Tag Archives: pandemic

End of year thoughts and advice for 2022

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We are entering the third year of this pandemic. Vaccines have been available for over a year – a turning point we anxiously waited for as 2020 came to an end. But 2021 was not the turnaround year we had hoped for. Over 840,000 people have lost their lives in our country since the start of the pandemic – the majority of people who died of COVID since this summer were not vaccinated. Anti-vaxxers proudly proclaim their resistance and misinformation continues to spread. Our health system and healthcare workers are under incredible strain. Hospital leaders are pleading with their communities to get vaccinated and boosted.

It is hard to be optimistic at times.

Those who can continue to work remotely. Kids are in classrooms and used to wearing masks with parents and grandparents viewing school holiday concerts over Zoom. Families cautiously gathered over the holidays or changed plans at the last moment.

We crave normalcy and getting out in the world to do the things we enjoy – spending time with family and friends. live music, sports events, travel and more.

We tend to look ahead to the new year with hopes and dreams of a better year. We ask ourselves how can things get worse? We make resolutions.

David Muntz, my StarBridge Advisors colleague, recently wrote a blog post, “12 Steps to Prepare for 2022 – Big Challenges – Bigger Opportunities” that was far more than just a professional health IT perspective and advice. As this year comes to an end, I leave you with a few excerpts from his steps 1 and 12: Continue reading →

With gratitude – family says it all

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I’m challenged to write something brand new on gratitude this Thanksgiving week even though this has been a far better year than 2020. At the same time, it has not been as positive and as “back to normal” as we had all hoped as COVID cases surged over the summer. So, I went back to my 2020 post to see how I had reflected on gratitude a year ago at a time when we weren’t gathering as families the same as we are now. I share it again here as some things haven’t changed.

We celebrated Thanksgiving with our immediate family this past Sunday at our new house. My two daughters, their husbands, and four grandkids. One of my daughters has in-laws in Florida so she and her family will travel there for the holiday. We now live within half hour of our other daughter and her in-laws live near her. We will celebrate with all of them on Thanksgiving as we have done many years in the past.

While my husband is a retired Unitarian Universalist minister, if I suggest we say something before dinner at a special family gathering, he will often pass it over to me. This year it was simple. I asked everyone to hold hands (as the grandkids wondered what I was doing) and I commented on family being together again and that I was thankful for each and every one of them as I looked each one in the eye around the table. The adults know they are my “big rocks” as Stephen Covey would describe. And someday the grandkids will understand that as well.

Being together with family says it all. I am truly grateful that we didn’t lose anyone to COVID, that we are fully vaccinated and that we can all be together again.

May you share similar love and gratitude with those closest to you this Thanksgiving 2021. As my StarBridge Advisors colleague, David Muntz, likes to say – “let the season of gratitude begin”.

Related Posts:

Treasuring family after a long year

The year we meet again

Family first

 

COVID-19 – listen to the experts

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Dr. Anthony Fauci may be a household name for your family. But what about Andy Slavitt?  He is a policy expert who served in the Obama administration first to save health.gov and then as acting administrator of the Centers for Medicare and Medicaid Services. During the pandemic he provided reliable, relatable information and education with his daily tweets at @ASlavitt and award-winning “In the Bubble with Andy Slavitt” podcast.  He quickly became a household name with my family and a trusted resource. Many trusted him and looked to him for insight.

He served as President Biden’s Senior Advisor on COVID-19 for the first 120 days of the new administration. He is now back from the White House and in his chair on the renamed podcast – “In the Bubble with Andy Slavitt: Our Shot”.  As the podcast description says, “Just as he took us through the pandemic, this 10-week series called Our Shot is about leading us out. It’s an insider’s guide for getting closure on what happened, how we emerge, and what must come next.”

Busy as my schedule is, I am trying to keep up with this new series. So far, I have heard his interviews with CDC Director, Dr. Rochelle Walensky, and President Biden’s Press Secretary, Jen Psaki. And I am halfway through Andy’s just released book written primarily prior to his recent stint in the Biden Administration. His book, “Preventable – The Inside Story of How Leadership Failures, Politics, and Selfishness Doomed the U.S Coronavirus Response”, is a must read. Not just to understand what happened but how do we prevent it from happening again.

