This Week Health

December 22, 2021: Welcome to one of our End of Year Shows where you get to meet the team behind This Week in Health IT. Bill, Tess, Tracey and Holly take you on a journey through their favorite clips of 2021. Where does the EHR market go from here? How can health systems continue the 2020 momentum of innovation? How can you avoid tech debt? What could happen in Health IT if we Learned from COVID-19? How do you adjust your management style and expectations with the future of remote work? And what does the growing role of digital marketing entail?

Key Points:

00:00:00 - Intro

00:13:30 - Glen Tullman of Transcarent

00:17:00 - CIO Sarah Richardson

00:27:45 - CIO Zafar Chaudry

00:31:30 - Kristin Myers of Mount Sinai

00:40:00 - Craig Richardville of SCL Health

00:44:10 - Angelique Russell, Data Scientist

00:48:00 - Paula Edwards, Data Scientist 

00:49:00 - Epidemiologist John Brownstein

Transcript

2021 Highlights from the Team at This Week In Health IT

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This transcription is provided by artificial intelligence. We believe in technology but understand that even the smartest robots can sometimes get speech recognition wrong.

Bill Russell: [:who do you not want to come [:

Bill Russell: Welcome to This Week in Health IT. This is one of our end of the year episodes. I hope you enjoy. My name is Bill Russell. I'm a former CIO for a 16 hospital system and creator of This Week in Health IT, a channel dedicated to keeping health IT staff current and engaged.

of end of the year episodes.[:e're going to have this week [:academy is new. It's really [:oing to have guest hosts who [:

And we have CIOs. We have CMIOs. We have clinical informatics. We have data scientists who I've tapped on the shoulder and asked them if they would essentially interview people within their networks about topics that are a little closer to what you're doing on a daily basis. And we're excited about airing those channels. Again four new channels.

o all four. Go ahead and hit [:

And you can subscribe that way. And we would love to have you be a part of the community again next year. Now onto our show.

f of This Week in Health IT. [:

Tracey Miller: Welcome. Hi.

Bill Russell: All right. So, yeah, this is going to be fun. I get comments from this group all year about my mannerisms. How I play with my ring. My hands flying around on the camera and all those things. And I really appreciate the comments. It makes me feel better. It makes me self-conscious about what I'm doing while I'm on camera.

guys in front of the camera [:re going to turn it around a [:

So we're going to start with a, with an intro question because the guests, the listeners may not, know you. So here's the intro question. Just share your name, your role at This Week in Health IT. Your experience with US healthcare. Brief experience with SU health care. And I'm going to put you on the spot and ask you to name your favorite guests that you have listened to so far on the show. And we're going to go in order of seniority. So we will start with Tess.

Tess Kellogg: [:Bill Russell: [:job in New York, I arrived in:

I really loved John Brownstein. He's an epidemiologist. And Professor of medicine at Harvard. He's also the chief innovation officer at Boston Children's Hospital and just his insight on COVID and the pandemic are fascinating. I also really like Angelique Russell, who's a data scientist, so I think I'm into that whole data world.

I just find it so [:

Bill Russell: Yeah, absolutely. And so clearly you have an accent of sorts, so you're more familiar with healthcare from Australia. I would assume. Yes. Yes. Okay. Holly your name, role experience with US healthcare and favorite guests thus far.

inator here. So I do a lot of[:picked Sarah Richardson. She [:th episode which is [:hat we constantly need to be [:

Each of you submitted a few stories. Your favorite moments from the show this year, and what I'm going to do is I'm going to intro them. I'm going to actually play them. And then I'm gonna want the person who nominated the story to talk about, you know, why they, why they put that story out there.

experience with Glen Tullman [:ing the entire operations of [:

Glen Tullman: Well, first of all, I would be remiss if I didn't say thank you. You were an early client of ours at Allscripts. You were great in terms of not just being a client but you helped us make the system better. And so thank you for that. There was a lot of innovation that occurred with us working together and we appreciate that.

think that electronic health [:plus billion dollar [:that they aren't an easy to [:hat's so hard to use that we [:ut of Silicon Valley there's [:l Russell: So there you have [:

Tracey Miller: Well Glenn Tullman, he's such an inspirational figure in healthcare. First of all, I love the name of his new company, Transcarent. It's basically transparent care.

her countries. So I do think [:nd he's not saying that Epic [:

Bill Russell: So you guys have each experienced the EHR. None of you have used it, but each of you has experienced it in some way. I mean, what's your, and you've also heard a lot of episodes about the EHR and its use on the clinician side. What's your experience with the EHR?

ere there's a lot of nurses. [:

But yeah, we talk about things such as the EHR and they're like, oh, let me tell you about my EHR. Like immediately, like the first thing they want to talk about. And it's fun because I actually can join the conversation now. But yeah. I, I personally have seen some of those things in like, the telehealth visits I've had and different things like that.

hat I've had to say the same [:

I've already given it to you. How many times? So when is it going to be accessible to each other? What's the point of giving you all this information if you're not going to have it?

