Newsday - Swapping Vaccine Stories, Interim CIO, and Managers Adapting to Hybrid Work
March 29, 2021

 – Episode #

383

Share this clip:

Share on linkedin
Share on twitter
Share on facebook
Share on email

March 29, 2021: Frank Nydam, the VP of Healthcare at VMware joins Bill for the news. The CHIME Spring Forum is coming up. Future Vision for Health & Care: What’s Coming Over the Horizon? Post-COVID Trends Shaping Healthcare. Putting Patient Experience at the Heart of Healthcare. What goes into the planning of virtual events like this? And what is the future of these kinds of conferences? What is all the hype around the concierge medicine startup Transcarent? How should health systems be preparing for the future of hospital at home? Have consumer habits changed enough that we’re going to see a shift in how care is delivered post Covid? Microsoft did a study on people working remotely. Are they thriving or surviving? Big companies are wrestling with their hybrid work plans. 

Key Points:

  • With Transcarent, Glen Tullman and General Catalyst’s Hemant Taneja are applying the Livongo playbook to the employer-sponsored healthcare system [00:14:05] 
  • The big winner of really moving forward is behavioral health and mental health via telehealth [00:25:55]
  • A Microsoft study finds 41% of workers may quit this year. The big complaint is being overworked. [00:28:55] 
  • A mix of office and remote work brings new hurdles [00:32:35]
  • The hybrid work model opens you up to a new diverse set of talent [00:33:15]
  • Transcarent 
  • VMware 

Newsday – An Update on CHIME, Transcarent, and What’s Next for VMware

Want to tune in on your favorite listening platform? Don't forget to subscribe!

Thank You to Our Show Sponsors

Related Content

Amplify great thinking to propel healthcare forward and raise up the next generation of health leaders.

© Copyright 2021 Health Lyrics All rights reserved

Newsday – An Update on CHIME, Transcarent, and What’s Next for VMware

Episode 383: Transcript – March 29, 2021

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: [00:00:00] [00:00:00] Welcome to This Week in Health IT. It’s Newsday. My name is Bill Russell, former healthcare CIO for 16 hospital system and creator of This Week in Health IT, a channel dedicated to keeping health IT staff current and engaged.

[00:00:17]Special thanks to Sirius Healthcare, Health Lyrics and Worldwide Technology who are Newsday show sponsors for investing in our mission to develop the next generation of health IT leaders. We set a goal for our show. And one of those [00:00:30] goals for this year is to grow our YouTube followers. We have about 600 plus followers today on our YouTube channel. Why you might ask? Because not only do we produce this show in video format but we also produce four short video clips from each show that we do. If you subscribe, you’ll be notified when they go live. We produced those clips just for you the busy health IT professionals. So go ahead and check that out. 

[00:00:55]Common question I get is how do we determine who comes on this week in health IT? To be honest, it started [00:01:00] organically. It was just me inviting my peer network. And after he show I’d asked them, is there anyone else I should talk to? And then the group, obviously the network grew larger and larger, and it helped us to expand our community of thought leaders and practitioners who could just share their wisdom and expertise with the community.

[00:01:16] But another way is that we receive emails from you saying, Hey, cover this topic, have this person on the show. And we really appreciate those submissions as well. You can go ahead and shoot an email to [email protected] It will go to the entire [00:01:30] team. We’ll take a look at it, reach out to these people and see if there’s a good fit to, to bring their knowledge and wisdom to the community as well. 

[00:01:38] We also launched Today in Health IT. A weekday daily show that is on todayinhealth it.com. We look at one story each day and try to keep it to about 10 minutes or less. So it’s really digestible. This is a great way for you to stay current. It’s a great way for your team to stay current. In fact, if I were a CIO today, I would have all my staff listening to Today in Health IT [00:02:00] so we could discuss it. You know, agree with the content, disagree with the content it is still a great way to get the conversation started. So check that out as well. Now onto today’s show. 

[00:02:10] Today we are joined by Frank Nydam the VP of Global Healthcare at VMware and the winner of the referral program for ClipNotes last fall and Frank, welcome to the show.

[00:02:23] Frank Nydam: [00:02:23] Oh, thanks for having me long time listener.

[00:02:26]Bill Russell: [00:02:26] I just have to start by thanking you. We launched [00:02:30] the ClipNotes programs in the fall,  which is the email distribution lists where 24 hours after you , after we do a show, you get an email and has the summary has bullet points then has the four video clips with it. And we now send out close to 1800 emails every week. And I really appreciate all the referrals that you gave to the to the program. So I just wanted to give you a big thank you from me and the team for that. 

[00:02:58] Frank Nydam: [00:02:58] You’re welcome. This has, [00:03:00] always been a big supporter of what you’re doing and you know we, as am IT partner vendor we always got to, always looking for more information about what’s on the mind of the healthcare CEO’s and your service and your information is always great so I appreciate it. 

[00:03:18] Bill Russell: [00:03:18] Well thanks. Thanks for coming on the show. You, do you, do you do a lot of these? Do you do a lot of podcasts and that kind of stuff or is this pretty rare for you?

