On Speaking Up

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 →

Confidence matters as much as competence

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How real is “the confidence gap”? How do you address it in your own work? This was one of the topical questions I posed on a recent TweetChat that I hosted for Jenn Dennard and #HealthITChicks.Brave woman posing as super hero

What would you tell your 20-year-old self? That was one of the questions posed a few days later to me and my co-panelists at the 3rd annual Women in Business Conference – Lead. Represent. Mentor. – sponsored by the Women in Business Club at Hult International Business School. Our panel was “Leading Change in Technology”.

One of the panelists, Nancy Li, is a young woman with a PhD in Materials Science and Engineering. She is the Manager of Edge Computing Commercialization at Verizon. In response to that question, she quickly answered, “Be fearless”. After everything I learned about Nancy’s career and experiences, I wasn’t at all surprised at her answer. The other panelist, Florence Lu, is a Senior Solution Architect and four-time IBM Master Inventor working at IBM Research and has filed more than 180 patent applications. She commented on the importance of developing public speaking skills if you want to be a leader, pointing out that you must be able to present your ideas to others. Clearly, she has been an idea generator and innovator her entire career.

I’ve spoken and written a lot on issues that women face at work in the past few years and willingly shared my own experiences as a professional woman and leader in IT for over three decades. I was truly impressed with Nancy and Florence’s accomplishments as technology professionals and their eagerness to share their own stories and advice. And their confidence!

I highly recommend reading the article, “The Confidence Gap” by Katty Kay and Claire Shipman published in The Atlantic, May 2014. They did extensive research on the differences between how girls and boys / women and men approach situations. The bottom line is that confidence matters as much as competence and confidence must lead to action. A few excerpts from the article: Continue reading →

9 articles on women and work worth your time

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In the past month, I’ve seen more articles on women in leadership, women on boards, and gender equity than I have seen in a long time. It’s probably reasonable to assume the increased focus has to do with it canstockphoto44053815 (1) time for changebeing Women’s History Month. As I said in my post on International Women’s Day, let’s not just focus on these issues for one day or one month but all year long.

Here’s a sampling to check out if you are committed to ensuring women have a seat at every table:

A seat at the head of the table by Emily Bazelon in The New York Times Magazine. It’s an insightful interview with two experts on leadership – Katherine W. Phillips, a professor of organizational management at Columbia University, and Shelley Correll, a sociologist at Stanford.

Wanted: 3,732 Women to Govern Corporate America by Jeff Green, Hannah Recht and Mathieu Benhamou in Bloomberg Businessweek. That headline should get the attention of any woman interested in serving on boards.

Women in venture: The case for increasing representation in digital health investing by Laura Lovett in MobiHealthNews

From the practical experience of women leaders comes insight, advice and inspiration for others:

A rising tide lifts all gender-balanced boats bound for HIT board rooms by Jenn Dennard at HealthITChicks

Achieving a better gender balance across all levels of an organisation by Wendy Clark in HealthITNews

Four McKinsey leaders share their advice for early-career women – McKinsey Blog from McKinsey & Company. I particularly liked these spot-on words of advice: 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 →

2018 Countdown – top 10 blog posts

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It’s the time of year for top 10 lists and countdowns so I’m adding mine to the mix. These are my most read blog posts from 2018. If you missed any of them first time around now is your chance to check them Top10out.

I cover a range of topics and it looks like readers appreciate the variety. Here are the top 10 as measured by total views with a countdown from number 10:

#10 – Find your voice, a mentor and be bold – Career advice is always a popular topic whether you are early or late in your career.

#9 – What does a high value conference look like? – There are many ways to spend time and money on professional development, some conferences provide unique value.

#8 – Family ties – we all have a story – It’s important to know where we come from to understand who we are.

#7 – Technology making a difference at scale – One of my personal favorites! The power of technology takes many forms. In Africa, drones can be lifesaving.

#6 – 8 Signs of a strong security culture – Security is always a topic of interest as threats continue to increase and organizations are challenged to keep up. Continue reading →

Give the gift of girl power

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Every day is a good day to encourage reading and learning. And every day is a good day to buy books for kids. The holiday season is a time when many of us are looking for book recommendations for the young canstockphoto20702129 (1) girl power booksones in our lives.

