Crunch time and why IT matters

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It’s crunch time. Every day counts. Can’t miss a deadline. All hands-on deck. Go live readiness assessments (GLRA). If you work in health IT and have been through a major EHR implementation, canstockphoto60328456 (1) EHR UVMHNyou’ve heard all these phrases.

At the University of Vermont Health Network (UVMHN), the Epic Wave 1 go live is less than 5 months away. The University of Vermont Medical Center (UVMMC) has been on Epic for inpatient and ambulatory core clinicals for years. Wave 1 includes the full revenue cycle, lab and anatomic pathology, radiology, OR and anesthesia, cardiology, ophthalmology, orthopedics, behavioral health, rehab, wound care, infection control, and predictive analytics at UVMMC.

Wave 1 also includes the first Epic implementations at three Vermont and New York hospitals in the network starting with ambulatory systems for billing and clinical functions. Waves 2 (2020) and 3 (2021) will be the full suite of inpatient systems at those same hospitals – Central Vermont Medical Center in Berlin, Vermont; Porter Medical Center in Middlebury, Vermont; and Champlain Valley Physicians Hospital in Plattsburgh, New York. Yet to be scheduled are Elizabethtown Community Hospital in Elizabethtown, New York; Alice Hyde Medical Center in Malone, New York; and Home Health and Hospice.

The core infrastructure is largely in place to support the November 1st go live though we have more to do at the device level. Over 10,000 users will be trained in a 6-week period. The first GLRA at 120 days pre go-live is coming up soon.

When I saw Epic on the agenda for the UVMMC quarterly leadership meeting, I assumed it was a project status update. How wrong I was. Continue reading →

Modeling leadership, empowering others

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I had the opportunity to meet all the IT interns at The University of Vermont Health Network this week. Several of them are working on infrastructure teams that I am now responsible for as the interim Chief Technology c change key image update right align 2Officer. They are all excited to be working with us, learning and contributing.

When it was my turn to introduce myself, I told them I’m committed to developing next generation leaders and am happy to make time to meet with any of them this summer if they want to talk and get career advice. My days are busy, but I hope at least some of them take me up on the offer. I will find the time.

We all need role models and people who are willing to help us develop and grow professionally. Female leaders in health IT represent only 30% of senior leadership so it’s not yet a level playing field. With our StarBridge Advisors C-change service, we focus on developing women leaders in health IT through online courses and coaching.

On June 18, Gale Thompson and I will be presenting a webinar, “Develop Women Leaders, Transform Leadership” as part of the HIMSS Women in Health IT series.

The learning objectives are to:

  • Recognize that you are not the only one struggling with how to be effective, successful, and fulfilled.
  • Learn how you can make foundational shifts with intention to craft the leader you want to be and the life you want to live.
  • Discover clear, thoughtful steps you can take to steer your career progression while attending to your personal and family commitments. Explore ways you can be proactive in getting what you need/want both professionally and personally.
  • Learn to give yourself permission to invest in your own well-being and leadership growth and commit to taking that next step.

For more information or to register for the webinar, click here.

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Managing priorities and maintaining balance

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This week marks five years since I started writing this weekly blog. I still get asked how I find time to write each week. That’s a great question. There are weeks when I don’t know how I will find the time.  At canstockphoto9530224 work life balanceindustry conferences, people often come up to me and tell me how much they appreciate my blog. I was recently asked how long I’m going to keep writing. My answer was I’ll write as long as I have something to say that’s useful to others.

This is week three of my new interim management engagement. I have many new topics to cover based on all the best practices I’m seeing (PMO, Service Management, and effective meetings to name a few) but very little time to write.

My days are what you’d expect in an operations role while being in a learning mode. My nights are full reviewing documents balanced with addressing the highest priority follow-up work as a principal in StarBridge Advisors.

While I’m trying to keep up some level of exercise routine, gym workouts have fallen by the wayside. When we get busy, we have to prioritize and re-prioritize and be willing to let some things go. And we need to take care of ourselves.

Thursday night is when I usually finalize my blog and get it ready to publish first thing Friday morning. Many weeks, it’s when I finally write what I’ve been percolating on for a few days.

But this week Thursday night was a “date night”. A few years back when my husband and I first discussed the idea of me doing interim engagements, we thought that it could also mean having an adventure in another city if he came with me at times. We decided this was a good week for him to be in Burlington with me. We acted on that adventure goal and bought tickets for the Thursday night performance at the Burlington Jazz Festival. It seemed like a great idea at the time. Continue reading →

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.

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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 →

Finding your passion

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One piece of advice I give young people is that they don’t have to decide what they want to do for the rest of their life at age 22. Just think of all the jobs that didn’t exist 10 years ago and what might exist 10 yearscanstockphoto19577734 (1) finding passion from now.

As we acknowledge the nurses among us for National Nurses Week, think how much the nursing field has changed over the years and how many opportunities and different paths nurses can take these days. There is a growing need for nurses with informatics training but that is just one possible path among many.

My oldest daughter is a nurse practitioner. But she didn’t start there when she went to college. She got her undergraduate degree in hotel and restaurant management with a minor in business. She wanted to do travel and tourism – and see the world. On graduation day she looked at me and said, “Mom, I don’t know what I’m going to do with my life that’s meaningful, but I don’t think it’s travel and tourism”. I looked at her and said, “Just get a job and then figure it out”. That was the response of a parent having just put their oldest of two children through college and anxious for her to get started in the full-time work world. Can all you parents of young adults relate? Or did I sound like a callous and unsupportive parent?

She floundered for a year or two after college with a couple different jobs including work in the travel industry for a short time. But she started thinking early on after graduation about becoming a nurse. Whenever she talked to me about it, I told her she’d be a great nurse – super organized, able to multi-task better than anyone I knew, with fabulous people skills. But I also told her that she’d have to buckle down and study the sciences if she wanted to be a nurse.

She considered her options and decided to pursue a combined nursing / nurse practitioner program getting her second bachelor’s degree then her masters. She had found her passion! 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.

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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 →

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 →