Newsday – Drive-Thru Vaccine Distribution, Reaching the Marginalized, and CIO Priorities

With

Bill Russell / Sue Schade

About this guest...

Share Now...

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

Show Sponsor(s)

February 22, 2021: Vaccinate. Vaccinate. Vaccinate. Sue Schade from StarBridge Advisors joins Bill to discuss the news. Sue has been monitoring vaccine distribution and sharing it with the community through her blog. UC Health released a must-read COVID-19 mass drive-thru vaccination playbook. Health officials are struggling to gather critical data including race, ethnicity and occupation of individuals who receive the COVID-19 vaccine. How can we make this easier for those on the front lines to capture? Can we do audits to see where our system has gaps? Some state systems are buckling under the pressure. What is a CIO to do in this case? And what’s going on in Texas? Will their vaccine reporting issues cost them less doses from the federal government? Epic’s platform now has 100 mass vaccination sites using it but remember it’s not a CRM. Is this a square peg in a round hole type situation? 

Key Points:

Stories:

Newsday – Drive-Thru Vaccine Distribution, Reaching the Marginalized, and CIO Priorities

Episode 368: Transcript – February 22, 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.

[00:00:00] Bill Russell: [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.

[00:00:18] I ran into someone and they were asking me about my show. they are a new masters in health administration student, and we started having a conversation and I said, you know, we’ve recorded about [00:00:30] 350 of these shows and he was shocked he asked me who I’d spoken with And I said Oh you know just CEOs of Providence and of Jefferson health And CIO’s from Cedars Sinai, Mayo. Clinic Cleveland clinic and, just all these phenomenal organizations, all this phenomenal content. And he was just dumbfounded He’s like I don’t know how I’m going to find time to listen to all these episodes I have so much to learn And that was such an exciting moment for me to have that conversation with somebody to realize We have built [00:01:00] up such a great amount of content that you can learn from and your team can learn from And we did the COVID series We did so many great things Talked to so many. brilliant people who are actively working in healthcare and in health. It addressing the biggest challenges that we have to face. We have all of those out on our website, obviously, and we’ve we put a search in there and makes it very easy to find things. All the stuff is curated really well. You can go out on a YouTube as well. You can actually pick out some episodes, share it with your team, have a conversation around those [00:01:30] things.  So we hope you’ll take advantage of our website, take advantage of our YouTube channel as well. 

[00:01:35] 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 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 [00:02:00] 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. 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 [00:02:30] I were a CIO today, I would have all my staff listening to Today in Health IT 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. 

[00:02:43]All right here we go. Today we have. It’s a Newsday show and we have a guest host. I used to call you guests, but you’re actually a host, a co-host of the show. And you haven’t disappointed today. Sue Schade is back in Sue Schade red which I really appreciate.

[00:03:05] [00:03:00] Sue Schade: [00:03:05] Thanks. 

[00:03:06] Bill Russell: [00:03:06] Wow. We’re going to talk about a lot of stuff. I went to DisneyWorld for over the weekend. So we’ll talk about that a little bit. I think that’s interesting. Plus you know, every now and then I post something on LinkedIn and it gets a lot of traction. That’s gotten 5,000 views in like 36 hours.

[00:03:22] So I don’t know if it’s the Disney mystique or whatever, or people just want to know, what does it look like in Disney world right [00:03:30] now? And it could be a little, both of that. So we’ll talk a little bit about that and I’ll tell you how I felt there. And you can tell me how you feel about what they’re doing with Advent Health and how they’re sort of approaching it.

[00:03:43] I thought there was some really well thought out and interesting things they did, and I think it could, it could be a precursor to what we see society sort of as we step back, right. As we step back, as we step into normalcy again, what it might look like and how we [00:04:00] could sort of ease into it. You’ve done a great amount of work on the vaccine distribution. Gosh two stories now, or three articles you’ve written?

[00:04:10] Sue Schade: [00:04:10] Three. I don’t want to and work on it. And I am not on the front lines in any way but I have been reading a lot and tracking and yeah I’ve written three blog posts now about what I call them vaccine rollout. It takes a village part one, two, three. So I’ve covered a lot of stuff. Yeah. 

[00:04:26] Bill Russell: [00:04:26] Well I’ll tell you what we could start on. Cause I cheated [00:04:30] you send me one of these stories ahead of time and it was the COVID playbook that the university of Colorado health system put together. Did you get a chance to go through that? That is really amazing stuff.

