Tag Archives: healthcare

Well past time to support our healthcare workers

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Any graph or heat map you look at, one thing is obvious – the coronavirus is out of control and spreading rapidly. New coronavirus cases have jumped by more than a third in the U.S. over the past seven days, according to data from Johns Hopkins University, the fastest pace since late March. Every day since Election Day, more than 100,000 people in the country have tested positive for the virus with a daily record of over 187,957 new cases last Friday per Worldometers.info. We went from 10 million new cases to 11 million in just one week. And we have lost over 250,000 lives.

We saw heartbreaking stories on the news from ICUs in the Northeast during March and April. Then stories from southern states. And now from hospitals in the Midwest. But when you look at the heat maps, the virus is everywhere now.

Listen to any healthcare worker and one more thing is obvious – they are exhausted and burning out. They tell story after story of how hard it is to work 12- and 18-hour shifts caring for COVID patients only to drive home past crowded bars.

We have seen exhausted physicians and nurses share their stories for months. I cannot tell their stories, but I can share them. And I can encourage you to do the same. But more importantly, I can encourage you to take the basic steps needed at this point – messages we have all heard for nearly 9 months now – wear a mask, socially distance, and wash your hands frequently.

This virus is not a hoax. It is not something you can ignore or deny. A story from a nurse in the Dakotas is the latest to go viral. She describes patients who yell at her and say she does not need to wear PPE because they don’t have COVID, right up until they are intubated.

Our healthcare workers truly are heroes, but they are at a breaking point. Our hospitals are at or nearing capacity. There are over 73,000 people hospitalized with COVID, another record since the pandemic started. Field hospitals are opening again in many states. Continue reading →

The healing power of humanity

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This is one of those weeks where I struggle for the right words. We are all in wait mode. Regardless of the outcome of the election, our nation needs healing. Your relationships with family members, friends or colleagues may be strained as the divisiveness of recent years has grown during this election cycle.

In health care, we focus on healing and take care of everyone regardless of their politics. For inspiration, the words this week from two national healthcare leaders are worth sharing.

Michael Dowling, CEO of Northwell Health, penned a very powerful piece in Becker’s Hospital Review on November 4 titled, “Look to healthcare to remember what decency means”. He calls on leaders to focus on decency saying, “Considering the contentious rhetoric we have witnessed at the highest levels of government throughout this past election season, now is the time for leaders to emphasize decency as the most important trait any one person can exhibit in their organization.” He talks about how our collective sense of decency has been violated saying, “The end result is a pervasive lack of trust, respect and empathy that prevents us from getting anything done. To solve any problems in healthcare or in broader society, we need to reclaim the value of decency and civility.” In a year that has been incredibly demanding and stressful for healthcare professionals everywhere, he closes with, “In healthcare, our care teams have been role models of decency, and our nation would benefit from a closer study of them.”

Lloyd Dean, CEO of CommonSpirit Health, published a short article on November 4 titled, “We Made Our Voices Heard”. Speaking of the 150,000 people who make up CommonSpirit, he says “We believe in the healing power of humanity, and we are called to heal our patients, our communities, and our country in every way we can.” In his closing words, he calls us all to come together: “Even though we don’t yet have all of the election results, and regardless of how you feel about the outcome, I encourage us to all consider how we can reveal the best of humanity during this moment. Let us empathize with those whose perspectives are different from ours. Let us show others how to bridge our differences and find common ground. Let us help our children and our neighbors feel enthusiastic and empowered to make our world a better place. Most of all, let us always show kindness and respect for one another as we seek to move forward as a country, together.”

Be kind, respectful, and decent to one another in the days ahead.

Digital health has arrived

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Every healthcare organization seems to be focusing on developing their digital health strategy these days. But do we have a common definition and understanding of what digital health means? A few months back I wrote a post called “Knocking on the digital front door” addressing what many organizations mean when they talk about digital health. Meeting patients where they are and guiding them along the right care pathway with efficient, consistent, and easy processes in the background. It was a very popular post, so I guess it resonated with many.

But digital health encompasses far more than just the digital front door. My StarBridge Advisors colleague, David Muntz, has taken on the broader issues of digital health this year in a multi-part blog series on View from the Bridge. Here is his four-part series if you are ready to go deeper on digital health:

Digital Health – Is Healthcare Ready? Are You and Your Organization Ready?

Becoming a Digital Health System

Digital Health – Governance in a Digital Health System

Digital Health – The Role of Empathy and Understanding

If you are interested in 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.

And if you are looking for help developing your digital health strategy and roadmap, David or I would be happy to schedule time to talk.

When healthcare becomes personal

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When you get a call that your husband has been taken to the ER by ambulance, it is hard not to think the worst. I got that call last Wednesday. The good news is that by late Friday night Tom was OK’d for discharge from the hospital. But we still do not have the answers needed. More tests and results should help us better understand what happened and why it happened so together with his PCP and specialists we can develop a go forward plan.

