Tag Archives: digital health

The Front Door Test

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A virtual care experience that shows both the progress – and the gaps – in digital access

We talk a lot in healthcare about access. The shortage of primary care physicians continues to grow, while patients increasingly expect convenient, timely, and digital-first access to care. As a health IT leader, I know that technology can help close this gap. Recently, I found myself experiencing this challenge not as a CIO, but as a patient.

And like many patients, I started where people often do today: with an online search.

After about five days of persistent shoulder pain radiating down my right arm, I decided it was time to seek medical advice. An AI-driven search experience asked structured questions like a clinical intake. The information was thorough and well organized, but also a bit overwhelming. The recommendation was logical: given that I had rotator cuff surgery many years ago, I should contact my PCP or an orthopedic specialist.

That’s when I ran into a reality many patients are facing today. After having the same PCP for 25 years (with a brief interruption when I relocated for several years), my physician recently left the practice. That left me classified as a new patient, on a waiting list. No immediate access. No established relationship to lean on. Just the same access challenges we read about every day.

So, I decided to try my health system’s relatively new Virtual Care program. Continue reading →

From reflection to action – preparing for 2024

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It’s that time of year when you can find 2023 recaps and 2024 predictions everywhere you watch, listen to, or read content. In health IT, we are no exception to this. My StarBridge Advisors colleague, David Muntz, has written our final blog post of the year that health IT leaders may find useful – “12 Steps to Prepare for 2024 – Big Challenges – Bigger Opportunities”.

David is one of the kindest people I know. It is a true pleasure to have been on this StarBridge venture with him for the past 7 years and to have known him far longer than that from when we were CIO colleagues. It is no surprise that he starts his post by talking about how important it is to model kindness, mercy, and compassion in all that we do. He notes the workforce challenges that organizations face and the importance of recognizing that healthcare is a people business. He goes on to address specific opportunities in DEI, digital health, AI, security, and much more.

He closes with a call to make the best of these opportunities in 2024 to improve health and care in our communities, our nation, and our world. After all that is our common goal! I encourage you to add his blog post to your end of year reading list.

All the best to you in 2024! May it be a healthy, peaceful year filled with kindness.

End of year thoughts and advice for 2023

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This week in between holidays is a time when leaders may be working a more relaxed schedule and planning for the coming year. When I was a full-time CIO, I appreciated this last week of the year with few to no meetings and the opportunity to cleanup, catchup, and prepare for the new year.

While the past three years have at times been a blur as I try to recall when certain pandemic related events and changes happened, and the political discourse is incredibly discouraging at times, I remain optimistic about our collective future.

Health IT leaders will continue to face staffing challenges and cost constraints as organizations are under increased financial pressures. The successful health IT leaders in 2023 will be those who can partner effectively with their peers as a member of the executive team, support their organization’s strategic priorities and goals, find ways to reduce costs without reducing services, create flexible work environments with workforce strategies that ensure the best talent on the team, and embrace new and innovative technologies that solve real problems and improve the patient, clinician, and employee experience.

As in previous years, my StarBridge Advisors colleague, David Muntz, has again written an excellent year end blog – 12 Steps to Prepare for 2023 – Big Challenges – Bigger Opportunities. His 12 steps are worth considering as you plan for 2023. And his intro is a powerful reminder of why we work in healthcare and the kind of people we should strive to be in all our interactions:

“Healthcare is a people business.  We need to remind ourselves and our coworkers that mercy and compassion, not anger, define our profession and us as professionals.  We need to model mercy and compassion in our personal lives, in our interpersonal relationships, not just with family and friends, but with strangers and, equally important, our coworkers and business partners.  One way to do that is through genuine listening in pursuit of true understanding – so easy to say, so difficult to do.  Give others an avenue to express themselves.   For your own sake, lower your defenses.  As you create a list of resolutions for the new year, please add to it active and courageous listening, building trust, and treating everyone with kindness.”

May your 2023 be a healthy, peaceful year filled with kindness!

CHIME Fall Forum 2022 – it’s a wrap!

