Tag Archives: technology

Partnering for your health

Posted by on

You go to a conference, hear many great speakers, take some notes, learn about some new firms, make new connections, and catch up with colleagues. There are usually one or two key takeaways. Those btn_epatient_spm (002)stories or presentations that make a significant impression on you.

At the New England HIMSS Chapter Annual Spring Conference this week, that moment came during the session by Dave DeBronkart, known as e-Patient Dave, and Dr. Daniel (Danny) Sands, his primary care physician and faculty member at Beth Israel Deaconess Medical Center. Together they were two of the twelve founders of the Society for Participatory Medicine and the inaugural co-chairs.

Prior to the conference, I knew who e-Patient Dave was and had seen him on social media, but I had never heard his personal story nor met him. Their session demonstrated the power of storytelling at its best. Now I understand why Dave is so passionate about patient engagement.

Their session, “Hot or Not? A Doctor and Patient Role-Play the Archaic and the Modern Way to Engage” was a combination of role play and presentation. Dave started by describing the moment when he was diagnosed with a stage 4 cancer in 2007 following an incidental finding from a shoulder x-ray. He learned early in his journey that the median time left for a patient with his diagnosis was 24 weeks. He thought then that he had at most 6 months to live. That got my attention!

Their role play illustrated what may be the typical patient – physician interaction vs what should be a true patient – physician partnership. They covered communications (email, texting), patients doing their own online research and sharing information with their physician, timely access to results on a patient portal, and disease specific online support groups.

The Society for Participatory Medicine focuses on the power of partnership between patients/families and clinicians. They describe “Participatory Medicine” as a movement in which patients and health professionals actively collaborate and encourage one another as full partners in healthcare. They believe this leads to improved health outcomes, greater satisfaction, and lower costs. Continue reading →

Finding your passion

Posted by on

One piece of advice I give young people is that they don’t have to decide what they want to do for the rest of their life at age 22. Just think of all the jobs that didn’t exist 10 years ago and what might exist 10 yearscanstockphoto19577734 (1) finding passion from now.

As we acknowledge the nurses among us for National Nurses Week, think how much the nursing field has changed over the years and how many opportunities and different paths nurses can take these days. There is a growing need for nurses with informatics training but that is just one possible path among many.

My oldest daughter is a nurse practitioner. But she didn’t start there when she went to college. She got her undergraduate degree in hotel and restaurant management with a minor in business. She wanted to do travel and tourism – and see the world. On graduation day she looked at me and said, “Mom, I don’t know what I’m going to do with my life that’s meaningful, but I don’t think it’s travel and tourism”. I looked at her and said, “Just get a job and then figure it out”. That was the response of a parent having just put their oldest of two children through college and anxious for her to get started in the full-time work world. Can all you parents of young adults relate? Or did I sound like a callous and unsupportive parent?

She floundered for a year or two after college with a couple different jobs including work in the travel industry for a short time. But she started thinking early on after graduation about becoming a nurse. Whenever she talked to me about it, I told her she’d be a great nurse – super organized, able to multi-task better than anyone I knew, with fabulous people skills. But I also told her that she’d have to buckle down and study the sciences if she wanted to be a nurse.

She considered her options and decided to pursue a combined nursing / nurse practitioner program getting her second bachelor’s degree then her masters. She had found her passion! Continue reading →

It’s IT’s fault

Posted by on

I was surprised to hear this from a front-line airline worker when I checked in at the gate. I probably shouldn’t have been surprised after all my years in IT. As I deplaned on the first leg of my flight, I realized canstockphoto7753679 (1) blameI didn’t have a mobile boarding pass for the second leg. I usually print my boarding passes – just seems easier to keep track of and quickly access than trying to find the specific email on my iPhone with the boarding pass link. But I had checked in for the flight from my hotel room late the previous night so opted for a mobile boarding pass.

The connection was going to be tight anyways. And then my first flight was 35 minutes late departing and I was sitting towards the back of the plane. I was connecting at O’Hare so I hustled from the H gates to the L gates fast as I could. When I got to the gate and said I didn’t have a boarding pass, the airline employee said, “it’s our IT department”. He told me how IT has some explanation about how the mobile boarding passes aren’t intended for connecting flights for security reasons. But I don’t recall any message during the online check-in saying I had to get my second boarding pass at the airport. Then he said it’s because they inherited the IT department from the other airline they had merged with.

