Yearly Archives: 2016

Learning from the annual industry list ritual

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Holiday gift lists, baking lists, family fun lists while kids are out of school and “honey do” lists while off from work…..we have personal to do lists everywhere. But as the year ends, it’s interesting to canstockphoto18647021look back on some of the industry based 2016 lists and look ahead at what to expect in 2017.

I’ve compiled some of the most interesting health care and technology lists to share as we approach this annual turn of the year. You’ve probably seen some of them already.

There are the best places to work lists where we can all learn best practices to attract and retain talent in a competitive market: Modern Healthcare’s Best Places to Work in Healthcare 2016 and Becker’s 150 Great Places to Work in Healthcare 2016. And more specific to IT, there is Healthcare IT News’ Best Hospital IT Departments 2016. Check out their profiles and possibly get some new ideas to apply in your own organizations. Continue reading →

Great techspectations: learning from retail

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If you are like me, you’ve recently done some online shopping – if not for holiday gifts, then for yourself. And your experiences have probably ranged from easy and awesome to  frustrating and canstockphoto20876918difficult.

Without naming any companies, I’ll describe the optimal experience, but also what we all too often run into.

The most satisfying experience is when the retailer already has some key information about you so the transaction can be completed with just a couple clicks; they also offer a real-time chat with a service rep if you need it.  We keep going back to those sites.

The frustrating ones are confusing: too much back and forth between multiple screens and not at all intuitive. If something is backordered, they don’t tell you until the end of the process. Then, you have to start over and give your information again. In the end, you may get the product you want (or something close) but it took too long and was difficult. Continue reading →

Time for a job change?

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It’s that time of year. With the holidays upon us, you may have a slightly more relaxed schedule at work. And you may be taking stock of where you are in your career and what might be next.canstockphoto14736747

I talk with a lot of people looking for career advice. It might be millennials early in their career who are thinking about their next opportunity. It might be mid-career management positions who are looking for that next step up. Or it might be people late in their career who are thinking about stepping off the permanent track for a less than full time work situation and a more balanced lifestyle to spend time with family or travel.

Regardless, the questions to consider are similar for everyone:

  • What are you passionate about?
  • What are your key strengths and areas of expertise?
  • What new skills do you want to develop?
  • What new areas do you want to learn about and develop expertise in?
  • What kind of organization and culture do you want to work in?
  • What family situations do you need to consider? Are you starting a family, do you have young children at home or teenagers who need a different kind of support? Are you caring for elderly parents? What are your spouse or partner’s work hours and flexibility?
  • Do you want to and are you able to relocate to another part of the country? Are you open to anywhere or specific regions?
  • And last, but not least, what are your financial requirements?

Continue reading →

Aspiring to Stage 7

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I recently participated as the CIO reviewer on a HIMSS Analytics Stage 7 validation. The long travel to the West Coast aside, I was happy to contribute my time and expertise to be exposed to an advanced

Source: HIMSS Analytics

Source: HIMSS Analytics

organization and to meet a wonderful group of leaders. The review team also included a Chief Medical Information Officer and the HIMSS Analytics Regional Director for North America.

As of the 3rd quarter this year, only 4.6% of hospitals have achieved Stage 7 while 30.5% have achieved Stage 6. Just over a third of hospitals are currently at Stage 5.

All three hospitals I’ve served as CIO have achieved Stage 6. Getting from Stage 6 to 7 is a significant leap. There is a greater focus on analytics and using the data from the electronic health record to improve patient outcomes.

From the HIMSS Analytics website, here is how Stage 7 is described: Continue reading →

Cuban healthcare, an emphasis on prevention

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You will be hearing a lot about Cuba after the death of Fidel Castro. I am certainly not an expert on Cuba, but I learned a lot about the country and its people recently on an 8-day Road Scholar tour. canstockphoto21968575And I was particularly interested in learning about their healthcare system.

“I wanted to see and experience Cuba before it drastically changes with American influence and investment”. That was the sentiment from many of our fellow travelers.