[00:04:44] Sue Schade: [00:04:44] It’s awesome. And I want to cheer widely obviously they’re making it available and sharing it. It’s  a COVID-19 mass vaccination, mass vaccination drive through [00:05:00] site playbook. It’s a comprehensive 59 page document. I skimmed through it Bll just to see like what all is there? It’s from UC Health, University of Colorado Health in Denver and they have done at their, whatever their stadiums called there. You might. And now of 

[00:05:18] Bill Russell: [00:05:18] Coors Field

[00:05:19] Sue Schade: [00:05:19] Of course. So they’ve done several drive-through weekend events now and you know tens of thousands of people are being vaccinated. So it’s great. Richard [00:05:30] Zane is their Chief innovation Officer and he is also their department chair for ED. And I worked with him when I was at Brigham.

[00:05:38] He was at Brigham during much of the time that I was there, a CIO, and I think he’s been behind making this happen and they said they would share their playbook and I’ve put it out there because I think organizations that they either are going to do that or doing something similar can still learn from it. [00:06:00] And, you know, in healthcare, we’re all about best practices and sharing. 

[00:06:03] Bill Russell: [00:06:03] Absolutely. In fact I’ve gotten some calls from people saying, Hey, do you know of anybody who’s done this work? And then this showed up and now I’m just everybody who called me I’m just sending this to them and saying, Hey, here in it.

[00:06:13] I mean, it has, you know, it they, I mean, I’m sure you could add to it if you really tried but they have the organization structure, how it started, pre event planning. They have, they’ve had all the way down to the science. They have a page where they said hey, here’s the science that we [00:06:30] use across and it’s in English and Spanish across the board.

[00:06:35] They talk about getting the vaccine there and how you store it onsite. There’s  IT components of it as well. There’s a standing up a network now we’ve gotten pretty good at this with the testing sites right. For the most part in terms of getting networks out there. But they go through it step by step.

[00:06:52] Okay are you going to have access to the core sealed network network. And how are you going to ensure that, [00:07:00] how are you going to test that ahead of time? And so they have a checklist that they’ve provided and I just, the detail of it is phenomenal. They actually have the diagrams of how you bring cars in, how you flow them through, how you have them wait. There’s a 15 minute wait period after you get the vaccine and then how you move them out and they share some of the stats. I don’t have the stats. Well, here are the stats. Let me pull it up real quick. The stats were really impressive if people are considering this.

[00:07:29] So [00:07:30] they did this two 6 hour days. Okay. I’m sure there’s probably more planning than the actual days right? That’s usually how these things go. 10,000 vaccines were administered, 834 cars per hour, 22.4 minutes per car including the 15 minute observation period. That’s impressive. I mean they are, they’re moving people through. Zero unused doses, and that’s a huge stat because obviously when you [00:08:00] take that out, sometimes there’s unused doses that aren’t refrigerated anymore and you have issues. 0.9% patient no-show rate again, that’s exceptional. I mean a 1% patient no-show rate is exceptional and then all appointments filled within 72 hours. There’s clearly demand for this. And does this, is this the kind of thing you only do in a major Metro?

[00:08:23] Or do you think we’ll see this in some of the more regional or smaller locations? 

[00:08:30] [00:08:30] Sue Schade: [00:08:30] You know that is a great question. And again, I think they have phenomenal results, the metrics that you just shared show that and between you and me, let’s get that playbook out there on social media for everybody to take advantage of. You know, other places that I’ve heard are doing it are I think somewhere in Washington state and Oregon. Apparently Memorial Hermann in Houston.

[00:08:55] So that’s a huge Metro area. They said they had a best practice. They were getting [00:09:00] calls. Atrium has done this in a partnership with a number of organizations all drive through. So you know, I think large Metro areas and maybe you know, some smaller Metro areas as well. The thing, you know that’s a drive-thru one, but I would think that much of what they’ve got there is applicable to mass vaccination sites.

[00:09:21] That aren’t drive-through right. So here in new England at Gillette stadium where the [00:09:30] Patriots play, Mass General Brigham has partnered with the state and an organization called Oh my gosh. I think it’s CIC health. And I can’t tell you what it stands for to do a mass vaccination site but it’s not a drive-thru.

[00:09:46] They are using an, in a huge indoor facility associated with Gillette stadium and here. And you know, I think in Worcester, Massachusetts they’re using a convention center here in Providence, Rhode Island. They’re using convention center. So [00:10:00] maybe in the colder temperatures they’re not relying on the drive-through but park and go into some mass site. But I’m sure that 50% if not more of what’s in that handbook or playbook could be applied. Don’t you think? 

