Remote work – what next?

After 14 months of remote work for many, organizations are making plans to bring people back to the office. Most healthcare CIOs that I spoke with in the past year plan to have their staff either remain fully remote or back in the office part-time for a “hybrid model”. Only one CIO that I spoke to had his full IT team onsite throughout the pandemic. They were considered critical support staff and available to augment staff in other departments if needed.

With this transition there are many articles covering all sides of the topic and the challenges facing organizations and employees. Two recent articles from Harvard Business Review are worth checking out.  The first one, “What Mix of WFH and Office Time is Right For You?”, is aimed at individuals assessing their own workstyle when it comes to work location. If the employee has a choice, the article suggests they do a self-assessment and then discuss with their boss what would work best for them. The second one, “How To Do Hybrid Right”, is aimed at organizations trying to determine the right hybrid model in terms of employee types and workspace design.

A recent opinion piece in the Boston Globe by Jon Levy, “The Hybrid Workplace Probably Won’t Last”, talks about the pendulum swinging back to onsite work. Jamie Nelson, CIO at Hospital for Special Surgery, made similar projections in her recent podcast with Bill Russell on This Week in Health IT and talked about being onsite herself through the pandemic and the importance of leaders in healthcare organizations being present.

Bill and I covered the topic extensively on This Week in Health IT Newsday show earlier this week. A few of my thoughts on the topic: Continue reading

Resources for your digital health journey

My StarBridge Advisors colleague, David Muntz, wrote an excellent blog series on Digital Health over the past year. His latest in the series is titled, “Digital Health – Planning for the Virtual Campus”. David’s ability to define digital health and provide a blueprint for organizations is impressive. This most recent post does not disappoint. He describes the changes that health systems have made in care delivery during the pandemic and poses the question – where do we go from here? He outlines 12 steps organizations should take. Here is a partial list just to whet your appetite:

  • Embrace the same discipline and framework to create the virtual campus as for a traditional campus
  • Query a broader representative sample of stakeholders than you have in the past
  • Plan for the underserved and those who might be excluded because of the digital divide
  • Personalize the experience for providers, patients, and families
  • Use augmented intelligence (AI) and machine learning (ML) during the data collection process

I encourage you to check out the entire post. If you are interested in any future posts in David’s digital health series, subscribe to View from the Bridge to get notifications of new posts. Our team of advisors regularly contributes posts on a wide range of topics relevant to today’s healthcare executives and IT leaders.

The New England HIMSS 2021 Annual Spring Conference: “Empowering People to Impact Health Through Information and Technology” was this week. Continue reading

Career advice revisited

It seems that I am getting a lot of requests to provide career advice these days. I did formal career coaching for a few people in recent months and am currently participating as a mentor in the Boston Young Healthcare Professionals (BYHP) mentor program. In all these situations, I point people to my many previous blog posts on career advice to supplement what we discuss.

For general career advice, they find these “classics” useful to review:

Career advice in a competitive market

5 job search challenges in 2020

You need to own your own career

Taking control of your life

Make career choices right for you

New year, new job?

Time for a job change?

Stand out at the interview

So you didn’t get the job

In this new virtual world of recruiting, I tell people not to underestimate the power of LinkedIn. It is an online professional directory that recruiters look to for candidates. Optimize your profile. Ensure the one liner under your name is a good description of your role since that is what people see when you invite them to connect with you and when you are found on searches. Use the about section to describe what you offer and how you can add value – don’t just copy and paste your current job description summary. Be active which shows you are current and engaged – that means sharing content yourself and commenting on other people’s posts. And if you are actively looking for a new job, check the “open to work” box – don’t worry, you can control who sees it.

If you are thinking of using a coach, check out these two posts:

When to use a career coach

Investing in you, the value of a coach

Looking for a new job can be exciting and hard at the same time. Hopefully, the lessons and tips in these posts will make it a little easier.

It’s transition time again

“Until every child is well” is the tag line used by Boston Children’s Hospital, the number one pediatric hospital in the nation as ranked by U.S. News and World Report. I am thrilled to share the news that I started as their interim SVP and Chief Information Officer two weeks ago. What an incredible organization to be able to serve. I am excited to be part of a healthcare provider organization again – even though it is temporary.

Boston Children’s treats more children with rare diseases and complex conditions than any other hospital. In addition to caring for the sickest children in the Boston area as well as nationally and internationally, Boston Children’s is a leading research institution. It is home to the world’s largest pediatric research enterprise, and it is the leading recipient of pediatric research funding from the National Institutes of Health.

Boston Children’s is investing $24M in digital health initiatives (D2.0) over a three-year period with solutions for patients, their families, clinicians and administrative staff. Under the leadership of Chief Innovation Officer, John Brownstein, they have an Innovation Digital Health Accelerator (IDHA) which is partnering with many technology start-ups to provide solutions both internally and broadly to others in the healthcare community.

