On Leadership

CHIME21 recap and CIO perspectives

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A few weeks ago, I wrote about FOMO – what I felt about not going to the CHIME Fall Forum this year. After all, I had not been to either HIMSS or CHIME to see colleagues since spring of 2019. Being in-person with colleagues I’ve come to know well, like a lot, and respect even more, was something I had looked forward to. So yes, I missed reconnecting in-person after all this time. But I am grateful to get some of the content and perspectives from the forum second hand through trusted sources.

It’s no surprise that Bill Russell has dropped a series of excellent podcast interviews with some of the leading healthcare CIOs as well as vendor experts in his Today in Health IT podcast special series he calls “Interviews in Action”.  It includes 10 interviews at CHIME, 8 at HLTH, and 5 from the Sirius Healthcare 2 Healthcare Event. Each one is no more than 15-20 minutes long so perfect for a brisk one-mile walk. Learn from CIOs such as Donna Roach of University of Utah Health, Stephanie Lahr of Monument Health, Dr. Zafar Chaudry of Seattle Children’s, and Scott Joslyn of UC Irvine.

Through the HealthsystemCIO.com recap of CHIME21, Kate Gamble covered several topics highlighting presentations from more of my favorite CIOs:

Whether you are a CHIME member who didn’t attend the Fall Forum or someone who just wants to learn from some of the best IT leaders in the industry, I encourage you to check out all these resources.

STEM or not, own your career

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Did you know that November 8th was national STEM day? I admit that I didn’t realize it until I was tagged in a comment on a LinkedIn post about national STEM day. Geeta Nayyar, SVP Executive Medical Director at Salesforce, shared some important but disappointing statistics on women and STEM in that post. While women make up about 47% of the total workforce, she notes that we are statistically underrepresented in science, technology, engineering, and mathematics – STEM fields. Women make up only 29% of the STEM labor force, 19% of STEM company board members are women, and among STEM industry CEOs, only 3% are women. No wonder I so often am the only woman in the Zoom room when talking with technology firms. We can and must do better.

In her post, Geeta encouraged people to tag inspiring women leaders they know. I’m grateful and humbled that Linda Stotsky, Content Marketing Strategist at Boston Software Systems, tagged me and several other women in her comment.

I have long been a proponent of more women going into STEM fields and have willingly shared my own stories. I started out as a programmer in the early 1980s and then moved into health IT management for the rest of my career – a field that has been male dominated. I recall a long stretch in the late 1980s when I was the only woman on an all-male IT leadership team and the challenges I faced. Challenges I overcame and that I have helped other women overcome since then.

I was honored to be one of the first women interviewed for the new podcast series, The Game-Changing Women of Healthcare, produced by The Krinsky Company. In this interview I share stories and lessons from my career, give career advice, and provide tips for developing next generation leaders.

As I always say, you have to own your own career and be open to the possibilities. Technology continues to evolve at a rapid pace and the possibilities are unlimited. If a STEM career is right for you, go for it. Be sure to find role models and mentors who can support you and help you overcome the challenges you may face.

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FOMO

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As I hear recaps of the HLTH 2021 conference in Boston last week and see colleagues posting about the upcoming CHIME Fall Forum, I admit I have a little bit of FOMO (fear of missing out). The HLTH conference was never on my radar given my work and moving schedule though it was nearby. I had looked forward to attending the CHIME Fall Forum in San Diego this coming week and seeing colleagues in person after all this time with only virtual events. But for several reasons, I won’t be attending.

John Lynn with Healthcare IT Today and Bill Russell with Today in Health IT provided highlights of the HLTH conference for those of us not attending. I expect Bill will do the same during the CHIME Fall Forum between daily recaps and live interviews while there.

There will be the usual excellent keynote speakers and track sessions with members presenting at CHIME. One of the highlights I am sorry to be missing will be Wednesday’s pre-forum session – “CHIME’s Diversity, Equity & Inclusion Retreat”. It will include speakers on “Unpacking Identity and Bias” and a panel session with CHIME members titled “Sharing DE&I Successes, Challenges and Next Steps”.  As a member of the CHIME DE&I committee, I value the connections made and candid conversations we’ve had in the planning of these sessions. We are continually learning from one another on this journey. It was after watching/listening to the DE&I session at the virtual CHIME Fall Forum a year ago that I decided to join this committee and help with this important work finding yet another way to get involved and give back.

Virtual events have been abundant and gotten better over the past 20 months as organizers adapted to the tools and speakers got used to monitoring online chats and Q&A vs interacting with live audiences. Continue reading →

Time to pass the baton

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It has been an honor to serve Boston Children’s Hospital (BCH) as their interim SVP and Chief Information Officer for the past 7 months. At the start of 2021, I told myself I wasn’t going to do another interim CIO engagement. But how can you say no to the #1 children’s hospital in the country? While they tell me they are grateful for what I have accomplished during this period, I too am grateful. Grateful for the opportunity to work with such fine people and be part of such an incredible mission – as they say, “Until every child is well”. I’m proud to have been part of an organization with a culture that values their staff and is committed to equity, diversity and inclusion.

