple. I asked everyone to hold hands (as the grandkids wondered what I was doing) and I commented on family being together again and that I was thankful for each and every one of them as I looked each one in the eye around the table. The adults know they are my “big rocks” as Stephen Covey would describe. And someday the grandkids will understand that as well.

Being together with family says it all. I am truly grateful that we didn’t lose anyone to COVID, that we are fully vaccinated and that we can all be together again.

May you share similar love and gratitude with those closest to you this Thanksgiving 2021. As my StarBridge Advisors colleague, David Muntz, likes to say – “let the season of gratitude begin”.

Related Posts:

Treasuring family after a long year

The year we meet again

Family first