Cuban healthcare, an emphasis on prevention

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You will be hearing a lot about Cuba after the death of Fidel Castro. I am certainly not an expert on Cuba, but I learned a lot about the country and its people recently on an 8-day Road Scholar tour. canstockphoto21968575And I was particularly interested in learning about their healthcare system.

“I wanted to see and experience Cuba before it drastically changes with American influence and investment”. That was the sentiment from many of our fellow travelers.

The trip was called “People and Society: Cienfuegos to Havana”. It included day trips to Trinidad and Santa Clara plus a stop at the Bay of Pigs on our way to Havana. Everywhere we went, we experienced the cultural arts first hand – music and dance from young grade school age students to seniors well into their 80’s. We heard a chamber orchestra and saw a contemporary dance show.

We heard lectures on history, politics, and religion as well as how Cuban millennials view the  future. We learned how negatively the U.S. embargo has impacted the people of Cuba. And how they want the embargo fully lifted but with future U.S. investments and development managed.

We had a chance to sit and talk for an hour with a young man who works in a telecom job in health care. I asked about electronic health records and he said they are in the process of implementing a system they have developed.

When I got home and caught up on my email, I learned that a 15-member delegation of healthcare executives visited Cuba while we were there. That delegation was led by former HHS Secretary and Governor Mike Leavitt, and included Dr. David Blumenthal, former National Coordinator at ONC and Stephen Lieber, HIMSS president and CEO. Stephen wrote an insightful blog on the experience. The delegation was a mix of vendor, consulting and provider executives who had gone to see the Cuban healthcare delivery system up close. Continue reading →

Ensuring smooth leadership transitions

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Transitions of leadership are going on all the time in our organizations: a new CEO, a new VP, or new management at another level; it is change.

As I’ve written about, I just completed such a transition. I have served as an interim CIO for 8 plus canstockphoto33589643months. The agreement for the engagement was that I’d stay through the successful transition to the new CIO. We envisioned a 30 day overlap.

As the start date for the new CIO approached, 30 days seemed very long. Wouldn’t the new CIO want to get in and get started without me around? But as she and I started planning that time, 30 days seemed reasonable for all that we needed to do. When it came time to start the transition, there was so much else going on each day we found it hard to find the time to focus on the transition work. In the end, we both agreed 30 days was the right amount of time and extremely helpful to her.

But a 30-day overlap and transition period can be a luxury. Organizations often go through leadership transitions with far less time or even no time for the old and new leaders to work together. When I took the interim engagement, I had an hour conversation with the previous CIO on his second to last day; that was it. Continue reading →

Forward together

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Like many, I am surprised and disappointed at the outcome of the presidential election. From some of my previous posts the past few years, there’s probably no question about my political leanings. canstockphoto10854745

A new message of “forward together” is needed now more than ever. Only half of all eligible voters voted on Tuesday. Half of them voted for Donald Trump and half for Hillary Clinton. She got more popular votes. But that means only one fourth of the country elected our next president. He will need to be a president for all of us.

A dark cloud has hung over us during an incredibly divisive and bitter campaign with often hateful language and bullying behaviors. We may have been afraid to talk to co-workers or neighbors or family members in fear they may support the other candidate and we did not want to have to debate with them. People on both sides felt this way.

Hillary Clinton’s speech to her staff on Wednesday had many important and inspiring messages as we move forward as a country. I encourage you to find the speech online to gain some perspective and to renew your hope for the future.

I watched her speech with my husband and the general contractor on our outside house project. He and his crew have been working here for several weeks on a major redo project – new patio, landscape and fence. They are a nice group of guys and we chat each day. But we consciously never brought up the election.

The general contractor needed to talk to us about a change order so came into the house Wednesday morning. He saw we were not in a good mood and asked who we had supported. He told us he voted for Trump. Bottom line, he thought a change was needed but admitted that he couldn’t defend a lot of what Trump said on the campaign trail. We debated a bit but it was civil.

He said he wanted to see Hillary’s speech when it came on. I went outside and got him when it was time. He sat in our living room with one of our dogs on his lap and watched. I sat behind him in the kitchen with tears. He thanked us for letting him come in and watch and said she made some great points. I told him that I did it with a big heart. Continue reading →

Powerful women and their path to success

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My first professional event since moving back to New England is the evening of Monday, November 7th. Boston Health 2.0 is a chapter of the national Health 2.0 organization. They hold monthly meetings to canstockphoto993163promote, showcase and catalyze new technologies in healthcare. The November event is a panel titled “The Power Women of Health IT: Path to Success”.

