HIMSS24 from a distance

I haven’t been to a national HIMSS conference since 2019. We all remember how the early days of the pandemic led to a last minute cancelled HIMSS20. Since then, there has been a multi-year transition in the conference approach. It was back to what appeared to be a pre-pandemic level of attendance at HIMSS24 this week. I sat it out again this year but watched from afar on social media.

On social media I saw the key vendor announcements, session highlights, and got a glimpse of the oh so valuable in person networking as many people shared pictures of reconnecting with one another.

Bill Russell’s This Week Health Newsday episode on March 8 – “HIMSS , Yes or No?” – asked are you going to HIMSS, should you be going? He aptly named national conferences like HIMSS as “carnival” type events. With over 1,000 vendors exhibiting at HIMSS, the description fits. But, if you are looking to meet with your vendors or research new vendors to solve real problems, the exhibit hall was the place to be. He also refers to “relationship” events – smaller conferences and events where there is an emphasis on the peer-to-peer connection we all value. That’s where I am putting my focus given my current work.

At any conference, networking is key. There are benefits to you and your organization as you build relationships and learn from your peers. It is not just about your own career journey which is often what people think about networking. In the past four years we’ve become accustomed to virtual connections and events, but I agree that there is nothing like in-person events for networking and renewing relationships.

Did I have FOMO this week? Maybe a little. But am I continuing to build new and nurture old relationships with colleagues and clients every day? Yes.

I look forward to reading the HIMSS24 recaps in industry publications and from attendees on their social media accounts to learn even more. Here are a few to start: Continue reading

Leadership and crisis management lessons from Pennsylvania

I love seeing stories of success with lessons to apply to our work in health IT. The recent I-95 collapse in Philadelphia and the re-opening in just 12 days is one of those stories. There was a great opinion piece in the Washington Post on July 16th by Pennsylvania Governor Josh Shapiro – “Opinion: We fixed I-95 in 12 days. Here are our lessons for U.S. infrastructure”. Initially experts told the Governor it would be months before they could reopen the highway and get traffic flowing. Instead, they reopened it in just 12 days. Indeed, there are many lessons for leaders in all industries.

Here are the four key takeaways he comments on:

  1. Empower strong leadership
  2. Speed up the bureaucracy
  3. Encourage creativity
  4. Work together

In the face of a crisis, empowering strong leadership is critical. We’ve seen it in healthcare during the pandemic and when responding to any kind of disaster. As Governor Shapiro describes it – “Managers of every component of the project were empowered to be decisive, take ownership and make a call when necessary — not defer and delay to the often-circular bureaucracy. Decisions were made quickly and in a synchronized manner.”

We have plenty of bureaucracy in healthcare including many processes in IT that seem burdensome. Governor Shapiro described how an executive order he signed shortly after taking office that catalogued each of the 2,400 permits, certificates and licenses the state issues and set timelines for each of them resulted in significantly reducing wait times – with one example cutting the time from eight weeks to two days. IT leaders take note – how many processes can be streamlined in your shop?

Innovation in healthcare is greatly needed and there are many bright spots we read about each day. But innovation is not just the new big flashy stuff, it can be a creative and new way to solve a problem that comes from someone on the team or an observer. Governor Shapiro wrote, “Encourage creativity and allow everyone to bring their ideas forward”. The backfill solution to rebuild the collapsed freeway using a recycled glass product was a result of that creativity from PennDOT engineers.

We all know there is no “I” in team. We accomplish great things by working together. In Pennsylvania, state and federal officials coordinated closely with each other and private contractors and organized labor collaborated working 24/7 to get the job done.

While we never want a crisis to manage through, there will be more. These lessons will be key then and every day.

Related Posts:

Leading through a crisis

CHIME Fall Forum 2022 – it’s a wrap!

This week was my first in-person conference with CIO colleagues since Spring 2019. The CHIME Fall Forum is an annual gathering of health IT leaders, and this year is the 30th Anniversary of CHIME. Prior to the pandemic, I’ve attended CHIME fall forums almost every year since 2000 when I first joined CHIME. It was so good to again see friends and colleagues I’ve known for decades and finally meet in-person new colleagues and connections I’ve only known via Zoom for the past few years. There is nothing quite like in-person events for networking and informal conversations with colleagues. Kudos to the entire CHIME staff and board who did an excellent job once again!

From the DEI retreat on Monday to the League of Women’s luncheon and track sessions on Tuesday, to the somewhat creepy humanoid robot interview that CHIME CEO Russ Branzell so patiently did as the keynote on Tuesday, to the insightful “CHIME 30th Anniversary – Past, Present, Future” keynote panel on Wednesday, to the inspiring keynote from Carey Lohrenz on Thursday, and all the track sessions and receptions in between….it was a great few days in San Antonio.

