November 24, 2020

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November 24, 2020: Amazon finally opened their online pharmacy which has caused some interesting ripples in the industry. Moderna’s vaccine could be ready as early as December. Are you ready for your vaccine rollout plan? What’s your plan for distribution? What’s your plan for tracking? Six health system CIOs have retired this year. How important is the role of the CIO today? Should it be merged with the Chief Innovation Officer role? CVS is offering contactless payment, Zoom reached a settlement and the FCC opens applications for a hundred million dollar telehealth pilot. And which 7 characteristics do highly successful digital leaders possess? 

Key Points:

  • Moderna’s vaccine found to be nearly 95% effective in preliminary analysis [00:03:45]
  • The vaccine is a precious argument for why you need a national patient identifier [00:06:30] 
  • CVS are offering contactless payment options; PayPal, Venmo, QR codes etc. [00:10:00] 
  • Six health system CEOs have retired this year [00:14:30] 
  • Do I use Zoom, Microsoft Teams, Cisco Webex Meetings or GoToMeeting? [00:22:58]
  • Highly Successful Digital Leaders Possess 7 Characteristics [00:23:30] 
  • Why should hospitals have a Chief Imitation Officer? [00:25:35] 
  • FCC opens applications to distribute 100 million dollars to help with broadband costs related to bringing telehealth to low-income Americans and veterans [00:31:10]


News Day – Amazon launches Pharmacy, Vaccine Distribution, and the Future of the CIO

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News Day – Amazon launches Pharmacy, Vaccine Distribution, and the Future of the CIO

Episode 332: Transcript – November 24, 2020

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

[00:00:00] Bill Russell: [00:00:00] Welcome to this week in health IT. It’s Tuesday news day where we take a look at the news, which will impact health IT today. It looks like Amazon finally opened their pharmacy offering, which caused some interesting ripples in the industry. We’re closer to a vaccine. I asked the question, are you ready for your vaccine rollout plan? Apple came out with some new. I Silicon, which is a really fascinating, and I’m looking forward to Christmas at this point. [00:00:30] CVS put out some contact lists, a payment options and we talked about that a little bit as well. So we’ve got a lot on the plate, plus a hundred hundreds of other stories out there, a lot going on.

[00:00:41] My name is Bill Russell, former healthcare CIO, CIO, coach consultant, and creator of this week in health IT. A set of podcast videos and collaboration events dedicated to developing the next generation of health leaders. I want us to thank Sirius healthcare for supporting the mission of our show to develop the next generation of health leaders. Their weekly support of the show this year [00:01:00] has allowed us to expand and develop new offerings for the community. And for that, we are incredibly grateful. 3xDrex as a service of Drex DeFord a frequent contributor of the show. and, I’ll probably have Drex back on first week of December or so. We’ll see what his schedule is like. looking forward to that, Drex as a service 3x, where he sends out three texts three times a week and he vets three, three or four stories and he puts those right there in that text. if you want to stay current great way to do that. Go [00:01:30] ahead to receive those texts. Go ahead and text directs, D R E X to four eight four eight four eight. All right. 

[00:01:37] As we have been doing lately, we start the conversation on LinkedIn and then we move over to, to, the headlines, just to take a look at the headlines real quick, and what’s going on. So this past week, what happened? Well here’s what the story read before the opening bell shares of CVS Health Corp fell almost 7% Walgreens and Rite aid tumbled 10%.

[00:02:00] [00:01:59] And the story that was announced was that, Amazon opens online pharmacies shaking up another industry. I pulled the Politico report, but there’s an awful lot of places you could pull this story, from the article, Amazon will begin. Let’s see Amazon will begin offering commonly prescribed medications, Tuesday, including creams pills, as well as medications that need to be stay refrigerated.

[00:02:23] Like insulin shoppers have to set up a profile on Amazon’s website and have their doctors send [00:02:30] prescriptions there. Most insurances accepted, Amazon said, but prime members who don’t have insurance can also buy generic or brand name drugs from Amazon for a discount. I just asked the question, what are your thoughts?

[00:02:41] Is this a game changer or just another, player trying to get, trying to get their place in the industry. And the response in that was that, people thought this was going to be a second significant play and a potential game changer. People do want that [00:03:00] one-stop shop for getting their drugs. And, so it’s interesting because Jeff Bezos, that whole team, that Amazon team is really good at getting, the distribution channel out there, the access channel, they’ve set up the loyalty program in Amazon prime. And so there’s a belief out there that this could be fairly disruptive.