[00:03:26] Frank Nydam: [00:03:26] I do, I used to do many more. [00:03:30] So not too much. I was looking forward to this. It’s been a long time. It’s I think where I’ve been stuck in my basement so long. It’s nice. 

[00:03:38] Bill Russell: [00:03:38] I love your basement for those listening on the podcast. You’re going to have to check out the video. You got the multiple guitars going in. Any stories behind the guitars? You actually use pretty extensively.

[00:03:50] Frank Nydam: [00:03:50] I do. It is funny how COVID and Zoom has introduced me to so many other people that play instruments, especially guitar to see guitars hanging on the wall. [00:04:00] Some of them are decoration but I like to say I use them, but it was a thing we picked up. I picked up in college a long time ago and. I’m over 50 and we’ve got the over 50 band that plays in my garage and some pubs. Looking forward to getting back out there.

[00:04:14] Bill Russell: [00:04:14] You know, we can put together a health IT band that plays at the CHIME event. So anyone, so you’d be the guitar player and we just need to find a base, a drummer, who do you think would be the best [00:04:30] CIO lead singer? 

[00:04:32] Frank Nydam: [00:04:32] Aaron Miri 

[00:04:34] Bill Russell: [00:04:34] Aaarom Miri as the lead singer. And we’ll have to come up with a name later.

[00:04:39] I can’t imagine. And I don’t want to offend anyone. So I’m going to be careful here. All right. Let’s go ahead and step into this. We are going to talk about the news but before we do that, you were a part of the planning committee for the upcoming CHIME conference. Is that right? 

[00:04:56] Frank Nydam: [00:04:56] Yes, that’s correct. I was. 

[00:04:58] Bill Russell: [00:04:58] All right. So this [00:05:00] I’m going to hit you up for some insider information here.  We’re going to cover the agenda. This is, this is an all star cast, a lot of former guests of This Week in Health IT. It’s it’s a phenomenal  set of speakers 

[00:05:15] You know,what can you, what can you tell us about the planning process for this? 

[00:05:22] Frank Nydam: [00:05:22] You know I think it goes without saying we all miss getting together and that was probably the best thing. And it still is the best thing about [00:05:30] CHIME, the fall forum, the spring forum, seeing everybody shaking hands.

[00:05:34] And I know John Kravitz and Darren Dworkin in the committee really wanted to do something completely different this year. And you know, I think we’re all Zoom fatigued. So, you know we just got an all star cast. I mean from the opening having Cerner Epic and Meditech onstage together. I think we’ve all sort of been waiting for that for a long, long time.

[00:05:57] And I mean, [00:06:00] some of the folks on the other panels. The Big tech speaking Amazon, Microsoft and Google. So just wanted to completely rewrite the script of what CHIME Spring forum was going to be. And again, since it is virtual this is going to draw a lot of people. I think we’re going to have a really good conversation, many great conversations.

[00:06:19] Bill Russell: [00:06:19] Yeah. So I imagine there’s a lot, you want to draw people back, but you also want to create that experience. One of the things we like about the spring and fall forums is we get to, you know, [00:06:30] rub shoulders with each other and have conversations and just catch up and those kind of things. Are we going to be able to create that kind of environment with a virtual setting?

[00:06:41] Frank Nydam: [00:06:41] There has been a lot of attention to that. There’s some suites there where you can get together and have outside conversations on, questions from the audience  three, three questions. So I think it will be good again. There’s only so much you can do on Zoom and that’s why we really wanted to [00:07:00] focus on these great leaders.

[00:07:03] Bill Russell: [00:07:03] All right. Well let’s hit some of these. You know, the opening keynote panel should be very interesting. You have Judy Faulkner, Howard Messing ,Judy CEO of Epic, CEO of Meditech power investing and CEO of Cerner Brent Schaefer with Darren Dworkin as the moderator. That’s that’s an all-star panel.

[00:07:23] I’m not sure I’ve seen that group on a stage together before. You know what’s the [00:07:30] topic? Future vision for health and care. What’s coming over the horizon. I guess this will be from an EHR provider perspective. What’s coming over the horizon.  That’s a good way to start this thing out.

[00:07:41] That’s that’s pretty impressive. 

[00:07:43] Frank Nydam: [00:07:43] And then right behind it right you have the three big tech leaders, public cloud behind it. That should be even more interesting. I think they build upon each other for sure. 

[00:07:53] Bill Russell: [00:07:53] Yeah. So you have Google and Microsoft and AWS. You have PBA David [00:08:00] Roux, Dr. David roux and Ashima ghouta who with with Google. With Daniel Barchi leading that conversation, again, this is some great some great panels. And then in the afternoon you have Post COVID trends, shaping healthcare. You have Helen Waters with Meditech, leading a conversation with Rasu with Atrium. Rasu Shrestha. He’s almost like Cher. You just have to say Rasu and everybody knows who you’re talking about. , Jim Noga with Mass General and [00:08:30] Theresa Meadows. And again, another phenomenal panel, and I’m not, I’m going to slight some of these other panels. We’re not going to go into all of them but there’s again, Locka and Rosenberg. You have Joel Venko, Carina Edwards, all former guests of the show are going to be there.

