Yearly Archives: 2023

Amplifying the voice of nurses

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May 6-12 is National Nurses Week. Nursing has been the most trusted profession for the past 20 years according to a Gallup Poll. That’s no surprise when you think about the nurses you have interacted with as a patient or as a colleague.

I’ve written a post about nurses almost every year since I started this blog. Do I have anything truly new to say this year? Yes, in that I want to highlight how the past three years has taken a toll on all our clinicians, in particular nurses. The public health emergency is expiring. Health care providers are adapting their policies as they continue to deliver care. We have entered a new phase for healthcare organizations, staff, patients, and families.

Staffing challenges are at the top of the list of concerns for many health executives – staff shortages and clinician burnout. There are no easy solutions. The toll of the past few years on our nurses was highlighted in a May 2nd NPR article by Jaclyn Diaz – “Nearly a third of nurses nationwide say they are likely to leave the profession“. The article starts with some sobering findings from the 2023 Survey of Registered Nurses conducted by AMN Healthcare. The survey examined the impact of COVID-19 on the career plans, job satisfaction, and mental health and wellness of more than 18,000 RNs. Key findings:

  • Close to 1/3 of nurses nationwide say they are likely to leave the profession for another career due to the pandemic. This level is up 7 points since 2021.
  • 89% of RNs said the nursing shortage is worse than five years ago, 80% expect that to get much worse in another five years.
  • Younger generations of nurses are also less satisfied with their jobs compared to their older counterparts.
  • 80% of nurses experience high levels of stress at work, an increase of 16 points from 2021.
  • 77% of nurses reported feeling emotionally drained, up from 62% in 2021.

Of all the blog posts I’ve written about nurses, this one from five years ago has the strongest message – “Celebrate nurses, but more importantly listen to them”.  This is true now more than ever. From the bedside to the boardroom we need to listen, amplify, and prioritize the voice of nurses.

IT leaders won’t solve the staffing challenges. But we have a role to play. The systems and solutions we provide and support as health IT leaders and vendors must help nurses do their job more easily and efficiently, not make it harder. We need to reduce the burden on nurses and ensure they are integrally involved in decision making, prioritization, and design processes.

From workaholic to fitness enthusiast: living a healthier lifestyle

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When I turned 50, I joined a gym – it was a birthday present to myself. Many years of working long hours, commuting, and raising two daughters kept me from regular workouts. I figured at 50 it was well past time. I knew that no one at work was going to come into my office at 6pm and tell me to go home and take care of myself. I had to own it. I have belonged to a gym almost continuously since then though I’ve lived at 5 different addresses in that time.

I had another major milestone birthday last week. And I can honestly say I have never been as physically active as I am now. Go figure. Guess that’s what happens when you work less!

At a minimum, I walk a 1.3 mile loop late afternoon almost every day with our two dogs. I go to 4 classes a week at the YMCA if I register before there are wait lists. I play pickleball every day I can when the weather is good. And I’ve signed up with a women’s golf group to play 9 holes once a week when my schedule allows – I know this will be more fun and social than exercise.

If you are a golfer, you know that’s a humbling experience! From 2000 to 2012, I had periods where I golfed 9 holes once a week but never took lessons. In the past 10 years, I’ve golfed only a few times at charity outings. We moved to a planned community in late 2021 and our townhouse is on one of the two golf courses. We see a lovely but challenging par 3 hole from our deck – we see golfers tee off hoping to hit it over the junk and then we see them hunt for their ball around the green. This summer I decided it was time to get back into golf myself. Continue reading →

Navigating the AI landscape in healthcare: HIMSS23 recaps and more

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Last week I jumped in on the hot topic of AI with my post, “AI in healthcare – is 2023 the breakout year?”. HIMSS23 was just wrapping up so I was waiting to hear overall recaps and especially updates on AI and ChatGPT.

Those recaps came as expected. Here’s a short compilation of several I found:

And finally, a resource to keep watching and listening to is Bill Russell’s This Week Health. His most recent Newsday show was “Today: Deploying Chat-GPT in your setting”. He references an article by Jonathan Balaban, a data scientist, and emphasizes the need for governance and security. Bill sees a lot of potential for ChatGPT but argues organizations need boundaries. As my favorite television news anchor likes to say, “watch this space”.