With four grandkids and six grand nieces and nephews, I buy a lot of kid’s books. Of these ten young people, six are girls. When looking at books for the girls, I’m particularly interested in finding ones that will inspire them and teach them to be strong, smart girls who can be and do anything they aspire to. And, of course, I like to encourage an interest in STEM fields.

A few of the books I’m looking forward to buying for my granddaughters when they are a little older:

  • Women in Science: 50 Fearless Pioneers Who Changed the World, by Rachel Ignotofsky, highlights the contributions of women to science, technology, engineering, and math (STEM).
  • Herstory: 50 Women and Girls Who Shook Up the World, by Katherine Halligan, celebrates inspiring women who have changed the world.
  • Good Night Stories for Rebel Girls, by Francesca Cavallo, is a collection of bedtime stories of extraordinary women both past and present, each told as a fairy tale.
  • She Persisted and She Persisted Around the World, by Chelsea Clinton, describe the struggles of 26 remarkable, diverse and tenacious women.

There is a great series by Andrea Beaty that I’ve already introduced to my oldest granddaughter who just turned six. I gave her Rosie Revere, Engineer last Christmas. The other two books in the series are Ada Twist, Scientist and Iggy Peck, Architect.  Rosie, Ada, and Iggy are friends who pursue their passions with persistence while celebrating and learning from their failures.

If you have young girls to shop for this holiday season, I hope you will consider one of these books. And if you are looking for organizations to support as you consider your year-end charitable contributions, take a look at Girls Inc. With local organizations in cities across the country they inspire all girls to be strong, smart, and bold. Their message couldn’t be any clearer.

Related Posts:

STEM gift ideas for 2017

WANTED: STEM gift ideas for kids

STEM for the holidays

Yes you can: encouraging girls to pursue IT careers

12 more days – forward together

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Pipe bombs sent via U.S. mail to critics of the president have dominated the news cycle for two days. These targets include former presidents, a former vice president, a former secretary of state and acanstockphoto5429849 (1) vote congresswoman. The person or group behind this domestic terrorism is still unknown. But we all know we are living in an ugly, divisive time in the history of our country. What have we become?

As the midterms approach, the divisiveness of the past several years has increased. Can we ever come together again?

We all can make a choice on who we want to represent us. The right to vote is fundamental to our democracy yet women and black people did not have this right until many years later. And we know that gaining that right was a hard fight. Fast forward to 2018 and voter suppression is rampant in several states. This makes your vote all that more critical.

If you live in an early voting state, you can exercise your right to vote any day through November 6th. If you do not, then you need to make time to cast your vote on November 6th.

There are many organizations and initiatives focused on getting people out to vote. When We All Vote is a new, non-partisan not-for-profit organization bringing together people to focus on our rights and responsibilities to shape our democracy. As they say, when we all vote, we can change the world. The good news is that early voting states are showing very high turnouts compared to previous elections.

Remember that the presidential election in 2016 was decided by less than half of the eligible voters. There is no electoral college at play in the midterms. Every vote counts!

Two years ago, I was filled with optimism leading up to the presidential election yet disappointed beyond words with the results. But I wanted to be optimistic in the following days. I wanted to believe the divisiveness would end and our president would try to be a president for all people.

I reread my post “Forward together” from November 11, 2016 this week. My optimism has waned and for good reason in the past two years. But I will vote again in 11 days and continue to look to the future. I encourage you to do the same.

Related Posts and Resources:

When We All Vote

Forward together

Build bridges, not walls

Who do we want to be?

What can we learn from women in leadership?

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It’s been almost four years since I started speaking and writing openly about the challenges facing women at work, the importance of developing women leaders, and encouraging women to pursue STEM careers. canstockphoto7990695 (1) women leadersI have no regrets about being outspoken on women’s issues.

It is encouraging to see organizations like CHIME and HIMSS focus on this in recent years and to see so many younger women share their own stories and provide advice to others.

I was happy to see the recent four-part series that Kate Gamble, Managing Editor of HealthSystemCIO.com, did on Women in HIT leadership.  She interviewed an excellent group of women leaders – Sarah Richardson, California market CIO for HealthCare Partners; Tressa Springmann, SVP and CIO at LifeBridge Health; and Julie Bonello, CIO at Rush Health.

The series covered all the topics you might expect: their early leadership experiences and stories, core leadership competencies needed, the importance and challenge of maintaining work/life balance and supporting your teams, stereotypes of women leaders, the power and importance of mentoring, and learning from male dominated environments.

