Everyday heroes among us

In a week where we remember 9/11 and brace for a major hurricane expected to hit three east coast states, we are reminded of the many everyday heroes – emergency responders and healthcare workers.canstockphoto4424174 (1) families belong together

I’ve highlighted these heroes often over the years. I am grateful for all they do every day to keep us healthy and safe.

A year ago, I commented on the humanitarian crisis in Puerto Rico. We now understand a year later that nearly 2,975 people lost their lives due to Hurricane Maria. 2,977 people died in the terror attacks on 9/11 seventeen years ago.

Pediatricians were the first to call attention to immigrant families being separated at the border earlier this summer. Over 2,600 children were separated from their families. As of August 30th, nearly 500 children were still separated from their families.

We’ve all seen stories of firefighters and healthcare workers who lost their homes to forest fires out west this summer yet showed up to do their jobs and help others. Dignity Health has 48 hospitals and numerous ambulatory facilities throughout California, Nevada and Arizona.  Lloyd Dean, president and CEO at Dignity Health, shared an important piece this week – “Coping with the Health Consequences of Wildfires”.

On a bright note, a team of creative and committed technologists using medical drone technology are delivering blood supplies and vaccines where roads are inaccessible in two African countries.

And we all probably know a nurse we’d consider a personal hero. Continue reading

7 HIT blog and podcast recommendations

I started blogging in 2014. It was a way to share experiences from many years as a health IT leader and to teach others. When I see the number of subscribers to my blog and 100,000 views to date, I think it’scanstockphoto58340963 (1) subscribe fair to say my blogs are having an impact. As long as that’s the case, I will keep blogging.

I was honored to see my blog named for the second year in a row to HealthTech’s Must-Read Health IT Blogger List. Here are some of the ones on that list that I plan to start reading more regularly:

Susannah Fox – She is the former CTO of HHS and covers a range of topics to help people and organizations navigate at the intersection of health and technology.

Inside the Mind of a Healthcare CIO by David Chou, Vice President / Chief Information & Digital Officer for Children’s Mercy Kansas City – I knew David was prolific on social media. I regularly read and share his content. But I didn’t realize that he was also writing a regular blog on a range of topics from his CIO experiences.

Health IT Buzz from ONC – This is a great way to keep up with what is coming from The Office of the National Coordinator and their perspective.

Health Populi by Jane Sarasohn-Kahn – I have met Jane at a few conferences in recent years and always find her insight and analysis to be very enlightening. She covers broad trends in healthcare. Something every IT leader should be tracking.

AAMI Blog – I may be biased as an AAMI board member, but I think all IT leaders need to be keeping tabs on what the issues are in the health technology management (HTM) world. Continue reading

8 Signs of a strong security culture

Cybersecurity incidents in healthcare are on the rise. Organizations are continuing to strengthen their security programs. canstockphoto45375611 (1) security culture

I am currently working with two clients who are focusing on security. One is a large regional organization that is hiring their first Chief Information Security Officer (CISO). They asked StarBridge Advisors to provide an interim CISO to help build the security program while they recruit. The other is a university health system that is consolidating their security program under the university CISO and hiring an associate CISO to focus on the health system. Both organizations recognize the importance of the CISO role and the need to continually strengthen their security profile.

While it may be surprising to see organizations hiring their first CISO in 2018, what matters is that they recognize the need and are making the investment.

When I served as CIO at Michigan Medicine for the hospitals and health centers, we crossed that bridge in 2015. The IT leader responsible for infrastructure had been responsible for security as well – not uncommon in healthcare organizations. I recognized that the security function needed a dedicated focus, so we hired a full-time CISO.

I engaged a third-party security expert to conduct an assessment using the NIST framework. As a CIO, I learned a great deal through that process. With the help of our consultant, I was able to educate the executive team as well.  One component of the final assessment report was about creating a security culture.

