Author Archives: Sue Schade

The other end of the highway

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This morning I was looking out my window at a new 3 inches snowfall while making conference calls. Tonight, I’m driving past palm trees. This afternoon I was on I-95 driving to the Providence airport for a canstockphoto25609566 (002) highwayflight to see a new client. Tonight, I’m exiting a Florida airport in a rental car and merging onto I-95 heading south.

With google maps piped through the car rental audio, I am confident I will get to the hotel 50 minutes away. I have done all the initial lane changes and merging, so now I’ve got a 19 mile stretch before the next turn. It’s safe to call home on speed dial and chat with my husband. I do the ritual “woe is me” that my flight was delayed, the airport was busier than I expected, and there was a long wait for the car rental center shuttle. But I’m finally on the road to my hotel much later than expected and very hungry. I am aware that these all are first world problems.

We have the “I’m still on I-95 but with palm trees” conversation. When I exit I-95, it is crystal clear that I am 1,500 miles south of the I-95 I’m used to. The “lady” in the car audio is telling me to merge onto Dolphin Expressway. No road in Rhode Island is called Dolphin Expressway!

I dislike busy unfamiliar expressways, driving at night (especially with lane changes) and driving in the rain (in that order). Fortunately, this was only 2 of the 3 – it was dry, with no rain (or snow). In these situations, lane management is critical, and the navigator system can only help so much. And good signage is critical or as my daughter says, “use your eyes”.

What does this have to do with healthcare and IT? Continue reading →

Find your voice, a mentor, and be bold

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The week started with #Oprah2020 trending on Twitter. If you missed Oprah’s inspirational speech at the Golden Globes on Sunday night you can find it on YouTube. Who doesn’t love Oprah? But, should we canstockphoto13471338 (002) mentorelect another president who lacks government experience?

But these aren’t the questions I want to address. A Slate article by Dahlia Lithwick got my attention on Monday. She said the real message of Oprah’s speech wasn’t about her but about us. Do we feel empowered enough to act. She focused on women running for office at all levels. And that led me to think more about empowerment.

While that buzz was happening on Monday, I was in a daylong meeting with a small group of women leaders from various industries. We had been brought together by the first female president of a large, national organization to discuss the challenges women in leadership face. It was an insightful discussion as stories were shared, dissected, and analyzed.

As I bring this back to health IT, I’m not going to rehash the stories and lessons from my experience as a female IT leader over the years. I’ve shared some of them in previous posts. Rather, I want to again encourage you to take steps to own your career and find ways to develop yourself. Find your voice and speak up. Find the mentors you need to help you. And be bold.

HIMSS18 is less than 2 months away. To get the most out of the annual conference you need to make choices and plan your time there carefully. There are many ways to invest in “you” while there, including education and networking.

I’ve had the opportunity to present at many previous HIMSS conferences on a range of topics. This year, I was asked to support the Career Fair and the Women in HIT sessions. I’m committed to developing the next generation of leaders, so I gladly said yes! Continue reading →

Another year, another chance

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Whatever resolutions or goals, personal or professional, you had in 2017 – it’s time to revisit, revise, and recommit. The most common ones are go to the gym, eat healthy, lose weight, read more, watch less TV, canstockphoto24043991 (002) NYEspend more time with your family, get organized.

And then there are bigger, loftier goals. My daughter has a saying on the wall of her home office, “Do Something Great Today”. It means doing something bigger than herself.  For her, it is helping her company act more responsibly, to act more sustainably. It is a great motivator to live her values and find ways to have a greater impact.

She also has her personal mission statement on her office wall – “live a life that I’d want for my two daughters”. If she wants something for them, then she must do the same – like be healthy or be a good friend.

I was inspired by a Happy New Year post on LinkedIn from Vicki Davis, VP at Healthcare IT Leaders. She said, “No matter what life has for us, we should enjoy every minute of it. Celebrate the beginning of a new year the most, as it is a clean slate. Set positive goals and resolutions. Hang them where you can see them every hour of the new year. Choose your actions and words wisely this year so that you are remembered as a good human being, a great friend and a true guide when you end this year.”

We all are driven by different motivations. But fundamentally, I believe we all want to be good people and do good for others.

I look forward to another year of learning and making a difference through my client work and the non-profit organizations where I volunteer my time. With my colleagues at StarBridge Advisors, we work with organizations to advance healthcare by leveraging technology.

While I have yet to formulate any bigger than me goals for this year, I am recommitting to some basic resolutions. Continue reading →

2017 lessons from an entrepreneur

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If 2016 was a year of transition for me, then 2017 was the year of settling into the new. That is, if launching a new business and working with new clients can be called settling in. As 2018 looms, it’s time canstockphoto46064496 (002)to reflect on lessons from 2017.