[00:08:44] I highly recommend people sign up for this. It looks like it’s going to be a phenomenal discussion. So that’s the three days, two and a half days. 

[00:08:54] Frank Nydam: [00:08:54] Right? Yeah, I tell you, we won. Some of these folks started signing up [00:09:00] and the vision that John and Darren can put together, we were really excited about this it’s coming together great. 

[00:09:06] Bill Russell: [00:09:06] Yeah. So should be good. The, just out of curiosity, what do you think the future of these kinds of conferences are? Do you think we’ll get back together soon and do you think we’ll hold onto some of this virtual moving forward to make it accessible? 

[00:09:21] Frank Nydam: [00:09:21] I think that the human part of us wants to come out and shake hands again and see people.

[00:09:27] Yeah. So, absolutely. I think we’ll all be [00:09:30] getting back together. When? Who knows. I think there’s a lot of everybody keeps calling me saying, are you going to HIMSS? Will you be there? I’m going. I’m not going. So yes, I think there’s a deep desire out there, but on the other side, I think the virtual, virtual platform allows you to connect to a lot of folks that you wouldn’t have connected to. I think it’s an interesting by-product that we’re seeing from our marketing and outreach team from a BMR perspective is where we used to see you know, maybe a thousand people were getting, you [00:10:00] know, 10,000 people seeing this.

[00:10:01] So it has its drawbacks as well, but I miss seeing people. I know you missing people and that is, that was always what drove us CHIME. It continues to CHIME at atime of the interaction. I think that’s how you and I first met. 

[00:10:16] Bill Russell: [00:10:16] Yeah, yeah, absolutely. The HIMSS conferences, is it July? Is that right?

[00:10:23] Frank Nydam: [00:10:23] You know what I’m not sure the date is of that Bill. 

[00:10:27] Bill Russell: [00:10:27] But it really it’s right on the edge of [00:10:30] what everyone feels like. Is that the timeframe that we’re all going to get back together? It feels like it’s, if it’s going to happen, it will be just over the line where we feel like all right, it’s safe to go back into the water. But because it’s on that edge, I think everybody has that question of, is it too early to be doing this?

[00:10:50] I know that the fall CHIME forum. In San Diego there, they’re planning on doing that live, but that’s like October timeframe right? 

[00:10:58] Frank Nydam: [00:10:58] Right. [00:11:00] But I, you know, I think, I think this whole conference industry sort of needed the shake up. It was getting sort of repetitive. You  these things were happening.

[00:11:10] You know, I think the virtual pieces actually helped it a little bit. I think we need that human interaction, but every once in a while you need to shake the snow globe.and see what comes out of it. And I think that, I hope 

[00:11:23] Bill Russell: [00:11:23] So. So the pandemic was shaking the` snow globe on the conference industry.

[00:11:28] And I agree with you. It had [00:11:30] gotten kind of kind of stale. The, you know, the conferences and some of the conferences were sort of petering out. Some were you know, still thriving on history, really for the most part. So we’ll see, we’ll see how this whole thing shakes out. I don’t, I don’t suppose I’m going to get you to say anything you know, really controversial of your, about the future of where conferences are going to go.

[00:11:57] Frank Nydam: [00:11:57] No, you know, I will say there’s a, like I said, maybe [00:12:00] the snow globe piece, the HLTH conference and their organizers have been great.. I think they’re thinking outside the box, bringing a lot of startups and we participated for a couple of years think last year and Judy spoke at that as well.

[00:12:14] So we had a lot of government representatives. That’s another one. I think it’s a great output in this. 

[00:12:20] Bill Russell: [00:12:20] Well, the thing they’ve been able to do at that conference is they’re bringing not only healthcare providers, they’re bringing pharma, they’re bringing [00:12:30] a big tech, they’re bringing the insurance plays.

[00:12:33] I mean, they’re literally bringing the whole ecosystem together to really have conversations around what we can do to, to move healthcare forward. And I think that’s there. Th that’s really their strengths. Andif I look back the, I went to the first one and the second one, I think those were the only two that were live.

[00:12:55] But the first one I went to, I think I was one of only maybe three or four CIO’s that I can [00:13:00] remember being there. Yeah. And you know, healthcare wasn’t really well represented from a, from an IT perspective. The next year healthcare was better represented only because they had. A whole bunch of CEOs and leaders from healthcare up on the stage, you know, that’s the last time I heard Bernard Tyson speak and he gave a phenomenal talk and I think he died like just a month or two after.

[00:13:29] Frank Nydam: [00:13:29] It [00:13:30] felt old at that first HLTH. It was walking around with a lot of start-ups which is really interesting. I think they had a, I don’t remember, they were like shark tanks type a, type of thing on stage and pitching their ideas. And it was you know, that still excites me about healthcare is, you know, what are they thinking about in the proverbial virtual garage. You know there’s some outlandish ideas out there but maybe it’s the snow globe analogy as well. 