As a healthcare customer, I’ve often heard registration clerks and other front-line workers blame “the system” for being slow or not working the way they’d expect it to. Another “it’s IT’s fault” explanation. But given I usually received my care at the provider organization where I was the CIO, what I heard was it’s my team’s fault.

After doing an IT review at a client where we talked with probably 60 leaders and staff, I saw how the “it’s IT’s fault” takes on many flavors. A sobering reminder of just how hard IT’s job really is, yet how much IT needs to listen to their customers and partner with them. Continue reading →

Outsourcing in health IT – is it time to reconsider?

Posted by on

We probably all know at least one negative story on IT outsourcing in healthcare from years past. But the outsourcing pendulum is swinging back. As core IT services become more of a commodity and CIOs need canstockphoto20590634 outsourcingto focus on strategic initiatives, selective outsourcing is worth consideration.

The recent announcement that Trinity Health is outsourcing application management and rebadging approximately 450 staff is getting attention from other provider organizations. There are other examples – many in infrastructure.

More and more I hear from CIOs who are considering selective outsourcing for various reasons – reduce costs, modernize the infrastructure, provide scalability and flexibility as health systems grow, deal with recruiting and retention challenges, or focus on strategic initiatives instead of commodity services. Many CIOs are finding themselves part of overall cost reduction efforts at their health systems. While some CIOs start from a defensive posture and say they can’t possibly reduce costs any further, one of the most progressive IT leaders I know said she is looking at it as an opportunity to transform IT.

I was part of an organization wide cost reduction initiative when I served at Brigham and Women’s Hospital, Michigan Medicine and University Hospitals. As the CIO, I was asked to identify opportunities to reduce costs while other departments’ opportunities needed additional IT help to achieve their reductions. But saying no to cost reduction is usually not an option. CIOs must partner with their peers and engage their staff to identify opportunities. Continue reading →

IT matters – why I work in healthcare

Posted by on

42,000 steps later and HIMSS19 is behind me. Heard insightful and moving speakers at the CHIME CIO Forum. Co-presented with Pam Arora on the relationship between IT and HTM. Sponsored the networking breakfast at the career fair. Facilitated a roundtable at the mentor meetup. Interviewed by Bill Russell for his This Week in Health IT podcast HIMSS series. Walked the exhibit hall. Had many great conversations with new and old colleagues. And promoted our new StarBridge Advisors service, C-change, receiving lot of positive feedback and enthusiasm.

Did I meet my HIMSS19 goals? Yes. Now it’s time for all the follow-up.

In the first two days I was reminded numerous times why I work in healthcare. The CIO Forum planning committee made some bold speaker decisions this year and I applaud them for it. The day included some very personal and touching stories. Continue reading →

#HIMSS19 – are you ready?

Posted by on

If you work in health IT, you know that the annual HIMSS conference is the biggest annual industry event whether you are headed to Orlando in two weeks or not. The number of emails, blog posts, social media image001 (003) HIMSS19posts, and articles providing guidance and recommendations on HIMSS19 grows with each passing day. And to this year’s theme – yes, we are all champions transforming healthcare through technology!

With so much info out there and so many scheduling choices to make, here are a few more resources and recommendations that might help in your final preparation.

Whether you are attending in person or following the happenings from a distance, the Official HIMSS19 Hashtag Guide will help you focus in on your areas of interest. And of course, you’ll want to follow all the social media ambassadors.

Check out the StarBridge Advisors blog post from principal, David Muntz – “Prepare to visit HIMSS2019 – Health IT’s Magic Kingdom”. David gives his advice for optimal prep and shares our principals’ top picks for this year – mine are #WomenInHIT, #HITventure and #Engage4Health.

At the Career Development Seminar on February 11, David will be presenting “Opportunities in the Rapidly Changing HIT Environment” at Session #4 from 1:00PM-2:00PM and hosting a mentor roundtable on “Future of the Industry” at 3:15PM.

