On Speaking Up

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

Posted by on

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

Posted by on

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

Posted by on

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

Posted by on

“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

Posted by on

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?

Posted by on

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.

Related Posts:

7 Ways to develop the next generation of leaders

10 tips for next generation leaders

 

#EmbraceEquity

Posted by on

Today is International Women’s Day (IWD) and March is Women’s History Month. The International Women’s Day 2023 campaign theme is #EmbraceEquity. As their website says, “The aim of the IWD 2023 #EmbraceEquity campaign theme is to get the world talking about Why equal opportunities aren’t enough. People start from different places, so true inclusion and belonging require equitable action. International Women’s Day is a global day celebrating the social, economic, cultural, and political achievements of women. The day also marks a call to action for accelerating women’s equality.”

Yes, we have much progress to celebrate but sad to say that in 2023, there is still so much more to do. Especially with our current political climate and Diversity, Equity and Inclusion (DEI) programs being under attack in some states. Take Florida for example where the governor announced in February that he intends to ban state universities from spending money on diversity, equity and inclusion initiatives, calling them discriminatory.

I continue to participate in CHIME’s Diversity, Equity and Inclusion committee as we start another year of programming for all CHIME members. As leaders, raising awareness and finding ways to take positive and meaningful action for our employees and our patients is what this work is about. This Friday as part of the DE&I Dialogues series, we will host a live webinar entitled, “Why DE&I: Defining Health Disparity, Inequity, and Inequality”. The webinar will cover why DE&I is important in your healthcare organization and how it impacts patient care. Featured speakers are Andrea Daugherty, CIO at Dell Medical School at the University of Texas at Austin, Cletis Earle, SVP and CIO at Penn State Health, and Dr. Eric Quinones, Chief Healthcare Advisor at World Wide Technology. You can register here for the March 10, 12PM ET webinar. I hope you will join us this Friday and for future DE&I Dialogues as we continue to learn and work together in 2023.

Related Posts:

International Women’s Day all year long

Women’s History Month, not exactly a Hallmark care event!

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

 

Leadership means being bold and taking on the tough issues

Posted by on

As a leader, do you shy away from issues that may be considered too controversial or too political? What if those issues are at the core of delivering healthcare to your community and supporting your team? In our current political environment with the level of discourse so negative and uncivil, it can be hard to take a stand on something. But true leaders do just that.

Michael Dowling, President and CEO at Northwell Health in New York, is the kind of leader who doesn’t shy away from controversial issues. He should be a role model for all of us. I have mentioned him in previous posts on the need for civility and on preventing gun violence. This week I want to highlight his unwavering commitment and national leadership to prevent gun violence.

Under Dowling’s leadership, Northwell Health hosted the 4th Annual Gun Violence Prevention Forum this week. It was an in-person event in New York but open for virtual registration. I can’t tell how many were in the room but in his opening remarks he said there were over 2000 registered virtually.

His opening comments were inspiring. He said we were gathered to learn, to share, to strengthen our commitment to work together in unison, and to hold hands as we march down the road bending the curve of gun violence. He challenged us to each rethink and reimagine the obligation and responsibility of leadership. As health systems, to ask who are we, what do we stand for and believe in. He said we need to inspire others that this is health. That we can’t improve health unless we go upstream. And that health is more than medicine. Whether inside the organization or outside, to take on difficult topics. To make sure others get involved and feel bad about not doing so. He talked about the progress made. He reminded us that big issues and big successes are the result of a constellation of small things. And he encouraged us to be optimistic, that people follow optimistic leaders. He asked us to be proud, committed and fearlessly optimistic.

He talked about the National Health Care CEO Council on Gun Violence Prevention and Safety taking the pledge to prioritize the health and safety of our communities. 50 health system CEOs have signed the pledge and are united to fight gun violence. He talked about how even a few years ago he couldn’t get anyone to sign something like this. The response he got back then was it’s too political, their board wouldn’t like it, there were NRA members on their board, and so on. 50 is progress and we can hope that in the future it will be hundreds. Continue reading →

Ban books? No, encourage young readers

Posted by on

It’s that time of year – whatever holiday you celebrate during this Season of Gratitude there is likely some gift giving involved. You may have an obligatory attitude of just getting it done or (hopefully) a more positive giving attitude spending time selecting thoughtful and more personalized gifts. When I had leadership teams reporting to me, I would give them a book each year. It was often the hardest gift to buy – deciding on the perfect book that they would all like. Over the years, my books included some of the best titles on innovation, leadership, technology, public health and more.

Now my holiday gift book buying is all for younger people. In addition to the one big gift for each of my grandchildren, I get them a book. I will be starting two of them on the “National Geographic Kids Almanac 2023” this year – it is filled with information on animals, science, nature, technology, conservation, and more.  I bought “Good Night Stories for Rebel Girls: 100 Inspiring Young Changemakers” for one of the granddaughters at my daughter’s suggestion. I was delighted to get the suggestion as I have been patiently waiting for my granddaughters to be old enough so I could start buying some of the feminist books for girls I see in bookstores. And for my grandson who loves all sports and is learning to read, I’m getting a fun story he should like – “The Dog That Stole Football Plays”. The football player on the cover has a “Jets” jersey on and that happens to be the name of my grandson’s flag football team. Hoping he loves the story, and it encourages him to read more!

I have another book buying annual holiday tradition that continues. I buy a book for each of my grandnephews and grandnieces back home in Minneapolis where I’m from and where my siblings and their families all live. That group is older – mostly teenagers. So, we have progressed over the years from picture books when they were little to books focused on their interests including baseball, ballet, and opera during middle school years, to more scholarly and political books now that they are in high school. For example – “A Choice of Weapons” by Gordon Parks, “Narrative of the Life of Frederick Douglas”, and “The 48 Laws of Power” by Robert Greene. I count on my three nieces to help me with recommendations and to understand their kids’ evolving interests. The grandnephew who wanted baseball books when he was younger is now into Nordic skiing and heavy metal with his own band. Yes, with my sister’s (their grandmother) help, I found a book he will like.

I can’t talk about nurturing young readers without mentioning the current banned books controversy that goes hand in hand with concerns about teaching critical race theory and talking about LGBTQ. Continue reading →

Remember what our parents taught us – civility and respect

Posted by on

Last week I wrote about exercising our right to vote. With the mid-term election dominating the news it’s hard to think about much else. With the brutal attack on Speaker Nancy Pelosi’s husband, Paul, the threat of political violence during this election season is heightened. The amount of disinformation and baseless conspiracies are contributing to the situation. And bullying behavior that you wouldn’t tolerate from your boss or co-worker, or from your kid’s teacher or coach is somehow acceptable coming from elected officials and candidates for office.

As we approach Election Day, I go back to civility and respect. Basics that seem to be lost in the recent years. Civility and respect are important and necessary in our everyday lives and discourse, be it with family, friends, co-workers, neighbors, or people we know only as a name and social media account online.

With no new novel message on this, I’m asking you to revisit two of my posts in recent years that highlighted the need for civility and decency drawing on comments from well-known healthcare leader, Michael Dowling, President & CEO of Northwell Health – “Towards a more civil society” and “The healing power of humanity”.

Be kind, be respectful, and be sure to vote your values!