[00:13:57] Bill Russell: [00:13:57] All right. Well, let’s go into one of [00:14:00] those startups and it’s probably the loudest startup in, quite some time. And that’s Transcarent. So Transcarent is Glen Tullman and teams.

[00:14:10] I don’t want to slight any of his team members does coz it seems like Glenn’s pulling a bunch of the former Livongo people over. And former Allscripts people over. And, you know Transcarent is an interesting model. They are essentially going into the  employer space, into the self funded [00:14:30] employer programs and they’re offering  a suite of services around care delivery.

[00:14:34] And it’s really interesting. It’s a technology place so they provide information, but it’s also a connection play, an experience play. in that not only do they wrap the technology around it, but they will connect you with care. They will  follow up with care.  And their financial model is very different from anything we’ve seen before.

[00:14:52] They are essentially going to baseline an employer’s current costs for their program. And they’re going to take [00:15:00] a percentage of the savings over and above what they’re able to save them. And because they understand healthcare so well, they are going to be able to do some things I think that are interesting to drive costs out of the equation.

[00:15:10]The redundant testing, the inefficiencies  that just naturally exist in healthcare. And so Transcarent is interesting. They’re going after that space. That’s a fairly lucrative space. So have you got a chance to take a look at Transcarent yet and what they’re doing? 

[00:15:28] Frank Nydam: [00:15:28] A little bit. That [00:15:30] whole space fascinates me. I was actually having a conversation with my wife about this in preparation for the call. We were chatting about, you know, her experiences recently in the healthcare system.

[00:15:42] And, you know, we all sort of want, it’s always the gaps, right? The providers do a really good job here. The parents do really good job here. It’s those gaps. It’s the handoff. If the patient experience and consumer experience,  it’s the coz I just [00:16:00] had my annual physical yesterday and I still like my cardiology reports still isn’t getting over to my primary care physicians. So I would say they’re doing a good job and attacking those gaps between all these places between all these whether it be the technology that payer and providers, the you know everything. And I think that’s where they’re doing a really good job.

[00:16:23]Bill Russell: [00:16:23] It’s interesting to me because if we just talk through the experience and this is when people say healthcare is broken, this is what [00:16:30] they’re referring to. They’re not saying, hey, I don’t like my physician and I don’t like my hospital. And I don’t like, you know, the care that I received. Generally, they’re not talking about those things.

[00:16:38] What they’re talking about is look I have to pick an insurance provider. I don’t know who’s in that program. And this is where Transcarent sort of steps in. They, they step in for that employer to say, look,  your benefits meeting was contentious last year and the year before.

[00:16:53] And the year before that and every year you have to tell your employees, the costs are going up. All right.so let’s address that. Let’s make the [00:17:00] process of getting people onboarded a lot easier. And then when they need care, they can have access to somebody from Transcarent seven by 24, 365 within 60 seconds of their questions sort of arising in their head. And then you have , that person who’s going to help them to figure out where they should go and how they should proceed with care.

[00:17:21] Andthat’s, you know, when, my wife was making a lot and we know this, that the moms generally makes a lot of the care decisions. When my wife was [00:17:30] making those decisions she was constantly telling me how awful my insurance was. And she wasn’t really saying that my insurance was awful.

[00:17:38] She was saying the experience that she gets as a result of having paid a payer over here, a provider over here, and a PBM over here and not having the whole thing orchestrated was awful for her. She didn’t, she didn’t know where to go. She didn’t know where the bills were going to come from. She just didn’t know how to navigate it.

[00:17:58] And then god [00:18:00] forbid, she’d have to see a specialist. And then, you know, a whole new round of complexity would sort of arise. So that’s where they’re stepping into. It’s going to be  an interesting play. I’m really looking forward to seeing where they go. You know, the other thing from a success standpoint, Glen Tullman did Livongo. And that team did Liongo and they did a great job in the initial IPO and they did a great job in the exit.

[00:18:24] So, and they done a good job already with Transcarent raising money. So they have money. [00:18:30] They have an experienced leadership team. It’s not a tech leadership team. It’s a healthcare leadership team. So they really understand healthcare. I mean, this thing has a lot of positives going into their launch here. And it will be interesting to keep an eye on this one. And I hope they’re successful. 

[00:18:50] Frank Nydam: [00:18:50] It will be an, you know, I think the other interesting thing here is as they attack those gaps, it’s hack the generational gaps. If you bring a good [00:19:00] point. Usually wives, mom’s the leader of the household are dealing with these things.

[00:19:06] But recently my my, college aged daughter she’s a senior, had an emergency appendectomy and watching her go through that. Now they’ve got great care. What have you, it’s just, again, bridging the gap. Where do I go? Can I see this doctor after? And you know, it’s a little different for the parents, but now you look at that next generation who expect everything at their [00:19:30] fingertips. Amazon easy. And it was interesting watching her go through this process. So I think it looks like Glenns company is going to, if they, if they focus on that generation, their next consumer they’re going to do well. 

