Tag Archives: culture

Leaders as mentors

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Since late May, I’ve had the chance to work with a new group of talented and committed IT professionals at the University of Vermont Health Network. Everyone is working hard towards a common goal with our canstockphoto13471338 (1) mentorupcoming Epic go live. I am impressed every day with the depth of knowledge, flexibility, resilience, and dedication of so many.

I’ve learned much from all of them and would like to think they have learned from me as well. I try to be a good role model in all my words and actions. But no one is perfect! With the pace we are all working these days, it’s a very dynamic environment. We’re heads down addressing issues and getting final tasks done.

If we really believe as leaders that our people are our greatest asset, then in spite of being in crunch time, we need to ensure we are modeling the right behaviors and fostering the kind of culture that people can thrive in. Hard as that may be on our busiest of days, we owe it to our teams.

In a few weeks, we’ll be working long shifts together in the 24/7 command center. There will be many issues to address and problems to fix. The stress will be high. But we will also be sharing the joy of having crossed the finish line together. I have been with this team on their Epic journey for only a few months. Most of them have been on this journey together for a few years. Continue reading →

Working together, we improve people’s lives

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That’s the vision of the University of Vermont Health Network (UVMHN) where I’m currently serving as the interim Chief Technology Officer. It’s a simple but powerful statement and a great reminder of the canstockphoto10098870 (1) working togetherimportance of “we” and the work we do together. With our major Epic go live less than two months away, we are constantly reminded what a critical foundational  piece the common, integrated EHR is for the health network. No pressure!

I described the scope of our Epic project in my post “Crunch time and why IT matters” and shared stories from our 90-day Go Live Readiness Assessment (GLRA) in my post “IT takes a village”. Our 60-day GLRA was a few days ago. Dr. John Brumsted, UVMHN CEO, and the presidents from the hospitals and the medical group kicked off the day thanking everyone involved and describing what the common, integrated EHR will mean for our patients. And as Dr. Brumsted noted, the Epic project is the biggest undertaking to date for the organization as an integrated network.

UVMHN is not the first nor the last organization on the journey to create an integrated care delivery system to serve the patients in a region.  To be a truly integrated network, common values and strong relationships are key. Continue reading →

What’s the why?

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Yet another best practice from my IT colleagues at the University of Vermont Health Network (UVMHN). We emphasize “the why” in all our work and communications. From the updates on our upcoming Epic go canstockphoto4362942 (1) the whylive to agenda topics to user communications about scheduled downtimes, explaining the why helps everyone understand the context and reasons for what we do.

Our University of Vermont Medical Center (UVMMC) Chief Nursing Officer, Kate Fitzpatrick, reconnected us all to “the why” again at our IT All Staff meeting this week. With about 70 days left until go live, she spoke to the staff who are working long hours to implement a common, integrated EHR throughout the network.

She drew on the stories that were part of the Green Mountain Care Board Certificate of Need (CON) presentation when UVMHN first got the project approved.

Those stories were like those of every other healthcare system with a regional reach that cares for their patient population through integrated and coordinated services provided by an academic medical center and community hospitals. A common patient health record accessible by clinicians at all care locations.

I remember when my daughters were very young. Continue reading →

Hate has no place

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The most recent horrific mass shootings are not due to video games, the Internet, nor mental illness. There are more guns in the United States than people. Let that sink in.canstockphoto45815739 (1) no hate

Hate speech, racism, and white supremacy exist and are tolerated by some of our elected leaders who are supposed to keep us all safe. Let that sink in.

This is not who we want to be as a country. It is time for responsible, moral leaders to act.

I am saddened and outraged yet again by the mass shootings in El Paso, Dayton and Gilroy. We have seen hate target Jewish people at worship in Pittsburgh. We have now seen hate target Hispanic people shopping on a Saturday. These are people like you and me who go to stores, festivals, and churches like you and me.

I have no new messages. I have said it all before in one way or the other.