[00:03:24] Andif your only claim to fame is that you’re within two miles of the location [00:03:30] that somebody is sitting, that may not even be good enough at this point. You may need to have a digital strategy in order to compete  on the pharmacy and prescription drugs. So that’ll be interesting.

[00:03:45]Another thing that happened this week,M o derna’s Corona virus vaccine found to be nearly 95% effective in preliminary analysis. that makes two, so you have the Pfizer drug here, the maternal drug, they’re a little different. Let me give you some of the facts [00:04:00] from the article. So Moderna is two doses of vaccine is being tested in 30,000. People have received the vaccine half a placebo of the 95 cases of COVID 1990. Or in the group that received the placebo 11 severe cases all in the placebo as well, the data still needs to be peer reviewed. So, don’t latch onto this just yet. These go through peer review, questions remain.

[00:04:23] How long will the protection last? Will the results be similar across all subgroups? Does the vaccine [00:04:30] decrease the infectious infectiousness of the virus in people without symptoms? Both vaccines deliver a strip of genetic material called messenger RNA to teach the body to defend against the virus.

[00:04:42] And we talked about this last week, this is a significant change for what we have done in the past, right? So we used to inject a form of the virus in there small aspect, or even a dead aspect of the virus into your body. And then your body would generate the antibodies. This is [00:05:00] a genetic, solution, genetically engineered solution where they actually put in that messenger RNA.

[00:05:07] And your body develops the defense against the virus, on its own without, without actually bringing the virus into the body. So new aspect of that pretty interesting. the first shots could become available in December. So that’s only week and a half away. Expect enough vaccine for 20 million people that month. Both are two dose shots. Port new. Remember both could ramp to over a billion [00:05:30] doses in 2021 based on raw material availability. The Pfizer vaccine requires ultra cold storage, negative 70 degrees Celsius. The majority of vaccine can be stable at refrigerator temperatures for a month. So you have that access aspect of it as well to consider, I just asked the question, what’s your plan for distribution?

[00:05:47] I didn’t get a lot of responses on this, to be honest with you and a little concerning, I’m hoping that, this is top of mind. How are we going to. how are we, first of all, how are you going to, if you’re [00:06:00] going to do the Pfizer vaccine, how are you going to store it? And do you have the capabilities to store it? How are you going to track people? Are you going to, do you have the, the fields necessary in your EHR or whatever mechanism you’re going to use? Do you have the partnerships in the community, to track it as well? what system is going to be the system of record, for the vaccine. And who’s getting the vaccine, I saw CHIME sent out something in terms of, never let a disaster go to waste  saying hey, we need a national [00:06:30] patient identifier. Again, I think it was a precious argument for why you need a national patient identifier. We don’t even have the core systems in most geographies to track this at the local health system level. So, We should be developing those things.

[00:06:42] We have, patient records. We can address the duplets and those kinds of things without a national patient ID. At this point in time, we can’t make the excuse that we weren’t able to track this because we didn’t have, an NPI in place. with that being said, what is your plan? What’s your plan [00:07:00] for distribution? What’s your plan for tracking? What’s your digital strategy around that? I think that’s something we should all be asking and figuring out. I think one step further on this would be, what’s your plan to communicate to the community. Right? So nothing has been more political.

[00:07:15] I don’t remember anything healthcare related that has been more politicized than this vaccine. You could have a progressive saying I’m not going to take this vaccine because it was developed under the Trump administration. I don’t trust it. And we’ve heard some of that. We’ve heard, Conservatives or even, right [00:07:30] of conservative, people saying I’m not going to take the vaccine.

[00:07:32] Cause I, this isn’t, we don’t need to, it’s not a real virus. I won’t say thats what the, people are saying, that’s what officers think. I don’t think that’s true. I think that is the right end of it. the extreme right. End of it. And I think it’s the. extreme left end of it. That’s saying this is a, a Trump developed vaccine. It’s not a Trump developed vaccine. It’s a Pfizer developed vaccine. It’s a Morderna developed vaccine. They’re going through trials. They’re going through peer review. [00:08:00] So it’s, but now it’s upon us really as the trusted source for health information in our communities, how are we going to work with marketing?

