Yearly Archives: 2023

Leadership and crisis management lessons from Pennsylvania

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I love seeing stories of success with lessons to apply to our work in health IT. The recent I-95 collapse in Philadelphia and the re-opening in just 12 days is one of those stories. There was a great opinion piece in the Washington Post on July 16th by Pennsylvania Governor Josh Shapiro – “Opinion: We fixed I-95 in 12 days. Here are our lessons for U.S. infrastructure”. Initially experts told the Governor it would be months before they could reopen the highway and get traffic flowing. Instead, they reopened it in just 12 days. Indeed, there are many lessons for leaders in all industries.

Here are the four key takeaways he comments on:

  1. Empower strong leadership
  2. Speed up the bureaucracy
  3. Encourage creativity
  4. Work together

In the face of a crisis, empowering strong leadership is critical. We’ve seen it in healthcare during the pandemic and when responding to any kind of disaster. As Governor Shapiro describes it – “Managers of every component of the project were empowered to be decisive, take ownership and make a call when necessary — not defer and delay to the often-circular bureaucracy. Decisions were made quickly and in a synchronized manner.”

We have plenty of bureaucracy in healthcare including many processes in IT that seem burdensome. Governor Shapiro described how an executive order he signed shortly after taking office that catalogued each of the 2,400 permits, certificates and licenses the state issues and set timelines for each of them resulted in significantly reducing wait times – with one example cutting the time from eight weeks to two days. IT leaders take note – how many processes can be streamlined in your shop?

Innovation in healthcare is greatly needed and there are many bright spots we read about each day. But innovation is not just the new big flashy stuff, it can be a creative and new way to solve a problem that comes from someone on the team or an observer. Governor Shapiro wrote, “Encourage creativity and allow everyone to bring their ideas forward”. The backfill solution to rebuild the collapsed freeway using a recycled glass product was a result of that creativity from PennDOT engineers.

We all know there is no “I” in team. We accomplish great things by working together. In Pennsylvania, state and federal officials coordinated closely with each other and private contractors and organized labor collaborated working 24/7 to get the job done.

While we never want a crisis to manage through, there will be more. These lessons will be key then and every day.

Related Posts:

Leading through a crisis

Lessons from Succession: What not to do as a leader

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I recently wrote a blog post called “Ted Lasso leadership lessons”. If you were a fan of the Ted Lasso series, you can readily see there were many lessons to be learned. Another popular series, Succession, wrapped up around the same time. I wasn’t sure how I could comment on leadership lessons from that series as there didn’t seem to be any characters that you would want to model. But there were plenty of lessons on what not to do as a leader.

Others have figured out what to say about Succession leadership lessons, so I’ll share the insights from one of them. A Forbes article on June 26th by Robert Pearl, MD, titled “5 Fatal Flaws Of Healthcare Leaders: Inspired By HBO’s ‘Succession’” describes five dysfunctional leadership styles to avoid based on some of the lead characters. In his words:

  1. Delusional leaders overestimate their abilities. Their ideas are unrealistic and their vision for the future: pure fiction.
  2. Narcissistic leaders bask in praise and blind loyalty. They reject and punish those who provide honest feedback and fair criticism. Their obsession with status and self-importance blinds them to long-term threats and opportunities, alike.
  3. Immature leaders get promoted before they’re primed and polished. They often lack boundaries and excel at the sport of making others uncomfortable.
  4. Political leaders are better at advancing within an organization than advancing the organization itself. Like chameleons, these leaders change with the scenery, shifting alliances and values as organizational power waxes and wanes.
  5. Compromised leaders are skilled at making promises. They seek support by vowing to fulfill wants and palliate pains.

Dr. Pearl closes the article highlighting three attributes that excellent healthcare leaders must have:

  1. Clear mission and purpose
  2. Experience and expertise
  3. Personal integrity

The third, personal integrity, is particularly critical. As Dr. Pearl says, “Everything changes when an emerging leader becomes the head of an organization and faces a crisis. As risks and pressures intensify, people tend to fall back on approaches and habits they learned in the past, particularly problematic ones.” Without being a spoiler, anyone who watched Succession can see how easily the emerging leaders fell back to their own demise.

I encourage you to read the full article but must warn you with a spoiler alert – if you haven’t seen the show but plan to watch it given all the buzz, bookmark the article to read later.  What buzz you ask? The fourth and final season just received 27 Emmy nominations with a total of 75 nominations over all the seasons.

