On Speaking Up

Finding truth post-election: staying informed, vigilant and engaged

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It has been over a week since the election. For some of us, an incredibly long week of processing our reactions and considering how we go forward. My first response was disbelief and dread. Then came the sadness. As the days go by, I am thinking more and more about how to continue to have a voice and make a difference. I won’t just sit by and watch. I want to help make a better future for our Nation and for the World.

Misinformation played a big part in our elections. As I said in 2016, we must stay informed, be vigilant and engaged. Separating the facts from fiction is more important now than in the past.

If you share my concern about the level of misinformation, I offer a few resources to consider adding to your reading or listening list.

Heather Cox Richardson writes a daily newsletter called, Letters from an American, which is also available as a podcast. For well over a year, I have made reading her letter my first “to do” with a cup of coffee each morning. As a history professor, she is a master at framing the events of the day in a historical context. The November 12th letter was a master class in “careful what you ask for”. It was downright chilling to read.

Joyce Vance writes a daily newsletter called, Civil Discourse. She is a former United States Attorney, currently a law professor and a legal analyst for MSNBC and NBC. She also co-hosts two podcasts, #SistersInLaw and Cafe’s Insider. As she says, “I believe that being a citizen is the most important work any of us can do. As citizens, a key part of our role is to educate ourselves and stay informed”. She focuses a lot on the legal issues, so I don’t always get through her newsletter but the one dated November 9th, “The Importance of Information” is well worth reading to understand the level and impact of disinformation in 2024.

Yes, you may consider these two sources liberal and want more centrist or both-sided sources, but I am looking for big picture context from fact-based, credible resources to inform and inspire me. If you have other recommendations, I’m open.

A friend and former colleague during my Michigan days recently shared on Facebook that she regularly reads Tangle. They self-describe as a “non-partisan politics newsletter giving a 360-degree view on the news – opinions from the left, right and center so you can decide”. As they say, “unbiased news for busy people”. I just subscribed to check it out.

And as social media platforms are evolving, I’m ready to make my move from X to Bluesky. It’s well past time for that given what X has become.

The future is what we make it. To stand idly by and watch is not in my nature. That’s why I use a wide range of sources, treating each with a bit of skepticism, working to develop a Truth that will help benefit the Greater Good based on facts and evidence supported by optimism. We can always be better – individually and collectively. I will continue to support organizations and political leaders who share my values and sense of purpose.

Your Voice is Your Power: Standing Up for Democracy in a Divisive Election Season

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As we go about our daily work and home life, who can forget that there is an election going on? Even if you are not watching or reading the news you can’t escape it. Nor should you. This is probably the most consequential presidential election of our lifetime. We all must ask ourselves what kind of world we want for our children and grandchildren. Who speaks to our values? Who can we trust with our future and our democracy?

If you know me or are a regular reader of my blog, you know my answer. Yes, I have a button that says, “We are not going back”. And I have my “I voted early” sticker. With this consequential election a week away, I can’t be silent.

I proudly display my RBG art in my home workspace where she is visible over my shoulder on all my zoom calls and podcast interviews. It is often a conversation starter with both men and women when they see it for the first time.

While we may want to shy away from speaking out and openly supporting the candidate of our choice, I have great respect for people who are willing to publicly state their support for Vice President Kamala Harris and Governor Tim Walz as our next President and Vice President. This includes a growing list of business leaders. And not to be ignored, many long-standing Republican leaders and former Trump administration officials are warning us based on their first-hand knowledge and experience that he is unfit to lead and a danger to our democracy.

I am encouraged to see healthcare leaders willing to post their very insightful support for the Harris/Walz ticket on LinkedIn which is supposed to be a professional network and not political. Continue reading →

Championing DEI – personal stories and lessons from leaders

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We learn from our own experiences, and we learn from other’s experiences when they are willing to share their stories. The impetus behind starting this blog was to share and help teach others, especially next generation leaders.  I have shared lessons learned both professionally and personally over the years. And I have shared many stories along the way.

My latest contribution in this sharing space is based on my ongoing commitment to promote diversity, equity and inclusion. As a member of the CHIME DEI committee for the past few years, I’ve come to know many colleagues in deep ways as we share our stories with each other and work to educate the broader CHIME community.