Security cannot just be the job of the CISO. Continue reading

Never underestimate the importance of good communication

When you go into business for yourself, you have to make a lot of decisions. One of the most important decisions is who to partner with. I have learned a lot from my two colleagues, David Muntz and Russ canstockphoto9328194 (1) communication word cloudRudish, in our StarBridge Advisors venture over the past two years. They have very different styles, skills, knowledge and experience. But together we make a great team!

Communication skills are critical no matter what business you are in or what level you are at in an organization. David recently wrote an excellent piece on communications for our StarBridge Advisors “View from the Bridge” blog – Meaningful Communication – 10 Lessons from Life.

His life lessons provide an important framework for successful communication in all forms. And as he says, without communication, collaboration is difficult.

I highly recommend you check out David’s blog post. And if you like what you see, read more of our View from the Bridge posts and subscribe to receive notifications of new posts.

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The 6 Rs of summer

In these final weeks of summer, it’s a good time to stop and reflect . Our lives have become busier and busier. We work more hours. We are constantly available. Our phones are never far from reach.canstockphoto2218480 (1) beach chairs

As you take some time for yourself this summer, keep in mind the importance of R&R – Rest and Relaxation to get Refreshed and to Renew your energy.

Take time to Reflect on what is important to you.

Maybe even Reboot. Make adjustments as needed. After all, you only have one life to live.

As the poet Mary Oliver says, “Tell me, what is it you plan to do with your one wild and precious life?”.

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What can we learn from sports?

My husband and I recently went to a Red Sox game. We are not the biggest of sports fans, but we like to get to a game or two each year. It was a glorious summer day – sunny sky with a temp in the mid-70’s. A canstockphoto56121 (1) baseballperfect Sunday afternoon for a baseball game. We all know that baseball can be slow at times with brief moments of intense action. I put my crowd dynamics lens on and observed.

First there’s the “wave”. How do they start? And what does it take for them to be successful? The first one started in a section near right field, had to go through the grandstand area, and over to the “green monster”. If you don’t know Fenway Park, the green monster is a special section that probably has no more than 200 people in it. A prime spot for the wave to lose momentum. But it didn’t. It went all the way around the ballpark at least twice.

When another section started a second wave later in the game, it fizzled quickly. But my husband made sure he did it when the wave rather pathetically got to our section. He didn’t want to be the one to kill it. The takeaway – everyone must participate to make it successful.

Then there was the “dance off” between innings. The cameras focus on different fans around the park and when people see themselves on the big screen they do their best dance moves. You never know what you’ll see. Inhibitions are off for many people, especially kids. It was a young middle school age boy who won – he had the moves and the fans loved it. The takeaway – be less inhibited and you may go further.

And then there is the rhythmic clapping that starts and grows in intensity. It’s either to encourage the home team at a critical moment or to make the other team nervous. Continue reading

What does a high value conference look like?

Last week I had the opportunity to speak on two panels at a different kind of conference. HealthIMPACT East was held in Washington DC. The first day was solely focused on social determinants of health canstockphoto5296053 (1) conference(SDoH). The rest of the conference was on population health, interoperability, patient centered design, innovation, and blockchain.

The conference organizers and facilitators focus on what they call “purposeful events” with “no BS and no PowerPoints”. Instead of speakers talking “at people”, they facilitate lots of conversation in a room of full of smart people. The format was mostly panels with several excellent individual speakers who did use slides. The organizers want the conferences to be an idea exchange among a community of leaders and encourage dynamic debate.

The overall number of attendees was small. But it facilitated thought provoking discussion during each session and deeper networking connections at meals and breaks. I wasn’t tempted to pull out my iPhone to check my email as presenters talked through slide after slide. Instead, I was asking questions of the experts and engaged in the discussions.  The track facilitators did an excellent job getting attendees engaged.

When I walked in, I only knew two people – Megan Antonelli, CEO HealthIMPACT and CEO/founder of Purpose Events Group, who had invited me to speak, and Nick Bonvino, CEO at Greater Houston Healthconnect and a frequent speaker on interoperability. Continue reading

What does weeding have to do with work?