Related Post:

Ted Lasso leadership lessons

Divided opinions on AI in healthcare

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Are you and your doctor ready for AI? While patients may be getting more comfortable with AI, how healthcare professionals embrace AI is critical to its evolution and eventual use.

Boston Children’s Hospital and Harvard Medical School conducted a poll in May among 3,317 adults age 18 and over in the U.S. and included a sample of 357 healthcare workers who were asked about how AI is already affecting their jobs, and how it might continue to do so in the future.

So how comfortable are healthcare professionals with AI? According to the study, “Healthcare professionals are somewhat divided in their opinions of AI: 23% think the use of AI in healthcare will help more than it hurts, 33% think it will hurt more than it helps, and 42% think it will equally help and hurt.”

Another interesting but not surprising poll result is the age differentiation. According to the study, “Younger adults express more comfort with AI-led healthcare, with 40% of those 18-34 saying they would be comfortable with a primary care appointment led by AI, vs. just 24% among those 65 and older.”

A Becker’s story, published June 29 by Giles Bruce, “Where Americans want and don’t want AI in healthcare: 7 things to know”, provides the following highlights from the study:

    1. Two-thirds of Americans believe AI will play a bigger role in healthcare five years from now.
    2. 34 percent expect AI to be better than healthcare providers at treating patients without bias.
    3. 1 in 4 are comfortable with AI-led therapy.
    4. 22 percent expect AI to be better than medical professionals at diagnosing conditions.
    5. 12 percent said their healthcare providers currently use AI to augment treatment, diagnosis or communication.
    6. 83 percent of medical professionals don’t currently use AI.
    7. A third of healthcare providers say AI will do more harm than good.

AI is already being used in many ways in healthcare and will continue to evolve. IT leaders need to stay current as it evolves, leverage their existing vendor partners, carefully assess the new niche players and their claims, develop AI skills within their teams, partner with clinical and operational leaders to find ways to experiment that make the most sense for their organization, and learn from other organizations who are more advanced users of AI.

Bill Russell’s This Week Health podcasts often cover AI so it’s a great resource for keeping up and hearing what the issues are and how it is being used in different organizations. One of the newest episodes is TownHall: The Potential and Unknowns of AI and Emerging Tech in Healthcare, Part 1, a conversation between Dr. Brett Oliver, Family Physician and Chief Medical Information Officer at Baptist Health and John League, Managing Director, Digital Health Research at Advisory Board.

As my favorite television news anchor likes to say, “watch this space”.

Related Posts:

AI and AI – Use them Responsibly

AI in healthcare – is 2023 the breakout year?

Navigating the AI landscape in healthcare: HIMSS23 recaps and more

The transformative power of bold leadership in healthcare

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With reproductive rights and LGBTQ+ rights under attack in so many states, it was good to see the Summer 2023 Issue of the Brigham magazine in the mail this week. This issue is titled “Care for Every Body – Embracing Inclusive Medicine”. As a former VP and donor to Brigham and Women’s, I receive the paper copy to read. You can access it online here.

The main articles include:

  • Sex & Gender Glossary – essential terms and definitions for understanding sex, gender, and well-being.
  • Pro-Care. Pro-Patient. – describing how the Department of Obstetrics and Gynecology is working toward reproductive justice for all patients. An alarming data point: If all abortions in the U.S. were to stop, 24% more people would die from pregnancy complications and 39% more non-Hispanic Black people would die.
  • Soul Meets Body – describing how the Center for Transgender Health is breaking barriers and providing state-of-the-art, life changing care for trans and gender diverse people. An alarming data point: 46 states have proposed 491 anti-transgender laws in 2023, more than the previous four years combined.
  • Women ≠ Tiny Men – describing how physician-researchers are working to balance the scales for women’s health.

These articles and the programs described represent bold leadership in healthcare and what we should expect from healthcare providers.

Just as the Winter 2022 Issue titled “Standing Tall for Justice – Cultivating Equity and Inclusion in Medicine” was bold leadership as it covered racial equity in healthcare. And just as Michael Dowling, President and CEO at Northwell Health in New York, regularly shows us what bold leadership means. He doesn’t shy away from controversial issues as he addresses the issue of gun violence and calls for civility and decency in our public discourse.