The trip was called “People and Society: Cienfuegos to Havana”. It included day trips to Trinidad and Santa Clara plus a stop at the Bay of Pigs on our way to Havana. Everywhere we went, we experienced the cultural arts first hand – music and dance from young grade school age students to seniors well into their 80’s. We heard a chamber orchestra and saw a contemporary dance show.

We heard lectures on history, politics, and religion as well as how Cuban millennials view the  future. We learned how negatively the U.S. embargo has impacted the people of Cuba. And how they want the embargo fully lifted but with future U.S. investments and development managed.

We had a chance to sit and talk for an hour with a young man who works in a telecom job in health care. I asked about electronic health records and he said they are in the process of implementing a system they have developed.

When I got home and caught up on my email, I learned that a 15-member delegation of healthcare executives visited Cuba while we were there. That delegation was led by former HHS Secretary and Governor Mike Leavitt, and included Dr. David Blumenthal, former National Coordinator at ONC and Stephen Lieber, HIMSS president and CEO. Stephen wrote an insightful blog on the experience. The delegation was a mix of vendor, consulting and provider executives who had gone to see the Cuban healthcare delivery system up close. Continue reading →

Ensuring smooth leadership transitions

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Transitions of leadership are going on all the time in our organizations: a new CEO, a new VP, or new management at another level; it is change.

As I’ve written about, I just completed such a transition. I have served as an interim CIO for 8 plus canstockphoto33589643months. The agreement for the engagement was that I’d stay through the successful transition to the new CIO. We envisioned a 30 day overlap.

As the start date for the new CIO approached, 30 days seemed very long. Wouldn’t the new CIO want to get in and get started without me around? But as she and I started planning that time, 30 days seemed reasonable for all that we needed to do. When it came time to start the transition, there was so much else going on each day we found it hard to find the time to focus on the transition work. In the end, we both agreed 30 days was the right amount of time and extremely helpful to her.

But a 30-day overlap and transition period can be a luxury. Organizations often go through leadership transitions with far less time or even no time for the old and new leaders to work together. When I took the interim engagement, I had an hour conversation with the previous CIO on his second to last day; that was it. Continue reading →

Forward together

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Like many, I am surprised and disappointed at the outcome of the presidential election. From some of my previous posts the past few years, there’s probably no question about my political leanings. canstockphoto10854745

A new message of “forward together” is needed now more than ever. Only half of all eligible voters voted on Tuesday. Half of them voted for Donald Trump and half for Hillary Clinton. She got more popular votes. But that means only one fourth of the country elected our next president. He will need to be a president for all of us.

A dark cloud has hung over us during an incredibly divisive and bitter campaign with often hateful language and bullying behaviors. We may have been afraid to talk to co-workers or neighbors or family members in fear they may support the other candidate and we did not want to have to debate with them. People on both sides felt this way.

Hillary Clinton’s speech to her staff on Wednesday had many important and inspiring messages as we move forward as a country. I encourage you to find the speech online to gain some perspective and to renew your hope for the future.

I watched her speech with my husband and the general contractor on our outside house project. He and his crew have been working here for several weeks on a major redo project – new patio, landscape and fence. They are a nice group of guys and we chat each day. But we consciously never brought up the election.

The general contractor needed to talk to us about a change order so came into the house Wednesday morning. He saw we were not in a good mood and asked who we had supported. He told us he voted for Trump. Bottom line, he thought a change was needed but admitted that he couldn’t defend a lot of what Trump said on the campaign trail. We debated a bit but it was civil.

He said he wanted to see Hillary’s speech when it came on. I went outside and got him when it was time. He sat in our living room with one of our dogs on his lap and watched. I sat behind him in the kitchen with tears. He thanked us for letting him come in and watch and said she made some great points. I told him that I did it with a big heart. Continue reading →

Powerful women and their path to success

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My first professional event since moving back to New England is the evening of Monday, November 7th. Boston Health 2.0 is a chapter of the national Health 2.0 organization. They hold monthly meetings to canstockphoto993163promote, showcase and catalyze new technologies in healthcare. The November event is a panel titled “The Power Women of Health IT: Path to Success”.