I wrote about every day racism last year after stories surfaced about incidents at a Starbucks, an Airbnb, a common dormitory room, and a college tour: Teaching moments – every day, everywhere

I wrote about the inhumane treatment of immigrants at the border: Heroes among us: pediatricians

I wrote about the strength and leadership of the Parkland students who started a national movement for gun reform after a mass shooting at their high school: What will you speak up for? and This can’t be the new normal

I wrote about gun control after the largest mass shooting in this country at a music concert in Las Vegas: When can we talk about it?

I wrote about the mass shooting at the Pulse nightclub which targeted gay people: Who do we want to be?

I wrote about what I want for my grandchildren as I watched a gun control debate back in 2016: On being a grandparent

And I wrote about the need to build bridges as I listened with both sadness and fear to the divisive rhetoric during the 2016 presidential election: Build bridges, not walls

We must speak up for love and justice every chance we can. We must challenge those who hate and divide us as a people. And we must vote for the kind of leaders that we are willing to trust the future of our children and grandchildren to. Please join me.

“We’re at meeting norms”

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That’s a new phrase for me. One I’m still getting used to at my current interim engagement in IT at the University of Vermont Health Network. Said like that, it means it’s 10 minutes to the hour and time to wrap canstockphoto15517676 (1) meeting normsup the meeting. Time for people to shut down any video conferencing, clear the room, take a bio-break and get to their next meeting. And for others to come in and get set up for the next meeting to start right on time. And start on time they do.

This is a meeting discipline that makes a lot of sense and everyone seems to have adapted to it. As the new outsider, I’m still getting used to it and trying my best to conform. Get there on time and if chairing the meeting, wrap up by 10 minutes to the hour (5 minutes if it’s a 30-minute meeting).

Other meeting norms the IT department has established include all agendas and meeting materials available in advance as part of the meeting invite, not sent around separately as emails with attachments. I was told early on that if a meeting doesn’t have an agenda, you’re free to not attend the meeting. While I’ve seen no specific guideline on this, I wouldn’t be surprised. Another way to ensure meetings have purpose and a plan for the time. 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.

Related Posts:

Merger mania – is it good for the patient?

Culture matters in mergers

Corporate functions, local service

The evolving role of the CIO

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At the beginning of 2019, is your role as a Chief Information Officer what it was a year or two ago? Is that even still your title? Chances are the answers are no. Your role is possibly broader and more strategic canstockphoto2442956 (1) changing role of CIOthan it was.

Much has been written about the changing role of the CIO. There is talk about CIO 3.0. Some CIOs may feel pressure to take on new responsibilities, so they aren’t overshadowed by other new CXO leaders. But many more want to broaden their role as healthcare and technology evolves.

As John Glaser summarized so well in his article, “The Evolution of the Health Care Chief Information Officer”, many new CXO roles now interplay with the CIO role.

He talked about the five factors shaping the CIO 3.0:  the transformation of the health care business model; relentless innovation in information technology; shift in strategic emphasis; stepping up your skills; and IT leadership becoming a team sport. This last one is critical. The CIO and other evolving roles must play well with one another in the interest of the organization.

One of our StarBridge Advisors blogs in 2018 was by Avery Cloud, a former advisor and now CIO at Franciscan Missionaries of Our Lady Health System (FMOLH).  The title of his blog post was “The C-Double I-O”, adding a second “I” in the CIO title for innovation. He challenged CIOs to become as conversant in innovation principles as they are in ITIL.

David Chou, Chief Information and Digital Officer at Children’s Mercy Hospital, suggests that CIO also must mean “chief influence officer”. In his article he emphasizes the importance of creating a strong culture that supports transformation, and thinking like a CEO.

In the most recent StarBridge Advisors blog, “10 Steps to Prepare for 2019 – Big Challenges – Bigger Opportunities”, David Muntz had some advice for CIOs in the coming year. In step #3 he encourages CIOs to do a self-assessment. Continue reading →

8 Signs of a strong security culture

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Cybersecurity incidents in healthcare are on the rise. Organizations are continuing to strengthen their security programs. canstockphoto45375611 (1) security culture

I am currently working with two clients who are focusing on security. One is a large regional organization that is hiring their first Chief Information Security Officer (CISO). They asked StarBridge Advisors to provide an interim CISO to help build the security program while they recruit. The other is a university health system that is consolidating their security program under the university CISO and hiring an associate CISO to focus on the health system. Both organizations recognize the importance of the CISO role and the need to continually strengthen their security profile.

