Everyday heroes among us

In a week where we remember 9/11 and brace for a major hurricane expected to hit three east coast states, we are reminded of the many everyday heroes – emergency responders and healthcare workers.canstockphoto4424174 (1) families belong together

I’ve highlighted these heroes often over the years. I am grateful for all they do every day to keep us healthy and safe.

A year ago, I commented on the humanitarian crisis in Puerto Rico. We now understand a year later that nearly 2,975 people lost their lives due to Hurricane Maria. 2,977 people died in the terror attacks on 9/11 seventeen years ago.

Pediatricians were the first to call attention to immigrant families being separated at the border earlier this summer. Over 2,600 children were separated from their families. As of August 30th, nearly 500 children were still separated from their families.

We’ve all seen stories of firefighters and healthcare workers who lost their homes to forest fires out west this summer yet showed up to do their jobs and help others. Dignity Health has 48 hospitals and numerous ambulatory facilities throughout California, Nevada and Arizona.  Lloyd Dean, president and CEO at Dignity Health, shared an important piece this week – “Coping with the Health Consequences of Wildfires”.

On a bright note, a team of creative and committed technologists using medical drone technology are delivering blood supplies and vaccines where roads are inaccessible in two African countries.

And we all probably know a nurse we’d consider a personal hero. Continue reading

7 HIT blog and podcast recommendations

I started blogging in 2014. It was a way to share experiences from many years as a health IT leader and to teach others. When I see the number of subscribers to my blog and 100,000 views to date, I think it’scanstockphoto58340963 (1) subscribe fair to say my blogs are having an impact. As long as that’s the case, I will keep blogging.

I was honored to see my blog named for the second year in a row to HealthTech’s Must-Read Health IT Blogger List. Here are some of the ones on that list that I plan to start reading more regularly:

Susannah Fox – She is the former CTO of HHS and covers a range of topics to help people and organizations navigate at the intersection of health and technology.

Inside the Mind of a Healthcare CIO by David Chou, Vice President / Chief Information & Digital Officer for Children’s Mercy Kansas City – I knew David was prolific on social media. I regularly read and share his content. But I didn’t realize that he was also writing a regular blog on a range of topics from his CIO experiences.

Health IT Buzz from ONC – This is a great way to keep up with what is coming from The Office of the National Coordinator and their perspective.

Health Populi by Jane Sarasohn-Kahn – I have met Jane at a few conferences in recent years and always find her insight and analysis to be very enlightening. She covers broad trends in healthcare. Something every IT leader should be tracking.

AAMI Blog – I may be biased as an AAMI board member, but I think all IT leaders need to be keeping tabs on what the issues are in the health technology management (HTM) world. Continue reading

What does a high value conference look like?

Last week I had the opportunity to speak on two panels at a different kind of conference. HealthIMPACT East was held in Washington DC. The first day was solely focused on social determinants of health canstockphoto5296053 (1) conference(SDoH). The rest of the conference was on population health, interoperability, patient centered design, innovation, and blockchain.

The conference organizers and facilitators focus on what they call “purposeful events” with “no BS and no PowerPoints”. Instead of speakers talking “at people”, they facilitate lots of conversation in a room of full of smart people. The format was mostly panels with several excellent individual speakers who did use slides. The organizers want the conferences to be an idea exchange among a community of leaders and encourage dynamic debate.

The overall number of attendees was small. But it facilitated thought provoking discussion during each session and deeper networking connections at meals and breaks. I wasn’t tempted to pull out my iPhone to check my email as presenters talked through slide after slide. Instead, I was asking questions of the experts and engaged in the discussions.  The track facilitators did an excellent job getting attendees engaged.

When I walked in, I only knew two people – Megan Antonelli, CEO HealthIMPACT and CEO/founder of Purpose Events Group, who had invited me to speak, and Nick Bonvino, CEO at Greater Houston Healthconnect and a frequent speaker on interoperability. Continue reading

Celebrating, collaborating with, and learning from HTM

Two weeks ago, it was National Nurses Week. This week is Health Technology Management (HTM) Week. If you work in a hospital, you may still refer to HTM as Clinical Engineering, Biomedical canstockphoto16403307 (1) HTMEngineering, or just Biomed. Regardless of what you know this department as, they are some of the unsung heroes in every hospital.

The nurses and physicians know these heroes well. The C-suite is recognizing their value more all the time. And IT departments are learning to work collaboratively with them as systems become more integrated.

These are the staff who design, install, maintain and repair the medical devices that connect to patients. Just think about a patient in an intensive care unit surrounded by all that equipment and all those connecting tubes and wires. If those of us in IT think we’re important and critical to the hospital, HTM staff are life critical to the patients.