[00:19:44] Bill Russell: [00:19:44] Yeah it’s, that next generation is like let me get this straight. I have to do this. I do this. Can I just find somewhere where I can just buy it? Can I just do a telehealth visit? And it’s like, yeah yeah. But it’s included in your insurance. Yeah. Yeah. I’ll give you [00:20:00] my credit card. Let’s just, I don’t want to navigate that. Let’s just get to the, cut to the chase.

[00:20:06] All right. How have you experienced healthcare during the pandemic? Have you done the telehealth visits and those kind of things? 

[00:20:13] Frank Nydam: [00:20:13] Yes, I have, I have had to do one. My wife has done a couple. I will say that we’ve been fortunate enough to get called up for our first vaccine. And I was just amazed on how smooth that was.

[00:20:26] I was predicting chaos. They had [00:20:30] turned a local mall here into a super vaccine site. Lots of national guardsman which I found interesting all walking around there, there a cart on wheels entering this stuff into effect. And it was it went much smoother than I thought it was going to be.

[00:20:47] Bill Russell: [00:20:47] Was it run by a health system or was it run by. 

[00:20:51] Frank Nydam: [00:20:51] It was Atlantic Health here in New Jersey. 

[00:20:54] Bill Russell: [00:20:54] Okay. Yeah. That’s interesting. The yeah, my, the people I’ve talked to the experience [00:21:00] in getting the vaccine has been, has been pretty good. The gentleman in Arizona was telling me he was in and out within like 15, 15, 16 minutes in Glendale, Arizona. And you know, in my experience, so in Florida has finally come to an age that I can get lined up and someone reached out to me, which is crazy.

[00:21:22] I got an email saying, hey, we have vaccine. We’re ready if you want to schedule your appointment and, you know it’s a reputable [00:21:30] you know, reputable player side. I reached out and they’re like, okay, here’s your appointment. You’re scheduled. Come on in. You’re getting the Moderna vaccine and you know, away we go, I’m either.

[00:21:41] I think we’ve worked through a lot of the let’s just say the learning curve of how to do this effectively. 

[00:21:50] Frank Nydam: [00:21:50] Yeah. We’ve got a QR code and we’re ready to go, but You know, I think one of the things that we have been thinking about at my company is [00:22:00] you know, this, the have and the have nots.

[00:22:02] So it’s still amazing where you know, you know, big company, you know contacts and whatever, you know, unfortunately they have a very health issue getting in there, but you wonder sometimes what’s happening in the other parts of the country. You know, I live in you know 45 minutes outside of New York city.

[00:22:22] You’re in a big area. I’m worried about those rural communities. And I think that’s one of the things that I’m excited to focus [00:22:30] on. I think as an industry we should focus on is that patient equity. There’s a little bit still too much of the have and have not.

[00:22:38] Bill Russell: [00:22:38] Yeah no I agree with that. Especially between the urban and rural that exists. Then you have the homeless population and whatnot.

[00:22:44] I think the, you know, the homeless population, those who are disaffected in the cities,it really is on the health systems to reach out to them. And in a partnership with the. With the agencies in the area, first of all, to find [00:23:00] them and identify them and then to help them to get vaccines. The rural thing was just a matter of, you know, the rural health systems couldn’t handle the Pfizer vaccine.

[00:23:10] It’s just not, it’s not feasible. And so that cut them down to just working with the maternal vaccine. Well, now we have, you know, the J and J vaccine and we have the astraZeneca I think is going to come online. Hopefully they got the blood clot stuff worked out and [00:23:30] and so we’re going to have different options that get to those rural locations that don’t require the deep freeze.

[00:23:35] So we’ll see what happens there. I, the reason I asked you about how you experienced healthcare has been, I’m exploring this concept of if our habits have changed and have they changed it up or are we just going to snap back to where we were. And so there was a couple of interesting stories this week.

[00:23:51] One was hospital at home and the initiatives that are going on there. And you know, we see them all over the place. [00:24:00] There’s a new consortium that includes Ascension and Intermountain. Mayo is making noise all over the place on hospital at home. The consortium is really lobbying for better policies and reimbursement for care at home.

[00:24:17] And remote patient monitoring and those kinds of things. And then I also covered a story on today in health IT around retail clinics. It appears that retail clinics are also seeing a [00:24:30] surge and in growth and really their emphasis in the delivery of care. And I’m wondering you know we stopped going to the hospital.

[00:24:39] First of all we were told to stop going to the hospital. So we stopped going. And you know, if we had only done that for two months, I think things would’ve snapped back, but we really have have started to adopt new ways of receiving care or new ways of interacting. We’ve gotten used to some of these digital tools.

[00:24:58] We start to recognize when hey, you know [00:25:00] what it feels like. It’s okay for me to just talk to a doctor via Zoom. I don’t need to, you know, to go sit in the waiting room to wait to see somebody because it’s it’s a lot more convenient. You know, as we look at those things, do you think the care venues are do you think the habits have changed enough that we’re going to see a shift in a change in how care is delivered post Covid?

[00:25:23] Frank Nydam: [00:25:23] You know, I think it’s a topic we don’t talk about too often, because it seems to I’m not sure if it’s [00:25:30] embarrassing or, you know, we. At the outset of this, there was a lot of warnings about mental health. You know we’re underestimating the mental health issue that’s gonna come out of this. And I will tell you you know, my family, I know some colleagues, friends, and family who had never thought about seeing or talking to somebody, what was on their mind, what was bugging them and have leveraged some of these telehealth services, tele mental health services.