The newest offering from the committee is a video series called “Inclusive Insights: Personal Stories of Diversity in Action”. An insightful interview with Cletis Earle last month was the first in the series. Cletis is the CHIME DEI Committee Co-Chair and former SVP and CIO at Penn State Health and College of Medicine. I encourage you to view it here. He covered how DEI played a role in his career, why organizations should not turn away from DEI, how he advocates for DEI at work and in his community, and shares advice for colleagues trying to enhance diversity, equity, inclusion and belonging in their organizations.

I’m honored to be the second person in the series to share my story – it is available here. I covered common myths and misperceptions about DEI, challenges I have faced in my career and how I overcame them, the role that mentorship and sponsorship play in fostering diversity and inclusion, the role of allies, and more.

When I first joined CHIME as a new CIO in 2000, the makeup of the group was very different from what it is today. There is far more diversity among health IT leaders today compared to back then. CHIME’s explicit commitment to DEI in recent years through the committee’s work and the programming at in-person conferences is encouraging.

We have made progress but there is more work to be done. We’re in it together.

Related Posts:

The transformative power of bold leadership in healthcare

Celebrating Women’s History Month: Championing Diversity in Health IT

One year later – an increased focus on diversity, equity and inclusion

A decade of blogging: 10 years of insights on healthcare, technology, and leadership

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This week marks 10 years since I became a blogger! With a focus on the intersection of healthcare and technology, a lot has happened in 10 years. For my regular readers, you know I cover much more than healthcare and technology including leadership, career advice, women’s issues, and yes, even politics. And I weave in personal stories at times.

When I started this blog in 2014, I was serving as the CIO at University of Michigan Hospitals and Health Centers. The social media coordinator in the Communications department encouraged me to start and helped set it up. I leaned on our IT chief of staff to help manage it. From the start, I assumed that I had multiple audiences to speak to – my IT staff (I encouraged them to subscribe but promised to continue my monthly CIO messages aimed at just them), our health system staff, health IT colleagues in the industry, and anyone else who was interested. My first blog was about our major Epic go live a few days later – “Three days and counting….”. It was the first of many practitioner based blogs over the years.

So, why blog? As I wrote in my “About” page:

“One of my passions is the development of the next generation of IT leaders, especially young people who are beginning their careers or who are beginning to take on leadership roles. I’ve been there: a young mother of two with a full-time management job while a part-time graduate student.  I remember the years when I was the only woman at the leadership table. 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 in early 2016 to start down a path of interim management, consulting and leadership coaching, I took over the blog myself and committed to continuing writing weekly. I had relevant topics each week as I served in four different organizations in interim IT leadership roles in subsequent years and launched StarBridge Advisors with colleagues in late 2016.

If you are a subscriber, you know that my weekly commitment has waned in the past year, and I publish less frequently. As I have reduced and refocused my work commitments, topic ideas come to me less frequently – mostly from events in the industry and beyond, articles, discussions with people I coach and mentor, and my regular contact with health IT leaders.

There have been times when I just can’t be silent on something and go more political. Continue reading →

Celebrating Women’s History Month: Championing Diversity in Health IT

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What better time than Women’s History Month to highlight the many initiatives lifting up women in our health IT industry.

It has been 10 years since I started speaking out more publicly as a health IT professional about women’s issues though I am a long-time feminist having come of age during the women’s movement of the 1970s. In 2014, I was asked to do a keynote talk on a topic of my choice at a 200-person health IT conference. It was one of those vendor sponsored, invitation only events. I was the speaker during the first night’s dinner. I titled my talk: “Our Future Workforce – Unlocking the Potential”. I talked about the fact that not enough women were going into STEM (science, technology, engineering, and math) fields and the need to encourage and support women at all levels. Prior to the talk I wrote this post – Technology, where are all the women? – and afterwards I wrote this one describing the positive response to my talk – Women and technology, part 2 – from an audience that was probably 80% men!

When I launched this blog several months before that talk in 2014, I made sure to create a category called “On Women and Work” knowing I’d be periodically writing about women’s issues, and not just in March each year.

Fast forward to 2024. I am certainly not a lone voice in our industry. Many women focused initiatives have emerged. Here are just a few to highlight: Continue reading →

How healthcare providers can empower voters for a healthier democracy

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It’s Super Tuesday – a day when voters in 15 states and one U.S. territory go to the polls for the presidential primary election. I’ve written in the past about the importance of exercising your right to vote, voting your values, and highlighted some of the non-partisan “get out the vote” organizations.