2017 has been a year of learning what it takes to grow a business and gain the trust of clients. I covered this in the post, “One year anniversary, how are we doing?” It’s also been a year of learning how to spend more time with family – my retired husband, my daughters and grandkids. But that will have to wait for a future post.

My most important business lessons this year:

Do what you love and are good at – Yes, it’s important to have stretch goals and get out of your comfort zone. But if you truly love what you do, you are going to get better all the time. Our client work at StarBridge Advisors involves a range of IT consulting, interim management and leadership coaching. As an operations type person and change agent, I enjoy being an interim CIO. To work for a period with a new team and figure out how best to help them succeed is challenging and rewarding. And to work with someone as an executive coach as they learn about themselves, identify their development needs and goals, and work through their action plan is also very challenging and rewarding.

Relationships are everything – Whether it’s our clients or channel partners, developing and sustaining honest, open and trusting relationships is critical to success. Continue reading →

Merger mania – is it good for the patient?

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In just the past few weeks, we saw several major healthcare merger announcements – Dignity and CHI, Advocate and Aurora, Ascension and Providence St. Joseph Health on the provider side. And then there’scanstockphoto18678854 CVS Health and Aetna – a potential disruptor in the healthcare market. And we don’t yet know what other market disruptors like Amazon or Google might do in the healthcare space.

There have been predictions in recent years that eventually there would be just 10-15 major healthcare systems in the U.S. Are we on our way to that prediction with the latest merger announcements?  The combined Advocate and Aurora system would create a 27-hospital healthcare system in Wisconsin and Illinois with projected annual revenue of $11 billion. The Dignity and CHI merger would include 139 hospitals in 28 states. If Ascension and Providence St. Joseph Health merge they would create the largest hospital chain with 191 hospitals in 27 states and annual revenue of $44.8 billion.

What is driving these mega mergers? The announcements about them talk about improved access to care, improved outcomes, lower costs, sharing best practices and overall being more prepared for success in the changing healthcare market and landscape.

Jane Sarsohn-Kahn, health economist, wrote a great piece earlier this month – “Will Getting Bigger Make Hospitals Get Better?”.  She talked about the value that matters to patients — the trust that is needed between hospitals and patients.

And what are the IT implications of these mergers? If markets don’t really overlap, what degree of system integration is needed? Is one seamless patient record needed as it is for large regional systems with a lot of patient movement between community hospitals and specialists at academic medical centers? Continue reading →

Tech is king and soft skills matter

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These are just two of the key findings of the recently published, “LinkedIn 2017 U.S. Emerging Jobs Report”. Not at all surprising. The report is worth checking out regardless of where you are at in your canstock 121417 tech is king and soft skills mattercareer. As I always tell people, be open to the possibilities.

The report notes the estimate that 65% of children entering primary school today will ultimately hold jobs that don’t yet exist. Just think back to what your options were when you started primary school.

I know as a young girl in the 60’s, it seemed like teacher or nurse were the options. My sister did become a nurse and then went on to get a master’s degree in public health. By the time she retired a few years ago, she had run many of the state health departments in Minnesota at one time or another. I wanted to be a math teacher when I was young. Instead I found my path to computer programming in the early 80’s when the field was starting to really explode. Here I am today having served several healthcare organizations as their Chief Information Officer before starting a health IT advisory firm.

Back to the “tech is king” finding. The report says that the top emerging jobs are machine learning engineer, data scientist, and big data engineers in a wide range of industries.  It also notes that there are currently 1,600 open roles for machine learning engineer in the U.S.

The report also found that there is a low supply of talent for top jobs. For example, data scientist roles have grown over 650% in the past 5 years but only 35,000 people in the U.S. currently have data science skills. Any CIO looking to build out the analytics capability for their organization is probably all too aware of this gap. Continue reading →

The silence breakers, long overdue

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It’s been boiling for years, decades. It’s been in the headlines for months. This week Time Magazine recognized the enormity of this sea change and named the women they call “the silence breakers” as canstock120817 girl powerPerson of the Year. Women who have come forward and named the men who have sexually harassed and abused them. And Time did not forget those still too afraid to speak out.

I started a blog post a few weeks ago that I was going to call “I believe the women”.  But I was unsure how to approach the topic, and I set it aside and covered other subjects. I had commented on the topic when the Harvey Weinstein story was breaking in October in my post, “Time to support, not harass women”. This week, I  have decided to write about three unique programs that are committed to developing girls and women.

The sea change or watershed moment, as news commentators call it these days, is long overdue. And it is not over. It has just begun. There will be more women speaking out, more denials, and ultimately more men facing up to what they have done. More industries and sectors  will be affected, although Hollywood and politicians will be the most talked about stories.