[00:26:00] [00:25:59] Finally just talk with somebody. You know, so folks have a problem getting actually the physical interaction of talking about mental health problems or what’s on your mind. I think telehealth actually brings down some of those barriers where it might be, it’d be easier to speak to somebody about your problems or what’s on your mind over a video rather than going there.

[00:26:22] It’s a lot of human effort and mind to get up there, get in your car, sit down and talk with somebody, especially about things like [00:26:30] that. So, yeah i, you know, that’s what I’ve been keeping an eye on. You know, I have no problem saying it. I’ve used it for that purpose. It’s been really helpful.

[00:26:39] And I see that as the big wave. I mean they’ll help with the primary care physician. Hey, I’ve got a rash those type of things, that’s not going to go away, but I really think there’s something to be done on the mental side. 

[00:26:52] Bill Russell: [00:26:52] Well I think that’s part of what Transcarent’s going to do is to align the type of care that you’re asking for [00:27:00] with the type of delivery, right? So yoh get on the phone with somebody within that seven 20 for 60 minutes or 60 seconds, you get on the phone with somebody and say, Hey, I’ve got this problem. And they say, great, we’ll hook you up with a telehealth consult. Or you know what you need to get to an emergency room or you can go to a retail clinic.

[00:27:19] They’re going to try to match the care with the most efficient model for receiving that care. You know, [00:27:30] clearly the, you know, the big winner is all of us. But the big winner of really moving forward is is, behavioral health and mental health via telehealth. I mean, this has been eyeopening in terms of the challenge. Plus it exacerbated the challenge.

[00:27:47] Right. Isolation is one of those things that just drives people to have those you know, those, those thoughts, which can be debilitating at times. And we really [00:28:00] need to interact with each other. And so this, the use of telehealth in that space was a natural fit. And that will be one of the things we all talk about coming out of post COVID.

[00:28:18] Frank Nydam: [00:28:18] But it, I think it’d be good to expain, democratize behavioral health. I mean now to have that available to everyone I just I’m excited about it. I’m [00:28:30] excited about it because again, so many people have wanted to go speak with somebody who had something on their mind or something I wanted to fix. And it’s amazing that technology could finally address something like that. 

[00:28:42] Bill Russell: [00:28:42] Well, I want to talk to you about work from home. There was a an article in the Wall Street journal I covered on today in health IT but I’m going to talk to you about this image  that David Chou shared in social media this morning.

[00:28:55] And it’s from a study that Microsoft did on people working [00:29:00] remotely and it really gave them two options, thriving and surviving during the during the pandemic in your work from home environment and they broke it down by business leaders, married, working mom, gen Z, frontline workers, new employees, and single.

[00:29:18] All right. So we’ll play a little game here. Thriving and surviving. If you are a business leader, how, what percentage do you think are thriving in this new [00:29:30] remote work environment? 

[00:29:33] Frank Nydam: [00:29:33] That depends. Right. I think as engineering coders I wouldn’t say they’re thriving, we’ve all sort of adjusted to figuring out how to in such a collaborative project especially developing software being in the office is probably myths, but that’s a 50 50 shot for me.

[00:29:53] Bill Russell: [00:29:53] Yeah 61% say they’re thriving. 

[00:29:59] Frank Nydam: [00:29:59] Really? [00:30:00] Yeah, it’s a bit of an introvert. So I like that quiet time sometimes to get things done. Maybe it’s the engineer in me, but I think that type of person, or that type of job profile could thrive in this. GReat, you know, sometimes I get two, three hours of work done, go do something, take a hike, take a walk. You don’t get that at the office sometimes. 

[00:30:21] Bill Russell: [00:30:21] Yeah, exactly. You just go from meeting to meeting. All right. And we’ll play a little Price is Right. This is a better way to do this. So married. [00:30:30] People who are married here doing the remote work thing greater or less than 40% are thriving? 

[00:30:39] Frank Nydam: [00:30:39] I’d say less than, okay.

[00:30:41] Bill Russell: [00:30:41] It’s actually, it’s actually fairly greater. It’s 46% say they’re thriving, but again, that’s a 50 50 proposition there who are saying look, I’m struggling with this remote work thing as a married person. Single. Greater or less than 40% are thriving. [00:31:00] You’re trying to, you’re trying to look this up on the internet right now.

[00:31:02] Frank Nydam: [00:31:02] No I’m just grabbing some water. No, I.m not a cheater like that. 

[00:31:07] Bill Russell: [00:31:07] It’s actually less. So single they’re saying only 30% are thriving and 70% are struggling. Interesting. And actually a lot of things, you know, working moms is roughly 50 50, Gen Z is 40% thriving, 60% struggling. Frontline workers 40% [00:31:30] thriving, 60% struggling. New employees, now I will let you guess at this one, how many new employees you think are thriving in this new environment? So they started, let’s just say they’ve been with the company less than a year. What percentage you think are thriving in this remote work environment? 