The career fair on Wednesday from 8:30AM-3:30PM is something to consider checking out if you are early in your HIT career, looking for a change, or just want to get some tips from the experts. There is no fee, but separate registration is required.

I’m looking forward to hearing the panel at the #WomeninHIT Meetup – Changing the Scales to #BalanceforBetter on February 12 from 3:00PM-3:45PM at the HIMSS Spot. StarBridge Advisors will be launching a new initiative focused on developing women leaders prior to HIMSS19 – more on this in an upcoming blog. Continue reading →

Just how dependent are we?

Posted by on

You’ve probably been there. That feeling when you have to relinquish your smart phone for repair; you suddenly feel cut off from everyone and everything. You’re not on vacation, intentionally going off the grid. canstockphoto14698935 (1) smart phoneIt’s a work day. You need to stay connected. You have work to get done.

Tuesday was that day for me. The battery on my iPhone 6 Plus had been draining way too quickly. The battery setting said it needed service and I should bring it in. I made my appointment with the Genius Bar at the Apple Store about 15 minutes from my house. I blocked a two-hour window door to door. Seemed reasonable. I took some work with me to do while they were replacing the battery, but I didn’t think to bring my laptop.

I had a 12:30PM appointment. It was around 1:15 when they took the phone; they said it would be an hour before I would get it back. So much for my two-hour window. I headed to the food court for a quick lunch and did my other work – paper I’d brought with that I needed to review. I suddenly felt incredibly out of touch without my iPhone.

It took only about 15 minutes to review the papers with me. Now what? Well there was one purchase I needed so I headed to a store. I got back to the Apple Store at 2:15 and they weren’t done. The greeter told me it would be another 20 minutes. I thought of one other item I needed and headed to another nearby store.

I returned after 20 minutes. iPhone still not ready. I somewhat jokingly (though I was getting increasingly frustrated) told them this was costing me money since I hadn’t planned to shop that day. More importantly, I had a conference call at 3PM that I needed to do from home on my laptop. So much for thinking a two-hour window door-to-door was enough.

I got my iPhone back at 2:50PM. As it turns out, when they replaced the battery, the display wouldn’t work, and they couldn’t resolve it. So, I ended up with a brand-new iPhone 6 Plus for the price they were going to charge me for the battery. A good but unexpected ending in many respects.

As I ran out of time, they got me set up for phone and text. I quickly called one of the two people for the 3PM scheduled call and said I hadn’t been able to review the prep document that had been sent during this offline window and wouldn’t be able to do the call until 3:30PM.

I headed home with a phone with bare bones phone functionality. Not until I could take time later that day to do the iCloud restore would I be back to normal functioning. Continue reading →

Give the gift of girl power

Posted by on

Every day is a good day to encourage reading and learning. And every day is a good day to buy books for kids. The holiday season is a time when many of us are looking for book recommendations for the young canstockphoto20702129 (1) girl power booksones in our lives.

With four grandkids and six grand nieces and nephews, I buy a lot of kid’s books. Of these ten young people, six are girls. When looking at books for the girls, I’m particularly interested in finding ones that will inspire them and teach them to be strong, smart girls who can be and do anything they aspire to. And, of course, I like to encourage an interest in STEM fields.

A few of the books I’m looking forward to buying for my granddaughters when they are a little older:

  • Women in Science: 50 Fearless Pioneers Who Changed the World, by Rachel Ignotofsky, highlights the contributions of women to science, technology, engineering, and math (STEM).
  • Herstory: 50 Women and Girls Who Shook Up the World, by Katherine Halligan, celebrates inspiring women who have changed the world.
  • Good Night Stories for Rebel Girls, by Francesca Cavallo, is a collection of bedtime stories of extraordinary women both past and present, each told as a fairy tale.
  • She Persisted and She Persisted Around the World, by Chelsea Clinton, describe the struggles of 26 remarkable, diverse and tenacious women.

There is a great series by Andrea Beaty that I’ve already introduced to my oldest granddaughter who just turned six. I gave her Rosie Revere, Engineer last Christmas. The other two books in the series are Ada Twist, Scientist and Iggy Peck, Architect.  Rosie, Ada, and Iggy are friends who pursue their passions with persistence while celebrating and learning from their failures.