[00:08:09] How are we going to get the message out there? How are we going to get as many people to take the vaccine as possible? This is one of the, probably the greatest challenges from a marketing standpoint, marketing your health system. Not that hard, to be honest with you. I mean, people have to go to the hospital for acute care and other things you’ve built a network. This will really tax our marketing [00:08:30] groups. How do you influence the behavior of your communities to do what’s in the best interest of their health? And the more people that have developed antibodies, the more people that have taken the vaccine, the closer we are to getting to the other side of this, and, I’ve heard people say, Hey, we’re going to have to endure this, what we just endured for 2020.

[00:08:52] We was probably going to be what we’re going to see for 2021. I think that really depends on us. To be honest with you and in a lot of ways, health it and the health [00:09:00] systems, are we going to be able to as trusted sources of information, right. People listened to Fox, they listened to CNN and they listened to NBC and whatever, but they don’t place as much trust in that as they do their local health system.

[00:09:15] And it’s specifically their local doctor. And so how do we get that message out using the trust that we have developed over the years? to, to get people, to take the vaccine. I, again, I think that’s an important project and, I hope to [00:09:30] see, I hope to see some really interesting and cool, solutions moving forward.

[00:09:34] I, I’m, I expect a lot from Atrium. I think they do a great job marketing to the community may have does a great job. I think, different health systems, I don’t want to Intermountain does a great job. I don’t want to call out different health systems. There are systems that really understand how to how to communicate with their communities in a way that their community can understand it and take it in. So that’s that’s one of the things I wanted to call attention to. [00:10:00] Let’s see CVS. So CVS. Yeah, nothing exciting here. Right? They’re doing some contactless payment options, pay PayPal, Venmo, QR codes and whatnot. My question on this, to be honest with you is, COVID was actually the catalyst. It is a catalytic event, right. And it was a catalyst event that we could have used in health it to get rid of the clipboard and pen across the board. No one wants to go into the waiting room and be handed a clipboard and pen anymore, [00:10:30] based on just if they’ve done any reading of articles and they know about fomites or the limited information we have.

[00:10:38] We don’t want to be handed things in the waiting room. The only thing we want to be handed is  some sort of sanitizer for our hands and that kind of stuff. so we’ve been educated. We don’t want to be touching a lot of surfaces. We want to be careful. And then we go to the hospital and we’re still being handed clipboards and pens. And so I use this article to [00:11:00] say, look, CVS is going to contactless. There’s a bunch of stats in here. Let’s see, CVS. has seen contact less payments increased by 43% since the beginning of the year, right? Contactless payment is now being used by nearly 80% of consumers worldwide.

[00:11:16] According to a survey by MasterCard, most consumers say they’ve turned to this option for cleanliness and safety reasons. Additionally, 40% of consumers who prefer to pay with digital wallets would not purchase from merchants that do [00:11:30] not allow customers to pay with them. While 34% of those who prefer paying with QR codes would not pay using any other method.

[00:11:37] According to the survey from PayPal and payments, I think this resonates with us. I think we know that this is true. This is an opportunity for us to clean up a lot of these manual processes we still have in our health system. I know for me, I I’ve identified the stores that I can use my phone to pay.

[00:11:53] And I’m going to those over stores where I still have to swipe with a credit card. I’d rather not swipe the credit card. If I swipe the credit card, I have to [00:12:00] do something else. Right. I have to pick up a pen, sign my name, whatever. I really liked the phone payment system and I, I think a lot of people do as well.

[00:12:08] And I there’s gotta be, we’ve gotta be really smart about being able to check in with our phone. being able to fill out forms with our phone. Look, it’s not hard to send a form to any device out there and have people go ahead and fill it out on their own phone and then send it back to you.

[00:12:25] You can do that in any number of different ways. So anyway, I think this is a. [00:12:30] I think this is a good conversation to have, we had a little back and forth with, Jerry Tony’s, president mobile integrate. I think Amazon’s pharma licensing and other competitors will reduce the need to go to the physical pharmacy, CVS and others are living on their prescription practices.

[00:12:46] This actually goes back to the other story. He’s essentially saying, Hey, this is great, good luck. But you know, you’re looking at an older model and I don’t necessarily disagree with them. although I will say this, I was talking to [00:13:00] somebody just last night, in fact about a, the local grocery stores. And I’m like, are the grocery or the local grocery stores that, the ones that you haven’t heard of, the, the publics and the Schnucks and the Albertsons, are they worried about, Amazon’s position? And the answer I got was pretty interesting and it’s from a commercial real estate person and he’s like, they’re worried about some things, but generally speaking, they’re not their business is pretty stable. It’s pretty strong. It’s based on where they’ve positioned their, [00:13:30] their, locations, the traffic patterns, they’ve really embedded themselves in the y eah, I was going to say in the traffic patterns, but essentially that’s what it is.

