Tag Archives: leadership

On Connections and Caring: The Work That Outlasts Our Careers

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My LinkedIn feed was filled with CHIME Fall Forum recaps and pictures this past week. I refrained from posting a recap as I focused primarily on the one-on-one people connections. At the closing session we were asked to give one word that best described the week. Mine was “connections” – it turned out to be the top one in the resulting word cloud from all the attendees, along with several synonyms for connections. This is especially true after years of virtual meetings and knowing people only on zoom – the value of in-person time is immeasurable.

As the days went by at the fall forum, I realized that my primary role in professional circles these days is as a connector. I had many conversations involving career advice and made a lot of introductions for people. I heard how much this was appreciated by people I talked to along with their recognition that I do this for so many others in our industry.

I’m grateful to all those who mentored and helped me during my four decades in health IT management. So, my commitment to developing next generation leaders is something I take seriously.

At this point in my career, providing coaching services, volunteering as a mentor in multiple programs, informal mentoring, giving career advice, sharing information and intel about current job openings, making introductions, and a lot of listening is what I enjoy doing and am willing to give time to. I probably get 1-2 requests a week and always make time to schedule a short call.

I also had a few conversations with CHIME staff, board members, foundation firms, and colleagues about how LCHIME (lifetime CHIME) members can continue to contribute once they no longer work full-time for a provider organization. Continue reading →

Leading Through Disruption: What Travel, Technology, and Teamwork Remind Me

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Because leading well — and living fully — means not staying silent.

Since my last blog post in early September, I’ve travelled internationally, reconnected with a group of health IT colleagues that spanned a 30-year period of working together, moderated an AI panel at a local NEHIMSS conference, and participated in the largest peaceful protest in American history.

All these experiences are worth briefly reflecting on.

My international travel included a week in Prague on a Road Scholar Independent Art and Architecture tour with four other women as part of a 19-person group. It was a wonderful trip on many levels – art, architecture, music and history – with friends and interesting new people we got to know. On an independent afternoon, my good friend and I booked a local tour – “WWII in Prague and Operation Anthropoid Tour”. She wanted to go to Terezin, a concentration camp about an hour from Prague that I had been to on a previous tour 10 years ago. But we mistakenly booked the wrong tour and ended up doing a Prague walking tour instead – it was filled with history from the period before and during WWII. Like other times I’ve been in Europe in recent years, it’s clear that Europeans understand Fascism at a level many Americans don’t or are unwilling to.

On our way back from Prague, that friend and I met our husbands in Iceland for 5 days of touring on our own. While it was a wonderful time in a beautiful country, it was a great lesson in accepting what is not in our control. In this case, the weather! It was grey, rainy and windy for much of the week with no opportunities at night to see the Northern Lights. My advice for Iceland travelers – pack layers and waterproof clothes/shoes/boots (we did) and be flexible. The weather can change dramatically in an hour. And don’t hold your breath that you’ll see the Northern Lights.

Reconnecting with IT colleagues from the Partners HealthCare days (now called Mass General Brigham) was a poignant reminder of how a talented, committed group of people can make a significant difference. For those of you who don’t know John Glaser, just know that he led transformative changes in health IT starting back in the 1990s as we rolled out leading edge systems focused on improving patient safety and much more. I still consider him a mentor who has greatly influenced me as a leader, and he is a legend in our health IT industry. I’m honored to say I was part of that work at Partners as the CIO at Brigham and Women’s Hospital in the early 2000s.

Fast forward to 2025 and it’s all about AI. Last week, I moderated a panel titled “Challenges and Considerations for Implementing AI Within the Enterprise” at the HIMSS New England Chapter Digital Health Conference – “Survival Guide for the Disruption TsunamAI in Healthcare”. We covered governance, clinical integration and validation, strategic choices of build vs buy vs partner, measuring success and ROI, and the human aspects. The final question for the panelists was if you had to give one piece of advice to leaders preparing for AI in the next 2-3 years, what would it be? Their advice was short and to the point:

    • Use it / learn it.
    • Go slow / Don’t be afraid of it.
    • Have a strategy / Iterate often / Find a partner.
    • Keep up with what end-users are using.

