On Best Practices

What organization can’t benefit from lean?

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As I start my interim management role at a new organization, I’m learning about pockets of best practices throughout the health network for daily huddles and other lean methods. I’m learning from my team that canstockphoto67324721 lean thinkingidentifying the right metrics to measure in IT is a challenge.

And of course, I’m getting a lot of standing meetings added to my calendar while trying to understand what each group’s unique purpose is and where specific type decisions are made. These are important questions given most organizations have too many meetings and people often say they spend too much time in meetings.

One of my first observations week one as I listened to colleagues is that there is potential for lean methods such as a daily management system, huddles, and visual boards.

I’ve learned a lot about lean and what it takes to introduce new concepts into organizations in recent years. One of the most important lessons I’ve learned is to listen and get to know an organization before making any assumptions.

I will be doing a lot of listening and learning in the coming weeks. When it comes to lean methods, I will share my experiences in previous organizations as it makes sense with my new colleagues and teams.

If you share my passion for lean thinking or are interested in learning more, check out my post “Lean classics worth a second look”. It’s a recap of previous posts covering huddles, visual boards, and gemba walks from my journey as a lean leader in different organizations. And if you have a story on how you have applied lean thinking in your organization, I would love to hear it.

Related Posts:

6 tips for successful huddle boards

Leadership huddles: not just another meeting

Making the invisible visible

Making the invisible visible – part 2

Importance of rounding or going to the “gemba”

Go to the gemba, seek to learn

Leadership transitions – learning a new organization

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“Working together, we improve people’s lives”. That’s the vision of The University of Vermont Health Network (UVMHN) where I started this week as the interim Chief Technology Officer. I am excited to be canstockphoto3439718 time to learnpart of a healthcare provider organization again – even though it is temporary.

The first week has been what you’d expect – meeting new people, learning new acronyms, understanding the key issues, getting accounts and devices setup, getting access to systems, and gathering documents for review. While healthcare organizations differ, the issues and challenges are common.

My focus over the next several months will be to drive forward major infrastructure projects. With the Epic Wave 1 implementation scheduled for November at multiple UVMHN affiliates, there are critical interdependent projects that my teams will need to complete.

The opportunity to be part of a team, solving problems and making a difference is something I love doing. Yes, the days will be long, there will be lots of meetings and email, and production support issues. But, at the end of the day, I’ll know that the systems and solutions we provide and support make a difference in the lives of clinicians and in turn our patients and families.

As I act like a sponge and drink from the fire hose in the early weeks, I’ll need to get up to speed quickly on all the current activity and issues. Fortunately, the organization is not entirely new for me. I worked with Dr. Adam Buckley, Chief Information Officer, and his leadership team in late 2017 and again recently on consulting engagements focused on IT redesign.  But consulting is nothing like how deep and broad you need to go as an interim leader. As I said at our redesign retreat this week, I’m switching gears from an outside view to an inside view and excited to be part of the team. Continue reading →

Partnering for your health

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You go to a conference, hear many great speakers, take some notes, learn about some new firms, make new connections, and catch up with colleagues. There are usually one or two key takeaways. Those btn_epatient_spm (002)stories or presentations that make a significant impression on you.

At the New England HIMSS Chapter Annual Spring Conference this week, that moment came during the session by Dave DeBronkart, known as e-Patient Dave, and Dr. Daniel (Danny) Sands, his primary care physician and faculty member at Beth Israel Deaconess Medical Center. Together they were two of the twelve founders of the Society for Participatory Medicine and the inaugural co-chairs.

Prior to the conference, I knew who e-Patient Dave was and had seen him on social media, but I had never heard his personal story nor met him. Their session demonstrated the power of storytelling at its best. Now I understand why Dave is so passionate about patient engagement.

Their session, “Hot or Not? A Doctor and Patient Role-Play the Archaic and the Modern Way to Engage” was a combination of role play and presentation. Dave started by describing the moment when he was diagnosed with a stage 4 cancer in 2007 following an incidental finding from a shoulder x-ray. He learned early in his journey that the median time left for a patient with his diagnosis was 24 weeks. He thought then that he had at most 6 months to live. That got my attention!

Their role play illustrated what may be the typical patient – physician interaction vs what should be a true patient – physician partnership. They covered communications (email, texting), patients doing their own online research and sharing information with their physician, timely access to results on a patient portal, and disease specific online support groups.