I have worked in healthcare for over 35 years. Our family has dealt with various minor health issues and been able to access the best healthcare available. I have the utmost respect and gratitude for health professionals and all they do.

Through this experience I have seen healthcare through the patient and family lens in a different way. I have several takeaways worth sharing.

Emergency resources – Know when to call your PCP, go to the nearest urgent care center, call 911 or head right to the hospital ER. Minutes can matter.

Friends and family – I can’t say enough here. Tom was visiting a friend when the incident started. She took him to the closest Urgent Care, they called an ambulance fairly quickly and he was taken to the closest ER. The friend reached out to another friend thinking that person might know how to contact me. Fortunately, he did. We are setting up the Emergency Contact feature on our phones for the future. On the first call with the ED physician, I did a 3-way with my daughter who is a nurse practitioner. I wanted her in the loop from the start – to help interpret what I was being told, help educate me, and advocate for Tom.

Clinician in the family – If you are fortunate as we are to have a clinician in your family, let them help you. They are invaluable. Listen to them, loop them in on calls to ask all the right questions, and let them educate you. Our daughter spent ½ hour on the phone with the attending physician before Tom was discharged while I drove to get him. She then explained it all to me and started doing more research on her own.

Accessible and Integrated EHR – Now we are in my domain. Continue reading →

COVID-19: The good, the bad, the different

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When it comes to COVID-19, there is little good. But every report that reflects progress is good news. Whether it is progress in how best to treat hospitalized patients, progress towards a vaccine, or the number of new cases, hospitalizations and deaths trending downward. I saw one of those reports just a few days ago when Shereef Elnahal, President and CEO, University Hospital in Newark, New Jersey shared their good news on social media:

“We made it.

For the first time since the #covid19 pandemic started, University Hospital has ZERO patients with coronavirus in house.

After over 1,000 discharges, leading northern NJ’s regional response, and folks in the City of Newark wearing masks, socially distancing, and getting tested, we hit a milestone that we’ve been hoping for since a time when almost every patient in our hospital had coronavirus.

So proud!”

There are probably many more hospital leaders in the Northeast who can finally report this same good news. And they have reason to be very proud of what they and their teams have done for their communities.

But there is plenty of bad. A health crisis with nearly 200,000 deaths and a projection that there could be over 400,000 deaths by the end of the year. An economic crisis with millions unemployed.

Another evolving bad news story is what we are learning about the “long-haulers”. These are people who had COVID-19 and months later report a variety of long-term symptoms. Continue reading →

This Week in Health IT – Keeping current

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I have highlighted Bill Russell’s podcast series, This Week in Health IT, in several previous blogs and shared many of the episodes on social media. If you work in health IT and are not yet listening to them and subscribing, what are you waiting for? This podcast represents some of the best content available in our industry.

Bill launched the podcast in early 2018. Starting this past March, he pivoted from twice a week to a daily podcast with a COVID-19 Field Report series made possible by the generous sponsorship of Sirius Healthcare. In the first six months of 2020, there were 100,000 downloads compared to 120,000 in all of 2019. With the Field Report series still available for listening, Bill has gone to a three day a week schedule – Tuesday NewsDay and Influence interviews on Wednesdays and Fridays.

There will only be one episode this week – Tuesday Newsday with guest host Drex DeFord as Bill is taking a week off. Drex is a frequent guest on the show and he offers yet another way to receive relevant content with 3xDrex – what he describes as “3 Must-Reads, 3 Days/Week curated by a real healthcare exec” delivered via text.

I highly recommend that you listen to three recent This Week in Health IT episodes:

Atmosphere: State of Healthcare – Bill was the guest speaker at the recent Aruba Atmosphere Digital Conference. His talk provides great insight on the major changes in healthcare and IT the past several months as well as projections for the future. It is truly a unique episode with lots to learn from one of the best! Continue reading →

Healthcare leaders continue to learn and share lessons

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Virtual learning opportunities have increased significantly in the past few months as healthcare leaders are eager to learn from the experiences of others or share their own lessons during this pandemic. There are far more webinars, live sessions, and interviews than I have seen in the past. Most of these sessions are recorded so you can listen or watch when you have time. The trick is to register – if you end up not being able to join at the scheduled time at least you will be sent the archive link. And of course there are always podcasts – so many good ones as I have recommended in previous posts.

This week, there is yet another virtual learning opportunity that I am excited about joining – the HealthIMPACT Live’s Summer Forum. I have participated in their previous in-person forums and found them to be very thought-provoking programs with top-notch speakers on relevant topics. With limited attendance, there is always plenty of opportunity for dialogue. The forum organizers have pivoted and are promising a great virtual experience. The topics are very timely and divided into four parts over two afternoons:

Part I: Your People – Healthcare Workforce Reimagined – From Crisis Management to System-Wide Transformation

Part II: Your Processes – Sustaining Gains in Telemedicine and Virtual Care Delivery- Building on Successes and Lessons Learned Connecting Patients and Providers in Response to COVID-19 Continue reading →

Staying fit and informed

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If you are working from home during this pandemic, getting enough exercise each day can be a challenge. I spoke to a CIO colleague recently who said he used to get 10,000 steps a day just at work given the size of his office complex.