All powerful women have advice to give others and stories about obstacles they’ve overcome. This group of women panelists is no different and I’m excited to be part of it. Helen Figge, Senior Vice President, Global Strategies and Development, LumiraDx, USA, Inc., Cara Babachicos, Corporate Director/CIO, Community Hospitals, Partners Healthcare, and I were all honored to be named earlier this year to the “Most Powerful Women in Healthcare IT” by Health Data Management. We look forward to sharing our perspectives and stories.

The panel will cover advice on entrepreneurship for women, how women can influence the health IT industry, differing perceptions of competency in men and women, importance of mentorship, how men can be more supportive of professional women, and obstacles we’ve overcome in our own paths to success.

This should be a great discussion with a lot of insight and advice. But which obstacle should I comment on? Looking back to my early days in management, unfortunately there are many stories to share.

There was the male colleague who had it out for me during a five-year period when I was the only woman on the IT leadership team (it was the 80’s). One of the things he did early on was to spread a rumor that I was only in management because I was related to a board member with the same last name. It was so not true; I didn’t even know the board member. Continue reading →

It’s launch time

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“You need to own your own career and to be open to the possibilities. It applies whether you are early, mid or late career.”

That was my opening statement in my early January blog, “New year, next chapter”, when I announced that I was leaving a permanent CIO position to pursue a new path. And it is advice I have often given others.canstockphoto27201758

It’s now my time for that next possibility and I’m excited about it. I’ve decided to launch a new health care IT advisory firm, StarBridge Advisors, with two colleagues. I’m teaming up with David Muntz and Russ Rudish.

David is a nationally recognized CIO who has served some of the largest and most complex health care provider organizations in the country including Baylor Health Care System and Texas Health Resources.  Prior to that he served as CIO and was promoted to CEO of Wadley Institutes of Molecular Medicine.  David also served as White House-appointed first Principal Deputy National Coordinator, Chief of Staff, and CIO at the Office of the National Coordinator for Health Information Technology (ONC) at the U.S. Department of Health and Human Services. Together David and I have a combined 60+ years of experience in health IT management.

Russ was the Global & US Health Care Leader for Deloitte through 2014. Prior to joining Deloitte, he was Executive Vice President of Eclipsys Corporation, overseeing all client facing activities — sales, marketing, product management, customer support, outsourcing and professional services. Upon leaving Deloitte, Russ formed Rudish Health Solutions, which focuses on strategy and M&A consulting, interim management and executive search. He also became a Principal in Health Care IT Leaders, which provides staff augmentation services.

StarBridge Advisors will provide world class IT leadership advisory and interim management services to healthcare organizations. We want to be a trusted advisor on leadership matters in the HIT marketplace and to help clients innovate, transform, lead, and make a positive impact on healthcare in the U.S. Continue reading →

New leader? You’re not alone

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Are you in your first CIO position?  Have you just been promoted by executives at your organization who see what you are capable of? Or have you been tapped by another organization to step into yourcanstockphoto12535181 first ever CIO role? Or maybe find yourself serving as the internal interim CIO during the search for a permanent CIO.

In any of these scenarios you may wonder where to turn for help and advice. Every day there will be situations that you do not feel fully prepared for.

If you’re fortunate, you have already attended the CHIME CIO Boot Camp. It’s a three-and-a-half-day immersion into the breadth of what a CIO needs to know taught by experienced CIOs. Over 1,400 CIOs and future CIOs have graduated from the program over the past 13 years. If you haven’t yet attended, you should consider it.

If your organization has memberships with health care focused services such as Advisory Board, or broader research services like Gartner, be sure to take advantage of those resources. And make them available to your entire IT leadership team.

Be a sponge. Don’t be afraid to ask questions. Find people who are ahead of you and can share their experience. Continue reading →

Shaping young minds and tomorrow’s leaders

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I was running late in wrapping up a meeting before my next one. I was meeting with a young IT staff member whose manager had encouraged him to get time on my calendar for career advice. We had acanstockphoto14947189 great half hour chat about his future goals. I introduced him to the next person patiently waiting to meet with me – the manager for telehealth – a young man who was relatively new to his position. I figured they should know each other.

