Yearly Archives: 2017

A tale of patient advocacy

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We have two little dogs. Pepe is a 10 year old Shih Tzu/poodle and Coco is an 8 year old Shih Tzu /Bichon.  Pepe had been getting frailer and weaker throughout the Fall months. IMG_2946 (002) waiting at the bus stop

We thought this might be her last year with us. But her blood work in November showed that she has a thyroid problem.  She now gets a daily medication and has more energy and no longer sleeps most of the day. The name Pepe (as in peppy) is fitting her again.

She had also been losing weight and getting very thin. So, we started her on canned food. Maybe she had  a problem with the dry food she has always eaten. Or maybe Coco, who is dominant, wasn’t letting her get to the food dish. What dog or cat doesn’t love canned food??? Pepe loves it and has been gaining weight. While my husband and I are still getting used to that nasty moment when you first open the can of wet food, we do it because we love her and want her to gain weight and get strong. It’s working.

When we recently took Pepe to the vet to deal with a digestive problem, the vet found she had a broken tooth and the area around it was inflamed. She would need surgery to have it pulled. That happened this week and all is well. She is even back to eating treats that take some chewing. In hindsight, the broken tooth could have been the reason she stopped eating the dry food.

Animals can’t talk or “use their words” as we tell small children, so it’s hard to know when something is wrong. And it’s hard to know the interconnections between all these issues. Continue reading →

The power of co-location

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There continues to be a lot of focus on telecommuting and open office space for knowledge workers in large organizations. Both are important yet not everyone agrees they are good – a lot depends on the canstockphoto12582566 for colocationorganization and the culture.

But I want to focus on another “space planning” topic, co-location. As health care organizations grow, administrative departments including IT often end up being spread out in many office buildings, sometimes at great distances from the hospital with a lot of traffic in between.

The investment needed to centralize all the administrative functions in one building often takes backseat to investing capital in clinical space. No surprise. Video conferencing is always an option for bridging the miles. This technology continues to advance and become more of a commodity. National and global companies must leverage technology but health care systems are mostly local or regional.

In my many years of health IT management, I’ve experienced a variety of space situations: Continue reading →

When does the honeymoon end?

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Remember those first few days on a new job? You were officially onboarded, and signed a lot of forms. You learned all the basic processes and policies that new employees need to know. And you canstockphoto31122040 onboardinggot the big picture of the organization’s mission, vision, values and culture. Your head is spinning by the end of day one and even week one, but everyone is patient with you. They recognize that it is a lot to take in.

In that early period when you are introduced to lots of people, everyone is so happy to see you. Everyone is offering to help you get up to speed, and do whatever they can to make your onboarding smooth.

And then you realize they all need something from you. They all think you can solve all the problems. But you are still given some time before you start waving your magic wand.

You’re on a honeymoon. It will be measured in days or weeks but usually not months. You must drink from the firehose, get to know all the key people and start adding value. “Proving yourself,” as they say.

You may have relocated, so you’re also getting to know your new town.

It can be exhilarating and overwhelming all at the same time. Continue reading →

Women’s History Month, not exactly a Hallmark card event!

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It is the beginning of National Women’s History Month. It has been celebrated since 1987 but has its roots in International Women’s Day (March 8th)  which started in 1911. The National Women’s History Week canstockphoto35399887 herstorywas first declared by President Jimmy Carter in 1980.

This year’s theme is “Honoring Trailblazing Women in Labor and Business”. Last year’s theme was “Working to Form a More Perfect Union: Honoring Women in Public Service and Government”.

I doubt there are any greeting cards at the store to celebrate this month. But who needs a corny card. Women just want to be paid equally, afforded the same opportunities as men and recognized for their contributions in all aspects of life.

With the 2017 theme focused on business, you can learn more about the women being recognized this year at the National Women’s History Project.

They include:

  • Barbara Hackman Franklin, former Secretary of Commerce under President George H.W. Bush who served five presidents in various roles and led efforts to increase the number of women in government.
  • Alexis Herman, first African American to serve as Secretary of Labor and who led the effort to institute a global child labor standard. She also launched an aggressive initiative to help unemployed youth.
  • Lilly Ledbetter, equal pay activist whose long fight is reflected in the Lilly Ledbetter Fair Pay Act signed by President Obama in 2009.
  • Barbara “Dusty” Roads, flight attendants union leader who fought against the airline industry’s sexist working conditions and regulations in the 1950s and 1960s.
  • Norma Yaeger, first woman stockbroker to be permitted on the floor of the New York Stock Exchange (NYSE) in the 1960s.

With my career focus on technology within healthcare, I want to highlight some women in technology and science I’ve learned about recently. Continue reading →

HIMSS17 – It’s a wrap

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There could be as many different wrap-ups on HIMSS17 as there were people there – over 42,000. No one sees the same vendor exhibits, hears the same presenters, or talks to the same people. There are HIMSS17 sign ver 2conferences within conferences. So here’s just one wrap-up – mine.