While COVID-19 may seem to be behind us, it is not when you consider the variants and the percent of the population not yet fully vaccinated. Continue reading →

Treasuring family after a long year

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I hesitate to say “post COVID” or “post pandemic” even though there are signs of the new normal as organizations roll out their plans for employees to return to the office, states drop their mask mandates and businesses are allowed to open at full capacity. But when will we be truly “post COVID”? While the U.S. COVID-19 cases and deaths are at new lows, the global situation is far different and the variants continue to be a concern. Globally, there have been more deaths in 2021 than all of 2020. So it is far from over.

I am glad that I live and work in states with high vaccine rates and where mask mandates were accepted and not protested. In both Rhode Island and Massachusetts, over 60% of the population has received the first dose. In fact, all the New England states are at that level of vaccination, and all are over 50% fully vaccinated.

In the past few weeks, I have experienced more “firsts” in this transition to the new normal. We had friends over for dinner. Our Saturday morning outing at the local farmers market no longer requires masks. Wandering the stalls with our two little dogs, it is good to chat with strangers like we used to. We went to a Red Sox game and seeing so many people in one place was a big change. The wave doesn’t catch on the same at partial capacity but the enthusiasm for the Red Sox hasn’t changed. At my hair salon, my most recent haircut was the first without a mask; they are no longer required if you are vaccinated. On my daily walks, I no longer cross the street when someone else is walking towards me with their dogs but rather stop and talk and let the dogs do their sniffing thing.

Being in public places without a mask is one thing. But being with family is what I have truly missed. Our immediate family (our two daughters, their husbands and all the grandchildren) has not all been together since early November. Our few get togethers last year were outside socially distanced with masks as needed. We respected everyone’s comfort level and deferred to the least comfortable. Continue reading →

Treasure the good

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The past 14+ months have been a period of loss and sadness. Even if you and your loved ones have remained healthy and employed, the pandemic has impacted all our lives. Now that over 200M people in this country have received at least one dose of the vaccine, 87M people are fully vaccinated, and the vaccine is available to anyone over 16 who wants it, we are on our way to a new chapter. But we still need to get to at least 70% for herd immunity and continue with precautions.

I don’t want to appear Pollyannish as we look to the future, but let’s ask ourselves what good has come out of this past year.

Have you had more quality time and connections with your family being home so much?

Have you found new ways to connect and celebrate milestones with family and friends at a distance?

Have you simplified your life and decreased your consumption?

Have you found new hobbies or restarted old ones?

Have you spent more time reading and learning?

Have you spent more time outside enjoying nature?

Have you explored cooking new foods and eaten healthier at home?

Have you become a kinder person, more caring about your community and people you don’t know?

Have you come to know and appreciate your co-workers in new ways after working together through tough times, and perhaps meeting their kids on video calls and hearing their dogs bark in the background?

Have you converted your work commute into something positive for yourself?

Have you spent time reflecting on your career and what truly is important to you? Continue reading →

Systems at scale and optimized workflow

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IT teams work at scale all the time supporting thousands of users. Workflow optimization is often a goal for new systems. The mass vaccination sites and events are at scale and depend on an optimized, efficient workflow. With over 2 million doses a day being administered now in the U.S., these sites and events are becoming more prevalent and will continue over the next several months. While there was much publicity of the problems in the vaccine rollout early on, there have been many improvements in the tools to find vaccine locations and schedule appointments, and the administering of shots. In part that has been due to improved technology and better workflow design.

Two health systems doing mass vaccination sites/events have shared their playbooks in recent weeks for others to learn from. UCHealth in Denver is offering a playbook, “COVID-19 Mass Vaccination Drive-Through Playbook”. It is a 59 page comprehensive and very detailed playbook covering organizational structure and partner involvement, pre-event planning, contingency planning, patient communication, staff, provider and agency recruitment, vaccine storage and handling, and media communications. The Atrium Health playbook is a higher-level guide for leaders – “A Leader’s Guide to Safer, Faster and More Equitable Community Vaccination Events”. Both are valuable tools whether you are in the planning stage or tweaking your current operation.