Dr. Robert Higgins, President, Brigham and Women’s Hospital and EVP, Mass General Brigham comments in the introduction to the Summer 20223 Issue – “While forging the road toward a more inclusive healthcare systems is not an easy or immediately achievable goal, it is a vital commitment we must make. Our sense of humanity depends on it.”

Are you uncomfortable being a bold leader? Do you embrace or shy away from the DEI discussion? The DEI Committee of CHIME is hosting a webinar this Friday, June 30, at 12PM EDT that I highly recommend. It is titled “DE&I in Healthcare 2.0 – Getting Comfortable Being Uncomfortable in a Safe Space Zone”. Please follow this link to register if you want to learn how to stay DEI focused in an anti-DEI climate.

In a recent podcast interview, I was asked about some of the unique challenges and opportunities of being a CIO in the healthcare sector compared to other industries. I commented on how being in healthcare is mission driven and how we can make a difference in people’s lives. Leaders of our nation’s leading healthcare systems being willing to address the difficult issues and care for every person is one of the reasons I am passionate about working in healthcare.

What we do matters.

Related Posts:

Leadership means being bold and taking on the tough issues

Towards a more civil society

When is enough enough?

The healing power of humanity

 

Unlocking the power of time: insights from an inspiring leader

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Today is the longest day of the year and the official start of summer. This longest day leads me to reflect on how we spend our time.

I recently had the pleasure of interviewing Saad Chaudhry, Chief Digital and Information Officer at Luminis Health, for a Townhall episode on This Week Health. Saad is an inspiring leader on so many levels so preparing interview questions was easy. I had heard Saad talk in the past about what he calls his Manifesto of Time, so I wanted to make sure we discussed it in the interview. For Saad, looking at the number of hours the average person has in their lifetime means looking at how we choose to spend it and whether we give or take time from others.

As a health IT leader, he says we are in the business of time. He is committed to giving time back to staff and patients. He asks in his manifesto – “Does a process/technology/policy steal time from a fellow human? Is there a better alternative to simplify the experience?” He challenges us to make systems and processes easier for patients and staff, giving time back rather than taking more time from them.

I can’t say it nearly as well as Saad, so I encourage you to read The Manifesto of Time and listen to the short clip on time from our interview – Spending Time: Why It’s Important to Maximize Giving Back Our Most Valuable Commodity. We covered much more in the full interview if you are interested and willing to spend 30 minutes of your time listening – A Realigned Role, Generational Diversity, and Giving Back Time.

I know your time is precious – thanks for reading and listening!

ACP – addressing the digital divide

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“We need to advance health equity in a sustainable way – not with charity care and not performative health equity”, said Dr. Alister Martin, ED physician and CEO of A Healthier Democracy in the closing keynote at the annual NEHIMSS chapter conference last week. One of the many initiatives of A Healthier Democracy is Link Health which focuses on connecting patients to the Affordable Connectivity Program (ACP) to close the digital divide.

Listening to Dr. Martin last Thursday, I decided to use this week’s blog post to amplify this important initiative and help raise awareness among health IT leaders about the ACP and its importance for healthcare. As they say, timing is everything. June 14-22 is the ACP White House Week of Action and June 16 is the ACP Healthcare Day of Action.

Here’s some background on the ACP taken from the Link Health website:

COVID-19 Accelerated A Massive Shift To Telehealth.

The COVID-19 pandemic ushered in widespread acceptance of telehealth and other digital innovations in medicine and dramatically increased the use of telehealth as an intervention to reach patients.  A recent HHS study shows a 63-fold increase in Medicare telehealth utilization and 32-fold increase in behavioral health care through telehealth triggered by the pandemic.

Access To Broadband Internet Is A Social Determinant Of Health.

Despite widespread internet usage in the United States, 15–24% of Americans lack broadband internet connection, a foundational requirement for telehealth and the bevy of other services that underpin the social determinants of health. In fact, access to broadband internet has been considered a “super” social determinant of health (SDoH).

The Affordable Connectivity Program Expands Broadband Access But Needs Help From Healthcare.

The Bipartisan Infrastructure Law created the Affordable Connectivity Program which provides a subsidy of up to $30/month for lower-income households ($75/month for households on tribal lands) on participating internet service plans and a one-time $100 subsidy for a connected device. 51.6 million households are eligible for the ACP, yet only 25% have enrolled. 38 million more households are potentially missing out on money to pay their internet bill. Importantly, only 13% of patients with Medicaid have signed up for the ACP.