And let us not forget about the importance of an organization’s culture. The public statement on their website says a lot about the kind of organization they are and strive to be:

“Boston Children’s is dedicated to creating a culture where all patients, families, clinicians, researchers, staff, and communities feel empowered and supported. We are committed to working together to support health equity and promote anti-racist practices. This is not merely an aspirational goal, and in August 2020, we shared our formal Declaration on Equity, Diversity and Inclusivity that will be our guiding compass in making this goal a reality. We will continue to evolve to ensure we provide a welcoming, inclusive environment for all staff and families. Our diversity makes us stronger.”

As the search for the permanent CIO continues, I will be focused on moving the current IT strategic plan forward, gaining alignment on the EHR strategy, and assisting the search firm, AMN Healthcare, to find the best candidate for the future. Continue reading

Systems at scale and optimized workflow

IT teams work at scale all the time supporting thousands of users. Workflow optimization is often a goal for new systems. The mass vaccination sites and events are at scale and depend on an optimized, efficient workflow. With over 2 million doses a day being administered now in the U.S., these sites and events are becoming more prevalent and will continue over the next several months. While there was much publicity of the problems in the vaccine rollout early on, there have been many improvements in the tools to find vaccine locations and schedule appointments, and the administering of shots. In part that has been due to improved technology and better workflow design.

Two health systems doing mass vaccination sites/events have shared their playbooks in recent weeks for others to learn from. UCHealth in Denver is offering a playbook, “COVID-19 Mass Vaccination Drive-Through Playbook”. It is a 59 page comprehensive and very detailed playbook covering organizational structure and partner involvement, pre-event planning, contingency planning, patient communication, staff, provider and agency recruitment, vaccine storage and handling, and media communications. The Atrium Health playbook is a higher-level guide for leaders – “A Leader’s Guide to Safer, Faster and More Equitable Community Vaccination Events”. Both are valuable tools whether you are in the planning stage or tweaking your current operation.

To build on these tools, I recommend checking out two recent interviews that Bill Russell did at This Week in Health IT.

Continue reading

Role models who inspire

Who inspires you? Is it an historical figure, a well-known contemporary figure, or someone you know personally? If you are like me, it is probably a number of people. I pose this question to you during Women’s History Month and must ask myself that same question.

Being on zoom calls from my home office every day, people are quick to notice and comment on the Ruth Bader Ginsburg portrait on the wall. She was truly an inspiring role model and her legacy lives on. The portrait is by a local artist, Taryn Nunez. I bought it at the 2020 Women’s Fund of Rhode Island (WFRI) annual fundraiser and silent auction (all virtual of course). WFRI invests in women and girls through research, advocacy, grant making, and strategic partnerships designed to achieve gender equity through systemic change. I support WFRI both financially and with volunteer time. I love that my RBG art is a conversation starter for both men and women who I “zoom” with. And I often hear stories of their daughters who consider RBG their hero.

I also have a picture on my desk that only I see. It is my mother a few years before she died from cancer. I am now the same age that she was when she died – a rather sobering fact. We grew up in very different times. She did not live long enough to see my life as a wife and mother beyond the first few years nor how my career has evolved. She was widowed in her early 40s and raised the four of us on her own. She inspired me at a young age to be strong, independent, and giving. Volunteer work was something we all did. We did not have much, but we could always help others who had less.

I must admit that growing up I didn’t have female heroes, but I read a lot of biographies of famous women. Continue reading

The year we meet again

This is one of those weeks where I throw out what I was writing to mark an historic moment. It has been one year since the worldwide pandemic was declared. We all remember that week. It was a week when suddenly everything we knew as normal changed.

But a year later, this same March week feels like a hopeful turning point. The CDC has released guidelines on what fully vaccinated people can do. Congress has passed the American Rescue Plan and President Biden has signed it. The President is projecting we will reach 100 million vaccine doses in arms by his 60th day in office (next week) compared to his original goal of 100 million in the first 100 days. And he has directed the states to make the vaccine available to all adults by May 1 while the federal government mobilizes thousands of vaccinators and launches a new website to help people find the vaccine site closest to them.

I wrote last week that my husband and I have received our first dose. Our “magic date” as I call it is April 10 (though I know it is about science, not magic!). That is the day after our 45th wedding anniversary. That is when we will be fully vaccinated – two weeks after our second dose appointment on March 27. Like everyone who has missed spending time with their families we are looking forward to breaking bread together again. My husband and I are talking about which of our favorite restaurants we will go to for an inside meal for the first time in over a year.  And we are making plans to go somewhere for a long weekend.

I have shed tears many times this past year as I saw story after story of healthcare workers struggling to deal with overflowing ICUs and families describing the loved ones who they lost to COVID. This week I had tears reading the story of a young EMT in my town who transported many COVID patients to the hospital every day in March, then got COVID himself in April and nearly died. After many months of recovery, he is now back on the job. I had tears listening to the COVID-19 briefing on Monday. My emotions were a combination of sadness and anger as I listened to the experts unfiltered and thought about all the lies and misinformation and ignoring of science that we lived with the past year. We know the pandemic didn’t have to take the toll on this country that it did. Continue reading

We got our shot!

My husband and I got our first dose vaccine shot on Saturday. And yes, there is a sense of relief to be at this point a year after it all started.