[00:13:41] I mean, they’ve embedded themselves in the community in such a way that they’re still a part of, of the everyday, habits that people have. so it’ll be interesting to see if this really does mean the end for CVS and Walgreens, and, and their, their play as, pharmacies in the local market because, we still see [00:14:00] seven Eleven’s everywhere.

[00:14:00] We still see. I mean, there’s still. There’s still a, I dunno, there’s still habits where people like to go somewhere. We’re seeing this with telehealth as well. People still like to see a doctor that is still a thing. And so there’s something about physical face-to-face that, that people prefer. with that being said off track on this CVS pharmacy, contactless payments.

[00:14:22] This was our opportunity. I hope you took advantage of it. let’s see, this is the one. Yeah. This is what I posted on [00:14:30] Friday. Six health systems CIO retirement’s in 2020, six health system CEOs have retired this year. This is a Becker story. And, I actually use this story to talk about the role of the CIO, but you know, some great, some great people here. We have, Mark Probes, Intermountain, Stephanie Reel from Johns Hopkins, Gil Hoffman, Mercy. somebody can’t read real well. Oh, Dick Daniels, Kaiser Permanente, University of Utah health, Jim Turnbull, retired May 1st, Beverly Jordan, vice president [00:15:00] and chief information officer, Memphis, Tennessee Baptist, Memorial health retired in may as well.

[00:15:05]A nd  that represents, some people with a fair amount of longevity. If I’m not mistaken, Stephanie Reel has been there for almost a couple of decades, maybe even three decades if I thought about it at Hopkins. and so II talk about, the changing role, how important is the role of the CIO today? A nd I realized when I wrote that sentence, I’m like somebody is going to take this wrong way. I don’t think you should. I [00:15:30] think we should always be asking this question. What’s the value of our role and what’s the value we bring to the organization. And so what I took a look at is, from an operational side, keeping the systems running and making them secure CIO’s role is, undisputed.

[00:15:43] Right. You’re expected to do those things. Those things need to happen. The incremental innovation role is probably unchanged as well. Right? you need to continue to upgrade the EHR, continue to give it new capabilities, continue to bring in new modules, ERP the same way. [00:16:00] core systems packs and other things. That’s still the purview and the domain of the CIO make our systems better, incrementally better every year. We want to see progress around that. It’s really on the innovation side where this thing has started to, move away from a monolithic. the CIO is the technology person that we hired for all things technology. And it started to, to change pretty significantly. If the health system is heading in a investment direction. You’ll have an innovation [00:16:30] officer that’s really focused on a portfolio of companies. And we see that at, we see that at UPMC. We see that at, At Jefferson, we see that, Providence, and others, we see that kind of role.

[00:16:40] If you see an innovation officer that’s more internally focused, they could actually be tied to operations. They could be tied to other parts of the organization, to try to bring that in. we could, we can, take a look at those. essentially is one of the ones that I think you see that, Texas health resources is another one where you see that, I [00:17:00] actually, I know there’s a bunch of them I’m just blanking right now  and so it really depends on what the innovation officer’s doing and where their role and yeah, a couple of cases, we’ve actually seen the CIO, the information officer reporting to the CIO, the innovation officer. We’ve also seen a combined, we had Myra Davis on last week, and she was talking about last week or next week.

[00:17:22] I don’t remember. I have, my whole life is coming  together. It’s meshing together. But anyway, Myra Davis is [00:17:30] the CIO  for Texas health, our Texas children’s and she’s the chief innovation officer and information officer. I think you see that same thing at Cedars. Darren Dworkin is essentially the in charge of the incubator in charge of the it operation as well.

[00:17:45]And so there’s, they’re splitting and they’re bifurcating. So I, I was just wondering. What is the role and where are things coming or where are they going? Dan Howard has some great comments here. He said, well, in most of these [00:18:00] retirements, the retiring CIO was succeeded by another experienced healthcare CIO. Right. And he’s, he’s not wrong. If you look at, where these people are coming from, they’re either coming from. within the health system where the person is retiring from, or they are picking up somebody who was, already a healthcare CIO. So I had argued still, a vitally relevant at a men is still vitally relevant at a minimum, even if just from an operational perspective or size and culture play big roles to, but the [00:18:30] emergence of CDOs.