[00:31:48] Frank Nydam: [00:31:48] Oh, it must be near 5%. Cause I know I’m trying to, what’s the number? 

[00:31:55] Bill Russell: [00:31:55] The number is 36%. 

[00:31:58] Frank Nydam: [00:31:58] Really?

[00:31:59] Bill Russell: [00:31:59] Yeah. That’s [00:32:00] a lot  higher than I would think it would be. 

[00:32:03] Frank Nydam: [00:32:03] Yeah. You know, we brought on a lot of new employees and we’re taking an effort to really reach out to them virtually our arms around them because talk about a bad, a hard time to start a new job and not meet people and be isolated.

[00:32:18] It’s it’s taking a lot of extra cycles from all of us to get those, not folks only up to speed and make them feel part of the culture. But I think that’s really high. 

[00:32:29] Bill Russell: [00:32:29] Well you [00:32:30] guys are a tech company. You think you’ll go back into the office when this is behind us? 

[00:32:35] Frank Nydam: [00:32:35] Yeah I think it’ll be a hybrid. I think that’s that article you guys talked about?

[00:32:39] You know, it it’s similar to tech in the cloud, you know, I think everybody thought it was great. I can, I can move out of the Bay area. I can, you know, live in Kansas, but you know, everything ends up being, you know, not so black and white, it ends up being a hybrid. So we will see, we will definitely be a hybrid company going forward.

[00:32:59] It’s opened [00:33:00] the job pool up for us. I think that’s an interesting side benefit of this is, you know, I have a friend who’s going to work out of Greece for a month. So now we can pull people that were once just in the Bay area. We can pull people in from anywhere around the world. So it will be hybrid and I think we’re gonna actually get to get a new diverse set of talent. 

[00:33:20] Bill Russell: [00:33:20] Well and the crazy thing is, you know, like where you live and when there’s bidding wars going on in these remote areas. So people moving out of New York City into Jersey [00:33:30] that, you know, I’ve heard of people bidding up houses, you know, 50 to a hundred thousand dollars just to, you know, it’s, it’s

[00:33:38] Frank Nydam: [00:33:38] My wife is  a real estate agent and has never been busier. And we’ve always had a the second place out in Colorado and we went out there to try to fix it up and it just everybody’s moving everywhup in off the mountains. So it just driven everything up. We’re crazy right now. 

[00:33:52] Bill Russell: [00:33:52] Yeah, we have friends who just moved to Montana. I’m like, does Montana have the internet? I don’t know. But [00:34:00] but it turns out that they do and it’s a good place to work from, you know. So you go, you go to a hybrid and somebody has moved to Colorado during the pandemic, I mean, are we going to say to them, hey look your home office is New Jersey. And you have to be in the office two days a week?

[00:34:25] Frank Nydam: [00:34:25] I got it. I think it’s all going to depend on the role. If you’re a customer facing and [00:34:30] eventually we will be out there in front of our customers, with our customers are gonna partner. The role, it depends on the role. I think the being a tech company and still global I think one of the issues we’re running into is they’ve got those silly time zones where you know, is California the place now? It’s a tough time zone to take care of the Mia APJ. I, I, my, my boss is in India often and [00:35:00] trying to find that time to stuff. And then you take that and spread it across, you know three geos, six different time zones. It’s tough. 

[00:35:09] Bill Russell: [00:35:09] Yeah. You know, I used to travel, like I think that the year I traveled the most was 42 weeks I was on a plane. And I used to be really good at times zone math. I’ve found that is one of the skills that I;ve lost with not traveling is time zone math. I can’t tell you the number of times I’ve said to people. Yeah, yeah we’ll meet at you know, three o’clock central and I do the math in the opposite [00:35:30] direction. It’s a, 

[00:35:31] Frank Nydam: [00:35:31] Yeah maybe we’ll come up with a universal time, right? Universal. Somebody will come up with a universal time or some algorithm to fix it and we’ll just call it this time. And you know, obviously where the sun is at times, but you know, there’s a lot of talk about this. Does daylight savings work any longer?

[00:35:50] It’s amazing. Back to the snow globe, you know, it’s making us rethink about things like that time zones. Where do you work? It’s a, it’s fascinating. 

[00:36:00] [00:35:59] Bill Russell: [00:35:59] So what’s what’s next for vmware? What are you guys? What are you guys focused in on and what are you doing? 

[00:36:05] Frank Nydam: [00:36:05] I mean, what we, our healthcare journey started 2005 ish. When we were starting to work with the pharmaceuticals we had this crazy idea of a hypervisor and the pharmaceuticals that she was, you know, how do I move workloads into research environments? And if I have to change the hardware out or software, you know, that could take months to [00:36:30] recertify to the FDA. And that’s where we took this idea of a hypervisor and sped that up. Now, you know, we were then we moved over into the provider side and said, you know, what are some of their issues they have been dealing with? And it was boy, you know, we going on some rounds to see, and this was a long time ago but yellow sticky pads with passwords on every nurses station.