[00:10:15] Bill Russell: [00:10:15] That’s absolutely the case. Oh, by the way thank you for sending Tom Brady down here. I now live in Florida and we really appreciate the, the super bowl championship. That was very kind of you guys. And I just lost all my new England listeners, but [00:10:30] he is a champion. He wins. It’s crazy. 

[00:10:34] Sue Schade: [00:10:34] Yeah. I’m not even going to comment on it. We’ll stay away from that. So congratulations on winning. Yeah. 

[00:10:42] Bill Russell: [00:10:42] Yeah. That was. 

[00:10:45] Sue Schade: [00:10:45] Can we pivot to another story that I had linked to in one of my blog posts, because I think it ties to what we’re talking about with the mass vaccination of the guides.

[00:10:54] And that was the story. When I first saw it on Rachel Maddow on MSNBC, [00:11:00] and then I followed the trail and found the story in the Los Angeles times. So it’s a community center, I think it’s Kedren K E D R E N in South Los Angeles, which is largely a black town area of South Los Angeles. I don’t know the geography that well.

[00:11:18] And the physician lead there recognize the problem of disparities in terms of the vaccine distribution and they created a walk-in clinic. [00:11:30] So if you don’t have a car to go to what we’ve been talking about, you don’t have internet access to get online and try to schedule, and you don’t have email.

[00:11:39] What are you going to do? So I just thought that that article was a great example of community based efforts to address disparities and get vaccines into communities where it is harder to get to them. Unfortunately I have not seen a lot of other [00:12:00] examples of that around the country. But I think it’s a, it’s an emphasis more and more to address those underserved areas.

[00:12:06] Bill Russell: [00:12:06] Yeah. There’s a couple of things about that. One is the, part of it is just the availability of the vaccine. And so the health systems and whatnot that have it are, have limited supply, and they’re trying to figure out scheduling and all that other stuff. And so it’s one of those that if you’re not making a conscious effort and they should be.

[00:12:26] But if they’re not making a conscious effort to say, Hey, what about the people who don’t have cars? [00:12:30] What about the people who don’t have computers? What about the people in our community that are home bound and those kinds of things. If you’re not bringing that to front and center, that has to be a concerted effort.

[00:12:40] That’s one thing I would say the second is, and that was with the sisters of St. Joseph I was at St. Joseph’s Southern California, they would always every meeting we’d say, Hey, here’s how the business is doing. They were like, thank you very much. Let’s talk about the community and what we’re doing in the community.

[00:12:56] So I’m sure there are health systems out there that are doing this. [00:13:00] I’m not saying that they’re not, I’m just saying that that’s, that it has to be a conscious, somebody has to be bringing it forward. The second thing is and I’ll give the administration, this administration kudos on this. I’ve been I’ve been talking to a source. I’m not going to reveal my source. I’ve been talking to a source who is a pretty closely linked to some of the activities that are going on within the government. And this is what they’re using FEMA for.They are, they’re starting to look at okay where can we put these these pop-up sites, [00:13:30] I guess to administer the vaccine?

[00:13:31] At first, I was a little critical of this. I’m like, look just get the vaccine out to CVS, Walmart, Walgreens and it’ll be out there, but they are specifically targeting some areas where you have these underserved communities. And that is going to be the and that’s a great way to deploy those resources, but that is also going to be, look, we have, I don’t know if you saw the stats.

[00:13:55] I shared some of the stats. 50% of the population is now in the. Get me in [00:14:00] line as soon as you can get me in line, get me. 

[00:14:01] Sue Schade: [00:14:01] Yeah. I heard you. I heard that. 

[00:14:03] Bill Russell: [00:14:03] Yeah so 20% are still wait and see, let’s make sure that nothing adverse happens but then there’s this 30% and I’ve been focused on this 30% for a while yet.

[00:14:15] Cause if we can’t figure this 30% out but that’s what FEMA is doing. FEMA is saying, all right, here’s in New Jersey and here’s a large. A subsection of the people that are in that 30% and we’re going to go out to them. We’re going to be right around the [00:14:30] corner. We’re going to go out to the homeless.

[00:14:31] We’re going to bring these people in and those kinds of things. So I you know, again, kudos to the administration for for doing that. I don’t think it’s widespread. I think there’s only four States that they’re looking at right now. I think it’s a Jersey New York, Texas, and California but I’m sure that will expand

[00:14:49] Sue Schade: [00:14:49] Yeah well, in some States are I think some States started with that focus. You know West Virginia was for a while the state [00:15:00] that had the I never know how to describe this but it’s doses in arms as a percentage of doses distributed. Right. And they will weigh up in the high eighties. 80%.

