Tag Archives: interoperability

Not so secret shopper

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If you work at a healthcare system, most likely you get your care there as well. As IT professionals we have an opportunity to be “not so secret shoppers”. In other words, if we tell the clinical and administrative canstockphoto28401496 (1) good or badstaff we have contact with as a patient that we are in IT, we will probably get an earful – both good and bad.

I always make a point of being a not so secret shopper. I want to hear what our users think of the systems we provide and support – good or bad. If I hear about actionable items, I follow-up with the right people afterwards.

This week, I had the chance to be on the patient side of systems. Believe me, I would rather have not been. After a severe toothache all weekend, I called my dentist back home Monday morning. I was hoping to get a prescription for an antibiotic (assuming the pain was due to infection) and something for pain stronger than the over-the-counter ibuprofen and Tylenol I’d been taking. But their protocol was no prescribing unless they saw me. Being hundreds of miles away at my interim engagement, I said that didn’t work for me. So, what was I to do? They said to call my PCP (also hundreds of miles away) or go to an urgent care center.

So, Monday night, I headed off to the University of Vermont Medical Center Urgent Care.  New patient check-in, registration, nurse triage and then to the exam room to wait for a physician to see me.

The wait was minimal at each step and everyone was extremely friendly. At registration I heard enthusiasm about the Epic system coming November 1st and that they would no longer have to use two different systems. The registration clerk said it will be a change and take time getting used to, but that having just one system would be so much better.

With the triage nurse, I realized I didn’t have my medication allergies stored as a note in on my iPhone as I thought I did. I rely on the fact that they are in my medical chart at my healthcare system back home. Continue reading →

Advancing healthcare through technology

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Healthcare is personal. Each of us knows stories of friends and family dealing with difficult medical issues. We hear how hard it can be to navigate the health system. It seems that one fills out the same information over canstockphoto21508588 (1) advancingand over and wonders why the physicians and hospitals don’t have it already. We hear how people must research their own conditions to make tough decisions about treatment options. We know there are access and affordability issues for many people.

As National Health IT week comes to an end, we must renew our commitment to make a positive impact on health care through technology.

I am fortunate to have worked with many passionate, committed people in healthcare over the past 30+ years. And I’m grateful to have a team of advisors working with us at StarBridge Advisors. Each has made an amazing and lasting impact on healthcare.

In our most recent StarBridge Advisors blog, “NHIT Week: 6 Leaders on the Value of HIT”, we discussed the value of health IT with six of our advisors. Their perspectives provide a lens into how technology is transforming healthcare though there is much more to do.

I encourage you to check out the perspectives shared by these CIOs and clinical leaders here. And if you like what you see, read more of our “View from the Bridge” posts and subscribe to receive notifications of new posts from our team of industry leaders.

Together, we all make a difference!

Related Posts:

Interoperability – Make it so.

HIEs matter

Our collective interoperability journey

The other end of the highway

Merger mania – is it good for the patient?

Aspiring to Stage 7

HIMSS Stage 7: what does it take?

Technology making a difference at scale

Predictions for 2018 – Our Future is Bright

A passion for healthcare

What keeps you up at night – the wrong question

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What do healthcare CIOs have in common as they start off 2018? And how can they get the additional bandwidth they need to achieve all their objectives?canstockphoto13538474 question

When I talk with CIOs. I want to understand their current priorities and challenges. Our team of advisors at StarBridge Advisors can be an extender for a CIO – partnering with them to accomplish key initiatives that they or their leadership team don’t have the time to do.

When I meet with CIOs that I don’t know or who serve organizations I’m not familiar with, I try to get as much background in advance as I can.  It’s easy to do these days. You look at the organization’s website, press releases, and online profiles of individuals and their career history. When I was a CIO, I remember when new vendors would call on me and they’d eerily seem to know a lot about me. I realize now that they were just doing their basic homework.

But as consultants, we don’t know until we talk with a CIO what their priorities and areas of need are.

