The power of learning from your peers

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I spent the better part of a day this week at the annual meeting of the Epic Michigan Users Group (we call it eMUG). But I don’t want to focus on Epic. I want to talk about the value of learning from your peers. It could be any vendor or any user group.

This was our fourth annual eMUG conference. Given space limitations, we had 200 attendees last year and with the venue this year we were able to accommodate 400, a significant increase. With 11 health systems in Michigan on Epic, that’s a good size group from each organization.

When asked for a show of hands on how many had been to Epic’s national user group meeting (UGM) before, only 25-30% of the attendees raised their hands. Local user group meetings like eMUG give many more staff a chance to attend and connect with their peers. National user group meetings are costly with airline and hotel expenses for a couple days.

This eMUG meeting was a content rich day: Continue reading →

Making the tough decisions

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We make all kinds of decisions every day. Some are small yet seem difficult at the time. One I sometimes joke about is ordering off a restaurant menu that has too many good choices. When I finally make my order, I tell the server that I have made my “major life decision” for the night.

Sometimes a group makes a decision after weeks or months of lengthy deliberation: many groups have weighed in, expressed their concerns, asked their questions, refined the plan or recommendation, and only then ultimately provided their support.

And then there are the potentially very impactful decisions that must be made in a matter of minutes with the best information you have available after a very quick weighing of the risks. I had to make one of those decisions last Friday.

We had scheduled our Epic version 2014 upgrade for the weekend. The plan was to bring down the production system at 12:30 AM Saturday. The system would be down until 5:00 AM while the final conversion tasks were completed. IT and operations staff were scheduled in the command center to monitor the upgrade and address any problems. Leadership calls were scheduled daily to review issues starting Saturday.

At 11:51 AM on Friday, I got a text Continue reading →

Meet your future workforce

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Future IT worker helps with the a/v during the morning presentation.

Yesterday the IT Department hosted 25 children for Take Our Daughters and Sons to Work Day. This annual event is a great way to encourage both girls and boys to consider careers in health care and information technology.

I kicked things off at breakfast and talked with all the participating young people (ages 6-13) and their parents. I met many of the parents and children individually as they signed in and ate breakfast.  One parent said to her child that I was her boss’s, boss’s, boss.  I said they should think of me like the principal at their school – in charge of everyone in our IT department. I thought it would relate to them better than saying CIO. Continue reading →

In a bow: HIMSS15 wrap up

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The biggest HIT event of the year is over – more than 43,000 attendees, over 300 education sessions, and over 1,200 exhibitors. Say what you want about the long taxi lines at the end of the day, all in all the service provided by HIMSS, hotel and convention staff was great. Say what you want about the slow performance of the HIMSS15 mobile app, there were many other ways to find out what was happening and where you needed to be. I will say though that our UMHS users would be all over me if our systems had such slow performance – I guess for an app that has the life cycle of a 4 day conference, you can get away with it. But let’s hope for improvements next year!

I’ll leave the deep analysis on market trends, vendors, and big announcements to the professionals who write for a living. I have a day job to get back to. But I will share a few highlights and thoughts after my time in Chicago: Continue reading →

Make the most of HIMSS15

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The health IT event of the year is almost here. Yes, just a few more days until HIMSS15 and time for education, networking and vendor exploration. Whenever HIMSS is in Chicago, some people worry about the weather. But it looks like we’ll have high temps in the 60’s so you southern and west coast folks can leave behind your boots and gloves!  I am sure the Boston attendees will not bring snow.

March to HIMSS Post Icon-Sue Schade BlogI’ve attended HIMSS many times and have learned how to make the most of my time there. So, whether it’s your first HIMSS or you are a veteran, here are some useful tips:

Education sessions – The best ones will be standing room only.  If you really want to hear a particular presentation, get there early. Room locations may be very far apart so map out your next session. Pay attention to the session designation in the listing – basic, advanced, or intermediate.  The last thing you want to do is walk half a mile to get to a session that is targeted at a different level audience.

Networking – Networking is one of the greatest values of this annual event. HIMSS provides many ways to find people with similar interests as yours. Plan ahead: Continue reading →

Yes you can: encouraging girls to pursue IT careers

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Last week I spoke with high school and college age women about the Journey to a Successful Career in Information Technology. I gave the keynote at an event jointly sponsored by the Student Resource and Women’s Center and Career Services at Washtenaw Community College. The event was part of their women in non-traditional careers series. It was fun to do – having a chance to encourage and inspire the next generation of information technology professionals.  And it was great to see some familiar faces in the audience – a number of women from our IT team decided to attend as well.

I started my talk by profiling real women in real IT jobs today – 8 women from our IT team.  Their positions include service desk, business analyst, programmer, database administrator, data architect, project manager, training manager, and infrastructure manager. I described what they do in a typical day and the skills they need in each position. One comment overheard after the talk: “This is exactly what these girls need – to see that women can and do work in IT.  Then they can picture themselves doing it, too.” Continue reading →

Make your voice heard

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March is Employee Appreciation Month.  UMHS leadership is hosting breakfast, lunch or dinner at all our sites as a way to say “thank you.” We also conduct our annual Employee Engagement Survey this month. There are only two more days to participate in it.

I’m happy to say the IT department is at an overall participation rate of 66% compared to 48% for all of UMHS.  We had a 90% participation rate in IT two years ago. It was my first year as the new CIO and I made it very clear to the people on staff that I couldn’t address problems in the department if I didn’t know what they were. I needed their input!

