Tag Archives: technology

Thoughts on the Oracle acquisition of Cerner

Posted by on

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

Posted by on

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 →

CHIME21 recap and CIO perspectives

Posted by on

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

Posted by on

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.

Related Posts:

Make career choices right for you

10 tips for next generation leaders

Career advice revisited

When to use a career coach

On the other side of the digital front door

Posted by on

Being on the other side of health care delivery is always an eye opening experience as to the progress we’ve made with technology and making it easy for our patients, and how far we have yet to go.

Now that I have more flexibility in my work schedule and we’re past the house move, I’m taking time to prioritize my own health. The newest health issue I’m addressing is cataracts in both eyes. I was pleasantly surprised when I saw that the ophthalmic practice in the area who my eye doctor referred me to has a patient portal link on their website. As I waited on the phone to make an appointment, I perused the website. I thought it was odd that the portal had the same name as my health system’s portal. When it was my turn to talk to someone, they told me my new address asking me to confirm it. I had just updated it with my health system on the patient portal last week. So I asked how they, a separate ophthalmic practice knew. They said the patient portal showed it based on my phone number. Turns out it is the very same portal as my health system. I asked if they were part of the system and they said no but they share the portal. Guessing there is more to the story – possibly an Epic Community Connect relationship?

We scheduled the initial consultation appointment at a location reasonably close at the end of November vs one at an even closer location at the end of January. But my positive response to this encounter quickly took a step backwards. As they described my next steps pre-appointment it included writing down two fax numbers. One to give my eye doctor so they could send a report from my last eye exam. And a different one to give my PCP so they could send a referral. When will healthcare finally retire fax machines??

The fact that I can remember my patient portal password means I’ve become a regular user. And that means I’m taking care of my health. Due to my injury in August, I have multiple ortho appointments and now weekly physical therapy visits.

I was late to my first physical therapy appointment due to mistakenly thinking the e-checkin on the portal would be quick. Continue reading →

ERPs enable business transformation

Posted by on

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.

Related Posts:

Major implementations need experienced leadership

Ensuring go live success for large scale IT projects

Patient friendly testing – yes, a positive story!

Posted by on

The role of insurers in direct healthcare services may be debatable but I have at least one positive personal story worth sharing. It involves a claims review, a proactive call from my insurance company to schedule a needed test, and the test done in my home at my convenience a few weeks later.

Blog readers may remember my recent reference to a bad fall and injury. I have a fractured pelvic bone. When I was discharged from the ED, they ordered follow-up visits with my PCP and an ortho physician. I did a virtual visit with my PCP the next week and scheduled the in-person ortho appointment for the week after that. At the ortho appointment the physician said I should get another bone density test. I hadn’t had one for several years. I assumed she would put in an order, and I would get a call about scheduling the test.

The day after the ortho visit, I did get a call. But is from my insurance company. They said that based on claims info, I had fallen in the past year so I should get a bone density test. I asked if that was per my ortho and they said no, it was based on the claims info. Can I vouch for the interconnection between these two conversations? No. But I knew I needed the test so continued with the call. Continue reading →

Vendor relationship management revisited

Posted by on

For IT leaders, effective vendor relationships are critical. In previous blog posts, I have provided guidance on creating win-win relationships and outlined what makes up a successful ongoing vendor relationship.

I am currently serving as interim CIO at Boston Children’s Hospital, the fourth health system I have served as an interim IT leader since 2016. I am experiencing vendor relationships and the challenges of vendor management all over again. Revisiting some of my own advice has been useful to me so I decided I would share it again with my readers.

12 tips for effective vendor management is a useful refresher worth another look. Let me know if I missed anything.

I would love to hear your stories of vendors who stepped up as true partners with health system IT teams to find creative solutions, expedite deliveries and provide extraordinary customer service during the pandemic. After all, 2020 was a test for all kinds of relationships.

Related Posts:

Keys to successful vendor management

What to expect from your vendors

Resources for your digital health journey

Posted by on

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 →

How do patients rate telehealth a year later?

Posted by on

Since March 2020, telehealth volume has increased at rates we would never have anticipated. As Dr. Rasu Shrestha, EVP & Chief Strategy & Transformation Officer at Atrium Health, said during a panel at the recent CHIME21 Spring Forum, “It was an overnight success 30 years in the making”. Indeed, when there were no other choices, clinicians and patients were quick to adapt.

But what do patients really think of telehealth a year later? The COVID-19 Healthcare Coalition recently published the Telehealth Impact: Patient Survey Analysis. The aims of their research were to determine:

  • How well did telehealth serve the clinical needs of patients during the COVID-19 pandemic?
  • For what reasons did patients seek care through telehealth?
  • What were the strengths and weaknesses of telehealth related to quality of care?
  • What are patients’ expectations for the use of telehealth after the pandemic?

The 20-question survey was open to persons 18 years or older who had at least one telehealth encounter between March 1, 2020, and January 30, 2021.Survey responders included 2,007 persons from across the U.S. who received telehealth during the pandemic.

The findings were highlighted in an mHealth Intelligence article “COVID-19 Telehealth Delivery Reaps High Patient Satisfaction”, by Hannah Nelson on April 15, 2021. The results are very encouraging for the future of telehealth. Continue reading →