[00:15:13] My state is in the sixties West Virginia you know I’ve heard the governor on a couple you know, quick news interviews and he talked about, we had to go to the people, not the people come to us. So they figured out in the rural West Virginia, how to get it out. I know that [00:15:30] in Rhode Island, it’s kind of a double-edged sword.

[00:15:35] The, to have a really intentional approach as to and they seem to have sub stratified a lot of specific groups that should be getting it now, along with 75 year olds and over. They haven’t gone below 75. And it’s possible that that really intentional approach has also caused them to not have as many doses administered out of what they’ve [00:16:00] been distributed.

[00:16:02] But let me just before we leave this point, the big picture and for everybody frustrated, when’s my turn. I want it. They’re not the vaccine hesitant but I want it. When it’s my turn? How can I get it? The site’s open refresh, refresh, refresh to get an appointment. You have to take the big picture view and look at how many have been distributed so far shots and arms and the fact that the metrics. The key indicators of hospitalizations, new [00:16:30] cases and deaths are going down dramatically well significantly, from a very high peak. Right. So it’s a good news story on the trend. The numbers are still way too high, but the vaccines are having an impact. 

[00:16:42] Bill Russell: [00:16:42] Yeah, well we got exactly what we expected, right? We had Thanksgiving and Christmas and then the numbers lag. And so towards the end of January you had peaking numbers because people are just tired of [00:17:00] the process. And they’re like, no I want to see my family when I get why they did it. But we also knew the risks and we saw the numbers go up pretty dramatically.

[00:17:09] That gets me to another story you shared which I think is pretty relevant to health IT and that’s delays with Texas coronavirus vaccine reporting system may hinder allocation of doses. Sorry. So the actual, let me read a little bit of this. So despite being plagued by reporting issues, data collected in Texas immunization reporting system based soon become a central factor [00:17:30] in determining how many COVID-19 vaccine doses the state gets from the federal government moving forward, according to the January 20th Texas Tribune report.

[00:17:39] And sometimes I don’t put too much stock. They’re trying to sell newspapers. They make this because I can’t imagine that the federal government’s going to say, Hey, Texas, your reporting numbers are down. We’re going to send all your stuff over to West Virginia. I just don’t think that’s going to happen.

[00:17:54] But what they’re saying is essentially look, [00:18:00] the recording, we’re getting back from the state of Texas through their antiquated system isn’t really accounting for all the doses that have been distributed and shots put in arms. And because of that the algorithm that’s used at the federal level is Hey, look, We’re looking at this and it looks like you have a ton of inventory still in your state that you haven’t administered.

[00:18:21] So we’re not going to send you some stuff, which is understandable. That’s how inventory systems work. And so you know, so health [00:18:30] systems and by the way, this is from the Texas Tribune. And this is a Texas story but I’ve heard this from other States as well. The state systems are not as whats the right word here? Because antiquated is the word I used before. And that’s the case in some States in other States they’re just not sophisticated. They’re not, I dunno, you know we’ve spent billions literally as health systems on our operational systems, [00:19:00] in most of our hospitals across the country we have not spent that at the state level for whatever reason.

[00:19:05] And so these systems. Are there sort of buckling under this  pressure. So what’s a CIO to do in this case? 

[00:19:14] Sue Schade: [00:19:14] Well before I answer that question. When you talk about the state systems, you’re talking about the public health infrastructure, and we’ve not as a country or a state’s invested in public health infrastructure.

[00:19:25] And I think that also is going to be more intention coming out of this [00:19:30] pandemic. And I think that’s part of the Biden Harris administration plan as well, to put more attention there. And probably part of the $1.9 trillion that’s being asked for what are CIOs to do about it? You know you can’t make changes of significance when you’re in the middle of it. Right. I think that, you know, CIOs is working with their executive counterparts and their organizations need to make sure that [00:20:00] whatever data reporting is as clean, accurate, current as possible, going to the right sources that it’s supposed to go to.

[00:20:06] And you know probably in the grand scheme of things, you know, participate in some of the advocacy work to improve this in the long run. I don’t know if CHIME is you know, all over this in any way or not in terms of their advocacy work and interoperability, but you know they may well be but you know you work with what you got and you find ways to affect change in [00:20:30] the long run.

[00:20:32] Bill Russell: [00:20:32] It’s interesting. This is just me being pragmatic here. So I sit back and I go look, and you have another story in here. You sent over so many stories. This is phenomenal. You talked about Epic has now a hundred mass vaccination sites now online. I saw a starter stat on that as well and it’s pretty high but that’s where I’m going.