With AI in mind, I’ll pivot to the last point – separating fact from fiction and recognizing real images rather than AI generated ones is something we all must keep in mind. We are bombarded daily with the most divisive, nasty politics I’ve ever seen on social media and in the news.

Know your values and stick to them. Engage in civil conversations and disagreements with others. And as my sign at Saturday’s peaceful protest said, “The Power of the People is Greater than the People in Power”. I’m an optimist!

Insights for Leading Through Uncertainty

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Is it writer’s block or being discouraged by the state of our country that is getting in the way of my writing these days? I admit that I struggle with what to write that my loyal readers would relate to and be willing to read. One of the people I’m currently coaching noted this week that it’s been a while since I wrote a blog post and she missed seeing something from me. Maybe others are thinking the same, or not.

After some thought, I decided to do what many on social media do, amplify! There is so much great content from others to share.

Who to amplify was not a hard decision. My colleague at StarBridge Advisors, David Muntz, has been writing most of our View from the Bridge blog posts for some time now. He wrote two very insightful and grounding posts in recent months that have helped me have a more positive perspective in these troubling times. Given the reactions these blogs have generated from readers, they appear to have been valuable overall to many others as well.

As the titles suggest, he shares lessons from healthcare and his experience as a leader that we can all use during these challenging times.

Living and Leading in Chaotic and Uncertain Times

From Healing Hands to Healing Hearts: What the Nation Can Learn from Healthcare

I highly recommend you find time to read them both and share widely with your own network.

Care at Home Isn’t New – But Scaling It Is the Real Breakthrough

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When you look back at healthcare delivery over the decades, care at home is not new. Home Care (VNA) has been around for over a century, and gained significant traction with the expansion of Medicare in the 1960’s. By the 1980’s, VNA was considered part of the “continuum of care” for most large healthcare systems.

Johns Hopkins University began development of the first Hospital at Home program in the U.S. in the 1990s. But it wasn’t until the early 2010s that I started hearing the term “hospital at home”. It was a vision that our Chief Medical Officer at a Midwestern academic health system started promoting internally.

CMS formalized the Acute Hospital Care at Home (AHCaH) waiver program during COVID as part of their response to the capacity crisis. As of late 2022, CMS had approved over 250 hospitals.

In early 2023, my daughter who is a Nurse Practitioner told me there was an opening for the Director of Advanced Practice Providers (NP/PA) for Home Hospital at her health system – Mass General Brigham. She had been the Chief Nurse Practitioner on a growing Orthopedic/Spine Surgery inpatient service at one of their community hospitals for over 11 years at that point. I was quick to encourage her to apply, telling her that it represented the future and was a great opportunity.

Fast forward to today and that program is one of the largest in the country and is operating at scale.

But why do so many hospital at home programs fail or struggle to scale? The complexities and challenges are significant yet the benefits for hospitals, patients and their families are tangible.

You can learn more in our StarBridge Advisors blog, “The Rise of Care at Home: Healthcare’s Most Important Shift is Already Underway” by John Campbell.  I’ve known John since the early 2000s when we were colleagues as CIOs within the Mass General Brigham (MGB) health system. His experience and insights are invaluable to anyone navigating care at home programs whether from an operational, clinical or technological perspective. John brings deep expertise in home-based care models, digital transformation, and care delivery innovation. At MGB he led technology strategy for Healthcare at Home and Post-Acute Care – translating vision into scalable, patient-centered programs.

I will be joining John and David Muntz this Wednesday August 6th from 3-4 PM ET for a ProNexus Advisory sponsored Real Talk live event titled: “Care at Home: Healthcare’s Next Frontier is Already Here”. You can register here.

It should be a lively and enlightening conversation!

Why I Keep Showing Up: Coaching, Mentoring, and Developing Future Leaders

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With graduation season behind us, the end of June is a great time to talk about developing the next generation of health IT leaders.

