On Best Practices

Time to pivot

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I’ve been writing this weekly blog for 8 years. It has been a weekly discipline and truly a labor of love. I started when I was the CIO at University of Michigan Health System Hospitals and Health Centers (now called Michigan Medicine). I was encouraged to launch it by the then social media coordinator for the health system. My purpose was simple – share my experience as a health IT leader and help develop next generation leaders. As my website “About” page says: “With this weekly blog, I share perspectives on the critical issues facing Health Care IT, the organizational transformations that IT organizations face, the challenges of leadership, and the work we need to do together to keep the paths of opportunity open for all. What we do matters.”

When I left Michigan and started down the path of interim management, consulting, and leadership coaching, I took over the blog and continued to write and publish it myself. I have served in both permanent and interim IT leadership roles for many leading organizations in the past 8 years. When I have been “in the seat” as a CIO, I have had plenty to share and at no loss for new topics.

But now that I am not doing interim engagements myself, I am removed from the day-to-day issues and challenges, and the many lessons learned from them. I continue to coach and help grow new leaders plus spend time connecting people to new opportunities. So even as I pivot, sharing leadership lessons will continue to be a focus area as well as commenting on significant events in our world as they relate to the work of healthcare and IT.

While blogs as a medium may have had their day, podcasts seem to have taken over in recent years. I listen to many different podcasts though I still read a lot too – finding ways to continually learn from others. I continue to share through other forums – our StarBridge Advisors blog, as a monthly host on the This Week in Health IT Town Hall/Community channel interviewing guests (my foray into podcasts), as well as speaking on webinars and panels.

So, what’s my pivot? I will continue to write but I am going to find ways to highlight the work of others and get their perspective on key issues. There are so many of you doing incredibly important and impactful work in our industry. I’m not sure how I’ll approach this change or if I will adjust the frequency of posts.  I consider it a work in process.

If you are interested in having your work highlighted or sharing your perspective on a key issue for a future post, please reach out. And if you have topic ideas, I’m all ears.

My work and writing continue…..

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Aging, but getting fit and healthy? Yes, it’s possible!

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When I turned 50 nearly two decades ago, I got myself a gym membership as a birthday present. Prior to that, I hadn’t worked out much and don’t remember ever having had gym memberships. I took a few aerobics classes once in a while and we had a treadmill in our basement for a few years. I had long commutes for most of my career and would try to take walks in the evening when the kids got older. That seemed the best I could do.

When I got the gym membership, I remember saying that no one is going to come into my office and tell me to go home and take care of myself. Rather, I had to tell myself. As a parent and a workaholic with big jobs, long hours, and an hour plus commute each way, where would I find the time to workout?

I have had gym memberships steadily since I turned 50 and used them consistently with some ups and downs. Like many people, we cancelled our gym memberships early in the pandemic. But I set a step goal that first summer and happy to say I hit or exceeded it most weeks. I amped it up in recent months and am now averaging 13,000+ steps a day. But I have missed the weight training I used to do to maintain my strength.

Fast forward to a month ago. We joined the local YMCA. I’ve been exploring classes to see what I liked and would be willing to do on regular basis. So far that has included Urban Fusion (dance routines for cardio), Cardio Fusion (combo of aerobics with some dance steps and weight training), Y Strength (interval workout for cardio and weights), Gentle Strength (decided it was too easy!), and Matt Pilates (might consider it someday). I have now booked the first three classes on my calendar as recurring appointments so will try to go to them each week if my schedule allows.

And then there’s pickleball. Continue reading →

Health IT content – plenty of choices

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My recent two-week vacation included family time, Disney with grandkids, and time just chilling with girlfriends (aka pool time, my first ever pickle ball game, walks by the ocean, shopping, eating, talking and lots of laughing).  I often publish a blog each week even when I’m on vacation but not this time. It was a true break!

Now that I’m back it’s a different kind of week. I am taking care of one of my grandchildren so arranging my work schedule around her school drop-off and pickup times. Something many of you navigate seamlessly or not so seamlessly every day. I’m hoping to get it right!

I am also getting into the recording mode this week.

On May 5 at 1PM Eastern, I will be a panelist on the Well Health sponsored webinar – “Digital Transformation Post-COVID: What’s Next on the CIO Priority List?”. Meg Aranow from Well Health will be moderating the panel that also includes Joel Vengco, SVP and Chief Information & Digital Officer at Hartford HealthCare and Raymond Lowe, SVP & CIO at AltaMed Health Services. It should be a great session. You can register here.

And I’ve recorded my first show as one of the moderators on the new This Week in Health Town Hall / Community channel. I interviewed Pamela Arora, new President and CEO at AAMI and a longtime CIO colleague of mine. For all the IT leaders who listen to This Week in Health podcasts, be sure to check it out – the IT and HTM (health technology management) relationship is a critical one. Continue reading →

April reflections

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I often write about my “big rocks” in April. This year is no exception, especially after two years of the pandemic. Spring represents a time of new life, rebirth, hope, and renewal. Yet I am always reminded that it was a sad time in my childhood. My father passed away after a 2-year battle with cancer four days before my 4th birthday. I remember the last time we saw him was in the hospital on Easter a few days earlier. He gave my sister and me popcorn Easter bunnies. A strange memory, but one of the few I have from then.

