Tag Archives: technology

ACP – addressing the digital divide

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“We need to advance health equity in a sustainable way – not with charity care and not performative health equity”, said Dr. Alister Martin, ED physician and CEO of A Healthier Democracy in the closing keynote at the annual NEHIMSS chapter conference last week. One of the many initiatives of A Healthier Democracy is Link Health which focuses on connecting patients to the Affordable Connectivity Program (ACP) to close the digital divide.

Listening to Dr. Martin last Thursday, I decided to use this week’s blog post to amplify this important initiative and help raise awareness among health IT leaders about the ACP and its importance for healthcare. As they say, timing is everything. June 14-22 is the ACP White House Week of Action and June 16 is the ACP Healthcare Day of Action.

Here’s some background on the ACP taken from the Link Health website:

COVID-19 Accelerated A Massive Shift To Telehealth.

The COVID-19 pandemic ushered in widespread acceptance of telehealth and other digital innovations in medicine and dramatically increased the use of telehealth as an intervention to reach patients.  A recent HHS study shows a 63-fold increase in Medicare telehealth utilization and 32-fold increase in behavioral health care through telehealth triggered by the pandemic.

Access To Broadband Internet Is A Social Determinant Of Health.

Despite widespread internet usage in the United States, 15–24% of Americans lack broadband internet connection, a foundational requirement for telehealth and the bevy of other services that underpin the social determinants of health. In fact, access to broadband internet has been considered a “super” social determinant of health (SDoH).

The Affordable Connectivity Program Expands Broadband Access But Needs Help From Healthcare.

The Bipartisan Infrastructure Law created the Affordable Connectivity Program which provides a subsidy of up to $30/month for lower-income households ($75/month for households on tribal lands) on participating internet service plans and a one-time $100 subsidy for a connected device. 51.6 million households are eligible for the ACP, yet only 25% have enrolled. 38 million more households are potentially missing out on money to pay their internet bill. Importantly, only 13% of patients with Medicaid have signed up for the ACP.

Link Health is partnering with the White House, Civic Nation, and leading healthcare organizations on the ACP Week of Action to leverage the health sector to connect patients to the ACP and close the digital divide. There are resources at this site if you are ready to be part of the action and amplify the message through your organization and in your community. Continue reading →

Inspiring the next generation of healthcare heroes

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It’s Health Technology Management Week, a time to celebrate and thank all the biomed technicians and clinical engineers who make up the critically important HTM teams in our hospitals. Not being involved in AAMI as I was over the past decade, I thought I didn’t have anything new to say this year. And then I saw a social media post that inspired this week’s topic. What better way to celebrate and acknowledge the work of our HTM teams than to highlight the need for more HTM professionals in the future.

Like many healthcare professions, HTM faces staffing shortages now and into the future. Educating young people about health careers and building a pipeline is one aspect of addressing those shortages.

“Ollie the Biomed” by Chace Torres is a new children’s book that describes what a biomed technician does. Like other children’s books about different jobs and careers, it makes the life of a biomed technician exciting and attractive. And it is written from the firsthand experience of a proud biomed tech and dad who is well aware of the staffing shortage in this field. Torres is the lead technician for Texas-based medical equipment manufacturer SPBS Inc.

AAMI featured the book in this May 2, 2023 article: “Meet Ollie, the Biomed ‘Device Doctor’ Who’s Teaching Children About Fixing Problematic Medical Products”. An excerpt from the article:

Torres, who also shines a light on the HTM profession via an ongoing podcast, says it’s more important than ever that young people are exposed to a “profession struggling to build awareness, [because] the majority of the workforce is set to retire within the next decade,” he wrote in an overview of his book.

The book is “about inspiring those who are younger and letting them know that there are other jobs out there besides those found in a typical children’s book—the standard professions that all kids see, whether it’s a police officer, firefighter, or doctor,” Torres said. “Many people have reached out to me who have purchased the book or have bought it for somebody else, and they will say, ‘My son, or my daughter, or my grandchild had no idea what I did as a biomed, but after reading the book, they understand and loved it.’”