From the start, BCH leadership knew I didn’t want the interim engagement to be prolonged. One of my priorities was to assist the search firm in finding the best candidate to be the next SVP and CIO. Goal accomplished! Heather Nelson starts on October 11. She has served as CIO at UChicago Medicine since 2017.

This last week before the official handoff begins, I focused on annual performance reviews for my leadership team, finishing up my work on the EHR strategy so Heather can move forward with the next phase, and compiling everything I will go over with her in our one-week transition/handoff.

Why would an interim do performance reviews? I strongly believe that people should not miss a review cycle because of a leadership transition above them that they have no control over. Collecting input from others in an informal 360 manner along with my experience working together for seven months is enough to have a constructive conversation and provide guidance on future development opportunities. Of course, Heather will need to work with each of them on specific goals for the coming year.

The EHR “path for the future” as we’ve called it has been the primary focus of my time at BCH. Continue reading →

ERPs enable business transformation

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In the spirit of re-use and recognizing that I’ve already met my weekly discipline of blog writing, I encourage you to check out my StarBridge Advisors blog post published this week – “Will your ERP enable the business transformation you need?” After decades of focus on EHRs, health systems of all sizes have or are turning more attention to their ERP solution(s). In my post I share some of the key questions organizations need to consider and perspective on ensuring a successful ERP journey.

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COVID-19 – listen to the experts

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Dr. Anthony Fauci may be a household name for your family. But what about Andy Slavitt?  He is a policy expert who served in the Obama administration first to save health.gov and then as acting administrator of the Centers for Medicare and Medicaid Services. During the pandemic he provided reliable, relatable information and education with his daily tweets at @ASlavitt and award-winning “In the Bubble with Andy Slavitt” podcast.  He quickly became a household name with my family and a trusted resource. Many trusted him and looked to him for insight.

He served as President Biden’s Senior Advisor on COVID-19 for the first 120 days of the new administration. He is now back from the White House and in his chair on the renamed podcast – “In the Bubble with Andy Slavitt: Our Shot”.  As the podcast description says, “Just as he took us through the pandemic, this 10-week series called Our Shot is about leading us out. It’s an insider’s guide for getting closure on what happened, how we emerge, and what must come next.”

Busy as my schedule is, I am trying to keep up with this new series. So far, I have heard his interviews with CDC Director, Dr. Rochelle Walensky, and President Biden’s Press Secretary, Jen Psaki. And I am halfway through Andy’s just released book written primarily prior to his recent stint in the Biden Administration. His book, “Preventable – The Inside Story of How Leadership Failures, Politics, and Selfishness Doomed the U.S Coronavirus Response”, is a must read. Not just to understand what happened but how do we prevent it from happening again.

While COVID-19 may seem to be behind us, it is not when you consider the variants and the percent of the population not yet fully vaccinated. Continue reading →

Remote work – writing chapter three

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In my blog post late May, “Remote work – what next?”, I commented on the balance needed as organizations begin to bring people back to the office. Balancing the organization’s needs with the individual’s preferences and choices. I concluded that the organizations that are thoughtful in their plans and supportive of their workforce during this transition time will be most successful in retaining and attracting talent. I noted that chapter three of remote work was just beginning to be written.

I continue to hear from colleagues on their approaches and see many articles on the subject. That includes a rather concerning one, “The Great Resignation…..by Remote Workers”, written by several senior partners at the search firm Korn Ferry. One of my CIO colleagues shared it on our Children’s Hospital Association (CHA) CIO Forum Hot Topic Call last week when we were discussing our respective approaches to continuing remote work. The article describes the challenge of retaining employees who now know they can be a remote worker for companies anywhere who may offer a higher salary or better benefits and perks. They emphasize the need for organizations to rethink their retention programs and find new and innovative ways to incorporate remote workers into the culture.

It was useful to hear from CHA colleagues – flexibility is the operative word. Having broad guidelines and letting individual managers work with their teams on how best to make a mix of remote and onsite work most effective for them. A few of the CHA CIOs talked about national recruitment with each having several states where they are approved to recruit from. For an organization that primarily operates in one state and hires from a few bordering states, expanding recruitment nationally will depend on HR support and dealing with tax laws. But if you do go down this path, one CIO cautioned that you need to ensure inclusivity and find ways to make out of state employees feel part of the culture.

