Author Archives: Sue Schade

From listener to host: conversations with health IT leaders

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I’ve been a fan of podcasts for several years and a regular consumer of many different ones. I’ve shared some of my favorites in past blog posts. My health IT favorites are the multiple shows that ThisWeekHealth offers.

While still an avid listener and consumer, I am also a regular contributor. Since 2022 I’ve been one of the Townhall show hosts for ThisWeekHealth. That means I’m committed to doing one interview a month with a health IT leader along with the 7 other hosts. New Townhall shows are aired every Tuesday and Thursday on the Conference Channel. I’ve had the pleasure of interviewing many current and former health IT leaders in the past year including:

We have had so much to cover in my two most recent interviews that my guests each agreed to schedule a part 2. Continue reading →

Developing tomorrow’s leaders through mentorship and coaching

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My commitment to developing next generation leaders is something I’ve often talked and written about. That commitment is as strong as ever.

This week I started a 10-month formal mentor program through the NEHIMSS chapter for two different mentees. We’ll talk every other week for 30 minutes focusing on their goals for the mentorship. A few weeks ago, I started my newest coaching engagement with a seasoned IT leader. We are in the early stages of this process, including gathering input from peers. We’ll talk twice a month for an hour with assignments in between. And I’m finalizing a presentation focused on lessons in leadership to deliver virtually in early November to the management team for a CIO colleague at a large academic health system. He brings in an industry expert 6 times a year to share their views and help educate his team.

I’m impressed with the formality and structure of the NEHIMSS mentor program – it appears to be a great model for other chapters and organizations and has evolved since the program was first started in 2014. Mentor and mentee applications are submitted, the mentorship committee then reviews them, makes the matches, and communicates to the pairs with supporting materials including a FAQ and a list of Do’s and Don’ts. Both parties sign a mentorship partnership agreement that includes the mentee’s goals and the roles of the mentor and mentee for each goal.

I have provided professional coaching services for many health IT leaders over the past 7 years. And I have served as both an informal and formal mentor to many during my decades long health IT career. While both have value, coaching and mentoring are different. Continue reading →

Beyond Cost Cutting: Health IT’s Role in Financial Health

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Health systems continue to face complex financial challenges. Industry articles highlight the few that have strong operating margins while also noting the many facing continued operating losses. Becker’s Hospital CFO Report published the article, “25 factors that could affect health system performance in 2024”, by Alan Condon on September 8th. It is a comprehensive list and worth reviewing.

What do these financial challenges mean for health IT leaders? I talk to many CIOs who are faced with cost cutting targets and dealing with very limited budgets yet long lists of priority projects. It’s no surprise. Health systems often fall into the trap of relying solely on cost-cutting measures, particularly in the realm of IT and staffing.  While trimming expenses is essential, it’s just the starting point.  Organizations must carefully consider all the impacts on operations and especially morale.

At StarBridge Advisors, we advocate for a comprehensive approach that goes beyond mere savings, encompassing revenue growth, digital transformation, and effective change management. This multi-faceted strategy promises swift improvement to your bottom line, operational efficiency, improved staff morale and progress toward the goals of the Quintuple Aim.  IT enablement is often essential to these activities. You can use these opportunities to leverage the IT investments that have already been made.

In a recent series of four blogs written by Principal, David Muntz, we offer practical and pragmatic guidance on each crucial aspect of this approach.  The benefits are tangible and span from immediate gains to long-term sustainability.  Our expertise empowers your organization to undergo both tactical and strategic transformations, ensuring uninterrupted top-tier patient care without compromising on IT performance or security.

We can help your organization hardwire the Quintuple Aim. Partner with us to revitalize your health system’s trajectory, creating growth opportunities despite financial constraints.  I hope you’ll take time to review the series and let me know if we can help you and your organization.

StarBridge Advisors blog series:

 

Fulfilling life goals and bucket list dreams

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I don’t have a bucket list. But I did set four big broad life goals for myself about 10 years ago. They are doing work I like at a more manageable pace, travelling more, spending time with family, and having fun friends that I spend time with. Happy to say, I’m meeting these goals fairly well at this point.

My sister does have a bucket list. About 6 months after she lost her husband to cancer last year, she was still trying to figure out how much travel she was willing to do with family and friends. She mentioned to my husband and I that seeing the national parks was on her bucket list. My husband jumped on the idea and proposed a multi-week road trip itinerary to three parks – Yellowstone, Grand Tetons, and Glacier. My sister was in! Together they worked out the details and booked all the places we’ll stay – whether it’s one night while continuing to our park destinations or several nights near each of those parks.