I’ve been a volunteer mentor to 7 students and early careerists over the past several months through two different programs – the New England HIMSS Chapter and RIBBA. I’m happy to say that five of them have gotten jobs in a very tough job market. Part of our work together included refining resumes, preparing for interviews, answering their questions on salary negotiation, and helping them get in front of the right people at the companies where they applied. Some of my mentees were international students who faced unique concerns given the new administration.

I currently have several coaching engagements in process and have coached many more health IT leaders over the past 10 years. Progress and growth come in many different forms depending on one’s leadership development and career goals. Two of my coachees have recently been named to the Becker’s list of “100 Women to Know in Health IT 2025.” And in recent years, another coachee was recognized with the “HIMSS Most Influential Women in Health IT Award” along with five other women. As we worked together, some of their goals were to increase their networks and broaden their involvement in our industry. These recognitions affirmed their progress towards these goals.

Most weeks my schedule also includes at least 1-2 calls with colleagues who are in transition between jobs or considering make a change – they are looking for some perspective and advice as well as insight on open positions. Continue reading →

The Power of Peer Learning for Health IT Leaders

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I recently had the opportunity to spend time with about 15 health system CIOs as they discussed some of their current challenges at a This Week Health 229 Summit. No surprise that there were some common themes like governance, managing a remote workforce, internal IT operations, innovation, and AI. The value of collaborative discussions where health IT leaders can learn from one another in a safe, non-competitive space is immeasurable. And it goes without saying that an in-person gathering with informal 1:1 and small group conversations brings its own benefits.

The role of the CIO in healthcare continues to evolve and CIOs must evolve with their organizations. Bill Russell, former health system CIO and founder of This Week Health, wrote a very insightful piece recently on the changing CIO role – The Healthcare CIO Continuum: From Caretaker to Innovator. The article is part of his new LinkedIn newsletter – The Healthcare CIO Playbook, Strategies, Stories, and Secrets from 1,000 Healthcare Conversations.

In the article, he describes four phases in the evolution of the healthcare CIO role starting in the 1980s. He then goes on to describe four current CIO personas along a continuum from caretaker to innovator:

  • The Technical Foundation Builder
  • The Operational Optimizer
  • The Clinical Enabler
  • The Strategic Innovator

He talks about the key factors driving CIOs toward the innovator end of the continuum and then outlines the competencies needed. He closes by challenging CIOs to assess where they are on the continuum and develop the competencies needed to meet the challenges and opportunities of 2025 and beyond.

Over the past several years, Bill has been an invaluable resource to health IT leaders in our industry with his multiple podcast shows on This Week Health and the 229 Project with in-person small group summits, and more recently city tour dinners. In this work, Bill is supported by two other well respected health IT leaders – Drex DeFord and Sarah Richardson. Bill’s latest LinkedIn newsletter and weekly articles are one more way to learn from him. I highly recommend subscribing to his newsletter and all the This Week Health offerings – and of course you should read the full healthcare CIO continuum article!

We are stronger together and can always learn from one another. Given the financial constraints provider organizations are facing, I hope you can find creative ways to stay current, develop new skills and competencies, learning and teaching as you grow.

When Politics Threaten Healthcare: Will You Stand Up?

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If you work in healthcare, you understand the importance of public health, disease prevention, and research. Even if you don’t work in healthcare, you and your family use a range of health services and count on having access to some of the most advanced healthcare in the world.

But the new administration in DC may be causing you concerns as a healthcare professional and/or consumer of healthcare. Maybe you are concerned that the new Secretary of Health and Human Services (HHS) is anti-vaccine and anti-science. On the other hand, you may be optimistic about potentially positive changes around processed foods as he says he will “Make America Healthy Again”. The irony of those two points is not lost on me.

Maybe you are worried about cuts to Medicaid and Medicare. But you hear leaders in Washington say that will never happen. Or maybe you are a veteran concerned that your health benefits and services will be reduced. Maybe you or a family member care about cancer or Alzheimer research. All of these are legitimate concerns shared by millions of Americans.