To build on these tools, I recommend checking out two recent interviews that Bill Russell did at This Week in Health IT.

Continue reading →

The year we meet again

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This is one of those weeks where I throw out what I was writing to mark an historic moment. It has been one year since the worldwide pandemic was declared. We all remember that week. It was a week when suddenly everything we knew as normal changed.

But a year later, this same March week feels like a hopeful turning point. The CDC has released guidelines on what fully vaccinated people can do. Congress has passed the American Rescue Plan and President Biden has signed it. The President is projecting we will reach 100 million vaccine doses in arms by his 60th day in office (next week) compared to his original goal of 100 million in the first 100 days. And he has directed the states to make the vaccine available to all adults by May 1 while the federal government mobilizes thousands of vaccinators and launches a new website to help people find the vaccine site closest to them.

I wrote last week that my husband and I have received our first dose. Our “magic date” as I call it is April 10 (though I know it is about science, not magic!). That is the day after our 45th wedding anniversary. That is when we will be fully vaccinated – two weeks after our second dose appointment on March 27. Like everyone who has missed spending time with their families we are looking forward to breaking bread together again. My husband and I are talking about which of our favorite restaurants we will go to for an inside meal for the first time in over a year.  And we are making plans to go somewhere for a long weekend.

I have shed tears many times this past year as I saw story after story of healthcare workers struggling to deal with overflowing ICUs and families describing the loved ones who they lost to COVID. This week I had tears reading the story of a young EMT in my town who transported many COVID patients to the hospital every day in March, then got COVID himself in April and nearly died. After many months of recovery, he is now back on the job. I had tears listening to the COVID-19 briefing on Monday. My emotions were a combination of sadness and anger as I listened to the experts unfiltered and thought about all the lies and misinformation and ignoring of science that we lived with the past year. We know the pandemic didn’t have to take the toll on this country that it did. Continue reading →

We got our shot!

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My husband and I got our first dose vaccine shot on Saturday. And yes, there is a sense of relief to be at this point a year after it all started.

March 5, 2020 feels like the last normal day for me. I had lunch in a restaurant with my daughter who is an NP at a Boston hospital. I was anxiously waiting to hear that HIMSS20 would be cancelled and wondered what they were waiting for. I discussed the risks of going with my daughter. I decided during that conversation not to go even if they held it (I got the cancellation notice as we were leaving the restaurant). I asked her about the Coronavirus from a clinical perspective. She said we’re “f’d” and projected 100,000 cases in the U.S. by April 1st. We now know it was to be far worse.

As a frontline healthcare worker, she was fully vaccinated by early January. Two weeks ago, she helped about fifteen of her husband’s 65 years and older family members and their friends navigate the somewhat confusing multiple websites in Massachusetts to schedule first dose appointments.

Here is my Rhode Island story. The vaccination site was a junior high in our town. Overall, it was a smooth process. When we pulled into the parking lot there was a sign that said wait in your car until 5 minutes before your appointment to avoid people crowding at the door. Our town Mayor was there working – that was a pleasant surprise. He took temperatures and asked initial screening questions at the door. I greeted him and commented on the fact that he was working – his somewhat joking reply was, “I have to earn my keep”.

Next, we went to the “check in” table. We gave them our IDs and they looked us up on the list of people scheduled for an appointment that day. The list was in no sort order, so it took a while. We then moved into the gymnasium where there were about eight vaccine stations. Firefighters and EMTs gave the actual shots. My husband was considered to have moderate risk of a reaction, so his PCP advised him to stay for 30-minute observation. When he shared that information, a physician was called over to ask him a few questions before he got the shot.

With information on how to sign up for the CDC’s v-safe app (after vaccination health checker), and our vaccination cards in hand we went to the observation area with many seats set up socially distanced. There were several people wandering around the area offering to help you make your second appointment or you could just use the QR code they provided on posters visible on the backs of the chair in front of you to sign up for 4 weeks out.