Bill Russell: Right, right. And Tess, I'm sure you have similar stories.

eah. Yeah. I mean a lifetime [:

And what we'll see with the clip that we have coming up that I chose is when we talk about the difficulties with the EHR, you're actually talking about two different consumer groups. You're talking about the user experience on the end of the patient. And the pain points. I have friends as well as soon as you start talking about healthcare, I just sit back.

lso, you're dealing with the [:

Bill Russell: It's interesting cause you all give a patient perspective on it and I think that's, that's refreshing and important to the industry.

conversations where they go, [:d an awful lot of momentum in:uss in this clip how to keep [:

What do you think the lasting impact of the pandemic is going to be on health IT?

Sarah Richardson: I love this question because I created like six questions from it. And that's only because not to be annoying and answer a question with a question but it really got me thinking about some of the things we need to be prepared for because you know how are we actually accelerating digital engagement and digital health?

iness and, you know lifetime [:

We weren't very good about putting disruption in place, because you had to go through like 50 committees to do it. Some of the time you actually decided what you were going to do, it really wasn't disruptive. It was just like a relief to finally get it in place. You weren't even excited about some of the things that we're putting in place.

ike, good enough, gives us a [:months? [:

I work on Zoom. I have literally not met anyone face to face. And so how you can actually curate and build relationships. And how do you build trust when you've never met somebody in person? Like you don't get to break bread, you don't get to have a beverage. You don't get to go bowling yet. Do those things that you might do for team building.

're getting there. I believe [:'s go pull this over here or [:what I've loved about what's [:

Bill Russell: Holly, you chose this one and I guess it's because you haven't gone bowling with the entire team and that's what really resonated with you or is there something else?

r companies where they might [:

And so I understand the fear for disruption but Healthcare has to grow and change. Society is growing and changing. I mean, you do talk to Sarah who literally hasn't met anyone on her team in person yet. That is completely different than it was two, three years ago. And so we have to change and be able to adapt to these systems in the society that we have.

And I love [:ment and work from home in a [:sis. All right. The next one [:

So, Holly, you've mentioned the experience a little bit and Tess you picked this clip out and I'm going to go ahead and play it real quick.

Human centered design advocate. What is human centered design? Why does it need an advocate and where does it come into play in healthcare?

ing together to accomplish a [:

And once you have poor usability baked in, it's really hard to recover from that. So that's why some of the usability is so bad there.

Bill Russell: Wow. That gets us right back to where we were before isn't it? On the EHR usability. Tess you chose this one, give us, give us a little rundown.

professional in a healthcare [:the way we've always done it.[:n points within their health [:

Bill Russell: You know, we, we talked a lot about experience this year. It came up over and over again because organizations are finally recognizing how important experience is. We always recognize how important it was on the campus.

so much health went digital [:'s been developed across all [:

Bill Russell: Yeah, well, Tracey, this next one kind of surprises me that you picked this. I'm gonna go ahead and play the clip.

It [:

Zafar Chaudry: Yeah because I think what people fail to do in the healthcare IT space is if you've got seven, eight, 900, a thousand applications, how often are you reviewing those applications for updates, upgrades, bringing it up to the right version?

and then realize it's either [:all over and I can't support [:

So yes. I think you have to look at that. But going to a board and saying I need funding to refresh 700 plus systems isn't going to be viewed as at the top. Well, you know, it's important, especially for the clinical system, but at the same time that price tag is so astronomical that people tend to avoid that.

of technologists, it really [:ip on tech debt, but why did [:

Tracey Miller: Everything's so complicated these days in a digital world. And I think the healthcare industry, you know, having 900 applications in one health system is insane. How did the doctors and nurses keep on top of that? But I do think that healthcare is very reactionary so they don't often have time to delve into, okay which applications do we need? Which ones avoid? Obviously there's another whole thing about contracts.

do we still have open? So I [:this computer and the phones [:u can't move the information [:

And the thing I love about just having that as one of the is you know, I, I think people recognize when you go to a hospital that there's somethings amiss here in the back office. Like we're still doing things by fax and whatnot. Something's still amiss. And I think that kind of clip for those people who aren't in healthcare, they go, oh, okay.

work from home a little bit. [:

Talk to me about adjusting maybe your management style or your team helping them to adjust their management style with work from home. This is very different meeting people in this format. Very different than meeting in a room and the energy that can get brainstorming ideas and meeting and going out to lunch and those kinds of things. So how did your team adjust from a management approach?