I shared a post on LinkedIn a week ago that included a link to the 42-page list of grants that the National Institute of Health (NIH) had cut. As Dr. Michael Wagner, President and CEO of Care New England said in the original post, “most of the grants targeted for termination focused on:

    • LGBTQ+ health and gender-affirming care
    • Racial and ethnic disparities in health outcomes
    • Mental health and trauma among marginalized populations
    • Social determinants of health and health equity
    • Vaccine access, behavior, and hesitancy research”

He went on to write, “This appears to be less about performance and more about realigning federal policy priorities—away from equity-focused, community-based, and prevention-oriented work.”

But maybe none of those grant cuts impacted you directly.

This week there were significant HHS cuts, and many programs were gutted. I’d be surprised if one of them didn’t directly impact you. Continue reading →

Women’s History is Now: Why We Must Keep Pushing Forward

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It’s the last week of Women’s History Month. I’ve been pondering what to write over the past week given the ongoing assault and threats to diversity, equity and inclusion efforts nationwide. Last year I wrote about the diversity initiatives in our health IT industry and was optimistic about what I saw happening.

If I’d written this year’s post a week ago, I would have been upbeat and inspiring having just heard our minister, the Reverend Susan Milnor, deliver a sermon titled “Trust Women”. She opened with these words:

“Lived experience is history in the making, and we know this about history.  As much as we would like for it to be linear progress toward justice and equity, it isn’t. Dominance and greed circle around again, and we have to challenge what’s asserted and enacted and propagandized.  The point of studying history isn’t just to be proud of the giants of the past; it is to be inspired for the work that still needs to be done, or done again.  Sadly, the struggles of our own time are beginning to sound way too much like those of the past. The good news is that there is so much inspiration, so much strength, in the lives of the women who came before.”

After talking about women who dedicated their lives to ensuring reproductive rights and the right to vote, she closed with these words:

“I hope we will learn the lessons of history that submission and compromise don’t get us very far, but courage does.  And I hope we won’t be in the fight alone.  It’s so important that men and nonbinary people join with women in solidarity.  

Perhaps in that advocacy, it’s time to leave aside complicated arguments and just insist on deep, spirit filled confidence.  Say it whenever you can. 

I trust women to make decisions about life. 

I trust women to use as much reason as others when they go into a voting booth. 

I trust women to serve on the Supreme Court, where they have largely outperformed a lot of men.  

I trust women in professions even if encouraged by a diversity effort because they are some of the most ethical professionals and most reliable workers.

I trust women to know what their last names are. (A reference to the proposed SAVE Act, introduced into Congress in February, which would create a federal voting requirement in which one’s birth certificate and current ID must be in the name.)

I trust that women are people, and their consent to being governed is needed. (A reference to one of the creators of Project 2025 saying we should return to women not having the right to vote.)

The work of seeking freedom and agency is holy work because it is the work of realizing a fuller humanity.  We can trust women never to give up. We have been here from the beginning, and we will rise, if necessary, again and again and again.”

If your weeks are anything like mine, I go up and down depending on what I read in the news and realize the many backward steps happening on so many fronts. Continue reading →

Guardrails Matter: Protecting Ethics, Trust, and Stability in Health IT

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I don’t know about you, but my head is spinning these days. So much happening at such an incredible speed. While it may sound like I’m talking about the typical workday for health IT leaders in fast paced organizations, I’m referring to the bigger picture of our federal government under the new administration. I’ve not written a blog in several weeks – in part for loss of words and in part because I’ve had a partial work break spending time in warmer climates.

In the spirit of amplifying important messages from others, my re-entry to blogging is to share an important blog written recently by my StarBridge Advisors colleague, David Muntz – “Protecting Trusted Guardrails: The Perils of Removing Essential Protections”. David has firsthand experience working in the federal government. He left his CIO role at Baylor Health in 2012 to accept a White House appointment to serve as the first Principal Deputy National Coordinator and CIO at ONC (Health and Human Services’ Office of the National Coordinator) through the following year. He was a member of HHS’ Chief of Staff Council and Chair of the Federal Health Architecture and mHealth Councils.

The message in his blog is a strong one that health IT leaders can relate to.