On a happier note, during these April weeks and into early May, I have milestones to celebrate – birthdays for my husband and me, our 46th wedding anniversary, and wedding anniversaries for both our adult daughters – already 12 and 8 years for them. There will be no one special celebration but plenty of opportunities to raise a glass and toast one another when we are together.  They are my biggest rocks!

This spring I’m also spending fun vacation time with family that will include a few days at Disney with two of my four grandkids. Disney with grandkids is something my husband and I have looked forward to since before we even had grandchildren. We’d joke that if we did eventually have grandchildren how old would we be when they were old enough to go to Disney, and would we still be able to do that or even want to. We were supposed to go with this family to Disney for their first time in April 2020, but we know how that worked out.

I will also be spending a week with three close girlfriends from my Michigan days. When I lived there for 3+ years, the four of us got together for long lunches every month and during the pandemic we’ve done weekly zoom calls to keep in touch. They are true friends – the kind of friends who come to help you pack your house when an ill-timed injury gets in the way of what you can do yourself. They too are my big rocks!

Do you know who your big rocks are? Do you spend enough time with them? And what do you do for yourself to renew and reboot? If you can’t easily answer these questions, I encourage you to make time so you can. Life is short.

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Goal setting and accountability – health goals update

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I’ve heard it said that when you share your personal goals with others, you are more apt to meet them. Something about accountability. I believe it.

 

About 8 weeks ago, I wrote “New year, new health goals, new tools” describing the excitement in our house about our new Fitbit devices and how we were motivated and ready to up our game in 2022. Happy to report that my husband and I have not lost our motivation and are still comparing our stats most days.

 

I’m averaging close to 13,000 steps or 6 miles a day. I seem to blow past the weekly zone minutes goal by Wednesday most weeks. All good!

 

But I’ve had a lot of ah-ha’s on my sleep patterns. I thought that I slept much better than I do. The sleep tracker data has helped me make some modifications. I love actionable data!

 

We plan to join the YMCA near us to get back doing weights, add more serious cardio than the long hilly walks where we live and to check out the various classes. We dropped our previous gym membership at the start of the pandemic 2 years ago. It’s time to go back.

 

While we have better routines for getting daily exercise, we know we can’t be slaves to our devices. But I admit, there are days when we get the little notification buzz on our wrist at 10 minutes to the hour reminding us that we don’t have 250 steps yet (happens hourly from 9AM – 6PM). We jump up and walk around the house until we hit it. A great reminder to get up and move – especially if I have too many back-to-back calls sitting at my desk. Continue reading →

Health IT conference season via podcast

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I didn’t attend either of the two big March in-person health IT industry events – ViVE (CHIME+HLTH) and HIMSS22. But I’ve heard a lot of positives about both events from colleagues. Just seeing people in person after two years was a highlight for many. I admit, I miss the in-person connections as well! And I do look forward to attending the CHIME Fall Forum this year celebrating CHIME’s 30th anniversary.

Like my blog post in November after the CHIME Fall Forum, I’m going to point you to what I consider one of the best resources to hear what health IT leaders from provider organizations and vendors had to say about the conferences and what’s on their mind these days.

Bill Russell has continued his Today in Health IT podcast series he calls “Interviews in Action” – interviewing 50 health IT leaders at ViVE and HIMSS22.  Each interview is no more than 10-15 minutes long. After having family in town visiting this week, I’m behind on my daily dog walk podcast listening but I’ve heard almost all the ones that had been dropped through last week. That includes these CIOs among others: Michael Pfeffer at Stanford Medicine, Cara Babachicos at South Shore Health, Cletis Earle at Penn State Health, Andrew Rosenberg at Michigan Medicine, Nassar Nizami at Jefferson Health, Andy Crowder at Atrium Health, and Jamie Nelson at Hospital for Special Surgery. While there are common themes such as staffing and talent, clinician burnout, and cybersecurity, you will also learn about the top focus areas for each organization. You can hear from these CIOs and many other IT leaders and vendors on the Newsroom channel.

Whether you attended these events or not, you’ll find the interviews insightful. And if you are looking for more ways to learn and keep current, check out the other new channels that Bill and his team at This Week in Health IT launched as of January – Academy, Community, and Conference which includes both keynotes and solution showcase podcasts.

You may also want to check out the podcast series from CHIME, HealthsystemCIO.com, and CIO Podcast by Healthcare IT Today.

Happy listening!

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Mentoring, role models and sometimes a little nudge

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What a pleasant surprise to be tagged in a LinkedIn post by my daughter as she shared with her network some great professional news. She just completed her Leadership & Management Certificate Program at Wharton online. I’m super proud of her! She tagged me to thank me for the “nudge”.