I’ve been involved in the CHIME DEI Committee for the past two years. The panels at the DEI Retreat on Techquity and Next-Gen Leadership generated lively discussion amongst the diverse group of attendees. Kudos to Sheree McFarland, CIO West Florida at HCA, and Cletis Earle, SVP and CIO at Penn State Health, who co-chair the DEI Committee with support from the CHIME staff.

The CHIME League of Women track sessions covered a range of topics aimed at encouraging women to lean into leadership roles and take career risks. These were standing room only sessions – a diverse, multi-generation group of women attended with many male allies. Personal journeys and challenges faced were openly shared by the panelists. Kudos to Sheree McFarland and Sarah Richardson, SVP & Chief Digital and Information Officer at Tivity Health, for their leadership to the League of Women.

Past board chairs in attendance took the stage at the opening session to be recognized.  I am grateful for their contributions and leadership over the years. 25 of the past board chairs over CHIME’s first 30 years are white men. Seeing them on stage together was a stark contrast to the diverse group at the DEI retreat and the League of Women’s sessions. Change is happening and health IT leaders are becoming a more diverse and representative group. Continue reading

Importance of community for health IT leaders  

I am a fan of Bill Russell and his multi-media company This Week Health – today is no exception. Bill had a very insightful and spot-on episode last Friday on isolation and the importance of choosing community –“Isolation Destroys Leaders – Choose Community”. It is worth 15 minutes of your time to listen!

Bill starts with a neighborhood community analogy post Hurricane Ian and goes on to talk about the importance for health IT leaders to fight isolation and be part of a sharing and learning community. He talks about checking your ego and being willing to learn from everyone comparing his 16-hospital health system CIO experience with that of a small community hospital CIO with a staff of less than 10 people. As CIOs they both dealt with the same regulatory environment and set of issues.

He encourages health IT leaders to consider getting a coach and uses a sports analogy to distinguish between a coach and a consultant. And he encourages people to find small peer groups to be part of for ongoing learning and sharing.

One of the common goals Bill and I share is developing next generation leaders. There are many ways to do that, and Bill’s podcasts are one of them – thanks Bill for another great episode!

Related Posts:

The power of your network and learning from others

Considering a coach in 2022?

Different organizations, common IT challenges

 

Celebrating, collaborating with, and learning from HTM – part 2

This week is Health Technology Management (HTM) Week celebrating and honoring all those who work in the HTM/Clinical Engineering/Biomedical department at provider organizations across the country. Regardless of the department name, you know who they are. If you are a nurse, you know the HTM staff by name. HTM professionals make a difference every day ensuring safe patient care.

Over the past 9 years as an AAMI board member, I’ve developed a greater appreciation for this critical part of our health ecosystem and all the players involved. From HTM leaders to clinicians to educators to device manufacturers and government representatives. AAMI is an organization that brings all of them to the table. As described on their website, the Association for the Advancement of Medical Instrumentation® (AAMI), a nonprofit organization founded in 1967, is a diverse community of more than 10,000 professionals united by one important mission—the development, management, and use of safe and effective health technology. AAMI is the primary source of consensus standards, both national and international, for the medical device industry, as well as practical information, support, and guidance for healthcare technology and sterilization professionals.

The timing of my first This Week Health Townhall interview published last week was perfect. I spoke with Pamela Arora, AAMI’s new President and CEO. I have gotten to know Pamela as a CIO colleague and fellow AAMI board member the past 6 years. She will bring new perspectives and experiences to AAMI. Not the least will be a recognition that HTM and IT teams need to work more closely together at the micro level in provider organizations and at the macro level with professional health IT organizations. Closer collaboration will have a positive impact for the patients and communities we collectively serve. Continue reading

Leadership revisited

It’s a new year. Time to reflect and look ahead. Whether you are a leader or an aspiring leader, there is always room to develop your own leadership skills and find ways to help others develop. Over the years, I’ve often written on leadership. Here is a short list of posts worth revisiting:

10 Tips for next generation leaders

7 Ways to develop the next generation of leaders

Leading through a crisis

What we should expect of leaders

Inspiring and developing new leaders – learning from the best

Lead by example

Leader as conductor

Note – I am taking a short break from writing new posts in January. With all the blog posts I’ve written over the past 7 plus years, I’m using this break to share some of my “classics”. Thank you for being a subscriber – I hope you will encourage your colleagues to subscribe in the coming year.

Vendor relationship management revisited

For IT leaders, effective vendor relationships are critical. In previous blog posts, I have provided guidance on creating win-win relationships and outlined what makes up a successful ongoing vendor relationship.

I am currently serving as interim CIO at Boston Children’s Hospital, the fourth health system I have served as an interim IT leader since 2016. I am experiencing vendor relationships and the challenges of vendor management all over again. Revisiting some of my own advice has been useful to me so I decided I would share it again with my readers.

12 tips for effective vendor management is a useful refresher worth another look. Let me know if I missed anything.

I would love to hear your stories of vendors who stepped up as true partners with health system IT teams to find creative solutions, expedite deliveries and provide extraordinary customer service during the pandemic. After all, 2020 was a test for all kinds of relationships.