While it may be surprising to see organizations hiring their first CISO in 2018, what matters is that they recognize the need and are making the investment.

When I served as CIO at Michigan Medicine for the hospitals and health centers, we crossed that bridge in 2015. The IT leader responsible for infrastructure had been responsible for security as well – not uncommon in healthcare organizations. I recognized that the security function needed a dedicated focus, so we hired a full-time CISO.

I engaged a third-party security expert to conduct an assessment using the NIST framework. As a CIO, I learned a great deal through that process. With the help of our consultant, I was able to educate the executive team as well.  One component of the final assessment report was about creating a security culture.

Security cannot just be the job of the CISO. Continue reading →

Teaching moments – every day, everywhere

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A Starbucks in Philadelphia, a golf course in York, Pennsylvania, an Airbnb in California, a college tour in Colorado, a common dorm room at Yale. These are the stories of every day racism that have gotten canstockphoto48801491 (1) multi racialsignificant media attention recently. Yet we all know there are many more stories just like this. And they are happening every day and in every part of the country.

This week it was a blatant and demeaning racist comment from the star of one of ABC’s highest rated shows and money maker. ABC leadership acted swiftly. As they should. ABC Entertainment President, Channing Dungey, announced that the network decided to cancel the show in one brief statement: “Roseanne’s Twitter statement is abhorrent, repugnant and inconsistent with our values, and we have decided to cancel her show.”.

The target of that comment, Valerie Jarrett, former White House senior advisor to President Obama, took the high road. On a MSNBC special program called “Every Day Racism in America”, that same night, she said we should use this as a teaching moment. She was fine but worried about all the people who don’t have support systems, or a circle of friends, to come to their defense. She said she worries about the person of color who experiences a stranger clutching their purse out of fear. And the mothers who must teach their teenage sons to be careful with police.

Yes, these incidents are all teaching moments. Teaching every one of us as leaders about the kind of tolerant, respectful organizations we must create and maintain every day. Teaching us that we need to be the kind of leaders that go high when others go low. And teaching us not to punch back 10 times harder, if we are punched.

Teaching every one of us that we must say something when we see something. The Starbucks incident when two black men, Rashon Nelson and Donte Robinson, were arrested for meeting in a Starbucks without ordering went viral because white people videoed it and shared it on social media.

We cannot sit by and let every day racism happen around us.

Working in healthcare organizations for most of my professional career, I spent every day in one of the most diverse workforces. Treating every person with respect was part of the culture. Continue reading →

Hotels, healthcare and the DMV

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What do these experiences have in common? Customer service – good or bad. I’ve experienced all three in the past two weeks – good and bad.canstockphoto20052265 (002) customer service

It started with the Rhode Island DMV. Rhode Island is a small state of 1,200 square miles and a population of just over 1 million. There is one central DMV. Yes, there are several satellite offices but something as simple as renewing your driver’s license can’t happen at a satellite. And in certain circumstances, online renewal is not an option. That was the case for my husband and I who got our first Rhode Island drivers licenses a year ago. We had to renew in person before our respective birthdays. Not sure why, it’s like we were on probation as Rhode Island residents for a year. Who knows. But rules are rules.

So, we headed over to the central DMV location first thing on a Monday morning to do a simple transaction. We needed to be out in a short time for later commitments later that morning. Silly us.

We arrived just 20 minutes after they opened and found about 150 people ahead of us in the generic “check-in” line. What?? Busier than usual because it was Patriots Day in neighboring Massachusetts, so more Rhode Island people took the day off? Was it the beginning of spring break, so kids were out of school? Or just a typical Monday?

It took us 70 minutes just to get through that check-in line. Then we waited about 45 minutes for our number to be called. Once it was our turn, it was just a 5-7 minute transaction for each of us. Our paperwork was reviewed and updated in their system; we gave them a check. A new photo was taken, and a temporary driver’s license was printed to use until a new one would be sent in the mail. I had hoped for an online task, but it took 3 hours, including the drive there and back.

Tuesday, I had a long overdue doctor appointment. Continue reading →