We go through our days in and out of meetings, on and off conference calls, sending and answering email.  All while we’re touching many different issues and projects.canstockphoto1572629 (1) weeding

So, when and how can you ever feel a sense of accomplishment?

  • When you’ve handled all your critical email (for now)?
  • When you’ve finished a presentation (but you may yet tweak it one more time before you deliver it)?
  • When you’ve resolved an issue (or think you have)?
  • When you’ve completed key tasks on a big project (but there is so far yet to go)?

Our work is endless and all we do is move the ball forward a bit each day.  In the IT world, a major go live provides a collective sense of accomplishment for everyone involved. But as IT professionals, we know that there is the post-go live support phase and then, probably, an optimization phase. Are we ever done with that project? The project management professionals on our teams will ensure we close the core project and open new ones for future phases.

We maintain “to do” lists in some form – paper or electronic. There are individual ones. And there are group ones known as project plans. You may work on a team that effectively uses collaboration tools that show all the individual and shared tasks as well as any follow-up needed. Breaking down any size project into more bite size tasks or steps is a good approach. And it can help give a sense of accomplishment along the way. Continue reading

When to use a career coach

Are you considering a major career change? Are you considering re-tooling and moving in a new direction? Are you trying to figure out if you should “stay or go”? Are you looking at one more big move canstockphoto7379432 (1) careerbefore you retire?

You may be asking yourself some of these questions. You may be turning to family, friends and colleagues for advice and perspective. Or you may be keeping it quiet and trying to figure it out by yourself. Or as unhappy and restless as you may be, you think there are too many barriers to making a change.

You may need encouragement and inspiration. Or you may need help building your confidence to make a change.

I have coached many people over the past several years. Some of them have been focused career coaching engagements. What does this look like?

We start with a bio like any other coaching engagement. I ask you to write a 1-2 page story of what makes you who you are, not the professional bio with a headshot. It is a time to reflect and get in touch with yourself.

We discuss your short-term and long-term career goals. If you have formulated some already, they may need refinement and a reality check.

We look at the range of options you are considering or could consider.

We figure out a framework for evaluating your options and consider the pros and cons of different paths.

We figure out what path makes the most sense and develop a plan to achieve it.

If you are in the middle of a job search, help with your resume and social media profile, interview prep or tips on networking may also be needed.

Sound simple? Maybe. But when you can’t settle on an answer to the “what should I do with the rest of my life” or “what should my next move be”, some outside professional help may be needed.

With a focused 3-month engagement, you will have a better sense of who you are, how you got to where you are, where you want to be, and a plan for how to get there. But be ready to do some deep reflection and hard work.

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Family ties – we all have a story

I am the youngest of my three siblings; I have a sister and two brothers. My husband, Tom, grew up the middle child with an older brother and a younger sister. All of our parents were deceased by the time we Blooming Grove cropped icaruswere in our mid-30’s and raising our own children.

My husband’s brother, Ted, died last November. Tom and Ted had an up and down relationship over the years but had come to a good place together last year. They got together for dinner on Wednesdays and had become good friends.

Yesterday, Tom and I drove 350 plus miles to a small community, Blooming Grove, near Williamsport, Pennsylvania to bury Ted’s ashes. Tom’s sister flew in from Arizona and several of their cousins who live in New England joined us. Why Blooming Grove? This is where seven generations of Schade’s are buried. It is a small community of Dunkard Baptists who first immigrated from Germany in the early 1800’s. A place in the Schade family history I’d only heard stories about until this trip.

Several of those generations are on our family photo wall. It is a work in process. Tom continues to add pictures from both of our families as we go through old boxes of photos. Our oldest granddaughter is five. She loves the movie Coco and understands it is about honoring and remembering your ancestors. When she visits, we often review the family photo wall and explain who everyone is.   Continue reading