Related Posts:

Keys to successful vendor management

What to expect from your vendors

Remote work – writing chapter three

In my blog post late May, “Remote work – what next?”, I commented on the balance needed as organizations begin to bring people back to the office. Balancing the organization’s needs with the individual’s preferences and choices. I concluded that the organizations that are thoughtful in their plans and supportive of their workforce during this transition time will be most successful in retaining and attracting talent. I noted that chapter three of remote work was just beginning to be written.

I continue to hear from colleagues on their approaches and see many articles on the subject. That includes a rather concerning one, “The Great Resignation…..by Remote Workers”, written by several senior partners at the search firm Korn Ferry. One of my CIO colleagues shared it on our Children’s Hospital Association (CHA) CIO Forum Hot Topic Call last week when we were discussing our respective approaches to continuing remote work. The article describes the challenge of retaining employees who now know they can be a remote worker for companies anywhere who may offer a higher salary or better benefits and perks. They emphasize the need for organizations to rethink their retention programs and find new and innovative ways to incorporate remote workers into the culture.

It was useful to hear from CHA colleagues – flexibility is the operative word. Having broad guidelines and letting individual managers work with their teams on how best to make a mix of remote and onsite work most effective for them. A few of the CHA CIOs talked about national recruitment with each having several states where they are approved to recruit from. For an organization that primarily operates in one state and hires from a few bordering states, expanding recruitment nationally will depend on HR support and dealing with tax laws. But if you do go down this path, one CIO cautioned that you need to ensure inclusivity and find ways to make out of state employees feel part of the culture.

My colleague and principal at StarBridge Advisors, Russ Rudish, wrote an excellent blog post recently outlining the challenges and opportunities that both employers and employees are focused on as we enter this next chapter. In “Now What? Working in a Post Covid World”, Russ comments on recruiting and retention, work / home separation, feeling part of a team, and more. As he says, there are no quick or simple solutions but how companies address them will have significant and broad impacts. Continue reading

Remote work – what next?

After 14 months of remote work for many, organizations are making plans to bring people back to the office. Most healthcare CIOs that I spoke with in the past year plan to have their staff either remain fully remote or back in the office part-time for a “hybrid model”. Only one CIO that I spoke to had his full IT team onsite throughout the pandemic. They were considered critical support staff and available to augment staff in other departments if needed.

With this transition there are many articles covering all sides of the topic and the challenges facing organizations and employees. Two recent articles from Harvard Business Review are worth checking out.  The first one, “What Mix of WFH and Office Time is Right For You?”, is aimed at individuals assessing their own workstyle when it comes to work location. If the employee has a choice, the article suggests they do a self-assessment and then discuss with their boss what would work best for them. The second one, “How To Do Hybrid Right”, is aimed at organizations trying to determine the right hybrid model in terms of employee types and workspace design.

A recent opinion piece in the Boston Globe by Jon Levy, “The Hybrid Workplace Probably Won’t Last”, talks about the pendulum swinging back to onsite work. Jamie Nelson, CIO at Hospital for Special Surgery, made similar projections in her recent podcast with Bill Russell on This Week in Health IT and talked about being onsite herself through the pandemic and the importance of leaders in healthcare organizations being present.

Bill and I covered the topic extensively on This Week in Health IT Newsday show earlier this week. A few of my thoughts on the topic: Continue reading

Ensuring go live success for large scale IT projects

Since the pandemic, major system implementations at health systems have continued with successful go lives supported by virtual or hybrid remote/onsite teams. Many organizations have “go live” success stories in this new world of remote work. While virtual support may change some things and certainly presents new challenges, the core work of a successful go live is still the same.

In late 2019, I published several blog posts on successful go lives based on firsthand experience with a major Epic implementation. Here they are again with basic lessons and tips:

10 Go Live Command Center lessons from the field

Epic Go Live – report from the field

9 Tips for Go Live support success

I welcome your comments on any virtual or hybrid go live experiences you have been involved in during the past year. If I get enough new lessons and tips, I will write a new blog so all can benefit. After all, continual learning and sharing best practices is at the core of what we do in healthcare.

Why this topic this week? I am currently working with a client who is less than six weeks out from an ERP go live so it is on my mind a lot. We are doing what we refer to as an Independent Verification and Validation (IV&V), a framework that facilitates audits of major IT projects regardless of area and complexity.  We explore 11 categories in-depth.  The topics range from governance and budget to training and QA.  The detailed analyses for each area involve document review and interviews to ascertain the status of the project.  A risk score is assigned in each of the 11 areas and mitigations are suggested based on the findings.  Ideally, over the life of the project there are three IV&V sessions conducted prior to go live and one session after go live to ensure that projects stay on course, make corrections as necessary in a timely manner, and achieve the defined objectives.

If you think an IV&V from my advisory firm, StarBridge Advisors, is something that your organization can use, please contact us to discuss.