[00:20:52] So Cerner, Meditech Epic and let’s say Athena, you take and maybe Allscripts, so [00:21:00] let’s just take those five. As if the federal government would say, look, and I talked to Dale Sanders about this early on in terms of the data. He’s like, we’re collecting here relevant data. And so this was early on in our field report series and he was saying, look, they’re just, they’re overburdening.

[00:21:18] The health systems are collecting this irrelevant data. And so they went back and said, all right, this is all the data. This is another one of those cases where. Look there’s five major EHR, which is going to cover 85% of [00:21:30] all health systems who are administering these vaccines at this point.

[00:21:34] So why don’t we just come up with the clear dataset that says, Hey, here’s what you’re going to submit. Here’s what you’re going to collect. Create those fields within those EHRs. And then have each of those EHR providers generate a, I don’t know, a, I mean at a simple level of report. But at a, you know a future level just a simple way to query that information to say Hey this [00:22:00] health system has ha we gave this houses and this many doses and they’ve administered this many.

[00:22:05] And if they want to go deeper into that data, they can. It seems to me like this is not rocket science. We just need I dunno coordination around it or effort around it. I dunno. And maybe I’m being too harsh here.

[00:22:21] Sue Schade: [00:22:21] No, I don’t think you’re being too harsh and you know, I’m a pragmatist as well. And you know, I probably believe more in, in [00:22:30] big government than you do, but you know, it’s a time of crisis, which this has been for the past year. Right. What has been our national response? What’s the partnership between public private government. Can some of the you know can some of the work now coming future coming out of ONC with Micky Tripathi who is like all over interoperability, that’s his kind of frame of [00:23:00] reference and experience.

[00:23:01] I mean, can there be some partnership mandates, whatever, with, you know, some of those big vendors as to here’s what. Here’s what we need. Here’s how you have to adapt. If you’re collecting this much, you need to collect this much more. I don’t know. I certainly don’t want to sit and be the Monday morning quarterback with all sorts of, you know, opinions and critiques on what’s going on but you know, clearly there is so much room for improvement on all those levels.

[00:23:28] Bill Russell: [00:23:28] So you and I are really busy right now. I’m going [00:23:30] to transition to the Disney story in a minute, but you and I are pretty busy right now with our roles in supporting CIOs, supporting health systems and those kinds of things. What are the kinds of things you’re hearing right now? What’s going on in the field?

[00:23:45] Sue Schade: [00:23:45] Ah, that’s a great question. I’m super busy this week with a particular client. That’s got a big go live April 1st and we’re doing a independent what we call independent verification and validation review. So we’re, I’m kind of heads down right now this [00:24:00] week with that client as to where they are at.

[00:24:03] In the bigger scheme of things for all the people that I’m talking to. I think that CIOs are starting to pivot to some of their back burner projects as they look at their 21 agenda. But I would say in the last two months, most people that I’ve talked to it’s vaccine, vaccine, vaccine and being flexible, change on a dime.

[00:24:30] [00:24:30] We’re gonna, you know, we’re going to stand up another mass site. We’re going to stand up another clinic. We got to get to our employees. You know, so pivoting back to the vaccine. And one of the things that they’re dealing with is that variation on number of doses that are available. So how do you know you have to be ready with everything to stand up the clinic on Monday, if you haven’t been confirmed that you’ve got the doses.

[00:24:55] So more and more CIOs are just  talking [00:25:00] about the flexibility needed right now in their role. 

[00:25:04] Bill Russell: [00:25:04] Yeah. One of the things you said there, and you’re talking about a go live, one of the things I’m hearing is inaddition to. Just the words in addition to. It’s like, yes, we have to do all this COVID stuff. But we have to kick off all these back burners things that have been out there and I’m like, so what’s come off of your plate. It’s like, no. 

[00:25:23] Sue Schade: [00:25:23] Nothing. What are you hearing? 

[00:25:28] Bill Russell: [00:25:28] Well that’s what I’m hearing. I mean, it’s [00:25:30] in addition to, it’s like, yes, we now all of a sudden have to become experts on getting the vaccine out to our entire community which actually is a, there’s a lot of aspects of that are a new  muscle. It’s outreach driven. It’s to the entire community. It’s not just to your patients. So you can’t rely just on your EHR database for outreach. You have to think. Okay well, we were talking about earlier. What about the people who aren’t in your database, the people in your community who might go [00:26:00] unreported or under-reported? I know if I were still a CIO at St. 