Let’s advance this sea change by talking about ways to develop strong girls and women. Let’s provide them with every opportunity they deserve in a society that treats them equally and with respect.  Sticking with that theme, here are those three programs I mentioned:

Girls, Inc. is a national program which inspires all girls to be “strong, smart, and bold”. I recently learned about it at the CHIME Fall Forum in San Antonio. The Women of CHIME group hosted a session titled “Breaking Down Barriers and Paving the Way”. The program featured Lea Rosenauer, President and CEO of Girls Inc. of San Antonio. She discussed issues that prevent women from career advancement and suggested  strategies to get women into leadership roles. Continue reading →

You need to own your own career

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December brings the holidays and social time with co-workers, friends and family. It’s also a good time to take stock and reflect on your work and career. Two years ago at this time I planned my next chapter and canstock120117 careerdecided to leave a permanent CIO position. My two goals were to live where I wanted to live and have more flexibility in my career.

I talk with a lot of people at different stages of their career who are taking stock and trying to figure out their choices.

They may be in their 30’s, relatively young in their career, and thinking about the next right move and where that would position them for the long run.

Or, they may be someone in their 50’s or early 60’s and thinking about how long they want to work and the one final job change that might make the capstone to their career.

Or, they may be someone who has made the decision to “retire”, but not quite yet. They are considering what kind of work they still want to do, and how much.

For people in that last group, I ask them to think about 3 questions:

  • What do you want to do? After all, what you are good at and enjoy the most?
  • How much do you want to work?  If you’ve been working 60+ hours a week at a demanding job, it’s time to consider how much time you want for yourself, your family, your other passions and hobbies.
  • What do you need financially? There are 3 ways to look at it: continue at roughly the same income level and continue contributing to your retirement, make enough to live on but not contribute any further to retirement, or start drawing on your retirement savings.

Until you ask and answer these important questions, it’s hard to make a solid plan.

For people younger in their career, these questions still apply. But there are others: Continue reading →

STEM gift ideas for 2017

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Black Friday and Cyber Monday are here. Millions will be spent in the next few days on holiday presents for kids.  A few weeks ago, I asked for STEM gift suggestions and promised I would create an updated listcanstockphoto36568604 STEM if I heard from enough of you. And I did, so I am. Here goes:

Babies and Preschoolers

Hilary Graham suggested plush microbes from ThinkGeek. Hilary and Marianne Mara both noted that author Chris Ferrie has a series of science themed board books for babies.

Another blog subscriber said they bought their 3-year-old the Fisher Price Code-a-Pillar for his birthday and that he really likes it.

Vicki Davis, from Healthcare IT Leaders, won the prize for the most suggestions and the most detail. She said she wished that she was a little girl again so she could play and learn with these amazing toys. She provided age range, costs, and where to buy each item – her complete and detailed list is in the comments on my previous post. I’ve broken it out by age groups here.

Learning Resources Gears! Gears! Gears! Super Set lets budding inventors create whatever they want with a colorful set of interchangeable gears. Children learn about complex systems and creative problem solving.

GoldieBlox has construction toy and storybook sets that feature a girl engineer character. These have been award winning products.

My daughter, Ann, with a “hint, hint” in her comment said the Classic Builder Pink Set from Baby First looks like hours of fun. The hint is for either an upcoming birthday or Christmas present for my grandkids.

Elementary School

My StarBridge Advisors colleague, David Muntz, said his wife is giving their 8-year-old granddaughter a coding camp experience. Sounds like fun to me!!

Jennifer Dennard, founder of #healthitchicks, is a leading proponent of developing women in IT. She said she will be purchasing Ozobots for her entire family. These little robots teach kids to code in creative ways. Both of her daughters use them in their respective STEM classes in elementary and middle school. Even her husband has said he’d like a few to play with! Continue reading →

HIMSS Stage 7: what does it take?

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This week, I participated in another HIMSS Analytics Acute Care EMRAM Stage 7 review team as the CIO reviewer. During the opening presentations by the organization’s leadership, I leaned over to theHIMSS EMRAM 2018

full-time HIMSS reviewer to say, “They are hitting it out of the ballpark”. By the end of the day, our three-person review team had indeed reached that conclusion. The full-time reviewer said, “Some organizations barely clear the bar but this one far exceeded it.”

Only 6.1% of hospitals have achieved Stage 7.  What does it take?

On review day, the review team is presented with information that includes a system overview, including governance, clinical and business intelligence, health information exchange, and plans for disaster recovery and business continuity.

The review team has been given a 17-page document that includes checklists for each major clinical area.

Several case studies are presented that demonstrate how the organization has used the system to improve clinical care.

The organization prepares for this visit for months, developing the case studies and verifying they have met every specific criterion. The full-time reviewer spends time on the phone reviewing their readiness.

Achieving Stage 7 takes teamwork throughout the organization to fully leverage all aspects of the vendor’s product. It takes engagement and passion from executives and clinicians.

The organization we were reviewing implemented their EMR according to these guiding principles: Continue reading →