The book description on Amazon provides more background:

This children’s book is a depiction of the profession known as Biomedical Equipment Technician, AKA “Medical Device Doctor.” Ollie the Biomed experiences a work day repairing, calibrating, and solving real world problems found within the everyday job of a Biomed. It illustrates the complex but rewarding career filled with so many devices used in healthcare today to treat patients. Biomeds are directly responsible for inspecting, repairing, calibrating, and managing all aspects of any medical device found in hospitals today. I wrote this book for my son to learn exactly what his dad does and why I love what I do each and every day. I hope to inspire kids across the world to seek out more information and become Biomeds because it is truly rewarding and fun.

Torres is an advocate for his profession in other ways. Since 2021 he has hosted “Bearded Biomed”, a podcast that drops twice a month. Some of his recent topics: Women in HTM, the 2022 HTM Salary Survey, and Dealing with Biomed Burnout. Continue reading →

Amplifying the voice of nurses

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May 6-12 is National Nurses Week. Nursing has been the most trusted profession for the past 20 years according to a Gallup Poll. That’s no surprise when you think about the nurses you have interacted with as a patient or as a colleague.

I’ve written a post about nurses almost every year since I started this blog. Do I have anything truly new to say this year? Yes, in that I want to highlight how the past three years has taken a toll on all our clinicians, in particular nurses. The public health emergency is expiring. Health care providers are adapting their policies as they continue to deliver care. We have entered a new phase for healthcare organizations, staff, patients, and families.

Staffing challenges are at the top of the list of concerns for many health executives – staff shortages and clinician burnout. There are no easy solutions. The toll of the past few years on our nurses was highlighted in a May 2nd NPR article by Jaclyn Diaz – “Nearly a third of nurses nationwide say they are likely to leave the profession“. The article starts with some sobering findings from the 2023 Survey of Registered Nurses conducted by AMN Healthcare. The survey examined the impact of COVID-19 on the career plans, job satisfaction, and mental health and wellness of more than 18,000 RNs. Key findings:

  • Close to 1/3 of nurses nationwide say they are likely to leave the profession for another career due to the pandemic. This level is up 7 points since 2021.
  • 89% of RNs said the nursing shortage is worse than five years ago, 80% expect that to get much worse in another five years.
  • Younger generations of nurses are also less satisfied with their jobs compared to their older counterparts.
  • 80% of nurses experience high levels of stress at work, an increase of 16 points from 2021.
  • 77% of nurses reported feeling emotionally drained, up from 62% in 2021.

Of all the blog posts I’ve written about nurses, this one from five years ago has the strongest message – “Celebrate nurses, but more importantly listen to them”.  This is true now more than ever. From the bedside to the boardroom we need to listen, amplify, and prioritize the voice of nurses.

IT leaders won’t solve the staffing challenges. But we have a role to play. The systems and solutions we provide and support as health IT leaders and vendors must help nurses do their job more easily and efficiently, not make it harder. We need to reduce the burden on nurses and ensure they are integrally involved in decision making, prioritization, and design processes.

Navigating the AI landscape in healthcare: HIMSS23 recaps and more

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Last week I jumped in on the hot topic of AI with my post, “AI in healthcare – is 2023 the breakout year?”. HIMSS23 was just wrapping up so I was waiting to hear overall recaps and especially updates on AI and ChatGPT.

Those recaps came as expected. Here’s a short compilation of several I found:

And finally, a resource to keep watching and listening to is Bill Russell’s This Week Health. His most recent Newsday show was “Today: Deploying Chat-GPT in your setting”. He references an article by Jonathan Balaban, a data scientist, and emphasizes the need for governance and security. Bill sees a lot of potential for ChatGPT but argues organizations need boundaries. As my favorite television news anchor likes to say, “watch this space”.

The use of AI in healthcare is evolving quickly. Every vendor seems to be an AI vendor in some form, or so they say. CIOs need to stay current, leverage their current vendor partners, carefully assess the new niche players and their claims, develop AI skills within their teams, and find ways to experiment that make the most sense for their organization.

If you have AI stories to share, please do. I may use them in future posts.

AI in healthcare – is 2023 the breakout year?

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It has been a while since I wrote on a technology subject. I usually leave it to others who stay much more current and are doing the day-to-day IT work in healthcare organizations. But the rapid acceleration of generative AI with ChatGPT the past several months has caught my attention.

I put my toe in the water and asked it to draft some marketing messages for me several weeks ago. For first drafts, they weren’t too bad. Using ChatGPT in this way gets you past the blank sheet of paper (or screen) and writer’s block. Or as my minister husband would say at times when writing a sermon, you need to get past picking out the font.