[00:18:31] And similar positions that are now driving the digital innovation efforts. Does make your question very relevant, whether you are a current recovering or retired CIO, I’d say technology, automation and success in the role can naturally lead to where the necessity of the CIO, his question. yeah, I didn’t, I just asked the question, I threw it out there.

[00:18:51] And judging from his answer. I I don’t believe the CIO role is irrelevant. I think though, of [00:19:00] seeing in a lot of cases where it just becomes more operational, right? So it’s a more operational, less strategic, if you allow it to go there, it doesn’t have to go there by the, by any stretch.

[00:19:13] It does not have to end up as an operational role. It can easily continue to be a. A strategic role, in the organization. I mean, think about it. You’re touching the EHR, you’re touching the ERP, you’re touching the PAC system, and you’re responsible for security. You’re. I mean, you should be speaking into all, you should [00:19:30] be speaking into all forms of digital health of access.

[00:19:34]You should be speaking into telehealth and how it plays out. You should have strong relationships with the clinical community. You should have strong relationships from a, from a data sharing perspective with the partners in the community. It is absolutely a strategic role and can be a strategic role.

[00:19:47] I think what I might be saying is, if it’s not a strategic, if you’re in the CIO role and you feel like you’ve been relegated to the operational, that may be your fault. because there are opportunities to step out of that role [00:20:00] and to be strategic within the organization, just by nature of the fact that you’re in technology and you’re touching the most important systems that the health system relies on a daily basis.

[00:20:10] So that’s a, that’s the conversation. remember, if you want to participate in the conversation, go ahead and follow me, Bill J Russell at, on LinkedIn. And I’m going to be posting one story every day of the week, Monday through Friday, with a little question, love to have you participate.

[00:20:24] I’d love to highlight the things that you’re saying on the show. All right. So before we get to the [00:20:30] headlines, and we’ll get back to that in just a second. I want to, ask you the question. Have you signed up for cliff notes? Cliff notes is you get a, you get an email 24 hours following each episode, with a summary bullet points, for video clips, you get to know what’s going on, stay up to date.

[00:20:45] It’s great way to do that with clip notes. we’re also in the middle of our cliff notes referral program. And, if you refer someone, you get entered into a, a drawing to receive a work from home kit. If you get up to 10 referrals, you get a black moleskin notebook, looks something like this [00:21:00] as this, we can health it logo and, If you get the most referrals, you’re going to be given the opportunity to come on this show this week in health it and discuss the news with me.

[00:21:09]We’re about halfway through the referral program and the race is actually pretty tight. there are a lot of people participating, but no one is really pulling away. So if you send an email right now to everyone in your department and say, Hey, you you might want to sign up for this, put me in as a referral  you may find yourself in the lead. I do want to thank everybody for participating. It’s really been a fantastic, [00:21:30] we are sending out over 500 emails, after every show. And, and that is really our hope and our mission for this show to, to get this content into the hands of as many people as possible so that we can, help to influence the industry in a positive direction.

[00:21:47] All right. Let’s take a look at the news. Here’s what we’ve got. We’ve got, I mentioned it. I wanted to talk about this last week. We talked about the zoom 5.0, release the security update to zoom, and that’s a really solid, [00:22:00] upgrade. A lot of things. Look at, you can listen to last week’s show about that  but Zoom reached a settlement with the FCC over misleading security practices. So they got their slap on the wrist. And I, I highlight this story to say that, there’s probably an ethical conversation to have, which I’m not going to have around, why they did what they did in terms of misrepresenting their security practices, and capabilities  but the FCT FTC. essentially there was a spotlight on them. They identified [00:22:30] it, they slapped him on the wrist. I think Zoom is actually a pretty solid player at this point. And, ethics aside, I believe that they are probably one of the more pressure tested. video platforms out there.

[00:22:41] Right? So they’re just in such wide use. I think that the hacking communities trying to open it up on a regular basis. So, take a look at the Zoom. If you’re using Zoom at all, taking a look at the 5.0 upgrade. And some of you, it’s getting to the point. If you’re like me, you have to have them all.

[00:22:58]Right. I have Tteams. I have [00:23:00] Zoom. I have a Go-To meeting. I have a Cisco WebEx. I’ve all of them on my computer. Cause I, it depends on who I’m going to be communicating to on any given  day which one of these I’m going to be using. So I it’s important to not only consider the platform that you’re using for your telehealth, but also the ones that your, organization is going to be using not only internally, which is something you can control pretty well, but also the ones that they’re going to be using externally.