[00:26:03] Joe’s, we had about 12% of our ER visits every year in Southern California. Had incorrect or no social security numbers. And you can read into that, whatever you want to read into that, but essentially these are people who did not want to be known in the system. So doing outreach to those people would require some very creative partnerships with whoever with marketing, for sure but [00:26:30] potentially with local community organizations and whatnot to find these people and to make them aware of what’s available to them.

[00:26:37] So, yeah. But I am hearing in addition to we have new skills. We need to learn and stand up, but it’s Hey, look, we’ve got to get back on a foundation back on our build, back on our update schedule. Oh, by the way, cybersecurity has not gone  away. In fact, it’s quite the opposite. It’s elevated in terms of its [00:27:00] visibility at the board level.

[00:27:01] I mean, so those are just some of the things I’m hearing and it kind of surprises me. Cause I thought there would be one of the things that was great about, the silver lining and COVID was focus right there, there was a day that everybody came in and said, this is what’s most important. And it feels almost like we’re snapping back and saying, Hey, everything’s important again. And I don’t know if we’re going to be able to move at the pace we did last year [00:27:30] if we just throw everything back and say everything’s a high priority item. 

[00:27:36] Sue Schade: [00:27:36] Yeah. You know. Can we pivot to the story that I sent you about where is it? It’s the one about CEOs not getting distracted. Can we pivot to that? 

[00:27:53] Bill Russell: [00:27:53] It seems appropriate sure.

[00:27:55] Sue Schade: [00:27:55] Yeah. It’s yeah, I have it here. [00:28:00] I print too much. So I’ve got some paper, I’ve got some stuff. 

[00:28:04] Bill Russell: [00:28:04] So this is a Becker’s article. It’s don’t get distracted and other health executive advice on vaccine rollout. So Susan Casey, who would you like to highlight here? 

[00:28:15] Sue Schade: [00:28:15] Sure. A couple of people. So I think that Susan Casey, Chief Quality officer physician, Oh, interim chief quality officer at university of Illinois, hospitals and clinics in Chicago.

[00:28:27] She said the best advice is don’t get distracted. And this is really does [00:28:30] tie into what’s going on for health systems right now. And this is about obviously the vaccine. Overall goal of our program has been to get vaccine out quickly and safely. There’ve been several points along the way where this there is discussion and debate about priorities.

[00:28:45] In order of offering, we found that if we focus on the broad categories, outlined by CDC and Chicago department of health we can quickly offer vaccine to many people. If we’re not distracted by debate. We can focus on operations that allow us [00:29:00] to move quickly through tears and phases for more vaccine and we, vaccine delivered has an opportunity to help us fight the pandemic.

[00:29:07] So that’s focus get past the debate discussion, right. And just get it done. Some of the other ones just talked about their core operating principles in terms of the work they do every day, apply that to the vaccine. So you and I have both been in a number of organizations and health systems.

[00:29:31] [00:29:30] And IT leaders in their teams can have way too many priorities, way too much discussion for way too long about getting something done. And you know I’ve heard COVID speed in the last year. I hope that that continues. COVID speed. COVID focus. Let’s not get bogged down in some of the debates and you know, focusing on getting things done. So I don’t know. I may be rambling [00:30:00] but I think that was the right pivot from what we were talking about in terms of everything they’ve got on their plate. And in addition to, it’s kind of like back to core business on how to deliver which health systems do. There are times of crisis. They’re there every day for people. 

[00:30:16] Bill Russell: [00:30:16] Yep. I agree. You want to hear about my trip to Disney World? 

[00:30:20] Sue Schade: [00:30:20] Well, I listened to it 

[00:30:22] Bill Russell: [00:30:22] Ahhh you listened to it. Well anyway, for those who hasn’t, haven’t listened to it, it’s obviously I’m doing the today show and I did share this [00:30:30] you know, I just give you some of the details.

[00:30:31] We were actually a little nervous going up and my wife and I had talked about it like, you know, if we saw certain things, we were like, all right, we’re out of here now. Disney’s a really well run organization there, you know, even. Even we can argue and you know, as far as doing the right thing or whatever, but regardless Disney as a microcosm within Florida, you would expect it to be top-notch and they really didn’t disappoint.

[00:30:56] I was really surprised. I thought, [00:31:00] you know, okay, I’ve been here many times. We went there on our honeymoon. That’s one of the reasons we went back was anyway. It’s her father died over the holidays and we decided, all right, we’re gonna take a trip. And actually we had planned this before because she was a caregiver and she was giving so much of our time.

[00:31:19] I’m like, all right, you need a break. And so this is what we’re going to do. And so we talked about some of the things we said, you know, look, if they’re not going to be stringent with people wearing masks and people are just going to be [00:31:30] walking around willy nilly without their masks on then. Yeah there’s a little too much risk there.