My StarBridge Advisors colleague, David Muntz, recently used ChatGPT to do an internal presentation on AI for our advisor team and gave ChatGPT “co-author” credit to make a point.

Bill Russell has talked about it often on This Week Health podcasts. He and his team are exploring ways they can use it in their business. Here are just a few of the podcasts he’s done on ChatGPT:

Generative AI, the new Medical Generalist

GPT4 Use ideas and Use Cases

ChatGPT4 on ChatGPT4

Several health system digital leaders told Becker’s that AI can only do so much in this article dated March 16, 2023, “How far is too far for AI in healthcare?”, and how it needs to be thought as of “augmented intelligence”. Ashish Atreja, MD, CIO and chief digital health officer of UC Davis Health said it well, “Machines lack internal consciousness, and the ability to distinguish right from wrong. Roles that depend on human empathy and critical decision-making in ambiguous situations can be supported but should never be replaced by AI.”

David Muntz’s blog post from October, 2022, “AI and AI – Use Them Responsibly”, talks about artificial intelligence and augmented intelligence. His view is similar to the digital leaders quoted in the Becker’s article. David closes his post by saying, “AI and AI should not be seen as ways to replace humans but as technologies that allow us to instantiate learnings from the human experience.  AI applied responsibly and compassionately allows people to share evidence-based practices and focus on the more human-oriented tasks that cannot be automated.  Importantly, AI helps us recover time to spend on our community, our providers, our patients, their families, and ourselves.”

The potential for medical AI is so significant that there will be a new AI-themed journal from the New England Journal of Medicine called NEJM AI. The inaugural editor-in-chief is Isaac Kohane, founding chair of the Department of Biomedical Informatics at Harvard Medical School. Continue reading →

STEM needs a youth pipeline

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It has been quite a while since I wrote a blog focused on STEM – the last one was “STEM or not, own your career”. A field trip with my 8-year-old granddaughter, Kylie, and 6-year-old grandson, Colin, to the Boston Museum of Science during their winter break got me thinking it’s time to talk about STEM again. To make this more than just another nana story, I did a little research on current STEM statistics both from a workforce and education perspective.

Here are a few facts I found on a site describing National STEM/STEAM Day:

  • The number of STEM vacancies remains higher than the actual candidates.
  • The average pay for STEM jobs is 70% higher than the national pay average.
  • In the U.S. 8 out of 10 employers were looking for employees with STEM education for important job roles.
  • The U.S. Bureau of Statistics predicts that 80% of the jobs in the upcoming years will require technical skills.
  • STEM jobs were predicted to increase in the U.S. by 16% between 2014 to 2024.

I also found an insightful blog, “The state of STEM education told through 26 stats” from iD Tech – a company that provides tech camps for youth. Here are some highlights on STEM education from that blog:

  • Only 20% of US high school graduates are prepared for college-level coursework in STEM majors.
  • Fewer than half of the schools in the US offer computer science classes.

With a focus on encouraging and preparing girls for STEM careers, it had some interesting statistics:

  • 74% of middle school girls express an interest in engineering, science, and math but only 0.4% choose computer science as a major when they get to college.
  • As of 2019, women comprise just 27% of the STEM workforce.
  • 63% of middle school girls who know women in STEM feel powerful doing STEM.
  • Moms who communicate on STEM leads to girls being +20 points more interested in pursuing their studies.

You can check out the blog for data sources and more insights.

When we talk about pipelines for future job opportunities, it is important that we start all the way back to elementary school ages and expose kids to various fields of study. Continue reading →

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!

From an oversubscribed podcast fan

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If you’re a podcast listener like me, you probably have subscribed to a lot of different podcasts. You get a recommendation from a friend or colleague, somehow you hear about a new podcast on a topic of interest, so you search for it and subscribe. At least that’s what I do. It results in being way oversubscribed. Let’s be honest, you can only listen to so many different podcasts regularly whether on your commute, when you’re working out, or walking the dogs.