This time I want to address the intersection of voting and healthcare, but not from a policy perspective. You can probably guess my views on key policies. But rather from an empowering everyone to vote perspective. Whether you vote in the primary or not, much is at stake in the November general election.

Let me start with a very progressive organization, A Healthier Democracy, that I learned about last year when their CEO, Dr. Alister Martin, spoke at the annual NEHIMSS Chapter Conference. According to their website:

A Healthier Democracy builds platforms for collaboration and community organizing at the intersection of health and civic engagement to maximize collective impact on pressing challenges.

They are home to five high-impact national initiatives. There are two initiatives involving voting that I want to highlight – Vot-ER and Patient Voting: Continue reading →

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.

Related Posts:

Leadership means being bold and taking on the tough issues

Towards a more civil society

When is enough enough?

The healing power of humanity

 

ACP – addressing the digital divide

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“We need to advance health equity in a sustainable way – not with charity care and not performative health equity”, said Dr. Alister Martin, ED physician and CEO of A Healthier Democracy in the closing keynote at the annual NEHIMSS chapter conference last week. One of the many initiatives of A Healthier Democracy is Link Health which focuses on connecting patients to the Affordable Connectivity Program (ACP) to close the digital divide.

Listening to Dr. Martin last Thursday, I decided to use this week’s blog post to amplify this important initiative and help raise awareness among health IT leaders about the ACP and its importance for healthcare. As they say, timing is everything. June 14-22 is the ACP White House Week of Action and June 16 is the ACP Healthcare Day of Action.

Here’s some background on the ACP taken from the Link Health website:

COVID-19 Accelerated A Massive Shift To Telehealth.

The COVID-19 pandemic ushered in widespread acceptance of telehealth and other digital innovations in medicine and dramatically increased the use of telehealth as an intervention to reach patients.  A recent HHS study shows a 63-fold increase in Medicare telehealth utilization and 32-fold increase in behavioral health care through telehealth triggered by the pandemic.

Access To Broadband Internet Is A Social Determinant Of Health.

Despite widespread internet usage in the United States, 15–24% of Americans lack broadband internet connection, a foundational requirement for telehealth and the bevy of other services that underpin the social determinants of health. In fact, access to broadband internet has been considered a “super” social determinant of health (SDoH).

The Affordable Connectivity Program Expands Broadband Access But Needs Help From Healthcare.

The Bipartisan Infrastructure Law created the Affordable Connectivity Program which provides a subsidy of up to $30/month for lower-income households ($75/month for households on tribal lands) on participating internet service plans and a one-time $100 subsidy for a connected device. 51.6 million households are eligible for the ACP, yet only 25% have enrolled. 38 million more households are potentially missing out on money to pay their internet bill. Importantly, only 13% of patients with Medicaid have signed up for the ACP.

Link Health is partnering with the White House, Civic Nation, and leading healthcare organizations on the ACP Week of Action to leverage the health sector to connect patients to the ACP and close the digital divide. There are resources at this site if you are ready to be part of the action and amplify the message through your organization and in your community. Continue reading →

Healthcare for all: ensuring inclusivity in LGBTQ+ patient care

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June is Pride Month. In recent years, LGBTQ+ rights have come under attack. All this after the landmark Supreme Court decision in 2015 supporting marriage equality. These attacks are taking many forms – “Don’t Say Gay” bills in state legislatures, bans on drag queen story hours, protests and intimidation at events, bomb threats at children’s hospitals providing gender affirming care, and more.

A March 7, 2023, piece in the Boston Globe by Renee Graham, “Understanding the intersectionality of hate”, begins by highlighting the number of bills pending in state legislatures. “The American Civil Liberties Union is tracking more than 380 anti-LGBTQ bills in nearly three dozen state legislatures, ranging from bans on gender-affirming care for trans youth to prohibiting classroom discussions about LGBTQ people or issues”.

In the face of these attacks and threats, and anti-LGBTQ+ legislation, allyship is more important than ever. Who doesn’t have a gay family member, friend, or colleague? Allyship is showing up and speaking up. There are many ways to do this as individuals and organizations, especially during Pride Month.

In 2015 I wrote a post titled “Marriage equality, it’s personal”.  I talked about the experience of my aunt when her longtime partner was hospitalized in her final days and how my aunt was treated. That was 1990. We’ve come a long way in healthcare but need to continue these efforts given the strong anti-LGBTQ+ sentiments.