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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 →

On the other side of the digital front door – part 3

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Two different procedures. Two different specialties. Two different patient communication approaches. Yet both practices use the same EHR and patient portal.

Prep for surgery instructions. Paper. Branded folder to put the paper in. More paper on next visit. A call from practice confirming specific surgery time and then get transferred to recorded message with specific pre-surgery instructions. Day of surgery sent home with post-op instructions – more paper.

Prep for procedure instructions. Available on the patient portal under letters. Texts and emails sent with specific prep information. Timed texts and emails for each major step along a defined prep timeline. Post procedure summary and instructions given to me on paper and available on the portal.

Practice variation is real. At times, it’s required and makes sense given different specialties. But not always.

So how were these two different experiences from a patient communication perspective? For me, there is a comfort having paper – can easily refer to it when needed. That is, if you know where you put it – hence the branded folder they give you. In the other situation, there was a very prescribed set of timed pre-procedure steps so the texts/emails at specified times telling me what to do was helpful.

What wasn’t such a good patient experience? Continue reading →

On the other side of the digital front door – part 2

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My health journey continues with multiple focuses. And my journey through digital front doors continues as well. I wrote part 1 on this topic in early November when I was in the middle of various health and dental appointments and scheduling more. I also wrote about what I thought was an awesome example of how technology has evolved in “Patient friendly testing – yes, a positive story!” in September.  The end of that story was not so positive. More on that later.

Here are a few anecdotes from my recent experience:

Cataract surgery – I had my initial consultation appointment the end of November and have surgery scheduled for mid-February. Specialized eye drops were prescribed to start taking a few days in advance of the surgery. As soon as I left the doctor’s office, I received a text message that my eye drop prescription from my doctor was pending payment with this special pharmacy – for immediate delivery to my home I should click the link to pay $82.50. I was a little suspicious of a text asking for payment like that and knew I didn’t need to have the eye drops until February, certainly not immediate home delivery. I called the doctor’s office to confirm the text was legitimate and asked how to handle the timing of delivery. I was told I could just text back regarding delivery timing which I did and got a reply that they could do that. I thought great, there’s a person on the other end. But then I received several more automated text reminders to click the link so they could ship right away. Then they called me. I talked through the timing and gave them my payment info. Their proactive communication (and persistence) was a plus, but I was more comfortable with real-time communication to coordinate specific delivery schedule and payment.

Bone health – I had a virtual visit with a Nurse Practitioner from the Bone Health clinic at my primary hospital. This was part of follow-up from my fall and pelvic bone fracture in August. The virtual visit was easy to get into and very thorough. I learned that more and more elders are asking to be seen in person – not this one unless there is a reason to “lay hands on me”. Continue reading →

CHIME21 recap and CIO perspectives

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A few weeks ago, I wrote about FOMO – what I felt about not going to the CHIME Fall Forum this year. After all, I had not been to either HIMSS or CHIME to see colleagues since spring of 2019. Being in-person with colleagues I’ve come to know well, like a lot, and respect even more, was something I had looked forward to. So yes, I missed reconnecting in-person after all this time. But I am grateful to get some of the content and perspectives from the forum second hand through trusted sources.

It’s no surprise that Bill Russell has dropped a series of excellent podcast interviews with some of the leading healthcare CIOs as well as vendor experts in his Today in Health IT podcast special series he calls “Interviews in Action”.  It includes 10 interviews at CHIME, 8 at HLTH, and 5 from the Sirius Healthcare 2 Healthcare Event. Each one is no more than 15-20 minutes long so perfect for a brisk one-mile walk. Learn from CIOs such as Donna Roach of University of Utah Health, Stephanie Lahr of Monument Health, Dr. Zafar Chaudry of Seattle Children’s, and Scott Joslyn of UC Irvine.

Through the HealthsystemCIO.com recap of CHIME21, Kate Gamble covered several topics highlighting presentations from more of my favorite CIOs:

Whether you are a CHIME member who didn’t attend the Fall Forum or someone who just wants to learn from some of the best IT leaders in the industry, I encourage you to check out all these resources.