The first speaker I heard did a great job of scaring all the CIO’s. Kevin Mitnick, the world’s most famous hacker and security consultant, and author of several books including his most recent one, The Art of Invisibility, was the opening keynote at the CIO Forum on Sunday. His talk, “The Art of Deception: How Hackers and Con Artists Manipulate You and What You Can Do About It”, included real-time demonstrations. He drove home the point about how vulnerable we are as individuals and organizations.  I highly recommend checking out his website to learn more or get scared yourself.

Dr. B.J. Miller was the final speaker at the CIO forum. His talk, “What Really Matters at the End of Life”, was a very sobering view of palliative and hospice care yet strangely inspiring at the same time. As he said, “Spending time thinking about your time on the planet while you have time is important – don’t wait.” I highly recommend listening to his Ted Talk with this same title.

I have been asked to serve on the CHIME Education Foundation Board again so Monday morning meant a board meeting. Continue reading →

Countdown to HIMSS17 – Part 3: Networking

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The countdown to HISS17 is in the final days. As I wrote the past two weeks, the best way to think about your prep for HIMSS17 is in three ways – education, vendors, and networking. This post is the last in a canstockphoto6370084three-part series – focusing on networking. It has to be the last, you’ve probably finalized your schedule for education and vendors. Now, you’re thinking about what to pack at this point. For us Northerners that means pulling out some summer like clothes and shoes – I’m looking forward to that part!

Have you been to HIMSS conferences before and know tons of people in the industry? If so, networking is probably not an issue for you. Are you relatively new to HIMSS conferences and want to make a lot of new connections? If yes, then this post might be useful.

I know a few things about networking.  After all, one of my daughters’ nicknames for me is the “network queen”. Here are some tips to consider:

Scheduled receptions and meetups – There are plenty of these including an orientation for first time attendees, opening reception for all attendees, local chapter events, vendor receptions, and topic focused Continue reading →

Countdown to HIMSS17 – Part 2: Vendors

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The countdown to HISS17 continues. As I wrote last week, the best way to think about it is in three ways – education, vendors, and networking. This post is the second in a three-part series – focusing on vendors.canstockphoto10546354

If you already registered, you have been inundated with vendor emails and snail mail since then. The ginormous exhibit hall beckons when you get to Orlando. So how do you make the vendor aspect of HIMSS17 as productive as you can?

Here are some tips to consider based on many years of navigating the exhibit floor:

Meeting with your current vendors – I’ve talked with colleagues in the past who always start here. They schedule meetings in advance or stop by just to say hello at all their primary vendors’ booths. I never fully understood this. Maybe I was a CIO in an organization with mostly internally developed systems for too long. You can connect with your primary vendors throughout the year so do you really have to spend a lot of time with them at HIMSS? It’s up to you and your specific needs and issues. If you want to see the Continue reading →

Countdown to HIMSS17 – Part 1: Education

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The countdown to HIMSS17 is on. It’s less than 3 weeks and if you’re anything like me, you’ve not figured out your HIMSS schedule yet. You’re getting those emails from HIMSS and vendors about what to do. canstockphoto20735537And you’re starting to see the “HIMSS preview” type articles in your favorite publications.

As the conference website says – 5 days | 300 session | 1,200 exhibitors | 45,000 colleagues. It’s as overwhelming as it sounds.

The best way to think about it is in three ways – education, vendors, and networking. This post is the first of a three-part series – focusing on education. After all, you’re paying a hefty registration fee and travel expenses so you should get some education time in, right? It’s not just about the massive exhibit hall and seeing all your friends in the industry!

Bottom line, you need a strategy and a focus. No more getting a big thick conference book to page through in advance – it’s all online for you to peruse and develop your plan. The conference website has education organized by topics, professional roles, specialty education, and types of session.

Here are some tips as you plan your education at HIMSS17: Continue reading →

6 tips for successful huddle boards

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I recently had an opportunity to advise an IT department on their overall lean initiative. While no two organizations have the same lean journey, there are common challenges. Visual management and huddlecanstockphoto19155139 boards are components of a lean management system. Here are some of the common challenges you can expect to encounter and tips for success:

“Perfect is the enemy of good” – You must be willing to experiment and get messy. Visual boards take many shapes and forms. Do they help you focus on the right work and metrics as a team?  It’s less important that they look pretty to the outside observer.

Standard framework with room for variation – Even if there is a standard for what all huddle boards in your organization should look like and include, there must still be room for variation by unit or team. What’s important to one team may not be important to another. If you’re ready to get started and wonder if there will be an organization standard at some point, don’t wait for it. Just get going and adapt later if a standard appears. Continue reading →

What we should expect of leaders

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I’ve written many posts on leadership. As we witness the peaceful transfer of power in the Office of the President, it seems fitting to reflect again on leadership and what we should expect of leaders. canstockphoto7867487

When I think of critical leadership qualities at the executive level, I think of vision, integrity, presence, communication, and authenticity.  If you look at position descriptions for executive level leaders in business, you will see all of these and more.  

I’ve talked in the past about the core principles and values I share with my staff when starting a new leadership position. In that early period, I want my team to get to know me and to understand what’s important to me. I want them to hold me accountable for living these values every day in every situation. And I also expect everyone on my team to live them as we work together.

Here they are again but with a more generic description that can fit any leadership position: Continue reading →