king is really communication [:and the work trend index for:

Kristin Myers: No I think that what we have learnt in the pandemic is it doesn't matter where you work really. And I think that our employees have choices. They could apply for jobs in Texas and still live in New York if they wanted Or move wherever they want to and work at any facility in the country.

have to be competitive with [:t why you selected that one. [:

Holly Russell: I think for me, it's just the idea that. I mean, once again, you have a CIO of a large health system in New York, and she talks about making herself available.

ery seriously to include her [:that works so much better. I [:

Bill Russell: So what's been the hardest thing. I throw this out to the three of you. What's the hardest thing of working remotely. I assume you've all worked in an office environment and now this is pretty much a remote environment where even if I had an office, we wouldn't, none of us would go to it.

ts, the office environments. [:

Tess Kellogg: So my position before this, I was in a role where my boss joked about us being chained to our desks, because it was a role where if you were not sitting at your desk, you were not seen to be performing, correct, like being able to perform your role.

ually I flew out to Ohio and [:fair. But th e, the role of [:

And then the culture changed pretty dramatically. Even in our organization. It was me by myself for about two years. You and I really doing this thing for about a year of just you and I going back and forth, constantly talking, texting all that. Then we added Tracey and it added a little bit different dynamic.

we added two more people and[:you know, what else has been [:

Tracey Miller: I think what you said, our team's good at, we kind of know what is going on in each other's lives, not to a really personal point, but you know, we know if we're going on vacation or your wedding anniversary is coming up.

velop this incredibly strong [:

So, you know, that in-person is invaluable, but I personally love working remotely. I do love the freedom, but I do miss that deep, deep connection that you get, even if you just wink at someone walking to get your coffee. It's yeah, it's an amazing experience.

ess we're going to go on and [:

You're not the first to talk about the relationship between the chief marketing officer with regard to digital. So talk a little bit more about how you organize. You have a steering committee or a governance group. Is this part of IT or did you keep it separate from IT? Is it highly integrated? What does it look like?

e that it was a focus of the [:

And so we created a steering committee. It's a digital services steering committee. Salesforce, for example, is a component of that steering committee. And then what we did is we looked at the different resources that we had in the company. And we brought all the resources together. The human resources and the budgets go along with that.

ation technology and digital [:at runs marketing strategies [:

Some of our operational groups are there, so it really is a very multi-disciplinary group coming together. All for the purposes of digital services.

Bill Russell: It's interesting cause this has come up a couple of times this year. Marketing has taken a more prominent role in healthcare and it's done so for a couple of reasons. One is we're interacting more directly with our consumers. And then the second is we had to figure out how to get information out there and get people in line to get a vaccine.

And [:ed totally. We were software [:ills to help build this team [:s. This is Angelique Russell.[:

All right. I want to talk some data science concepts with you. Since I have you on the line, you wrote an article you said model drift, concept trips, historic time bias when working with healthcare data to train predictive models. It's always prudent to have an extra hold of recent data to make sure the accuracy is the same across time. Help us to understand those three concepts and what you're talking about about holding some data back.

s that you're picking up on. [:g about sepsis and it was pre:rift in your model if you're [:, we believed we were having [:care teams. So there was an [:

Bill Russell: Man. I love that episode and I love that episode because it followed the other episode that we did with Paula Edwards and you know, Paula Edwards is a brilliant data scientists, and then you had Angelique Russell in back-to-back episodes. And I thought that was just great indication of what women are doing in healthcare.

lot of rooms that we go into [:unraveling. But it's pretty [:

Bill Russell: Yeah. I'm going to skip to the last one in the interest of time. It's John Brownstein.

Five years from now what will it look like if we take these lessons and apply them well? And you can talk about any of the different areas in terms of surveillance, in terms of public health or that kind of stuff. What will it look like in five years? If we learn the right lessons?

John Brownstein: Well, [:of efforts. I was part of a [:t now to invest in sort of a [:

What is the outlook and how do we bring the discipline of disease surveillance and modeling and bring that to a federal level where we have full visibility on what is happening across the wide spectrum of pathogens. I mean, the likelihood that we're going to see another pandemic is significant.

Who [:ussell: I have to appreciate [:Tracey Miller: I think [:Tess Kellogg: And I think:

Bill Russell: Holly, anything to add?

ke healthcare has made giant [:r clips. I want to thank you [:

And looking forward to next year, we're going to do some really fun things with the new channels and look forward to sharing that with the community. Again, thank you. Thanks for doing this show. I know it's not in your comfort zone and I appreciate you coming out of that to share your thoughts with the industry. Thank you very much.

rd them a note, perhaps your [:

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