[00:31:36] We’ll look at that and determine whether we feel comfortable. There, there are a couple places in Florida that we have visited and gone, you know what? I’m going to wait until this pandemics over before we go back to that place. Cause that’s not safe. And you know and I have my friends who were like, Oh, you’re overreacting. I’m like, nah, I’m not overreacting. I mean, I don’t need to go to that store. I don’t need to go to that restaurant. [00:32:00] There are other restaurants that are acting appropriately, so I’m just going to go there. And I understand if you want to do your, whatever,  your protest movement by shopping at that store where you don’t have to wear your mask then you know have at it and do what you do. That’s fine. It’s free country, but this is how my wife and I were approaching. And when we went there, we were surprised, you know, there, you’re talking a little kids, you’re talking three and four year olds. They had their masks on. I thought, Oh, clearly the kids are going to be taking their masks off and they weren’t.

[00:32:28] And it’s really, that [00:32:30] was fascinating to me. The other thing is, as you would thinkI mean, the signs are clear when you’re coming into the park, you get the stuff ahead of time. You know, you’re going to be wearing masks your old time. They tell you how to wear the mask snugly over your mouth, over your nose.

[00:32:44] They repeat it about a million times on every ride. You hear it. When you’re walking around, things will come up. I just think the interesting thing to me was the, there were, they looked at some events and they said, [00:33:00] you know what? We can’t control the crowds. And you think about it it’s like, well, Disney always controls the crowds.

[00:33:05] It’s like, no there’s there’s events like the fireworks. And the fireworks was, I was disappointed not to have the fireworks. It’s one of the, it’s one of the things that makes Disney, magical rights. You go, you stand in front of the castle, you see the fireworks over there and it’s gotten so good at it over the years.

[00:33:20] And and they just said look if we do anything that causes people to just congregate, they’re going to congregate. So they did away with that. They did away with [00:33:30] parades. They did away with a lot of shows. They used to have like freestanding shows and that kind of stuff. And they just  said, look we’re not going to take that risk.

[00:33:40] So when my wife and I, after the first day, we sort of liked each other said, no I feel very safe here. They install the plastic guards and those kinds of things. So you listened to the show sort of describing some of the things. They took the monorail. The monorail to me also was very interesting because public transportation essentially [00:34:00] within Disney world and when you get on they’ve created compartments.

[00:34:03] And so you know there’s a thing for two and a thing for four, I don’t know that you can do this in the New York city subway but I can’t imagine going on the New York city subway and feeling safe can you? I don’t know how that would such. And so you heard all these things, how does this sort of translate let’s fast forward and say, we get to 50% of the population vaccinated about, you know, 20%, 10 to [00:34:30] 20% have had the virus itself.

[00:34:33] We get to these numbers where it’s like, okay, we’re bordering on it’s safe again but we just don’t know who has it, what is this going to look like? How are we going to step back into society? 

[00:34:44] Sue Schade: [00:34:44] You know  fascinating conversation and I did listen with great interest and I can see, I think before we started recording, did you say that it’s at 5,000 downloads already?

[00:34:59] Bill Russell: [00:34:59] Yeah [00:35:00] 500 views. yeah.

[00:35:01] Sue Schade: [00:35:01] So is that, is that people who are like, Oh my God, I want to go on vacation. That’s what it’s going to be. Like. I was thinking of Disney. I’ve heard Disney as safe or what, but I think we’re all starting to think about after. My husband and I over dinner last night talked about a vacation that we had to cancel and now we’ve bumped out and we talked about what that might look like, how safe and you know January 22 and what we might need to be concerned [00:35:30] about.

[00:35:30] It’s going to be different. Your description of Disney was different. I love the fireworks as well. The parades are great. The characters, you didn’t mention that, but you talked about how the characters were not where people, kids could run to in congregate and take pictures, but they want a balcony or they were over here and you could see them, but not that congregating. So there was a part of me that’s like okay, good. They did a good job. And also sad. It’s like, okay, that’s a [00:36:00] different experience now. And what will things be like in the future? But we’re all adjusting to the new, and I think, I mean, you did a great job describing it and posing some of that. You know, the two points you made at the end, cause you do the sowhat? What’s the health system that is connected to them? 

[00:36:21] Bill Russell: [00:36:21] Advent Health 

[00:36:23] Sue Schade: [00:36:23] Advent Health. That you know, here’s another revenue source for health systems as they look at [00:36:30] how do they work with organizations in their community? And I think your other, so what was around digital health and the digital experience and how good Disney is at that and how we need to be good at that within healthcare. So in those, in my takeaways, as I listened to it.