March 5, 2020 feels like the last normal day for me. I had lunch in a restaurant with my daughter who is an NP at a Boston hospital. I was anxiously waiting to hear that HIMSS20 would be cancelled and wondered what they were waiting for. I discussed the risks of going with my daughter. I decided during that conversation not to go even if they held it (I got the cancellation notice as we were leaving the restaurant). I asked her about the Coronavirus from a clinical perspective. She said we’re “f’d” and projected 100,000 cases in the U.S. by April 1st. We now know it was to be far worse.

As a frontline healthcare worker, she was fully vaccinated by early January. Two weeks ago, she helped about fifteen of her husband’s 65 years and older family members and their friends navigate the somewhat confusing multiple websites in Massachusetts to schedule first dose appointments.

Here is my Rhode Island story. The vaccination site was a junior high in our town. Overall, it was a smooth process. When we pulled into the parking lot there was a sign that said wait in your car until 5 minutes before your appointment to avoid people crowding at the door. Our town Mayor was there working – that was a pleasant surprise. He took temperatures and asked initial screening questions at the door. I greeted him and commented on the fact that he was working – his somewhat joking reply was, “I have to earn my keep”.

Next, we went to the “check in” table. We gave them our IDs and they looked us up on the list of people scheduled for an appointment that day. The list was in no sort order, so it took a while. We then moved into the gymnasium where there were about eight vaccine stations. Firefighters and EMTs gave the actual shots. My husband was considered to have moderate risk of a reaction, so his PCP advised him to stay for 30-minute observation. When he shared that information, a physician was called over to ask him a few questions before he got the shot.

With information on how to sign up for the CDC’s v-safe app (after vaccination health checker), and our vaccination cards in hand we went to the observation area with many seats set up socially distanced. There were several people wandering around the area offering to help you make your second appointment or you could just use the QR code they provided on posters visible on the backs of the chair in front of you to sign up for 4 weeks out.

If you know me well, you know that I always have an eye out for process improvements. Continue reading

What is a “Digital Dog”?

My colleague, David Muntz, coined the term “digital dog” this week when he described to our StarBridge Advisors team how my two little dogs are so well informed as they walk with me every day while I listen to podcasts. I loved the term and the image!

There is so much great content to listen to. I sometimes feel like my little dogs with their short legs trying to keep up with me as I try to keep up with my two favorite podcasts – This Week in Health IT and In the Bubble. Yes, I subscribe to many more, but these are the top two that I keep up with best I can.

This Week in Health IT is three different weekly shows (each approximately 45 minutes long) – Newsday (Monday), Solution Showcase (Wednesday), and Influencers (Friday). And starting this year Bill Russell decided his audience could benefit from another option so he launched a daily news show on a separate channel – Today in Health IT (shorter at 8-10 minutes each).

I agreed to be one of the rotating co-hosts on Newsday this year. My second episode with Bill was this week – Newsday – Drive-Thru Vaccine Distribution, Reaching the Marginalized, and CIO Priorities. The first topic we covered was the UC Health Mass Vaccination Playbook – a comprehensive resource that is worth downloading. Even if you are already doing similar mass vaccine sites, I am sure there is something to learn from their playbook to refine and improve your own operation. Best practice sharing is what we do in healthcare! Check out the podcast to hear all the stories we discussed.

So that’s my plug for the best podcast series to keep up with what’s happening in health IT.

Turning to my other top podcast, In the Bubble. This is how I stay educated on COVID-19 and all things related. Continue reading

Ensuring go live success for large scale IT projects

Since the pandemic, major system implementations at health systems have continued with successful go lives supported by virtual or hybrid remote/onsite teams. Many organizations have “go live” success stories in this new world of remote work. While virtual support may change some things and certainly presents new challenges, the core work of a successful go live is still the same.

In late 2019, I published several blog posts on successful go lives based on firsthand experience with a major Epic implementation. Here they are again with basic lessons and tips:

10 Go Live Command Center lessons from the field

Epic Go Live – report from the field

9 Tips for Go Live support success

I welcome your comments on any virtual or hybrid go live experiences you have been involved in during the past year. If I get enough new lessons and tips, I will write a new blog so all can benefit. After all, continual learning and sharing best practices is at the core of what we do in healthcare.

Why this topic this week? I am currently working with a client who is less than six weeks out from an ERP go live so it is on my mind a lot. We are doing what we refer to as an Independent Verification and Validation (IV&V), a framework that facilitates audits of major IT projects regardless of area and complexity.  We explore 11 categories in-depth.  The topics range from governance and budget to training and QA.  The detailed analyses for each area involve document review and interviews to ascertain the status of the project.  A risk score is assigned in each of the 11 areas and mitigations are suggested based on the findings.  Ideally, over the life of the project there are three IV&V sessions conducted prior to go live and one session after go live to ensure that projects stay on course, make corrections as necessary in a timely manner, and achieve the defined objectives.

If you think an IV&V from my advisory firm, StarBridge Advisors, is something that your organization can use, please contact us to discuss.