The use of AI in healthcare is evolving quickly. Every vendor seems to be an AI vendor in some form, or so they say. CIOs need to stay current, leverage their current vendor partners, carefully assess the new niche players and their claims, develop AI skills within their teams, and find ways to experiment that make the most sense for their organization.

If you have AI stories to share, please do. I may use them in future posts.

AI in healthcare – is 2023 the breakout year?

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It has been a while since I wrote on a technology subject. I usually leave it to others who stay much more current and are doing the day-to-day IT work in healthcare organizations. But the rapid acceleration of generative AI with ChatGPT the past several months has caught my attention.

I put my toe in the water and asked it to draft some marketing messages for me several weeks ago. For first drafts, they weren’t too bad. Using ChatGPT in this way gets you past the blank sheet of paper (or screen) and writer’s block. Or as my minister husband would say at times when writing a sermon, you need to get past picking out the font.

My StarBridge Advisors colleague, David Muntz, recently used ChatGPT to do an internal presentation on AI for our advisor team and gave ChatGPT “co-author” credit to make a point.

Bill Russell has talked about it often on This Week Health podcasts. He and his team are exploring ways they can use it in their business. Here are just a few of the podcasts he’s done on ChatGPT:

Generative AI, the new Medical Generalist

GPT4 Use ideas and Use Cases

ChatGPT4 on ChatGPT4

Several health system digital leaders told Becker’s that AI can only do so much in this article dated March 16, 2023, “How far is too far for AI in healthcare?”, and how it needs to be thought as of “augmented intelligence”. Ashish Atreja, MD, CIO and chief digital health officer of UC Davis Health said it well, “Machines lack internal consciousness, and the ability to distinguish right from wrong. Roles that depend on human empathy and critical decision-making in ambiguous situations can be supported but should never be replaced by AI.”

David Muntz’s blog post from October, 2022, “AI and AI – Use Them Responsibly”, talks about artificial intelligence and augmented intelligence. His view is similar to the digital leaders quoted in the Becker’s article. David closes his post by saying, “AI and AI should not be seen as ways to replace humans but as technologies that allow us to instantiate learnings from the human experience.  AI applied responsibly and compassionately allows people to share evidence-based practices and focus on the more human-oriented tasks that cannot be automated.  Importantly, AI helps us recover time to spend on our community, our providers, our patients, their families, and ourselves.”

The potential for medical AI is so significant that there will be a new AI-themed journal from the New England Journal of Medicine called NEJM AI. The inaugural editor-in-chief is Isaac Kohane, founding chair of the Department of Biomedical Informatics at Harvard Medical School. Continue reading →

HIMSS as a networking event

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For those of you attending HIMSS23 in Chicago next week, it will be a mix of education, vendors, and networking. Let’s face it, while education and the exhibit hall are what our organizations are willing to invest in, networking is what we all look forward to each year. Seeing colleagues we’ve known for years, finally meeting in person people we’ve only known on zoom, and making new connections. Especially after a few years of virtual only conferences.

I won’t be attending this year. But that doesn’t stop me from giving some advice on the networking front.

Whether you are in transition and looking to make connections for your next opportunity or you are focused on learning from your peers and sharing success (and failure) stories from your own work, effective networking is critical to your work and your career.

Here’s some general networking advice:

Network extensions – Everyone you know knows a few more people who could potentially be helpful. Proactively and respectfully work your network.

Professionalism – Always present yourself as the consummate professional whether at work, online, or in business interactions after hours.

Two-way street – Figure out what you need from a connection and what you can offer to them.

Diligent follow-up – If you commit to provide a reference, make an introduction, or something else, be sure to do it in a timely manner.

Networking is one of the greatest values of the annual HIMSS conference and HIMSS provides many ways to find people with similar interests as yours. Here’s some slightly modified advice specific to HIMSS from previous years posts: Continue reading →

What makes an effective sales approach?

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HIMSS23 is less than two weeks away. The second annual ViVE event happened last week. It is a busy time of year for healthcare vendors and their sales staff. I’ve been on both sides of this relationship – for many years as CIO and buyer and for fewer years selling services. It gives me a unique vantage point.

Buyers attending these conferences will be looking at vendors who have solutions they need now (and have budget for) and vendors who are new and interesting with innovative and niche solutions that they may want to explore further in the coming year (explore is the key word here). And they will be meeting with their current vendors to strengthen connections and get educated on what is newly available or coming soon as they leverage their existing investments.