If you have young girls to shop for this holiday season, I hope you will consider one of these books. And if you are looking for organizations to support as you consider your year-end charitable contributions, take a look at Girls Inc. With local organizations in cities across the country they inspire all girls to be strong, smart, and bold. Their message couldn’t be any clearer.

Related Posts:

STEM gift ideas for 2017

WANTED: STEM gift ideas for kids

STEM for the holidays

Yes you can: encouraging girls to pursue IT careers

Physician satisfaction with EHRs

Posted by on

I am a huge fan of Dr. Atul Gawande. Who isn’t? He is a surgeon, an author and one of the most insightful and influential physicians of our time. His books are best sellers and his articles in The New Yorker canstockphoto3914104 (1) physician computermagazine are widely read. He was recently named as CEO of the non-profit-seeking health care venture formed by Amazon, Berkshire Hathaway, and JPMorgan Chase to deliver better outcomes, satisfaction, and cost efficiency in care. He will be the opening keynote speaker at HIMSS19 in Orlando this coming February.

His books include Better, Being Mortal: Medicine and What Matters in the End, Complications: A Surgeon’s Notes on an Imperfect Science, and The Checklist Manifesto. I gave one of his early books to all my IT leaders one holiday season. My tradition was to give them an insightful and inspiring book each year. Gawande’s books are clearly some of the best for health care leaders.

Gawande has been a staff writer for The New Yorker since 1998. His latest piece was titled “The Upgrade: Why Doctors Hate Their Computers”. It’s a long read but worth the time if you work in health IT and care about your physicians. Gawande describes the challenges of EHR’s from the front lines of medicine. He talks about the significant amount of time spent doing documentation after a patient visit and the loss of physician to patient connection with the computer competing for attention in the exam room.

In discussing physician burnout, he referenced Berkeley psychologist Christina Maslach’s work studying occupational burnout where she defined burnout as a combination of three distinct feelings – emotional exhaustion, depersonalization and a sense of personal ineffectiveness. He noted that in 2014, 54%% of physicians reported at least one of the three symptoms compared to 46% three years earlier. He shadowed a scribe and talked with surgeons and primary care physicians on the impact of the EHR on their work and their time. He learned from a patient who works as a construction supervisor that others are also challenged in their work to make the necessary human connections. Continue reading →

Own your health

Posted by on

That’s exactly what I did the past 6 months. And this week I graduated. From physical therapy that is. I’ve been cut loose. The next few months is all about me maintaining a daily discipline of stretches and canstockphoto15299929 (1) healthstrengthening exercises.

I first shared this journey in the post “Is there an app for that?” back in June. I also talked then about the importance of patient engagement and personalization.

I’m now around a 2-3 on the pain scale and closer to 2 most of the time. My physical therapist said if in a few months, I’m slipping back or feeling more pain I should get another prescription for more PT sessions from my PCP.

The stretches are much easier to make time for every day. There is short term gain plus a tangible benefit – I actually feel less pain. The strengthening exercises are harder to fit in, especially when I get busy or am travelling. With strengthening, there is no short term gain or tangible benefit – it’s all about the long term. Like going to the gym and doing weights.

The recent Fall ritual of raking leaves, bagging them, then carrying them to the curb led to a lot of pain. When I took care of my 2 ½ year old grandson and his 4-year-old sister recently for almost three days, all the lifting involved set me back. And I know the inevitable snow shoveling that is coming this winter will do so as well. My lower back muscles hurt just from all the coughing I’ve done the past 3 weeks with a bad chest cold.

My physical therapist says be sure to engage my core muscles at all these times and it won’t be so bad. I’m sure she’s right. I will try.

I am well armed with knowledge. I know what I need to do and how to do it. Will I slip backwards or continue to own it? Having lived with this low back and hip pain for years until it got so bad that I finally decided to get help, I know how bad it can be.

It’s now up to me. I need to continue to own it. As with any habit or exercise program, time will tell. Maybe an exercise tracking app or just an old-fashioned paper log is what I need.

Related Post:

Is there an app for that?

Apps aren’t enough

If not now, when?