Based on the survey results two years ago, we established four workgroups to focus on several key areas. Some areas we were definitely weak on and others we were OK but knew we could improve – recognition and appreciation, employee development and training, service excellence and teamwork.

While we’ve made good progress in all these areas, I’m the first to admit there is still far more work to do.

I have been encouraging our IT department staff to “Make Your Voice Heard.”  There are multiple channels for staff to give me and the entire leadership team input and feedback. In addition to Continue reading →

Creating a security culture

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I wrote recently that if the CIO is the only one worrying about the EHR implementation, it’s a problem. Likewise, if the CIO and the Chief Information Security Officer (CISO) are the only ones thinking about IT security, it’s a problem.  You only have to read the news any given week to see the rising number of breaches within health care – the recent Anthem breach being the biggest to date with over 80 million records involved.  And there is a new breach we are all hearing about as of this week – Premera Blue Cross potentially involving financial and medical records of up to 11 million customers.

IT security is a common topic amongst health care CIOs these days. We are continually trying to learn from one another and share best practices.

I recently had a third party IT security assessment done for our health system in order to identify key gaps and get recommendations to strengthen our IT security program. One of the best pieces in the final report was about creating a security culture. So what’s a security culture?

Signs an organization has developed a security culture include the following: Continue reading →

Surfacing problems, prototyping solutions

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According to Wikipedia, “a hackathon (also known as a hack day, hackfest or codefest) is an event in which computer programmers and others involved in software development, including graphic designers, interface designers and project managers, collaborate intensively on software projects”. Hackathons are a great way to surface problems and prototype solutions in a short time period.  I just participated in my first hackathon and what an eye-opener it was.

Last week, four different IT groups participated in “Hacks with Friends”: central campus, school of medicine, school of dentistry, and the hospitals and health centers.  It was a grassroots event organized by staff. It was great to see such talent and creative energy in one room.

Every available surface was used to brainstorm and organize ideas.

For two days, over 100 participants in 20 teams worked to develop projects in 3 categories  – gamification, collaboration, and play (which turned out to be the catch-all category for a problem you wanted to explore or experiment with). Projects could be either externally focused on our customers or internally focused on improving processes for technical staff. Many teams included members from the multiple IT groups solving common problems.

Each team was to develop a minimally viable product (MVP). An MVP is a simple way to address a problem that adds value, is demonstrable. An MVP can be an improved process, a new way of doing things, or an old tool applied in a new way.

Poster presentation proposing FitBit integration with UM’s wellness app.

Each team had to create a winning presentation in three stages. First they needed to create an elevator description of the project, including problem statement, solution and differentiators. Then, they needed a five minute poster presentation. If chosen as a finalist, the team needed to prepare a seven minute demonstration of their product.

To succeed, the team needed to understand the strengths of their team members and welcome a broad range of experiences into the team. Best ideas come from co-design. A great reminder that hackathons are not just for people who can code!

Laura Patterson, the UM CIO, Ted Hanss, the Medical School CIO, and I were the judges. We applied these criteria:

  • Fit to category – how well does the project fit the selected category?
  • Feasibility – would this work in the real world?
  • Completeness – how far did the team get in the allotted time?
  • Documentation – did the team document what they learned?

The winning team, “Magic Mirror,” hard at work.

The products proposed were creative and exciting.  Some examples:

World of Workcraft – a game to track what we are learning everyday – books, articles, courses, conferences.

Active You – integrating FitBit with the ActiveU mobile app. I think a high percentage of the 11,870 participants in this UM employee wellness program would love this!

Rundeck – a way to automate system administrator tasks using the Rundeck tool.

The winner of the Hacks with Friends event was Magic Mirror – putting student photos in their profiles in the new learning system to help faculty get to know students and students get to know one another. The runner-up was Go Phish – an interactive training tool to help people recognize phishing email leveraging gaming technology.

The coveted “golden hard drive” trophy.

But from another perspective, Activity in Motion (AIM) was the winner for me.  This was a team led by Sally Pollock, Manager of IT Service Management from my IT department, that developed a multi-platform application to capture and centralize major incident activity real-time.  Benefits include: providing real-time information, minimizing distractions during the major incident call, minimizing the duration of the major incident, capturing a list of participants, making activity highly visible and storing it in a database, where it can be used for reporting and the post incident review process.

The team’s presentation helped me realize the current state of managing major incidents and how a simple app like this could improve the process. I jumped on it.  I asked the team to present to my leadership group meeting on Wednesday and we gave directional support for this solution. They will come back in a month with recommendations on how to fit this solution into our current major incident process.

A great example of how a hackathon opened one leader’s eyes to a problem that needed to be solved.

Leadership huddles: not just another meeting

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It’s huddle time! No, I’m not joining a sports team.  But along with my leadership team, we are taking the next step on our lean journey. In a few weeks we’ll be starting twice a week 30 minute leadership huddles. This is part of Lean in Daily Work which also includes key visual metrics, visual boards, Everyday Lean Ideas (ELI), and leadership walks.

In a post last summer, I talked about the lean journey.  It is important for leadership to set common expectations throughout an organization.  So if we’re going to practice lean thinking as a department, our leadership team has to set the example.

The goals of this lean experiment include the following:

  • Create a common understanding of what our performance is compared to what we want it to be so that we can understand the gaps and improve
  • Make our work visual and actionable
  • Understand our business more deeply by asking questions and looking at trends
  • Surface, track and trend problems
  • Gain experience and practice with lean

Continue reading →