That trip is happening now. My sister has been my best friend for as long as I can remember – she is only 16 months older than me. My husband and I have been best friends since the mid-1970s. I know the three of us will have a great time with lots of laughs and deep conversations as we traverse the miles together and take in the incredible scenery. She can check it off her bucket list and I’ll be meeting two of my big goals. Nothing wrong with that!

There is no “so what” to this post other than to encourage you to stay focused on your bucket list or life goals. I wish you all a happy end to the summer and hope you too have carved out some time for R&R with family and friends these past few months.

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Nana Camp Chronicles: year 2 insights and adventures

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We held our second Nana Camp last week. Given how well it went (despite my husband and I being exhausted by Friday night), I think we’ll make it an annual event in the summer. Last year I wrote about our first one in my post “Leadership lessons from nana camp”. The rules we agreed on (pictured in that post) hung on our refrigerator until a few months ago when my husband went on a purging spree. Good thing I have a record here so we could revisit and decide on new/revised rules for this year.

Two (ages 10 and 8) of the four grandkids had their first away/overnight camps this year having attended Girl Scout camp. So, they came to Nana Camp with a new perspective. My daughter suggested that the 10-year-old could be a Counselor in Training (CIT) when we were last together as a family on Father’s Day. I wasn’t quite ready for that but I’m a fan of delegation! Not sure what a CIT would mean for us but as a start that day, she wrote down the list of ideas for this year and what they liked from last year. That list of course was put on the refrigerator door. We used it at our camp “orientation” session Monday morning to plan and vote on activities for the week.

The other two (ages 8 and 7) have been to day camps that are mornings only and gotten used to making their own lunches at home while their parents work in their home offices. Love hearing that! Means they all are capable of it and that I could expect them to do more for themselves at breakfast and lunch.

Together on Monday we agreed on activities for the week and what the rules would be. We also talked about their lessons from last year – mainly not to have stupid fights about everything – who sits by who at dinner, who sits by who in the car, who gets the first shower, who walks which dog – you get it! And of course, they are one year older and that much more mature!

Here is this year’s complete list of rules – a slight variation on last year with few additions: Continue reading →

Healthcare as a right in more progressive countries   

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I wasn’t going to write anything this week since my husband and I just returned from an 18-day trip with Road Scholar – The 4 Nordic Capitals. We spent 3-4 days in each – Copenhagen, Oslo, Stockholm, and Helsinki. It was everything I had hoped it would be! But no one hopes for jet lag and feeling like a zombie the first day or two back.

So, on day 2 of re-entry, I was up very early after too short a night’s sleep as my body adjusts to the 7-hour time difference. Why not start writing? I learned so much on the trip and have lots to share in due time. No question that we can learn a lot from these progressive Nordic countries – Denmark, Norway, Sweden, and Finland.

I visited three of these capital cities when we were on a cruise in the Baltic Sea in 2018. But having only 6-8 hours in a port is nothing like immersing yourself for a few days and really learning about the country – their history, political structure, culture, social services, technology, and more.

A day with a Road Scholar tour like this includes a 1-2 hour lecture from the local guide or an outside expert and then guided tours to a variety of sites with usually some free time late afternoon to explore on your own.

Let’s start with how progressive they are. I could start from various angles – a strong focus on sustainability, extensive public transportation infrastructure, free education through the university level, lengthy required maternity/paternity leaves, and of course their healthcare system.

From my lecture notes, here are a few data points I captured on healthcare:

In Finland, healthcare is not completely free but pretty close. Prescriptions are subsidized and you pay a maximum of 700 euro in a year ($769.37 using today’s conversion rate). Think about the people you know in the U.S. who are paying thousands a month for just one critical prescription. Hospitalization is 49 euro a day regardless of what it is for ($53.86 using today’s conversion rate). Think about people in the U.S. who have to declare medical bankruptcy due to hospital bills or deplete their life savings for nursing home care. (A 2015 study by the Kaiser Family Foundation found that medical bills caused 1 million U.S. adults to declare bankruptcy every year and that 26% of Americans aged 18 to 64 struggle to pay medical bills. Medical bankruptcy is almost unheard of outside the U.S.)

In Sweden medical care is free until you are 19 years old and dental care is free until you are 24. For medical care you pay $25 per visit or procedure. After a maximum of $720 per year you don’t pay. (Local guide spoke in dollars vs euros for us).

Yes, people in these countries have high tax rates but their dollars go to services for the entire population. Healthcare is just one example – they truly believe healthcare is a right with every citizen having equal access to services.

More to come on lessons from the Nordic countries in future weeks….

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.

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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”.

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AI and AI – Use them Responsibly

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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.

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