If you know me well, you know that I always have an eye out for process improvements. Continue reading →

What is a “Digital Dog”?

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My colleague, David Muntz, coined the term “digital dog” this week when he described to our StarBridge Advisors team how my two little dogs are so well informed as they walk with me every day while I listen to podcasts. I loved the term and the image!

There is so much great content to listen to. I sometimes feel like my little dogs with their short legs trying to keep up with me as I try to keep up with my two favorite podcasts – This Week in Health IT and In the Bubble. Yes, I subscribe to many more, but these are the top two that I keep up with best I can.

This Week in Health IT is three different weekly shows (each approximately 45 minutes long) – Newsday (Monday), Solution Showcase (Wednesday), and Influencers (Friday). And starting this year Bill Russell decided his audience could benefit from another option so he launched a daily news show on a separate channel – Today in Health IT (shorter at 8-10 minutes each).

I agreed to be one of the rotating co-hosts on Newsday this year. My second episode with Bill was this week – Newsday – Drive-Thru Vaccine Distribution, Reaching the Marginalized, and CIO Priorities. The first topic we covered was the UC Health Mass Vaccination Playbook – a comprehensive resource that is worth downloading. Even if you are already doing similar mass vaccine sites, I am sure there is something to learn from their playbook to refine and improve your own operation. Best practice sharing is what we do in healthcare! Check out the podcast to hear all the stories we discussed.

So that’s my plug for the best podcast series to keep up with what’s happening in health IT.

Turning to my other top podcast, In the Bubble. This is how I stay educated on COVID-19 and all things related. Continue reading →

Vaccine rollout – it takes a village, part 3

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Let’s start with the big picture and some good news. There are downward trends in the key COVID-19 indicators – the number of new COVID cases, hospitalizations, and deaths. But we know there is no good news in 3,000 deaths per day and nearly 500,000 deaths since the pandemic started a year ago.

In terms of the vaccine, there is good news at a macro level. According to the Bloomberg COVID tracker, 48 million doses have been given in the U.S. with an average of 1.62 million doses administered per day, 14.6 doses have been administered for every 100 people, and 70% of the shots delivered to states have been administered. (as of 2/11/21 at 6:25PM)

There are more examples of mass vaccination sites with thousands being vaccinated in a single day at stadiums around the country. UC Health in Denver is offering a playbook for mass vaccination sites to other health systems – best practice sharing is something we do very well in healthcare.

Dr. Anthony Fauci projects that by sometime in April, the vaccine will be available to anyone who wants it. That seems very optimistic considering many states are just now in mid-February beginning to vaccinate anyone over age 75. President Biden says there will be enough vaccine supply to vaccinate 300 million in the U.S. by the end of summer.

Access issues continue with a lot of confusion and frustration for those in qualified groups trying to make appointments either online or by phone.  It has become a family affair for many as younger family members try to help their elders figure out how to get vaccine appointments when there are multiple channels possible in their state or city and multiple different websites to go to. I applaud the various initiatives of software engineers in Massachusetts and New York who based on their own frustrating family experiences created a way for people to check availability of vaccine appointments. But we should not have to rely on such solutions. I would expect our government agencies to have made it simpler to begin with.

I just learned of another tool that notifies people via text message when there are leftover doses in their zip code so no dose goes to waste – Vaccination Standby  List. According to the website, their mission is  “to reduce COVID vaccine waste, reduce unnecessary lines and crowds at stores, reduce misinformation of leftovers, and allow as many people as possible to take advantage of any leftover doses”.

Disparities in vaccine distribution are real. We need more examples like the one in South Los Angeles where Dr. Jerry P. Abraham and the Kedren Community Health Center set up a walk-in site described in the Los Angeles Times article by Erika D. Smith on January 29, “Column: How a South L.A. doctor is beating the system and distributing vaccines equitably”. In Dr. Abraham’s interview on MSNBC’s Rachel Maddow Show on February 5, he said that he and his team are extremely solutions oriented and recognized that people with no car, no Internet access, and no email needed a workaround. Continue reading →