Link Health is partnering with the White House, Civic Nation, and leading healthcare organizations on the ACP Week of Action to leverage the health sector to connect patients to the ACP and close the digital divide. There are resources at this site if you are ready to be part of the action and amplify the message through your organization and in your community. Continue reading →

Ted Lasso leadership lessons

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I was late to the “Ted Lasso” series so there were some seasons of binge watching. From its earliest days on Apple TV, I kept hearing about this show from my colleague at StarBridge Advisors, David Muntz. He loved it! My husband and I finally started watching some time last year and saw the season 3 finale last week along with all the other devoted fans.

There are so many lessons to share from this incredibly upbeat soccer coach who we came to know and love. Here are a couple pieces worth reading whether you are a fan or not – no spoilers:

If you haven’t already clicked through to the Becker’s article link above to read perspectives on the lessons from well-known healthcare leaders, please do. In the meantime, here are the lessons:

  1. Lead with empathy.
  2. Being vulnerable doesn’t make you weak.
  3. Optimism is infectious.
  4. Doing the right thing is never the wrong thing.
  5. Winning and losing aren’t everything.
  6. Optimists take more chances.
  7. Everyone differs from everyone else.
  8. Embrace change.
  9. Empowerment breeds confidence.
  10. Winning is an attitude.
  11. Humor cuts through tension.
  12. Courage is the willingness to attempt.
  13. Nobody is bigger than the team.
  14. Be self-aware and genuine. A truly authentic leader doesn’t have the time or the inclination to be anyone but themselves.
  15. Don’t dwell on mistakes or let them define you.
  16. Stay teachable.

I like all of them but 1, 4, and 13 are favorites. Continue reading →

Healthcare for all: ensuring inclusivity in LGBTQ+ patient care

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June is Pride Month. In recent years, LGBTQ+ rights have come under attack. All this after the landmark Supreme Court decision in 2015 supporting marriage equality. These attacks are taking many forms – “Don’t Say Gay” bills in state legislatures, bans on drag queen story hours, protests and intimidation at events, bomb threats at children’s hospitals providing gender affirming care, and more.

A March 7, 2023, piece in the Boston Globe by Renee Graham, “Understanding the intersectionality of hate”, begins by highlighting the number of bills pending in state legislatures. “The American Civil Liberties Union is tracking more than 380 anti-LGBTQ bills in nearly three dozen state legislatures, ranging from bans on gender-affirming care for trans youth to prohibiting classroom discussions about LGBTQ people or issues”.

In the face of these attacks and threats, and anti-LGBTQ+ legislation, allyship is more important than ever. Who doesn’t have a gay family member, friend, or colleague? Allyship is showing up and speaking up. There are many ways to do this as individuals and organizations, especially during Pride Month.

In 2015 I wrote a post titled “Marriage equality, it’s personal”.  I talked about the experience of my aunt when her longtime partner was hospitalized in her final days and how my aunt was treated. That was 1990. We’ve come a long way in healthcare but need to continue these efforts given the strong anti-LGBTQ+ sentiments.

I’m proud to have worked at Boston Children’s Hospital in recent years. Despite bomb threats due to their gender affirming care program, they are not deterred from their ongoing commitment to providing comprehensive and affirming treatment for LGBTQ+ patients and families. They have been awarded the Healthcare Equality Index’s (HEI) Leadership Status every year since 2015. They provide LGBTQ+ patient and family centered care in four key areas: patient non-discrimination, equal visitation, employment non-discrimination, and training in LGBTQ+ patient and family centered care.

The HEI is the national LGBTQ+ benchmarking tool that evaluates healthcare facilities’ policies and practices related to the equity and inclusion of their LGBTQ+ patients, visitors, and employees. Nearly 500 healthcare facilities achieved the top score of 100 in 2022 and earned the LGBTQ+ Healthcare Equality Leader designation.

My 2015 blog also referenced this HEI designation. I was working at Michigan Medicine then and they too were recognized with HEI Leadership Status. I closed that blog hoping that in the coming years, thousands more healthcare organizations would receive this same designation. There is progress, but more is needed.