As a CIO, I’ve always told my IT teams that we are part of the extended care team to emphasize the importance of our providing 24/7 support and excellent customer service. While we don’t touch the patient, the clinicians who do depend on the systems we provide and support. This is even more true for HTM staff.

AAMI (Association for the Advancement of Medical Instrumentation) is a standards development organization and the professional society for HTMs. AAMI celebrated its 50th anniversary last year. Its mission is to advance safety in healthcare technology.

While healthcare organizations recognized their HTM staff in various ways this week, June 1-4 will be a chance for HTM professionals to come together for education and networking at the annual AAMI conference in Long Beach. Continue reading

When innovation means plan B

It was already Thursday morning and I had no blog topic in mind for this week. By Thursday night I had several. So, what happened in between?canstockphoto6581040 plan b

I attended the New England HIMSS Chapter’s Annual Spring Conference – something I’d planned to do for a while. On my way there, I figured something that day would light a fire and I’d have a topic to talk about. Instead, there was a different kind of fire.

One of the chapter board members called me in the car and said she had heard I was on my way to the conference. I thought to myself, I’m stuck in traffic and may get there after the opening keynote starts, but did I have to admit that to her? No, that was just my guilt about leaving the house 15 minutes later than I should have. She was calling for a “small favor, no actually a big favor” as she said.

Turns out one of the afternoon speakers had gotten stuck in New York with flight cancellations and couldn’t make it. So, a panel with 3 chapter members was being hastily put together – would I be willing to participate? Of course I would. I said yes without knowing what we’d talk about or who else was being asked to be on the panel.

Two other panelists were being enlisted in that same rush of phone calls and conversations. Arthur Harvey, chapter board member and CIO at Boston Medical Center, had already arrived at the venue. He was of course very sympathetic to the dilemma and ready to help. Arthur and I were on the CIO panel together at the 2017 spring conference. He was already starting to percolate on a relevant topic we could address. Dirk Stanley, CMIO at UConn Health, was on his way to the conference from Connecticut and got a call like mine. I only knew Dirk from social media, so I was looking forward to meeting him in person.

When I arrived at the conference and was greeted warmly by board members who were pulling this backup plan together, I asked which speaker had to cancel and what was their topic. Answer: Blockchain. I laughed and said, well we’re not doing a panel on blockchain. Continue reading

Hotels, healthcare and the DMV

What do these experiences have in common? Customer service – good or bad. I’ve experienced all three in the past two weeks – good and bad.canstockphoto20052265 (002) customer service

It started with the Rhode Island DMV. Rhode Island is a small state of 1,200 square miles and a population of just over 1 million. There is one central DMV. Yes, there are several satellite offices but something as simple as renewing your driver’s license can’t happen at a satellite. And in certain circumstances, online renewal is not an option. That was the case for my husband and I who got our first Rhode Island drivers licenses a year ago. We had to renew in person before our respective birthdays. Not sure why, it’s like we were on probation as Rhode Island residents for a year. Who knows. But rules are rules.

So, we headed over to the central DMV location first thing on a Monday morning to do a simple transaction. We needed to be out in a short time for later commitments later that morning. Silly us.

We arrived just 20 minutes after they opened and found about 150 people ahead of us in the generic “check-in” line. What?? Busier than usual because it was Patriots Day in neighboring Massachusetts, so more Rhode Island people took the day off? Was it the beginning of spring break, so kids were out of school? Or just a typical Monday?

It took us 70 minutes just to get through that check-in line. Then we waited about 45 minutes for our number to be called. Once it was our turn, it was just a 5-7 minute transaction for each of us. Our paperwork was reviewed and updated in their system; we gave them a check. A new photo was taken, and a temporary driver’s license was printed to use until a new one would be sent in the mail. I had hoped for an online task, but it took 3 hours, including the drive there and back.

Tuesday, I had a long overdue doctor appointment. Continue reading

Equal Pay Day 2018, like spring, comes four months too late

Last Tuesday, April 10th was Equal Pay Day – the date each year that marks when the average woman will have earned as much as her male colleagues earned the previous year. Last year it was April 4th.  Forequal pay winter spring pix women of color, Equal Pay Day comes even later. Black women reach the milestone on August 7th and Latina Equal Pay Day is November 1st.

Let’s take a closer look at this situation.