The Society for Participatory Medicine focuses on the power of partnership between patients/families and clinicians. They describe “Participatory Medicine” as a movement in which patients and health professionals actively collaborate and encourage one another as full partners in healthcare. They believe this leads to improved health outcomes, greater satisfaction, and lower costs. Continue reading →

M&A work is not just about technology

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Between the organizations I’ve served as CIO and the health systems I’m advising these days through StarBridge Advisors, I’ve seen plenty of M&A activity over the years. Mergers and affiliation agreements People putting the pieces together conceptcome in all sizes.

For a CIO there are the typical areas to look at for system consolidation and integration. But it’s not just about technology. You have to consider the people who are impacted.

I recently wrote an article for the CIO Techie Magazine Healthcare Technology Special Edition 2019 called “M&A activity continues – for IT leaders it’s not just about technology”. I advised on how best to retain talent while still ensuring the strategic goals of the organization and the drivers for the M&A activity are met. My advice:

  • Get to know your new partners and colleagues early
  • Remember that culture is key
  • Partner with HR early on
  • Communicate early and often
  • Think win-win not win-lose
  • Be kind and generous

Check out the full article here.

Related Posts:

Merger mania – is it good for the patient?

Culture matters in mergers

Corporate functions, local service

Marketing – looking for the secret sauce

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When you launch a new company, you wear many hats. When we launched StarBridge Advisors in 2016, I agreed to be responsible for marketing, social media and the website among other things. Why me? I canstockphoto17892303 (1) marketingwas the most social media savvy of the three principals. But “savvy” is a relative term.

I have learned much these past few years and have much more to learn. Fortunately, there is no lack of resources for learning in this continually evolving space. Our website, blog, social media presence on LinkedIn and Twitter, and collateral continue to evolve as we learn what works and what doesn’t.

I listen to Whitney Cole’s Mission Marketing podcast for interviews with marketing experts. I read articles on how best to leverage social media. I tap into the experience of marketing experts I know. And I get ideas from what I see other firms doing.

This week I had the opportunity to attend a portion of the 6th annual HITMC (Healthcare and IT Marketing Conference). I was asked to be on a panel sharing the customer perspective – drawing on many years as a CIO and buyer of products and services. Of course, being on the other side now selling and marketing our health IT advisory services, I was also excited to learn from others.

From the customer perspective my advice was build relationships with prospective clients, provide content that they are interested in, avoid gimmicks, and avoid being the pushy salesperson no one likes. Know your target market and your prospective clients – think “precision marketing”.

After a day immersed in marketing topics with the healthcare IT marketing community, here are a few of my takeaways: Continue reading →

It’s IT’s fault

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I was surprised to hear this from a front-line airline worker when I checked in at the gate. I probably shouldn’t have been surprised after all my years in IT. As I deplaned on the first leg of my flight, I realized canstockphoto7753679 (1) blameI didn’t have a mobile boarding pass for the second leg. I usually print my boarding passes – just seems easier to keep track of and quickly access than trying to find the specific email on my iPhone with the boarding pass link. But I had checked in for the flight from my hotel room late the previous night so opted for a mobile boarding pass.

The connection was going to be tight anyways. And then my first flight was 35 minutes late departing and I was sitting towards the back of the plane. I was connecting at O’Hare so I hustled from the H gates to the L gates fast as I could. When I got to the gate and said I didn’t have a boarding pass, the airline employee said, “it’s our IT department”. He told me how IT has some explanation about how the mobile boarding passes aren’t intended for connecting flights for security reasons. But I don’t recall any message during the online check-in saying I had to get my second boarding pass at the airport. Then he said it’s because they inherited the IT department from the other airline they had merged with.

As a healthcare customer, I’ve often heard registration clerks and other front-line workers blame “the system” for being slow or not working the way they’d expect it to. Another “it’s IT’s fault” explanation. But given I usually received my care at the provider organization where I was the CIO, what I heard was it’s my team’s fault.

After doing an IT review at a client where we talked with probably 60 leaders and staff, I saw how the “it’s IT’s fault” takes on many flavors. A sobering reminder of just how hard IT’s job really is, yet how much IT needs to listen to their customers and partner with them. Continue reading →

What’s YOUR personal brand?

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We all have a professional network, big or small. It may be people we know well and have worked with at some point. Or people we’ve met briefly at a conference and agreed to keep in touch. Or people who canstockphoto18694235 (1) personal brandhave reached out to us to connect on social media channels after seeing our profiles.

While you may not think you have a “personal brand”, you do have a professional reputation.  The idea of having a personal brand may have invoked thoughts of vanity in the past. But not in this technology enabled social media world we live in.

So, what is your personal brand? Are you consciously creating it? How do people see you publicly online and in person? What are you known for? These are all questions you should be able to answer.

