CHIME Shafiq Rab, A Look Back / Forward

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Bill Russell / Shafiq Rab

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The Healthcare CIO Look Back / Look Forward series with Shafiq Rab the CIO for Rush Health and University Medical Center

Bill Russell: 00:04 Welcome to this week in health it events where we amplify great ideas with interviews from the floor. My name is bill Russell healthcare CIO coach and creator of this week in health it. A set of podcasts and videos dedicated to developing the next generation of health leaders. We want to thank our founding channel sponsors who make this content possible, health lyrics and VMware. If you want to be a part of our mission to develop health leaders, go to this week, health.com/sponsor for more information. This episode is sponsored by health lyrics. When I became a CIO, I was really overwhelmed at first and one of the first things I did was to sign a CIO coach to walk with me through the journey. This was someone who had wisdom that can only be gained through years of experience. It was invaluable to my success in the role and I now coach CIOs through health lyrics.

Bill Russell: 00:55 If you want to learn more, visit health Lyrics.com or drop me a note at [email protected] Over the next three weeks we have a huge tree for you. I’m really excited about it. Uh, I just got back from the chime fall forum in Scottsdale, which was a great event and we caught up with 12 active CIOs from various size health systems and asked them to take a look back at 2019 and I look forward at 2020. Uh, you’re going to hear, um, what they’re excited to have accomplished last year and what they’re looking forward to accomplish next year. I asked each of them the same eight questions and I think you’re going to be fascinated to hear the similarities and the differences based on where they’re at. Geography and other things. Each of these interviews is about 10 minutes long so you can listen to them really quick. And some of you listen that one and a half times speed. So it’s going to go like that. Uh, we’re going to publish one a day, uh, with a few news day episodes sprinkled in through the end of November. So check back every day for the next episode and don’t forget to look back to see if you missed any. Our next guest is dr Shafiq Rab the CIO for rush in Chicago. And, uh, he really needs no more introduction than that. So here it is.

Shafiq Rab: 02:06 So you went, I’m going to ask you these questions. You don’t need to see them do you, I mean,

Shafiq Rab: 02:12 come on man. When was the last time I’d had a question?

Bill Russell: 02:15 I know, uh, so let me ask you this question. How does the role of the CIO changed in this year? Not over the last five years? Cause we know that it’s become more business centric and less about technology, but how is it, how’s it really changed over the last year? Do you think?

Shafiq Rab: 02:31 The role of the CIO? Yeah, I think in this year, uh, three, four things have become very important. And, uh, for the CIO, you need to know how the government is changing the rules and regulation, uh, transparency of data, API apps. CMS was not that forward before. So Seema Verma did a Good job, man. I mean the open up the API for the CMS data. So what that does, what that did was that interoperability data, blue button, all those things started playing a different role and then started filling in. The data gets out, board’s going to happen. Cybersecurity has always been there, but the amount of attacks and other things that also created a new idea of business continuity. New means, because every time I talk to a CIO they’ll say, Oh, we got three data centers. What if they all get hit by wormware? What are you going to do man?

Shafiq Rab: 03:39 you can bring your day back or you can bring your digital thing back, but you gotta you need a hardware. So cloud computing and putting things in the cloud became important only in the last six months, a big EHR like Cerner and Epic said that they’re ready to move to the cloud. So that was a big thing that was not before. I think the last thing that I think that’s happening is that, uh, institutions are saying that the CIO needs to become part of revenue generation. Like it was not the thing. Technology was not majority 5G was not there. Uh, the edge computing was not there. Cloud computing was not thre, government rules were not there. And then a bigger companies, Amazon, Google and Apple, this target saying that they are interested in the healthcare. So all these things together has made the CIO little worried. If they are not, then they should, they may be strategizing about it.

Bill Russell: 04:43 So what are one or maybe a couple priorities that your health systems looking at next year that, that it is going to support?

Shafiq Rab: 04:51 So in our health system we got a little, I don’t know, different maybe. So it boils down to four things. One, how to make the patient happy. So patient experience, patient happy. Second, how to make the caregivers happy. Simple. It’s not like, Then I’ll go to the intricate detail of it. And the third is that, uh, people who come to work at our places, they should be happy. So these are the three guiding principles. And in that lastly, we need to make some money. Uh, and I also have a university responsibility. So how to make the students happy. So what that means, what that means, that any strategic decision we make, whether it’s virtual care, telemedicine, it all centers around the how to make the patient be happy.