It’s no secret that I’m a huge fan of the This Week Health channels. I subscribe to all three – Newsroom, Community, and Conference. I am a regular listener of the Daily News shows on Newsroom to keep up and because they are nice and short – about 10-15 minutes each except for the Monday show. I listen to many of the Community Town Hall interviews and humbly note that I’m one of the hosts committed to doing one a month. My interviews so far this year have included John Glaser, Kisha Hawthorn, Lisa Stump, Scott MacLean, and Pamela Arora – leaders in our industry you probably recognize.

Since it’s conference season, Bill Russell and his team at This Week in Health have been doing the Interviews in Action series again – 10-15 minute interviews with many health IT leaders which can be found on the Community channel.

If you want to keep up and learn from others, check them out and encourage your team to listen as well. As in past years, Bill will be doing the end of year highlights shows – they are a great way to introduce others to these podcasts. There will even be one with all the Town Hall hosts covering highlights from our interviews this year. And as Bill has done every year for the past 5 years (congrats Bill on an awesome 5 years!!), we can count on tweaks to current channels and maybe some new programs in the coming year.

Back to the oversubscribed challenge and a bit of a diversion. Continue reading →

More wisdom from one of the best

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We all can point to a few key people in our career who served as mentors. People who believed in us, encouraged us, and guided us when we needed it. For me, there is no question that John Glaser is one of those mentors.

I first met John when I attended the pre-cursor to CHIME’s CIO Boot Camp back in the early 1990s. John was one of the faculty members for the weeklong program. At the time he was CIO at Brigham and Women’s Hospital before it joined with Mass General to form Partners HealthCare (now called Mass General Brigham). I remember sitting next to him at lunch the day he spoke and having an engaging conversation.

I next met John in 1999 when I walked into his office to interview for the CIO position at Brigham and Women’s Hospital. John was then the CIO at Partners HealthCare which had formed in 1995. I recall that first awkward moment. I had just finished reading his first book, “The Strategic Application of Information Technology in Health Care Organizations”. I told him so along with the fact that we had met before at the boot camp. But then I said he probably meets a lot of people so why would he remember me. Awkward opening, right? He said he would be listening to not just what I said but how I said it as personality mattered. And so, the interview commenced……

Fast forward, I was hired and worked for and with John until 2010 when he left to become CEO for Siemens Health Services. For my generation of CIOs, John is a legend. I have learned so much from him over the years and appreciate the support and guidance he gave me, helping me to be successful as a CIO.

Fast forward again, John is what he calls small “r” retired though he appears to be quite busy teaching, writing, and serving on boards. He is Executive in Residence at Harvard Medical School and Program Director, Leading Digital Transformation in Health Care – continuing to teach next generation leaders. His newest book, “Advanced Introduction to Artificial Intelligence in Healthcare” co-authored with Thomas H. Davenport and Elizabeth Gardner was published in August.

John graciously agreed to let me interview him for the This Week Health Town Hall show on the Community Channel. We had a great time talking and covering some very relevant topics – the evolving role of the CIO, new digital advances in healthcare, Artificial Intelligence, and what small “r” retirement means and how to prepare for it. The interview was published this week – check it out here. You’ll learn from one of the best and probably have a few laughs.

Related Posts:

Inspiring and developing new leaders – learning from the best

7 Ways to develop the next generation of leaders

A passion for health care

A post vacation teaser for future posts

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I am just back from a long vacation in Europe. Probably too long away from home but it was wonderful overall. I learned a lot, saw a lot, took hundreds of pix that I now must organize, kept in touch with family back home, and made some new friends.

And I have a lot of takeaways for future blog posts such as:

  • smart technology in everyday life (Europeans seem ahead of us)
  • importance of infrastructure (can’t say enough positives about the train system in Europe)
  • value of language translation tools (Google translate is a great tool for basics)
  • learning value of travel (part of trip was Road Scholar cruise with professors lecturing onboard and local experts on tours)
  • email management (the art of monitoring while on vacation)
  • and yes, some political commentary (Europe knows what it takes to fight fascists and Nazis)

I will be writing some of these posts in the weeks to come as I am still catching up and getting back into work and routines.

I leave you with a quote we saw on a small riverboat in Narbonne, France (which looked like a wonderful place for retirement if you didn’t have family and grandkids you wanted to see often). I used the Google translate app to get this: “If you think adventure is dangerous, try routine, it’s deadly!”

Related Posts: 

Vacation season reminders for a more balanced life

4 tips when you must work on vacation