The telehealth manager walked into my office after the intro and said “So you’re shaping young minds”. “Absolutely!” I replied.

I have adult children and so I realize how valuable this type of access and advice can be. I saw some of the challenges my daughters faced when they graduated from college and started to navigate and grow their careers. I asked myself, “why not be available to their generation?” After all, each of us can probably remember someone who helped us early in our careers. So I concluded it was time for me to give back; I made a commitment to help develop the next generation of leaders.

Even though I have had a full schedule as a CIO, I have been willing to take short calls and meetings with anyone who wants to talk about their career and get advice from me. They may be staff members in my IT department or in other departments. They may be students who work in my organization and need to interview the CIO for a class assignment. Or they may be someone to whom a colleague has suggested that I’d be a good person to meet. Many such referrals are for young women who want to learn from me as a female executive in IT. There aren’t that many of us yet in health IT but the numbers are definitely going in the right direction.  Continue reading →

Learning from leaders

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It’s rare that a CIO gets to watch another CIO at work. Yes, we all network regularly at CHIME and other conferences. We learn from each other on topical webinars. And we pick each other’s brains on canstockphoto13851442phone calls about something that is new for us and our organization.

But to see someone working day to day with the executives, their peers and their own leadership team is different: how they set expectations and deliver tough messages; how they make commitments with appropriate caveats; how they answer questions if they don’t have enough information yet.

I’ve been fortunate to watch our new CIO, Joy Grosser, at University Hospitals, at work. I’ve stepped back since she became CIO and serve as an advisor to her during the transition. We look for pockets of time to do transition and turnover.

During these few weeks of transition, we’ve had some production issues and vendor challenges. We are developing next year’s budget. We are finalizing a plan for new hospital integration with the help of a consulting firm. These are big initiatives to walk into, to learn quickly what you need to know, and to lead with authority and confidence.

But that’s what leaders do. They listen and learn. They share their values and vision. They don’t pretend to know or have all the answers. They rely on their team to keep them informed and to solve problems. And at the end of the day they own it. Continue reading →

Manterrupting

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How can I not comment on the most watched Presidential debate ever? There were 84 million people watching the debate. It was up against Monday night football and in my temporary town, thecanstockphoto10414040 Cleveland Indians were clinching the American Central championship.

For women who have dealt with blatant and subtle sexism throughout their lives and careers, it was the ultimate show.

As my twitter feed and Facebook filled with commentary Monday night and all day Tuesday, the gender politics came into focus.

 “Sexism is a man screaming he has a better temperament than a woman who has been patiently waiting to speak after being interrupted 10 times.” A tweet from @nickpraynerr shared by Hostile Politics

“Finally the whole country will watch as a woman stands politely listening to a loud man’s bad ideas about the field she spent her life in.” A tweet from Alexandra petri @petridishes shared by Being Liberal

“And now, a completely unprepared man will interrupt a highly prepared woman, 51 times, only to prove he actually has very little to say!” Ezra Klein sharing a video clip from Vox to prove it. Continue reading →

Adventure in a new city

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A year ago, I suggested to my husband that I would consider doing a series of interim CIO engagements. He is a retired minister and does a lot of volunteer projects for the denomination and ministers associationcanstockphoto20995234 – all from his home office. So he was supportive. His view was we’ll just have an adventure in a new city. We’d bring the dogs with, stay in an apartment and go home to check on our house once a month. That was a great working assumption.

The first interim opportunity was at University Hospitals in Cleveland, which was a great location to start this plan!  It’s just a short 3-hour drive from our home in Ann Arbor. But then we relocated from Michigan to Rhode Island in order to be near family so things didn’t work out quite as we planned. There was way too much work in Michigan to sell and move out of our house; on the other end way too much work to find a house and move into it. So I’ve spent many weeks in Cleveland on my own without my soulmate to have those new city adventures with.

But in the past 8 months, we got to know Cleveland as best we could and it’s truly been a fun adventure! Some of the highlights to pass on to our new CIO who has relocated to Cleveland from Iowa and anyone planning to visit: Continue reading →