All powerful women have advice to give others and stories about obstacles they’ve overcome. This group of women panelists is no different and I’m excited to be part of it. Helen Figge, Senior Vice President, Global Strategies and Development, LumiraDx, USA, Inc., Cara Babachicos, Corporate Director/CIO, Community Hospitals, Partners Healthcare, and I were all honored to be named earlier this year to the “Most Powerful Women in Healthcare IT” by Health Data Management. We look forward to sharing our perspectives and stories.

The panel will cover advice on entrepreneurship for women, how women can influence the health IT industry, differing perceptions of competency in men and women, importance of mentorship, how men can be more supportive of professional women, and obstacles we’ve overcome in our own paths to success.

This should be a great discussion with a lot of insight and advice. But which obstacle should I comment on? Looking back to my early days in management, unfortunately there are many stories to share.

There was the male colleague who had it out for me during a five-year period when I was the only woman on the IT leadership team (it was the 80’s). One of the things he did early on was to spread a rumor that I was only in management because I was related to a board member with the same last name. It was so not true; I didn’t even know the board member. Continue reading →

It’s launch time

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“You need to own your own career and to be open to the possibilities. It applies whether you are early, mid or late career.”

That was my opening statement in my early January blog, “New year, next chapter”, when I announced that I was leaving a permanent CIO position to pursue a new path. And it is advice I have often given others.canstockphoto27201758

It’s now my time for that next possibility and I’m excited about it. I’ve decided to launch a new health care IT advisory firm, StarBridge Advisors, with two colleagues. I’m teaming up with David Muntz and Russ Rudish.

David is a nationally recognized CIO who has served some of the largest and most complex health care provider organizations in the country including Baylor Health Care System and Texas Health Resources.  Prior to that he served as CIO and was promoted to CEO of Wadley Institutes of Molecular Medicine.  David also served as White House-appointed first Principal Deputy National Coordinator, Chief of Staff, and CIO at the Office of the National Coordinator for Health Information Technology (ONC) at the U.S. Department of Health and Human Services. Together David and I have a combined 60+ years of experience in health IT management.

Russ was the Global & US Health Care Leader for Deloitte through 2014. Prior to joining Deloitte, he was Executive Vice President of Eclipsys Corporation, overseeing all client facing activities — sales, marketing, product management, customer support, outsourcing and professional services. Upon leaving Deloitte, Russ formed Rudish Health Solutions, which focuses on strategy and M&A consulting, interim management and executive search. He also became a Principal in Health Care IT Leaders, which provides staff augmentation services.

StarBridge Advisors will provide world class IT leadership advisory and interim management services to healthcare organizations. We want to be a trusted advisor on leadership matters in the HIT marketplace and to help clients innovate, transform, lead, and make a positive impact on healthcare in the U.S. Continue reading →

New leader? You’re not alone

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Are you in your first CIO position?  Have you just been promoted by executives at your organization who see what you are capable of? Or have you been tapped by another organization to step into yourcanstockphoto12535181 first ever CIO role? Or maybe find yourself serving as the internal interim CIO during the search for a permanent CIO.

In any of these scenarios you may wonder where to turn for help and advice. Every day there will be situations that you do not feel fully prepared for.

If you’re fortunate, you have already attended the CHIME CIO Boot Camp. It’s a three-and-a-half-day immersion into the breadth of what a CIO needs to know taught by experienced CIOs. Over 1,400 CIOs and future CIOs have graduated from the program over the past 13 years. If you haven’t yet attended, you should consider it.

If your organization has memberships with health care focused services such as Advisory Board, or broader research services like Gartner, be sure to take advantage of those resources. And make them available to your entire IT leadership team.

Be a sponge. Don’t be afraid to ask questions. Find people who are ahead of you and can share their experience. Continue reading →