I stay away from that standard question I heard so many times as a CIO – what keeps you up at night? I like to just sit down with a CIO and learn about their agenda and challenges. Through dialog we can mutually identify potential gaps that StarBridge Advisors might fill.

Based on recent conversations with several CIOs, there are common themes. Are they AI, machine learning, or blockchain? Continue reading →

The other end of the highway

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This morning I was looking out my window at a new 3 inches snowfall while making conference calls. Tonight, I’m driving past palm trees. This afternoon I was on I-95 driving to the Providence airport for a canstockphoto25609566 (002) highwayflight to see a new client. Tonight, I’m exiting a Florida airport in a rental car and merging onto I-95 heading south.

With google maps piped through the car rental audio, I am confident I will get to the hotel 50 minutes away. I have done all the initial lane changes and merging, so now I’ve got a 19 mile stretch before the next turn. It’s safe to call home on speed dial and chat with my husband. I do the ritual “woe is me” that my flight was delayed, the airport was busier than I expected, and there was a long wait for the car rental center shuttle. But I’m finally on the road to my hotel much later than expected and very hungry. I am aware that these all are first world problems.

We have the “I’m still on I-95 but with palm trees” conversation. When I exit I-95, it is crystal clear that I am 1,500 miles south of the I-95 I’m used to. The “lady” in the car audio is telling me to merge onto Dolphin Expressway. No road in Rhode Island is called Dolphin Expressway!

I dislike busy unfamiliar expressways, driving at night (especially with lane changes) and driving in the rain (in that order). Fortunately, this was only 2 of the 3 – it was dry, with no rain (or snow). In these situations, lane management is critical, and the navigator system can only help so much. And good signage is critical or as my daughter says, “use your eyes”.

What does this have to do with healthcare and IT? Continue reading →

The journey continues

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What better time than year end to reflect on our collective progress as an IT team. You will see a lot of “top 10” type stories in December – top trends, breakthroughs, stories, and even top predictions for the coming year. I’ll leave those to people with far more time to research and write. What I’d like to share is the progress my incredible IT team has made in partnership with our many internal customers at UMHS in 2015. These are common journeys for health care CIOs around the country. Continue reading →

Our collective interoperability journey

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If you remember the CHIN (Community Health Information Network) attempts in the 1990s or the next incarnation in the mid-2000s referred to as RHIOs (Regional Health Information Exchange), you know we’ve been on this interoperability journey in health care a very long time. And it’s not over.

Creating sustainable Health Information Exchanges (HIE), not to be confused with a Health Insurance Exchange, is what we are all focused on now. The Office of the National Coordinator for Health IT (ONC) published “Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap” for public comments earlier this year. There has been progress over the years but we still have a long ways to go.

The ability to easily access and share data with other health care providers in Michigan is critical for UMHS – we are the only provider in the state that serves patients from every county. But HIEs are important for all providers regardless of their reach.  For example, when a patient shows up at an emergency room away from their primary hospital and physician, basic information should be readily available.  This includes a patient’s current problem summary list, allergies, chronic conditions, and medications.  Having this kind of information can make a qualitative difference in their care. And knowing that a certain test or procedure has recently been done along with the results can avoid duplication, saving both time and money.

Yet, unlike other industries where basic information is easily accessible and shared, health care lags far behind. Continue reading →

HIE merger for the greater good

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Common goals are a key to success for any business venture. But for a merger, negotiating common goals and how best to achieve them is especially critical. I saw this again in the case of the Great Lakes Health Connect (GLHC) – a very recent merger of two major Michigan substate HIEs: Great Lakes Health Information Exchange (GLHIE) and Michigan Health Connect (MHC).

Michigan has had multiple substate HIEs organized by regional markets. While this was a conscious Win-win puzzlestrategy several years ago, many health care leaders had come to question it over time. However, the obstacles seemed too difficult to overcome, and inertia prevented change. So the two major HIEs grew and became stronger and more competitive. Provider organizations in some regions were torn between the two and faced limits in the data they could access. Other organizations sat on the sidelines waiting for one to prevail.

Continue reading →