Shafiq Rab: 05:43 Similarly within the physicians, if you’re trying to reduce the burden or give them something to speak on or typing goes away or make the template better or buy newer tools that goes there for staff is a, how to bring efficiency in work using lean tools, business process and making them better. So it has to actually become efficient.

Bill Russell: 06:09 Yeah. So let’s, let’s talk about those two, two things. Let’s talk about the patient. What’s, what’s one thing that you guys are doing in the patient area that the patients of Chicago should know about that they’d be excited to know that.

Shafiq Rab: 06:21 So two big things. I can tell you you’re asking about one thing. So patients in Chicago can download our app. So mobile app. What that does, you can have a on demand called video visit. It can do a e-visit and get you all your records and get all your pharmacy records.

Shafiq Rab: 06:43 You can get all your things, but I’ll tell you can do appointments. But that’s not the only thing. You can look up symptoms. Uh, you can tell them you’re coming in, what time do the ed, if you’re on your way. So things like that. And if you’re a Medicare patient, you can download the entire five years worth of medical medical information on your phone and then share it with any doctor you want. You can get a prescription, you can get an appointment with anybody, you’re going to cancel an appointment if the new appointment opens up. So all service oriented, you can put a payment plan to make your payments, things like that.

Bill Russell: 07:19 That’s, that’s pretty exciting. What’s, what’s one area that you’re, uh, looking to, to make the clinician’s life or experience better?

Shafiq Rab: 07:28 So recently you might’ve heard the ACI announcement between Microsoft and nuance. So we were one of the sites where we are developing a NBN clinical intelligent patient doctor sits in a room and then permission directly goes in the EHR. Nobody has to ever type, right? So what did we have trying to do is to take over the burden of typing. Second would we are trying to do is to bring things in six clicks or eight clicks so that the entire visit from the beginning until the end is done in eight clicks. That means pre bringing the orders three bringing the prescriptions. So it saves some time. And also if they forget something, your documentation that people get paid for it aren’t meant to get pops up so they can look at it and sign it. So those kinds of things. Working with the doctor,

Bill Russell: 08:16 the whole visit from the time they show up till the time they leave. What’d you say? Six clicks. Eight clicks.

Shafiq Rab: 08:21 the ideas, six clicks, but present we are at 11 clicks. We want to bring it to eight clicks. That’s fantastic. Yeah, we’ll announce that. I mean because it’s very simple. Think about it. What do doctors do a month? They have a patient, they don’t put up a thing in the read it, half an hour outside before going in, right? So that is composing in a longer journal study. They can read a one second, right? Similarly, when they take the notes and they’re talking to a patient, information goes directly in. But after, assuming that the doctor says, well, this person has this disease, the, he thinks what he has, what is the next thing the doctor does? He thinks about the lab information. We’ll bring all the lab pre-filled check it, click it, then what does he do? Right? A medication, prefilled check it, move on.

Shafiq Rab: 09:08 And then what he does, he that present gets a consultant believe fixed, click it. So it should be that intuitive, uh,

Bill Russell: 09:18 should be, I’m looking forward to following up with you on that a couple of months. Uh, greatest it success for 2019 for your team.

Shafiq Rab: 09:26 My greatest success was that we, we work in Garfield park, uh, with our community as a school there. So in the last three years, we took 80 students as interns and our place high school kids, uh, we got 56 of them certified in Epic. So then, so they are now making $80,000 a year. Uh, that’s the, uh, unbelievable success. But they work 20 hours for us and they go to college. Uh, Malcolm X college saved them maintain B average. The tuition is free for the masters. They’re going to come to rush and get BSN, MSN for free. If you’re asking what is the biggest success for my, for my ID department, we teach at that school and we’re serving our community.

Bill Russell: 10:13 That’s awesome as well. A missed opportunity for 2019 something. You look back, you’re going to look back on 2019 and say, and I wish we would’ve done that.

Shafiq Rab: 10:21 Uh, business process automation. Uh, I wish I had done the robots and are done the chatbots and should have gone after the mundane work even in ERP and those areas. A AP battle. Uh, I missed that. I should’ve done the box there.

Bill Russell: 10:41 I don’t think you’re too far behind anyone else, but, um, but yeah, we’re talking to a lot of people right now about RPA, which seems to be, excuse me, front and center.

Shafiq Rab: 10:51 We’re talking about it, but you know, I mean, come on man, I should have done it. I just didn’t do it. So I mean, you’re asking that question.

Bill Russell: 10:57 Talk to Daniel. Daniel’s doing a lot of it. So.