Their experiences, insight, and advice provide a rich set of lessons to learn from. I highly recommend you read or listen to the series at these links:

Women in HIT Leadership, Part 1: Identifying the Core Leadership Skills

Women in HIT Leadership, Part 2: Challenging Gender Stereotypes

Women in HIT Leadership, Part 3: The Future of the CIO Role

Women in HIT Leadership, Part 4: A Call to Action

In the closing comments of Part 4, Sarah says she is optimistic about the future for women but knows it is up to us as women leaders to make change happen. She quotes Sheryl Sandberg from Lean In, “If not you, then who?” and “If not now, then when?”. And Tressa talks about leading with grace in spite of the obstacles women face. Continue reading →

Heroes among us: pediatricians

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Pediatricians are one of the first and most trusted people you turn to when you have a new baby. They are a phone call away when your child is sick, and you don’t know what to do.  They give you advice on canstockphoto4424174 (1) families belong togetherhow to raise a healthy, well-balanced child.

Pediatricians and all healthcare professionals play an important role in our individual lives. They also play a critical role on a larger scale in our communities as they are some of the first to raise their voices and expose a public health issue.

Dr. Mona Hanna-Attisha is the Flint, Michigan pediatrician and public health advocate who first reported there was lead in the drinking water. She went public with her research and faced backlash. She persisted. But despite the tireless efforts by her and many others, the Flint water crisis is a public health crisis that is still not resolved. She has just published a book called “What the Eyes Don’t See – A Story of Crisis, Resistance and Hope in an American City”.  A portion of the proceeds from book sales will be donated to Flint Kids.

Dr. Colleen Kraft, president of the American Academy of Pediatrics (AAP), was one of the first to visit the facilities where thousands of children are being held after being separated from their parents as they cross our southern border seeking asylum. 70 children a day are being separated from their parents.

In a May 8th statement opposing the policy of separating families, the AAP stated: “Separating children from their parents contradicts everything we stand for as pediatricians – protecting and promoting children’s health. In fact, highly stressful experiences, like family separation, can cause irreparable harm, disrupting a child’s brain architecture and affecting his or her short- and long-term health. This type of prolonged exposure to serious stress – known as toxic stress – can carry lifelong consequences for children.”

Clinical psychologists describe the human toll this crisis is taking on children. The trauma and long term psychological and physical effects. In a recent interview, Dr. Kraft said the “zero tolerance” policy separating families at the border “amounts to child abuse.”

Nearly 4600 mental health professionals and 90 organizations have signed a petition urging the president and the attorney general to stop separating families at the border.

The media are shining a spotlight on the crisis at the border day after day. Continue reading →

Advice for bloggers: valuable content and discipline

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In the early 2000s, there was an explosion of blogs, but I never pictured myself as a blogger.  But that changed four years ago when I started a weekly blog to share my health IT experiences and insights with canstockphoto13207113others.

It is a weekly discipline I’ve maintained ever since.

I love data. So, I look at the statistics on views per week and per post. I’ve published over 200 blog posts and have had close to 100,000 views.

Over the four years, the posts on lean are by far the most popular – 6 of the top 20 posts – including huddles, visual boards, Gemba walks, and use of an A3. The lean community shares content broadly and openly as they learn from one another. A very good practice! So, maybe I shouldn’t be surprised at the popularity of these posts.

I ask myself “what generates views”? Is it the opening tease and blog title that attracts readers? Is it the title or general topic that causes subscribers to read a blog when they get the email notification? Is it the re-publishing by other publications or links from other sites?

Despite all the analytical tools and articles available on how to increase blog subscribers and readers, it comes down to valuable content. Yes, the catchiness of the title and the use of keywords make a difference. I learned that decades ago writing headlines when I was editor of my high school newspaper. But back then the world of content was all paper; now you can search for anything online in seconds. We all know that on social media you must compete for “eyeballs.” Hence, the importance of keywords.

When I first considered starting a blog, I sought out an expert to give me advice. I called Anthony Guerra at HealthSystemCIO.com. Was it a crazy idea or should I go for it? He encouraged me early on and I’m truly grateful for that. It helped me go from considering blogging to actually being a blogger.

I’ve learned how important amplification is in the world of social media: tagging people, likes, comments, and shares. Then there’s “going viral” – nobody knows the secret formula to that. Continue reading →