In a Time article, “10 Powerful Women on How #MeToo Has Changed the Fight for Equal Pay”, Jennifer Calfas notes how long it will take to close this gap, given our present rate of progress. Estimates from the Institute for Women’s Policy Research show the pay gap won’t be closed for women until at least 2059, not until 2124 for black women, and as far out as 2233 for Hispanic women. So not in our lifetimes! Think about that when you are talking to your daughters and granddaughters about what they want to be when they grow up.

According to an ABCNews report, tech is one of the better industries. The report says, “In the tech industry — which has been under scrutiny for gender equity issues — women were paid 99.5 cents for every dollar their male counterparts earned, the smallest pay gap by industry found in the study. However, when the control for the same title is removed, women earned 84.7 cents compared to men in the tech industry, moving it to the middle of the industries examined.”

According to the 2018 HIMSS U.S. Compensation Survey based on the feedback of 885 health IT professionals, gender pay disparity exists similar to the overall numbers already noted. Continue reading

Technology making a difference at scale

Post HIMSS18, there have been many recaps from people who attended. I won’t try to do that but have listed several of them at the end of this post under “resources”.  Instead, I want to share with you a keynote on the final day of the conference. It represents what is possible when a team of dedicated engineers set out to solve a real problem in healthcare at scale. In fact, as I listened, it seemed like the ultimate in “health IT connect” – the name I gave this weekly blog back in 2014.

Keller Rinaudo, co-founder and CEO of Zipline, captivated those still around on Friday morning with his keynote full of stories and video clips describing the first autonomous logistics system delivering blood and medical supplies to people in Rwanda and Tanzania. Or as one of my colleagues called it this week when we were talking about it – the “blood bomber”.

As their website says, “Zipline operates the world’s only drone delivery system at national scale to send urgent medicines, such as blood and animal vaccines, to those in need – no matter where they live.” The problem they are addressing is that “more than two billion people lack adequate access to essential medical products, such as blood and vaccines, due to challenging terrain and gaps in infrastructure.”  In his opening at the keynote, Keller showed a truck stuck in the mud on an impassable road and asked, “Why depend on roads?”

Zipline developed a solution to improve access to supplies “by flying over impassable mountains and washed-out roads, delivering directly to remote clinics”. Continue reading

Guide to HIMSS18 – onsite or remote

If you work in health IT, you know that the annual HIMSS conference is the biggest annual industry event whether you are headed to Las Vegas next week or not. The number of emails, blog posts, social media HIMSS Blog Imageposts, and articles providing guidance and recommendations on HIMSS18 continues to grow with just a few more days before it all begins.

With so much info out there, I decided to pull together a few more resources that might help in your final preparation:

Here’s the good news! You don’t have to attend to benefit from all that’s happening there. HIMSS TV will be launched for the first time ever. There will be live coverage from the conference. You can also follow on Twitter using #HIMSS18 or specific hashtags for your area of interest.

Whether you are attending in person or following the happenings from a distance, the “Official HIMSS18 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 “HIMSS – are you ready?” from StarBridge Advisors to see our principals’ top picks for this year – mine are #WomenInHIT, #HITventure and #Connect2Health.

If you are still trying to pick your education sessions, the topical guides provided by HealthITNews as “Don’t Miss Education Sessions” may be helpful to review.

HealthSystemCIO.com has a special HIMSS18 Preview aimed at CIOs and health IT leaders you’ll want to check out.

Are you an introvert? Continue reading

Tune in: recommendations for IT podcasts

How do you keep up with industry news? Do you have a favorite online publication? Are you a reader or a listener? I find myself struggling to keep up with everything I want to read. But I’m doing better, now, with canstockphoto33796857 podcastat least tracking on the headlines and top industry news stories.

For all you busy multi-taskers who may be looking for an alternate way to educate yourself and stay current, 20-30 minute podcasts are a great option. Whether you’ve got a long daily commute, need something to listen to while working out at the gym or while walking the dog, consider listening to podcasts.

Here are some podcast series worth checking out:

This Week in Health IT – This is a new program launched by Bill Russell, CEO at Health Lyrics, focusing on news of the week and a topic of interest. He publishes online every Friday afternoon. I was honored to be on the program last week. We covered the Amazon, JP Morgan, Berkshire Hathaway announcement and the Apple health records app story. Both are examples of the disruptive forces we are seeing in healthcare. Bill and I also talked about the evolving role of the CIO and shared our favorite social media posts of the week.

HealthSystemCIO.com – Anthony Guerra and Kate Gamble have been conducting extensive one-on-one interviews with CIOs for several years. They publish them online as multi-chapter series. These interviews provide insight and experiences for everyone in health IT.  And if you’d rather read the interviews, they are also available as full transcripts. Continue reading