Shafiq Rab: 11:00 Daniel is a good friend. I mean he’s got, I mean, I love him man.

Bill Russell: 11:03 Yeah. He, he on the one of the podcasts he shared some of the stories that are able to do for the phone calls. Yeah, I know that one very, uh, very excited.

Shafiq Rab: 11:12 The thing that killed us is this stupid cybersecurity because, uh, you know, when you click on a, on an email, so we now put a virtual browsing to click on it is not going to go anywhere. til it is a known domain known place and goes, so even there’s protection. We have to spend time in educating people. Cyber security is for real, man. I’m telling you there is no digital security, uh, an agenda without cyber security.

Bill Russell: 11:41 Absolutely. Um, area, this might be a leading question, but area where you would like to see more innovation.

Shafiq Rab: 11:48 The area where I would like to see more innovation in is the, that our future depends on five GS sensors and continuous monitoring.

Shafiq Rab: 11:59 But even if you monitor, there is no central place where somebody’s looking at it. Like, you know, when the planes come through an airport, you have a tower, right? So we’re only doing it individually for our hospitals. We may have a hospital monitoring system, but we don’t have a community like a lifetime of a person somewhere where the data is being collected and some information is being understood and the continuous feedback going, we’re doing continuous blood glucose monitoring, but we’re not giving the continuous feedback. You know what I’m saying? So the innovation is that the participation of the patient and the participation of the community has to come to one place.

Bill Russell: 12:44 Is 5g going to change what goes on in the hospital or is 5g going to enable us to do more things out in the community and in the home.

Shafiq Rab: 12:51 So to give Chicago is not lit up with his friend and At&t And Verizon.

Shafiq Rab: 12:56 I have all three phones. So in my mind, because I did that study, you can download a 30 slice of MRI sitting outside McDonald’s in downtown and hooking up two doors in less than a second. 2.3 Gigabyte per second I clock. So what I’m saying to people as the 5G goes forward, the speed at which, so it’s not based on hospital. You can put antennas in the hospital, but the real benefit is outside from home. You can do real video with one, one doctor and bringing five other doctors into the same scene. A concept of contact, like you can go up to 10 gigabit per second, but it’s not there yet. And as the antennas go forward, the, the idea is that when you sit in a car, imagine you’re, the steering wheel is made up of a bacteria resistant material.

Shafiq Rab: 13:57 So you don’t get infection. You said it takes your weight. Sensors look at you. If you’re sleepy, if bigs are alert, wakes you up, right? That information goes somewhere. That’s real time. The sensors also look at your respitory rate, your breathing rate. So today you have OnStar after the accident. This is on the star before the accident.

Bill Russell: 14:19 Fantastic. Uh, health IT roles you think you’re going to hire more of in 2020.

Shafiq Rab: 14:26 for me, uh, the new roles are the old roles, but I can tell you CDA was a very important chief data analytic officer, chief business officer. is also important now because we don’t go to MBA schools yet. Most of us should go to workplaces. CSOs important. Our chief health information officer is important. A chief CTO is important. But in my mind, two, three things have to happen. We still don’t have a chief IT experience officer.

Shafiq Rab: 14:56 Like we have a patient experience officer and we have never paid attention to the experience that we deliver to our customers. So that’s something new that I’m thinking about. And the last thing that I’m thinking about is that we all have a cloud strategy, but we don’t have a chief cloud officer, you know, because cloud is where you do the experiment and for one is the edge computing. What do you do? The actual interpretation of it.

Bill Russell: 15:23 Yup, absolutely. Shafiq thanks for your time. We’ll have to do a full episode a little later. Absolutely. Thank you. Thank you.

Bill Russell: 15:32 I hope you enjoy the conversation. Remember to check back often as we are going to drop an episode a day for most of November of 2019 following that, please come back every Friday for more great interviews with influencers and don’t forget every Tuesday we take a look at the news, which impacts health it. If you want to support the fastest growing podcast and the health it space. Here’s a few ways that you can do that. The first share it with a peer, share it with a friend. Share it with somebody who’s working right there next to you. Number two, sign up for insights and staff meeting. These are services designed to help you in your career. Number three, interact with our social media content on Twitter and LinkedIn. Number four, post or repost our content. And number five, always send me feedback. [email protected] your insights continue to shape the channel. This show is a production of this week in health it from work. Great content. You can check out our website at this week, health.com or our YouTube channel. Special thanks to our sponsors, VM-ware and health Lyric’s for choosing to invest in developing the next generation of health leaders. Thanks for listening. That’s all for now.