[00:23:30] [00:23:30] Okay. Next one. Highly successful digital leaders possess seven characteristics. This is from Gardner. And, I was, I always, hit these up, just to see what people are saying and, you know they talk about digital leaders tend to think of. digital transformation and accelerated acceleration in terms of technology, business outcomes, process changes and their impact on people.

[00:23:52] But they often overlook the massive disruption. I don’t think that’s the case as much anymore, but I liked the list of seven was interesting to me. [00:24:00] Number one, digital leaders are neophiliacts. Then of course you have to look up the, Term Neo, Neo, meaning new, is a term for people who are naturally attracted to newness and you’ll feel the acts are always ready to explore new situations, tend to be more open to making, embracing new opportunities and curious about new ideas, right?

[00:24:19] So they’re talking about successful digital business transformation leaders find these characteristics. So neophilia acts number two, digital leaders invent, but [00:24:30] also copy. And keep that in mind. Cause we’re going to come up with a story on that. And just a minute. Digital leaders, skew industry boundaries. Number four, digital leaders appreciate that innovation is more than just creativity. Number five, digital leaders built teams with high IQ. Okay. We have IQ intelligence quotient. EEQ emotional quotient, are they’re fairly well-known, but few leaders measure the adversity quotient, AQR IQ measures, human resilience, and the capacity to come back from being [00:25:00] dealt a blow high IQ, lends itself to better employee retention. Those critical for digital leadership. 

[00:25:07] Number six, digital leaders never consider digital to be the outcome. Right? The outcome is what the business does. number seven digital leaders geek out on technology and so do their people and it’s okay to geek out on technology. Okay. It really is. Okay. but technology is not the ends. It’s it is a means. 

[00:25:29] All [00:25:30] right. So I want to find this one. Epic CEO says hospitals should have a chief imitation officer as its new initiative. So Epic CEO. This is a Becker’s story. Becker’s health. It, obviously this is Judy Faulkner and she talks about the need, to have not only a good. Chief innovation officer, but also an imitation officer. And all she’s talking about here is a, and you can imagine this, if you’re sitting in GDC, you see a lot of health systems doing some really cool things, and then you talk to a health system [00:26:00] tomorrow and they’re saying, Hey, we really want to do this. And you’re like, well, they’re doing it. Why don’t you just do what they’re doing?

[00:26:05] And you see it in and day out. I think it’s one of the things that makes, using consultants and using the, various vendor partners that we have. effectively, so important for the CIO. It, because they act as bees that are pollinating, they’re taking information from one health system to the other and, and helping you to see what other health systems are doing.

[00:26:26]We need to do more of that. The imitation officer to me is not the worst idea in the world. In [00:26:30] fact, No reason to recreate things over and over again. Almost make it, I, I wouldn’t create a chief imitation officer role, to be honest with you, but I would make it part of your operating procedure for people to assess out other health systems that are doing something similar.

[00:26:46] So if you’re deciding, Hey, we’re going to do something around telehealth in the diabetic space, I would do the research. I would contact those health systems and I would, as much as possible I would imitate. what they’re doing, obviously taking [00:27:00] into account the different communities that you serve, the different populations, the different technology patterns, and usage as well.

[00:27:06] So, So anyway, Judy saying that let’s see some of the Amwell posted 62 million in quarterly revenue up to 80%. I think I talked about that a Biden plan to lower Medicare eligibility, age to 60 faces, hostility from hospitals. and you can understand why a hospitals still make a lot of money from, from Medicare.

[00:27:25] And, if they see a significant portion of the population go in that direction, [00:27:30] that could be a challenge. If you want to read that, that is in modern healthcare. Cleveland clinic extends postponement of some surgeries. I wanted to talk about this a little bit, cause I think, we, we did something right early on in this pandemic.

[00:27:45] I think that we would undo if we had the chance and that is we instructed all health systems across the country to, to postpone elective surgeries. And the reality is I was talking to health systems way back when in March and April that had [00:28:00] postponed their elective surgeries and they were just empty. they had one COVID patient to COVID patients and they were just empty. So, to a certain extent, I liked this. I like now that it’s in the hands of the local health system to say, look, we’re at 75% of our ICU beds are filled. and we can project out what it’s going to look like. we can do some electric procedures or we can’t do any electric procedures, in the best interest of the health system.