I recently decided that I needed to up my exercise routine to ensure I get 10,000 steps a day. A long dog walk at the end of the workday plus the steps inside my house from my home office to the kitchen and back are just not enough. While I have never been an early morning exerciser, I am now two plus weeks into a new routine. Instead of rolling out of bed and starting on email and work right away, I now go for a brisk walk. I try to do a minimum of 30 minutes but depending on the time of my first scheduled call of the day, I do anywhere from 20-45 minutes. The end of day dog walk rounds it out to ensure I hit my 10,000 steps.

Besides the physical and mental health benefits of more exercise, I also have more time to stay informed via podcasts. A few weeks ago, I wrote about my latest podcast recommendations. With my new exercise routine, I am ready to recommend two more:

The Osterholm Update: COVID-19 – If you had not heard of Dr. Michael Osterholm pre-COVID, you probably recognize his name by now. Continue reading →

Physical distancing: finding our way

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We saw our grandkids again on Sunday. A small family get together for Father’s Day and our youngest grandchild’s 4th birthday. As we all find our way and do our best to minimize our risks of COVID-19, being able to hug my grandkids brings me great joy and is one of the things I have missed the most these past few months.

There is a reason many people want to refer to this new practice as physical distancing, not social distancing. We need each other. Social isolation is not healthy. Technology has helped but it is not the same. Just ask someone who said their final goodbye to a loved one on FaceTime or Zoom.

Living in Rhode Island, my husband and I have taken the shutdown very seriously. Governor Gina Raimondo got ahead of it early with the shutdown order and then a slow, phased reopening. From mid-March until a few weeks ago, we have mostly stayed home except for the weekly groceries, a few trips to the garden nursery and Home Depot, the occasional takeout order, and the daily dog walks.

We limited family visits to outside spaces at our homes at a distance and no hugs. We are gradually loosening up on the hugs. As we all learn more about how the virus is transmitted, spending time with close family who have also been strict during this period seems reasonable.

My 4-year-old grandson first told me back in April on a family Zoom session that he was going to have a birthday parade, no gifts, and a small cake only for his mom, dad, and sister. It was sad to hear him explain this at such a young age but I thought it was probably a reasonable plan. The idea of a parade was exciting to him. But two months later we decided it was ok to do the backyard immediate family only gathering, which was 12 adults and the 4 young cousins, aged 4 through 7. The grandkids gave us hugs and briefly sat on our laps. It was good to not feel like we were all radioactive.

The slow opening of our own circles is a challenge we all must deal with. I do not take this virus lightly. I read a lot and listen to many interviews and podcasts with experts. I try to be as informed as possible about the science. And I take cues from my sister who has a public health background and my daughter who is an NP and has cared for COVID-19 patients in Boston. Continue reading →

More podcast recommendations – going beyond HIT

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If you are like me, there is no gym time and no commute time these days. But there are still ways to get exercise every day. My long daily dog walks are one of those times when I try to get smarter. And podcasts are the means.

I have made podcast recommendations in the past and still have my favorite “go to” for health IT but I have added a few more in recent months.

ThisWeekinHealthIT – this has been my “go to” podcast since Bill Russell started it in 2018 as a weekly show. In 2019 he went to a twice weekly format. And during the pandemic, he went to daily podcasts with an excellent and very timely Field Report series – interviews with health IT leaders on how they are managing during this crisis and preparing for recovery and the new, better normal. Many great lessons and insights have been shared the past few months. Kudos to all his guests for their incredible work and making time to share with others. And kudos to Bill for his ongoing commitment to developing next generation leaders. My firm, StarBridge Advisors, is a proud sponsor of the show and share in that commitment.

Digital Health Leaders – this is a relatively new podcast series started by the College of Healthcare Information Management Executives (CHIME) a few months ago. Russ Branzell, CHIME President and CEO, interviews IT leaders on a range of topics.

Relentless Health Value – this is a podcast I first became acquainted with when I was asked to be a guest back in 2018 – my episode was “The Evolving Role of the Chief Information Officer”. But IT is not the focus. Stacey Richter, a healthcare entrepreneur and innovator, has hosted the show since 2014. The website describes the podcast this way: “The show that connects you with other health care leaders trying to achieve the quadruple aim of improving population health and patient and provider experience, while managing costs effectively. Our mission is to help transform health care by breaking down silos and connecting disconnected parts of our industry. The first step toward collaboration is simply knowing what others are working on and wrestling to overcome.” So, if you want the big picture on healthcare and not just IT, add this one to your list. And like Bill, Stacy has a special COVID-19 series as well.

And continuing down the beyond IT path, I have recently started listening to a few other ones: Continue reading →