My colleague and principal at StarBridge Advisors, Russ Rudish, wrote an excellent blog post recently outlining the challenges and opportunities that both employers and employees are focused on as we enter this next chapter. In “Now What? Working in a Post Covid World”, Russ comments on recruiting and retention, work / home separation, feeling part of a team, and more. As he says, there are no quick or simple solutions but how companies address them will have significant and broad impacts. Continue reading →

Rounding in a virtual world

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If you are a regular reader of this blog, you know I am a fan of lean concepts and practices. In fact, my posts on lean have been some of the most popular ones over the years. So, it is no surprise that I have embraced a form of rounding or “gemba” now that I am serving as interim CIO at Boston Children’s Hospital.

As part of our commitment to being a High Reliability Organization (HRO), Boston Children’s Hospital has a program called “Rounding to Influence” (RTI). With this program, senior leaders meet with staff in their areas to discuss a specific topic and solicit input. The Rounding to Influence program is facilitated by David Davis, Vice President, Patient Safety, Quality and Regulatory Affairs. When I learned about the RTI program several weeks into my interim engagement, I was quick to start participating.

My first experience was tagging along virtually with Laura Wood, EVP Patient Care Operations / System CNO, on her rounds with clinical staff along with a few of my IT leaders. Given the topic for that session was about having the right information to perform your work, it was a great place to start and hear from our clinicians and support staff. Here were the questions:

Having the right information and data is important to everyone in order to perform their roles effectively.  Depending on your role, do you have trouble finding the information or data you need to do your job?  Do you know how and where to get the information/data you need?  Do you have concerns you are seeing incomplete or unreliable data?  How would you know?  How can we be more reliable in our information and data sharing?

The obvious next step was to start virtual rounds with our own IT staff. Here is how it works. Continue reading →

Yes, culture matters

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“I love this organization”. That is exactly what I said to my husband last Thursday after hearing several presentations in three different forums as part of the team at Boston Children’s Hospital. It started with the monthly Department Heads meeting that opens with a patient and family story and closes with an inspirational quote.

That meeting was followed by a lunchtime every other week series (dubbed Fireside Chat), open to all employees focusing on how we are supporting our patients and each other. Dick Argys, Chief Culture Officer and Chief Administrative Officer is the host. As part of our Juneteenth series of events, the topic was “The History of Juneteenth”. Our guest speaker, Theodore Landsmark, PhD, JD, Distinguished Professor of Public Policy and Urban Affairs at Northeastern University along with Peter Faiteau, Patient Services Administrator for Oncology/Hematology/HSCT, talked about the history and significance of Juneteenth.

The Juneteenth series was announced in an email from Dr. Kevin Churchwell, President and CEO to all employees last Monday – before it was declared a national holiday. He acknowledged that it was only the second year Boston Children’s was celebrating Juneteenth and closed his email with this: “Boston Children’s celebration about Juneteenth is all about learning from each other. And the more we learn about our history, the better equipped we are to build a brighter and more inclusive future for all”.

That was followed by an open forum for all employees, “Transforming Tomorrow: Investing in Children, Families, and Communities”. Dr. Churchwell and a panel of leaders described the new inpatient building opening in summer 2022 (far enough along for an inspiring video) and the new ambulatory centers being planned in nearby towns making care more accessible to families in the broader Boston area.

And earlier in the week we had all been invited by Dr. Churchwell to a virtual celebration to announce and congratulate the entire Boston Children’s team on being ranked the number one children’s hospital in the nation in the 2021-22 U.S. News & World Report “Best Children’s Hospitals” rankings. Continue reading →

7 years later

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I started this weekly blog 7 years ago right before our major Epic go live when I was serving as CIO at University of Michigan Hospitals and Health Centers. Given my decades of experience in health IT leadership roles, I decided that I had plenty of lessons and experiences to share. A blog seemed like a great forum to do so.

7 years later, I am still writing. I have shared lessons and experiences that have included my interim CIO and CTO engagements at three other healthcare systems since I left Michigan – University Hospitals in Cleveland, Stony Brook Medicine on Long Island, and University of Vermont Health Network. Since March, I have been serving as interim SVP and CIO at Boston Children’s Hospital.

I often wonder how much longer to keep this going. How much more do I have to share and who cares? The feedback and appreciation I get in notes and comments from readers keeps me going. And the topic ideas keep coming.

I was asked recently how I find time to write each week. Good question. I am pretty busy. I am a full-time interim CIO and am helping my colleagues keep things going at our firm, StarBridge Advisors. My response to the question is that I have a lot of ideas and not enough time to write. With this week’s post I am changing when I publish. I will try to write on the weekends and publish early in the week instead of percolate an idea all week and then finally write it Thursday night when I am exhausted.

And while I have a lot of topic ideas, I am definitely open to suggestions from my readers. I was recently asked by a CIO colleague if he could suggest topics – of course I said yes.

At this 7-year mark you might be interested in knowing which posts have gotten the most attention. In the world of social media, keywords, amplification, and cross linking are key. The top 5 most read posts since I started are:

It is worth mentioning that #6 is “New year, next chapter”. Continue reading →