[00:28:26] But again, early on in the pandemic, we didn’t know what we didn’t know. but I’d like the [00:28:30] local response. I like, I like that Cleveland clinic is deciding to postpone some surgeries as opposed to being told by the governor, or even worse by the federal government. How they’re going to operate in order to serve the people in Cleveland and beyond for Cleveland clinic, actually, 2.1 million patients had data exposed in October reported, and, and this is also a modern healthcare story as well. these numbers are just. It’s kind of [00:29:00] staggering, right? So, more than 2.1 million patients had their data exposed in healthcare data breaches reported to the federal government. Last month, as of Thursday, HHS office of civil rights posted 59 data breach reports that healthcare providers, insurers and their business associates had submitted to the agency.

[00:29:18] Obviously a lot of this is, stories that we’ve talked about, in the, in the not. Too distant past. So I won’t go into, some of these stories, but you know, there’s a, [00:29:30] this, this remains the, the issue that I think we’re going to have to get a lot better at. And I know I’m, it’s like, no, duh, clearly we need to get better at it.

[00:29:41] But I sit with, CSOs. And I hear a lot of plans and strategies that aren’t overly innovative. They are, they’re incremental in their thinking, and I can guarantee you that the attackers are not incremental in their thinking. it also requires more than just a security officer and a security [00:30:00] office.

[00:30:00] Over here, operating in a silo. This thing needs to be tightly integrated across the entire health system. And I think that’s pretty well understood. but again, 2.1 million patients had their data exposed. I don’t expect that to go down. I expect that to go up. Until we, make the, make the right investments.

[00:30:17] And again, I’m not on a virtue signaling. I’m not trying to shame anyone into making more investments. I think we can be more creative here. I think we need to do better partnerships. I think we need to just do the basic blocking and [00:30:30] tackling. If you have a BAS and you haven’t looked at your agreements with them in terms of your security  posturing, they may be breached right now in breaching your information, for all you now. so, lack of lack of looking into it and ignorance is no, w what’s the word I’m looking for? Ignorance is no. Excuse. I think it’s the word I’m looking for. All right. Let’s let’s close down.

[00:30:55] Let’s close out on a positive story. Let’s see. Hey, there’s some money available. This [00:31:00] is positive FCC opens applications for a hundred million dollar telehealth pilot. I got this from modern healthcare as well. the KYC connected care program will distribute up to a hundred million dollars over three years to not-for-profit and public health care providers to help defray broadband costs related to bringing telehealth to low-income Americans and veterans.

[00:31:19] The program will cover 85% of the costs of select services and network equipment such as internet access for patients. The FCC said providers will not be able to use program funds to purchase [00:31:30] devices or medical equipment for patients in the past year, connectivity has become an increasingly critical component of delivering healthcare services in our country said FCC chairman Ajit, PI.

[00:31:42] In a statement, with the opening of this application window, the FCC affirms his commitment to driving the future of healthcare delivery and supporting innovative pilot projects across the country. And so if you are looking to increase access to rural, to, veteran populations [00:32:00] to, to, the underserved in your community, there is a hundred million dollars available with the FCC.

[00:32:06] Take a look at that story. Take a look at, what’s available to you. love to see that, continue to, continue to flourish. If we can get that, that broadband connectivity to as many people in our communities as possible, we’re going to be able to do the services that we envision, in bringing them in a digital world.

[00:32:26] All right. Well, I mean, there’s a ton of other stories. [00:32:30] What a Biden administration, Fauci, talked about, data sharing, public health needs, we’ll, we’ll come back. We’ll talk about those things. So, that’s all for this week. Don’t forget to sign up for cliff notes, send an email [email protected] easiest way to sign up.

[00:32:44] You can hit the website, hit subscribe. That’s another way. We want to make you and your system more productive. Special. Thanks to our channel sponsors, VMware, StarBridge Advisors. Galen Healthcare, Health Lyrics, Sirous Healthcare, Pro Talent Advisers, HealthNXT, McAfee and Hill-Rom [00:33:00] digital for choosing to invest in developing the next generation of health leaders.

[00:33:03] This shows a production of this week and I’ll do it for more great content. You check out our website this week You could also go to our YouTube channel. Please check back every let’s see Tuesday, Wednesday, and Friday more. Great shows. Thanks for listening. That’s all for now.

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