Guardrails, whether physical, organizational, or ethical exist for a reason. They safeguard patient safety, data privacy, free expression, and public trust while ensuring that critical institutions operate with integrity and accountability. When these safeguards are dismantled or weakened, the risks to individuals, organizations, and society become profound.

David explores the vital role of independent oversight, regulatory protections, and ethical leadership, drawing on his decades of experience in healthcare, government service, and executive leadership. Recent mass firings and policy shifts raise urgent concerns about transparency, security, and long-term stability.

Key questions that apply to our work as health IT leaders:

  • What happens when critical oversight is removed?
  • How do we ensure ethical governance in a rapidly evolving world?
  • What are the long-term consequences of dismantling trusted institutions?

Now more than ever, we must stand for principled leadership, responsible governance, and a commitment to the greater good. We must uphold the values that sustain our institutions and protect our future.

I encourage you to read his blog and as always stay informed, vigilant and engaged.

Related Posts:

Finding truth post-election: staying informed, vigilant and engaged

From MLK to Today: Defending Democracy, Diversity, and Justice Together

 

From MLK to Today: Defending Democracy, Diversity, and Justice Together

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The irony of Martin Luther King Day and this presidential inauguration falling on the same day is one that’s hard to wrap my head around. So, I was glad to see there were several local events over the MLK holiday weekend sponsored by the No Place for Hate committee in our town.

My husband and I attended a free showing of the 2018 documentary, “I Am MLK, Jr.” on Friday night. (You can find it on various streaming services at home). What a powerful story it told. In just 12 years and 4 months, the Reverend Dr. Martin Luther King, Jr. had a profound impact on our democracy and fight for social justice.

Seeing that movie made me wonder what Dr. King would say if he were alive and witnessing the inauguration today.

On Sunday afternoon, we attended a program that included a keynote from Reverend Rahsaan D. Hall, President and CEO of the Urban League of Eastern Massachusetts. At an earlier weekend rally in Boston, the Boston Globe quoted Reverend Hall as saying in response to the new administration, “We’ll double down on the three D’s of defending democracy, demanding diversity, and defeating poverty” as their north star. On Sunday, he delivered a passionate talk with a closing message that emphasized repeatedly that change takes total participation.

Yes, the fight for social justice continues and it does take total participation. Some of Dr. King’s most famous quotes are especially poignant as we prepare for this next administration:

“Injustice anywhere is a threat to justice everywhere.”

“Life’s most persistent and urgent question is, ‘What are you doing for others?”

“Our lives begin to end the day we become silent about things that matter.”

“The time is always right to do what is right.”

Shortly after the election I bought two of Timothy Snyder’s books, “On Tyranny – Twenty Lessons from the Twentieth Century” and “On Freedom”. But I’ve hesitated to jump in. As this new administration becomes reality and we see more clearly what lies ahead, I decided it was time to read “On Tyranny”. I read it in a little over an hour on Saturday and I highly recommend it. Some of the key lessons: don’t obey in advance, support institutions, believe in truth, and contribute to good causes.

On Sunday night, we watched a virtual event sponsored by Red Wine & Blue – “Keep Calm and Listen to Heather Cox Richardson: Inauguration Eve”. It was just what we needed. Richardson writes a daily newsletter called, Letters from an American, which is also available as a podcast. For well over a year, I have made reading her letter my first “to do” with a cup of coffee each morning. As a history professor, last night she put things into perspective and reminded us that small groups of people can change history.

Red Wine & Blue sounds like they are trying to do just that – their website describes them as, “A national community of over half a million diverse suburban women working together to defeat extremism, one friend at a time. We train and connect women from across the country of all political backgrounds – including many who have never been political before – to get sh*t done and have fun along the way.” In what they call TroubleNation, they already have over 500 chapters for grassroots community organizing in 49 states.

As I’ve closed some of my past blog posts, now more than ever we need to stay informed, engaged and vigilant.

Related Posts:

Finding truth post-election: staying informed, vigilant and engaged

Martin Luther King Day and why it matters – 2020

Martin Luther King, Jr. Day – why it matters

Hate has no place