One of the first ways I thought about it was when I re-initiated my Twitter account several years ago and had to write my profile. At the time, my account was private. A colleague who was advising me on social media told me that was my first mistake. Twitter is meant to be public – I shouldn’t have to approve who can follow me. More importantly, he said my profile should capture in just a few phrases who I am and what’s important to me.

I recently saw a blog post by Janet Mesh from one of our partner firms, Healthcare IT Leaders, titled “How To Boost Your Career With An Online, Personal Brand”. I was reading along thinking, yup, yup I do all that. Then I was pleasantly surprised and grateful to see that I was used as an example. Thanks Janet and Healthcare IT Leaders!  And thanks to all those who gave me encouragement and advice to get started in a focused way building my social media presence several years back. Continue reading →

Negotiation is an everyday skill

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When we think of needing good negotiation skills, we often think in terms of salary and promotions. For sales people and buyers, it’s negotiating terms and price. But if you really think about it, you are probably canstockphoto16049179 (1) negotiatenegotiating with someone about something every day.

Let’s look at some different situations.

Negotiating as an employee – This is certainly not an everyday event. You may be negotiating salary as part of a new job offer or a promotion with your current boss. Keep in mind that you can negotiate more than just the salary and any potential bonus. Most companies have a standard set of non-negotiable benefits that the HR representative explains. But there are other components you can negotiate before accepting an offer. One example may be a remote work option or relocation benefits. Consider the “value” of other benefits beyond the base salary as you negotiate. The key to success is to do your research on what might be possible, be ready with your ask, and be clear on what you’re willing to compromise on.

Negotiating as a buyer – This is not an everyday event either. You may be negotiating with a vendor for a product or service. Or you may be buying a new house or car. There may be some situations where there is no room for negotiation but it’s more likely that you be able to. Again, it’s not just the core price but other terms as well. The key to success will sound familiar – do your research, be ready with the ask, and be willing to compromise.

Negotiating as a team member – This could involve a new assignment you have been asked to take on or a due date you have been asked to meet. Neither are set in stone. Continue reading →

Outsourcing in health IT – is it time to reconsider?

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We probably all know at least one negative story on IT outsourcing in healthcare from years past. But the outsourcing pendulum is swinging back. As core IT services become more of a commodity and CIOs need canstockphoto20590634 outsourcingto focus on strategic initiatives, selective outsourcing is worth consideration.

The recent announcement that Trinity Health is outsourcing application management and rebadging approximately 450 staff is getting attention from other provider organizations. There are other examples – many in infrastructure.

More and more I hear from CIOs who are considering selective outsourcing for various reasons – reduce costs, modernize the infrastructure, provide scalability and flexibility as health systems grow, deal with recruiting and retention challenges, or focus on strategic initiatives instead of commodity services. Many CIOs are finding themselves part of overall cost reduction efforts at their health systems. While some CIOs start from a defensive posture and say they can’t possibly reduce costs any further, one of the most progressive IT leaders I know said she is looking at it as an opportunity to transform IT.

I was part of an organization wide cost reduction initiative when I served at Brigham and Women’s Hospital, Michigan Medicine and University Hospitals. As the CIO, I was asked to identify opportunities to reduce costs while other departments’ opportunities needed additional IT help to achieve their reductions. But saying no to cost reduction is usually not an option. CIOs must partner with their peers and engage their staff to identify opportunities. Continue reading →

It’s all about relationships

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I’m back in New England in the cold and snow with lots of follow-up tasks after the hyperstimulation of HIMSS19 and a much quieter visit with a friend and colleague on the Florida coast. Yes, that meant a canstockphoto15501323 (1) handshake croppeddaily walk along the beach. As I prioritize and re-prioritize my to do’s, I am reminded that this business is all about relationships.

To show how important the relationships are that I’ve built in my 30 plus years in health IT, here’s some of my scheduled and add-on meetings/calls this week:

  • A discussion with someone who worked on my IT team at Brigham and Women’s Hospital many years ago. She is now a sales director for a security vendor and needed a CIO perspective – she reached out on LinkedIn and I agreed to do a call.
  • Conversations with a few CIOs who are interested in working with StarBridge Advisors as potential advisors. Mutual connections introduced us.
  • A search firm I’d been in touch with years ago contacted me and now I am interviewing for a board position with a vendor.
  • A business partner of a colleague invited me to discuss with an investor the potential to join their advisory board.
  • Talking through an opportunity to host monthly podcasts with a colleague I’ve known for 3 years.

Yes, it’s all about relationships. But 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 last year 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. Continue reading →