Resources:

National LGBTQIA+ Health Education Center – Ten Strategies for Creating Inclusive Health Care Environments for LGBTQIA+ People

Human Rights Campaign Foundation – Transgender-Affirming Hospital Policies

Memorial Day: remembering the sacrifice, celebrating the summer

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This coming holiday weekend for most of us is the first bookend of the summer season. It’s a time for picnics and barbeques, gathering with family and friends. Depending on where you live, it may be warm enough for a first beach trip and swimming pools open for the season.

But we can’t forget that Memorial Day as a holiday honors the men and women who died while serving in the U.S. military. The history of this holiday may surprise you. Memorial Day was originally known as Decoration Day, originating in the years following the Civil War. In 1950, Congress passed a resolution requesting that the president issue a proclamation calling on Americans to observe Memorial Day as a day of prayer for permanent peace. It became an official federal holiday in 1971. Many people observe Memorial Day by visiting cemeteries or memorials and participating in local parades.

As a child growing up in Minneapolis my family had the annual tradition of visiting graves on Memorial Day. We went to Fort Snelling National Cemetery to visit my father’s grave and then to smaller nearby cemeteries to visit my grandmother’s grave and a great uncle’s grave. Anyone who has been to a national cemetery with rows and rows of uniform white grave markers is moved by the experience. We are reminded of so many who have given unselfish service to our country.

My husband and I had the opportunity last summer to visit the American Cemetery at Normandy in France. That was a very moving experience. Visiting Omaha Beach just prior to that and learning more about the landings on D-Day, then seeing the thousands of graves at Normandy was a sobering reminder of what fighting for our freedom has meant.

I hope that as you enjoy the long holiday weekend you will hold in your heart the memories of all those whose lives are celebrated on Memorial Day.

Inspiring the next generation of healthcare heroes

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It’s Health Technology Management Week, a time to celebrate and thank all the biomed technicians and clinical engineers who make up the critically important HTM teams in our hospitals. Not being involved in AAMI as I was over the past decade, I thought I didn’t have anything new to say this year. And then I saw a social media post that inspired this week’s topic. What better way to celebrate and acknowledge the work of our HTM teams than to highlight the need for more HTM professionals in the future.

Like many healthcare professions, HTM faces staffing shortages now and into the future. Educating young people about health careers and building a pipeline is one aspect of addressing those shortages.

“Ollie the Biomed” by Chace Torres is a new children’s book that describes what a biomed technician does. Like other children’s books about different jobs and careers, it makes the life of a biomed technician exciting and attractive. And it is written from the firsthand experience of a proud biomed tech and dad who is well aware of the staffing shortage in this field. Torres is the lead technician for Texas-based medical equipment manufacturer SPBS Inc.

AAMI featured the book in this May 2, 2023 article: “Meet Ollie, the Biomed ‘Device Doctor’ Who’s Teaching Children About Fixing Problematic Medical Products”. An excerpt from the article:

Torres, who also shines a light on the HTM profession via an ongoing podcast, says it’s more important than ever that young people are exposed to a “profession struggling to build awareness, [because] the majority of the workforce is set to retire within the next decade,” he wrote in an overview of his book.

The book is “about inspiring those who are younger and letting them know that there are other jobs out there besides those found in a typical children’s book—the standard professions that all kids see, whether it’s a police officer, firefighter, or doctor,” Torres said. “Many people have reached out to me who have purchased the book or have bought it for somebody else, and they will say, ‘My son, or my daughter, or my grandchild had no idea what I did as a biomed, but after reading the book, they understand and loved it.’”

The book description on Amazon provides more background:

This children’s book is a depiction of the profession known as Biomedical Equipment Technician, AKA “Medical Device Doctor.” Ollie the Biomed experiences a work day repairing, calibrating, and solving real world problems found within the everyday job of a Biomed. It illustrates the complex but rewarding career filled with so many devices used in healthcare today to treat patients. Biomeds are directly responsible for inspecting, repairing, calibrating, and managing all aspects of any medical device found in hospitals today. I wrote this book for my son to learn exactly what his dad does and why I love what I do each and every day. I hope to inspire kids across the world to seek out more information and become Biomeds because it is truly rewarding and fun.

Torres is an advocate for his profession in other ways. Since 2021 he has hosted “Bearded Biomed”, a podcast that drops twice a month. Some of his recent topics: Women in HTM, the 2022 HTM Salary Survey, and Dealing with Biomed Burnout. Continue reading →