On the other side of the digital front door

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Being on the other side of health care delivery is always an eye opening experience as to the progress we’ve made with technology and making it easy for our patients, and how far we have yet to go.

Now that I have more flexibility in my work schedule and we’re past the house move, I’m taking time to prioritize my own health. The newest health issue I’m addressing is cataracts in both eyes. I was pleasantly surprised when I saw that the ophthalmic practice in the area who my eye doctor referred me to has a patient portal link on their website. As I waited on the phone to make an appointment, I perused the website. I thought it was odd that the portal had the same name as my health system’s portal. When it was my turn to talk to someone, they told me my new address asking me to confirm it. I had just updated it with my health system on the patient portal last week. So I asked how they, a separate ophthalmic practice knew. They said the patient portal showed it based on my phone number. Turns out it is the very same portal as my health system. I asked if they were part of the system and they said no but they share the portal. Guessing there is more to the story – possibly an Epic Community Connect relationship?

We scheduled the initial consultation appointment at a location reasonably close at the end of November vs one at an even closer location at the end of January. But my positive response to this encounter quickly took a step backwards. As they described my next steps pre-appointment it included writing down two fax numbers. One to give my eye doctor so they could send a report from my last eye exam. And a different one to give my PCP so they could send a referral. When will healthcare finally retire fax machines??

The fact that I can remember my patient portal password means I’ve become a regular user. And that means I’m taking care of my health. Due to my injury in August, I have multiple ortho appointments and now weekly physical therapy visits.

I was late to my first physical therapy appointment due to mistakenly thinking the e-checkin on the portal would be quick. Continue reading →

Resources for your digital health journey

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My StarBridge Advisors colleague, David Muntz, wrote an excellent blog series on Digital Health over the past year. His latest in the series is titled, “Digital Health – Planning for the Virtual Campus”. David’s ability to define digital health and provide a blueprint for organizations is impressive. This most recent post does not disappoint. He describes the changes that health systems have made in care delivery during the pandemic and poses the question – where do we go from here? He outlines 12 steps organizations should take. Here is a partial list just to whet your appetite:

  • Embrace the same discipline and framework to create the virtual campus as for a traditional campus
  • Query a broader representative sample of stakeholders than you have in the past
  • Plan for the underserved and those who might be excluded because of the digital divide
  • Personalize the experience for providers, patients, and families
  • Use augmented intelligence (AI) and machine learning (ML) during the data collection process

I encourage you to check out the entire post. If you are interested in any future posts in David’s digital health series, subscribe to View from the Bridge to get notifications of new posts. Our team of advisors regularly contributes posts on a wide range of topics relevant to today’s healthcare executives and IT leaders.

The New England HIMSS 2021 Annual Spring Conference: “Empowering People to Impact Health Through Information and Technology” was this week. Continue reading →

Crowdsourcing – looking for your stories on digital transformation 

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I am trying something new with this week’s blog post. I will be doing a talk titled “Digital Transformation: Emerging from COVID19” at an upcoming virtual conference. I will be working on it in my spare time (aka the next two weekends) so it can be recorded in advance.

For many organizations, Digital Health means the “digital front door” and an increased focus on patient or consumer facing applications. But it is far more than that. My StarBridge Advisors colleague, David Muntz, wrote an excellent blog series on Digital Health over the past year. His first post attempted to frame what we mean by Digital Health – “Digital Health – Is Healthcare Ready? Are You and Your Organization Ready?”.

He starts by trying to define it and acknowledge that the Wikipedia definition is good but not great: “Digital health is the convergence of digital technologies with health, healthcare, living, and society to enhance the efficiency of healthcare delivery and make medicine more personalized and precise.” As David expands on his definition, he says ”Digital health requires harnessing the energy from the data tsunami that includes all sources, not just provider-controlled databases. We need to synthesize data from existing sources and use patient generated data, social determinants of health, census information, AI engines, and so many other sources.”

As I work on my upcoming talk, here is my “crowdsource” ask if you are willing to share your stories and anecdotes on any or all of these questions: Continue reading →