[00:36:53] And we worked on some VDI solutions. That’s where our always on point of care had come up. You know, [00:37:00] we’ve done,proud of what we’ve done over the last 10 years at our high tech and EMR is running on VMware. And I think if you know, we’ve been sort of, what’s the word. I pass at some degree, we know that VMware thing, it really helped us a long time ago with the server consolidation but with work from home here at the edge, the cloud, you know, like I said before, everybody was running to the cloud.

[00:37:23] As you have everything there and it’s going to be a native X, it’s going to be a hybrid experience. So [00:37:30] what we’re really focusing on is getting that value proposition that the company was built on in terms of moving a workload from any server or letting it go to a desktop VDI. And we extend that into the cloud and I’ll let you run your VMware workload with our relationships with Amazon and Google.

[00:37:48] Microsoft to extend that BM to go out there, but I’ve even taken it. One step further is using the Kubernetes container as that the new workload of the container. So to speak to [00:38:00] this whole idea, we have, as, you know, we need to help simplify healthcare. It there’s a lot of simplification to be done.

[00:38:06] There’s too much complexity. We can bring automation to it. The second side would be as modernize. There’s a lot of technical debt out there, both from a hardware application perspective to working on helping companies modernize both healthcare. It as well as ISV application providers. I think that’s going to open the world up to this innovation.

[00:38:27] I keep on using the snow globe [00:38:30] analogy. It’s if we can simplify things and get more smart people focused, not on looking at that red button of something going wrong and making sure to hit every Tuesday, getting to work on innovative products and projects. That’s what we’re looking into and I’ll leave you with, this is a myth working from home here at the edge care and phones.

[00:38:51] We have a lot of work to do as an industry to secure those devices. It’s the wild West out there during COVID [00:39:00] and seize device has just ended up everywhere. And now, as we sort of try to rationalize that, and we don’t want to take those back, right. We hear at the edge is great. But now we’re going to need to figure out how to lock them down and make sure that person, that teller radiologist, that caregiver, that patient has a great experience because if they don’t, you know, they’re going to be coming back into the hospital and that’s something, you know, we don’t want to lose those gains we made through telehealth.

[00:39:28] Bill Russell: [00:39:28] You know, one of the [00:39:30] biggest challenges in a security front has always been the biomed devices. And now we’re talking about these, you know, hospital at home. We’re talking about these devices going into the home that really raised the level of acuity that we can do out of the home. But, and, you know, we did some interesting things to secure in the in the, hospital setting but I’m not sure those same methods work once we move them to these [00:40:00] remote locations.

[00:40:00] And you know there’s a lot of it’s it’s, you can tamper with those things and cause harm. You can tamper with those things and collect data. And you can also use them as a gateway into other systems which might have more valuable information depending on how the transport mechanisms are secured.

[00:40:22] So that’s one of the areas that I think there’s a significant opportunity for someone who is [00:40:30] going to secure all those devices in the home. It’ll be, that’ll be an interesting space to really keep an eye on. 

[00:40:36] Frank Nydam: [00:40:36] Yeah, there’s a, I will shout out to John Gomez and Sensato, I think that if you want to know anything about securing a device as medical devices like that, John Gomez has been working on this forever. So check out his website, he’s got some great blogs out there as well, but your,  your head you’re right. It’s different about having a PC and a [00:41:00] user at home. We know how to take care of that but we cannot let that medic that managing and securing that medical device from any manufactured, you got all this hoof where it’s coming from, but think of having a windows, desktop has become pretty routine. You really just can’t do that with these with these devices, it’s a different type of thinking. 

[00:41:20] Bill Russell: [00:41:20] Well Frank, thanks again for for other referrals. Thanks for coming on the show. I appreciate it. I you know, this great conversation [00:41:30] and always appreciate your support of the show and all the things you’ve done to get us to this point. 3 and a half years. I can’t believe it’s been three and a half years crazy. Yeah. 

[00:41:39] Frank Nydam: [00:41:39] Yeah. Well, weire really, we reall, you provide a great service to the community, great service to my company. This is something I really championed when I was in the CHIME board of the SeaPass event, trying to get the CHIME CIO’s and foundation members to communicate better learn from each other. And you’ve [00:42:00] just certainly amplified that globally. So we’ve appreciate all you do for us too. 

[00:42:04] Bill Russell: [00:42:04] Appreciate it. 

[00:42:05]What a great discussion. If you know someone that might benefit from our channel, from these kinds of discussions, please forward them a note, perhaps your team, your staff. I know if I were a CIO today, I would have every one of my team members listening to this show. It’s conference level value every week. They can subscribe on our website thisweekhealth.com or they can go wherever you listen to podcasts, Apple, Google, Overcast, which is what I use, [00:42:30] Spotify, Stitcher. You name it. We’re out there. They can find us. Go ahead. Subscribe today. Send a note to someone and have them subscribe as well. We want to thank our channel sponsors who are investing in our mission to develop the next generation of health IT leaders. Those are VMware, Hill-Rom, StarBridge Advisers, Aruba and McAfee. Thanks for listening. That’s all for now.

Play Video