Sales staff will be working hard to get the attention of potential buyers. They may even reach that stage of annoying and overbearing. We all know that kind of salesperson.

In my work as principal at StarBridge Advisors, I recognize it’s all about relationships. As I said in a previous blog post, it’s not just about who you know. It’s about who you are and how you show up with people. You need to be capable and competent with the right knowledge and experience, but also honest and authentic with high integrity. That’s what it takes to be successful in a business that is all about relationships. One of the best pieces of sales advice I got from a colleague was the “know-like-trust-need” model. People need to know who you are and what you can do, they need to like you, and they need to trust you. If you have all that, when they need you, they’ll call you. Simple. That’s why I focus on relationships.

My husband and I were recently on the buyer side of a sales discussion. By the end I thought, this will blog, meaning, there’s a kernel here to learn from and share. So, what happened? Continue reading →

What advice would you give your younger self?

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I love this question. It was one of the questions for a panel I was supposed to be on this week. The NEHIMSS chapter has an annual Women in IT conference, and I was one of four invited panelists for the three-hour event. But 40 miles into my 100-mile drive to the venue, cruising fast on the freeway, my left front tire totally blew out – down to the rim. Scary yes, but I got myself over to the shoulder and called AAA. My second call was to the panel moderator explaining I wouldn’t be able to make it. An hour and a half later I was again on the road with the spare tire that is designed for maximum 50 MPH taking the back roads home to avoid freeway speeds.

I was looking forward to the event and the panel. I love sharing stories with next generation leaders so this was going to be a fun night. I was ready after the usual panel prep call to cover the range of questions we had agreed on.

While I didn’t get to do the panel, I don’t want this question to go to waste – here’s what I was ready to say when asked what advice I would give my younger self:

  • Know your big rocks – I’ve written on this in the past, “Do you know your big rocks?”. It comes from Stephen Covey and it is a spot-on analogy. Our families and closest friends are our big rocks. Don’t let all the little stuff take up your space first leaving no room for your big rocks.
  • Don’t take crap from anyone – In my 30s, two of my peer managers seemed out to get me. One even threatened me. I was the only woman on the management team for a 5-year period. After a lot of stress and wasted energy processing it all at night talking to my incredibly supportive husband, I decided enough was enough. I let our boss know what was going on and told him that I would let him know of any further incidents. He was going to have to deal with it because I couldn’t. In another situation where a male manager from another department got overly friendly with sexual advances, I reported it to compliance. Hard as reporting something may be, it is necessary to stop the behavior if you can’t stop it yourself.
  • Have a strong support system – Whether it is family or friends, everyone needs a support system they can turn to. I could tell plenty of stories about my incredibly supportive husband and how he has been there for me back when I was a young working mother in management and going to school at night for my MBA as well as the decades since (our 47th wedding anniversary is in a few weeks).
  • Accept that you can make choices – One of my staff wanted to consider coming back from maternity leave after she had her first child in a part-time role but worried about how it would stall her career. She was a project leader on a management track. We talked about her options and I encouraged her to keep in mind that she had choices. After a period of part-time work, she eventually came back full-time, picked up again in a leadership role and then had two more children a few years later. She made choices right for her and balanced growing a family with growing her career.
  • Own your own career and be open to the possibilities – Before I left my CIO position at Brigham and Women’s Hospital for a similar role at Michigan Medicine, we were going through major staffing changes in IT. My staff were concerned about their future in supporting legacy systems vs the new EHR coming in. I told them they had to own their own career and be open to the possibilities. When I make that second point now, I emphasize that there are jobs today that no one heard of 5 or 10 years ago and there will be new ones in the future we can’t even imagine now.

There you go – I had plenty more to say on the panel given the other great questions we were going to discuss but wanted to at least share this one.

And after this car experience, my parting advice is keep your AAA membership current and keep your cell phone charged.

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Confidence gap, wage gap, and more

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We have much progress to celebrate as women but sad to say that in 2023, there is still so much more to do. I’ve seen many excellent pieces recently that illustrate the gender gaps that exist in the workplace.

Have you ever heard of “Tall Poppy Syndrome”? I hadn’t. I saw this post on LinkedIn from Women of Influence+ on a study they conducted of over 4,700 women around the world. From the post, their research shows that almost 90% of women worldwide are belittled and undermined because of their success at work. As they say, “The Tallest Poppy, our groundbreaking study, reveals an eye-opening story about how Tall Poppy Syndrome (TPS) negatively impacts ambitious, high-performing women, and what this means for organizations”. Here is the press release summarizing the results and a link to access their white paper.