I’m proud to have worked at Boston Children’s Hospital in recent years. Despite bomb threats due to their gender affirming care program, they are not deterred from their ongoing commitment to providing comprehensive and affirming treatment for LGBTQ+ patients and families. They have been awarded the Healthcare Equality Index’s (HEI) Leadership Status every year since 2015. They provide LGBTQ+ patient and family centered care in four key areas: patient non-discrimination, equal visitation, employment non-discrimination, and training in LGBTQ+ patient and family centered care.

The HEI is the national LGBTQ+ benchmarking tool that evaluates healthcare facilities’ policies and practices related to the equity and inclusion of their LGBTQ+ patients, visitors, and employees. Nearly 500 healthcare facilities achieved the top score of 100 in 2022 and earned the LGBTQ+ Healthcare Equality Leader designation.

My 2015 blog also referenced this HEI designation. I was working at Michigan Medicine then and they too were recognized with HEI Leadership Status. I closed that blog hoping that in the coming years, thousands more healthcare organizations would receive this same designation. There is progress, but more is needed.

Resources:

National LGBTQIA+ Health Education Center – Ten Strategies for Creating Inclusive Health Care Environments for LGBTQIA+ People

Human Rights Campaign Foundation – Transgender-Affirming Hospital Policies

What advice would you give your younger self?

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I love this question. It was one of the questions for a panel I was supposed to be on this week. The NEHIMSS chapter has an annual Women in IT conference, and I was one of four invited panelists for the three-hour event. But 40 miles into my 100-mile drive to the venue, cruising fast on the freeway, my left front tire totally blew out – down to the rim. Scary yes, but I got myself over to the shoulder and called AAA. My second call was to the panel moderator explaining I wouldn’t be able to make it. An hour and a half later I was again on the road with the spare tire that is designed for maximum 50 MPH taking the back roads home to avoid freeway speeds.

I was looking forward to the event and the panel. I love sharing stories with next generation leaders so this was going to be a fun night. I was ready after the usual panel prep call to cover the range of questions we had agreed on.

While I didn’t get to do the panel, I don’t want this question to go to waste – here’s what I was ready to say when asked what advice I would give my younger self:

  • Know your big rocks – I’ve written on this in the past, “Do you know your big rocks?”. It comes from Stephen Covey and it is a spot-on analogy. Our families and closest friends are our big rocks. Don’t let all the little stuff take up your space first leaving no room for your big rocks.
  • Don’t take crap from anyone – In my 30s, two of my peer managers seemed out to get me. One even threatened me. I was the only woman on the management team for a 5-year period. After a lot of stress and wasted energy processing it all at night talking to my incredibly supportive husband, I decided enough was enough. I let our boss know what was going on and told him that I would let him know of any further incidents. He was going to have to deal with it because I couldn’t. In another situation where a male manager from another department got overly friendly with sexual advances, I reported it to compliance. Hard as reporting something may be, it is necessary to stop the behavior if you can’t stop it yourself.
  • Have a strong support system – Whether it is family or friends, everyone needs a support system they can turn to. I could tell plenty of stories about my incredibly supportive husband and how he has been there for me back when I was a young working mother in management and going to school at night for my MBA as well as the decades since (our 47th wedding anniversary is in a few weeks).
  • Accept that you can make choices – One of my staff wanted to consider coming back from maternity leave after she had her first child in a part-time role but worried about how it would stall her career. She was a project leader on a management track. We talked about her options and I encouraged her to keep in mind that she had choices. After a period of part-time work, she eventually came back full-time, picked up again in a leadership role and then had two more children a few years later. She made choices right for her and balanced growing a family with growing her career.
  • Own your own career and be open to the possibilities – Before I left my CIO position at Brigham and Women’s Hospital for a similar role at Michigan Medicine, we were going through major staffing changes in IT. My staff were concerned about their future in supporting legacy systems vs the new EHR coming in. I told them they had to own their own career and be open to the possibilities. When I make that second point now, I emphasize that there are jobs today that no one heard of 5 or 10 years ago and there will be new ones in the future we can’t even imagine now.

There you go – I had plenty more to say on the panel given the other great questions we were going to discuss but wanted to at least share this one.

And after this car experience, my parting advice is keep your AAA membership current and keep your cell phone charged.

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