I remember well our “nudge” conversation back in August. I remember it more as a conversation where she asked for advice on how best to pursue her education given her current work and how her career is evolving. She has been at the same company for the past 8 years and been promoted several times – she is now Sr. Manager, Executive Communications and Administration, partnering with the CEO and executive leadership team. I would call it more of an ask for advice and get ideas/encouragement conversation.

Her discipline and persistence to get started and finish it in just 6 months is impressive – all while working full-time and as a mother of two young children. It reminds me of when I decided to get my MBA many years ago when she and her sister were young and I had a full-time management job.

I’ve talked about my two daughters in previous posts. I try to be a role model for them professionally.  I’ve given them advice as their careers have advanced and am proud to see their accomplishments. They both have a passion for their work and have received awards for leadership and innovation. As I counsel people early in their career – find your passion, be open to the possibilities, and never stop learning.

Many women describe their mothers and grandmothers as inspiring role models. Today would be my mother’s birthday. She died just shy of her 68th birthday after a short battle with cancer. She was only 42 when my father died, leaving her to raise four young children on her own. My mother was a role model for me – a strong and independent woman. Continue reading →

On the other side of the digital front door – part 3

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Two different procedures. Two different specialties. Two different patient communication approaches. Yet both practices use the same EHR and patient portal.

Prep for surgery instructions. Paper. Branded folder to put the paper in. More paper on next visit. A call from practice confirming specific surgery time and then get transferred to recorded message with specific pre-surgery instructions. Day of surgery sent home with post-op instructions – more paper.

Prep for procedure instructions. Available on the patient portal under letters. Texts and emails sent with specific prep information. Timed texts and emails for each major step along a defined prep timeline. Post procedure summary and instructions given to me on paper and available on the portal.

Practice variation is real. At times, it’s required and makes sense given different specialties. But not always.

So how were these two different experiences from a patient communication perspective? For me, there is a comfort having paper – can easily refer to it when needed. That is, if you know where you put it – hence the branded folder they give you. In the other situation, there was a very prescribed set of timed pre-procedure steps so the texts/emails at specified times telling me what to do was helpful.

What wasn’t such a good patient experience? Continue reading →

New year, new health goals, new tools

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On Tuesday, our new trackers arrived. I’ve used a Fitbit since late 2013 and still had the Fitbit One device. It served its purpose as a very basic step tracker. When it started getting less reliable during our January vacation, I decided it was time to up my game with newer tracking technology. Plus, I realized my device was discontinued a few years ago so forget about just replacing it. My husband, Tom, was ready to start more serious tracking as we focused on new health goals in 2022. He had recently downloaded a free step tracker app to his iPhone, but it was only useful if he always had his phone with him.

We carefully compared the different Fitbit devices reading specs and watching the videos. Doing the comparison shopping together on my laptop had me in tears laughing with him. Tom has never been athletic and hated gym class as a kid. We were doing the main feature compare between the Luxe and the Inspire 2. But we thought we should check out the Charge 5 before we called the question. Part way through the short video for the Charge 5, Tom said, “It’s scaring me, it’s like gym class on your wrist”. I told you, I had tears I laughed so hard at that. We each placed an order for a Luxe and the Premium Membership.

Once we had the devices charged and he downloaded the software for the first time, we quickly figured out the main features and how to navigate. We are constantly comparing our stats. I know that will wear off. But there is a new motivation in our house to get in better shape and get out walking longer distances each day. Continue reading →

The “Great Resignation” at the micro level

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We hear a lot about the “Great Resignation” at a macro level. It is usually coupled with advice to employers on how to retain people and address the reasons people are resigning at such record levels. Behind the statistics are real people and everyone has their own, unique story. For some it just happens to be a good time to rethink their career options.

My LinkedIn newsfeed may be an indication of the talent shortage and the number of opportunities out there.  Several times a week I see a health IT leader posting about an open position and opportunity to join their organization.

I’ve recently been contacted by several individuals interested in making a career transition – looking for their next opportunity and challenge. People who have reached out include:

  • A physician who has worked largely in industry, most recently in Asia, but wants to return to the U.S. this year. He is looking for insights on the market and to understand the potential for someone like him moving into a hospital/health system CIO role eventually.
  • A well respected, former colleague who has been at a very successful health IT vendor for several years and is considering what his next level challenge might be. He is looking for advice and connections.
  • A consultant who a colleague introduced to me as he thinks I’ve been a great mentor and advisor for others. The consultant is starting to make a transition and wants to understand potential opportunities.

I am committed to helping next generation leaders so of course I make time to talk to people when I get these requests and introductions.

I listen to where they are at and what they are looking for next. I ask a few probing questions. Then I tailor my input/advice to their situation the best I can. I often suggest other people for them to talk to and offer to introduce them to recruiters if they don’t already have those relationships.

What do all job seekers have in common? Continue reading →