It’s no wonder that many women get “imposter syndrome”, even women in executive level positions. As Becker’s reported in this short article, “75% of female executives get imposter syndrome”, imposter syndrome is doubting one’s abilities and feeling like a fraud. The article notes that women expect lower pay than men, are subject to condescension and have less faith they will be treated equally. This all leads to lowered confidence.

As Becker’s reported in this short article, “The gender ‘confidence gap’ is wide in the workplace”, the confidence gap and wage gap continue. And we are now seeing the promotions gap more clearly. Continue reading →

#EmbraceEquity

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Today is International Women’s Day (IWD) and March is Women’s History Month. The International Women’s Day 2023 campaign theme is #EmbraceEquity. As their website says, “The aim of the IWD 2023 #EmbraceEquity campaign theme is to get the world talking about Why equal opportunities aren’t enough. People start from different places, so true inclusion and belonging require equitable action. International Women’s Day is a global day celebrating the social, economic, cultural, and political achievements of women. The day also marks a call to action for accelerating women’s equality.”

Yes, we have much progress to celebrate but sad to say that in 2023, there is still so much more to do. Especially with our current political climate and Diversity, Equity and Inclusion (DEI) programs being under attack in some states. Take Florida for example where the governor announced in February that he intends to ban state universities from spending money on diversity, equity and inclusion initiatives, calling them discriminatory.

I continue to participate in CHIME’s Diversity, Equity and Inclusion committee as we start another year of programming for all CHIME members. As leaders, raising awareness and finding ways to take positive and meaningful action for our employees and our patients is what this work is about. This Friday as part of the DE&I Dialogues series, we will host a live webinar entitled, “Why DE&I: Defining Health Disparity, Inequity, and Inequality”. The webinar will cover why DE&I is important in your healthcare organization and how it impacts patient care. Featured speakers are Andrea Daugherty, CIO at Dell Medical School at the University of Texas at Austin, Cletis Earle, SVP and CIO at Penn State Health, and Dr. Eric Quinones, Chief Healthcare Advisor at World Wide Technology. You can register here for the March 10, 12PM ET webinar. I hope you will join us this Friday and for future DE&I Dialogues as we continue to learn and work together in 2023.

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One year later – an increased focus on diversity equity and inclusion

 

Leadership means being bold and taking on the tough issues

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As a leader, do you shy away from issues that may be considered too controversial or too political? What if those issues are at the core of delivering healthcare to your community and supporting your team? In our current political environment with the level of discourse so negative and uncivil, it can be hard to take a stand on something. But true leaders do just that.

Michael Dowling, President and CEO at Northwell Health in New York, is the kind of leader who doesn’t shy away from controversial issues. He should be a role model for all of us. I have mentioned him in previous posts on the need for civility and on preventing gun violence. This week I want to highlight his unwavering commitment and national leadership to prevent gun violence.

Under Dowling’s leadership, Northwell Health hosted the 4th Annual Gun Violence Prevention Forum this week. It was an in-person event in New York but open for virtual registration. I can’t tell how many were in the room but in his opening remarks he said there were over 2000 registered virtually.

His opening comments were inspiring. He said we were gathered to learn, to share, to strengthen our commitment to work together in unison, and to hold hands as we march down the road bending the curve of gun violence. He challenged us to each rethink and reimagine the obligation and responsibility of leadership. As health systems, to ask who are we, what do we stand for and believe in. He said we need to inspire others that this is health. That we can’t improve health unless we go upstream. And that health is more than medicine. Whether inside the organization or outside, to take on difficult topics. To make sure others get involved and feel bad about not doing so. He talked about the progress made. He reminded us that big issues and big successes are the result of a constellation of small things. And he encouraged us to be optimistic, that people follow optimistic leaders. He asked us to be proud, committed and fearlessly optimistic.

He talked about the National Health Care CEO Council on Gun Violence Prevention and Safety taking the pledge to prioritize the health and safety of our communities. 50 health system CEOs have signed the pledge and are united to fight gun violence. He talked about how even a few years ago he couldn’t get anyone to sign something like this. The response he got back then was it’s too political, their board wouldn’t like it, there were NRA members on their board, and so on. 50 is progress and we can hope that in the future it will be hundreds. Continue reading →