[00:36:47] Bill Russell: [00:36:47] Yeah, there was no 

[00:36:48] Sue Schade: [00:36:48] Let me tell you this the first vacation that we canceled in 2020 was to Disney. We were supposed to go to Disney at the end of April with my daughter [00:37:00] son-in-law and two of the four grandchildren that have never been to Disney. So when you describe the experience, it’s like, okay, that will be the experience when we do get to go I guess. 

[00:37:09] Bill Russell: [00:37:09] Yeah. I had the sort of two things on that one is we drove, I haven’t been on a plane since. February of last year. My daughter has, she went back to school on a plane and my wife has been on a plane and they describe it and it was different. So my daughter was on a plane back when their seats in the middle [00:37:30] were empty. When my, by the time my wife went on a plane. And she said the plane was packed from beginning, from front to back. And I’m like, I don’t know how I feel about it. So we drove, so I felt relatively safe there. The other thing is at one point, my wife looked at me and said, do you think they’ll ever bring the fireworks back and the parades back?

[00:37:49] I’m like, yes, I do think they will bring them back. And they’re just looking for the appropriate time they’re appropriate all those things. [00:38:00] So and the other question she asked me is, do you think we’ll wear masks forever? I’m like some people will. I think we will see, you know, you saw this in Asia, right?

[00:38:09] If you went over to Asia, if you went to Japan, you went to the U S you would see this and someone in China, it’s about the air quality, because there’s such a coal producing kind of place. But in Japan it’s relatively. You know it’s relatively common to see people with masks on as well. And I think we will see more people who just as a course daily [00:38:30] course will wear masks.

[00:38:31] Even if you fast forward two years from today. Everyone’s vaccinated. Maybe we’re beyond this. We’ll see that I, and I, I understand the argument. I mean, we’ve had no flu season to speak.

[00:38:45] Wouldn’t that be interesting to, to really take a huge dent out of the flu season every year, but I’ll be honest with you. I’m not willing to give up, and this sounds kind of harsh, but I’m not willing to give up Disney fireworks and parades two years from now. [00:39:00] For the, you know, for a 2% chance that I’m going to get the flu or 5% chance.

[00:39:05] And we could argue with that. And I think to be honest with you, we need to have this discussion. Not today, everyone should be wearing their mask today. I think at some point there’s going to be this art. There’s going to be this conversation of, okay. Everyone sort of gets to make a decision. I don’t know if that’s a year from now.

[00:39:23] I don’t know if that’s to your smell. I don’t know what it is, but I want us to be able to have those conversations without. [00:39:30] Ostracizing the other side for, you know, whateve., 

[00:39:34] Sue Schade: [00:39:34] You know masks became politicized. COVID was downplayed and here we are. And now we’re trying to get through it. What life looks like when we are through this or not sure, but it will be different. And many of those things will come back. Many of those things will come back, you know, slightly changed. 

[00:39:56] Bill Russell: [00:39:56] So let’s talk about [00:40:00] let’s close this out on an IT note and that is the digital experience at Disney was exceptional. So again, one of the things I said is hardly any contact transactions happened. Even the front desk. I checked in to our hotel before we arrived. And so when I arrived, they essentially had stuff. Now somebody handed me some, some things, but it was like I checked in, they handed me things. I went to my room. They gave you the option of [00:40:30] somebody coming in and cleaning your room everyday or not, which they usually do.

[00:40:32] But this was the more pronounced in terms of, you know, do you want this or not? We in room dining was interesting. The restaurant was at half capacity because it was indoor only indoor dining. So they cut down the capacity pretty significantly. So it was about half, but then what they opened up was indoor dining, where you would call now, when they came up for indoor dining, you didn’t get plates and silverware and [00:41:00] all that stuff.

[00:41:00] They brought it to you in a, it was like a Uber eats kind of thing. So here’s your food? But the reason I bring this up is I. I spent a lot of time on my phone while I was down there. And every transaction I can think of was on the phone communicating, ordering food. You know, I think we’ve gotten used to that in our home world that we, you know, we order Uber, we order food and that kind of stuff.

[00:41:30] [00:41:29] But we sort of stepped back into some of these things when we go into healthcare, here’s your clipboard. And you’re like, you know, really the clipboard be gone. Thing has to be almost like the facts, you know, it’s like let’s get that. If you see a clipboard somewhere in your if you see a patient with a clipboard somewhere within your health system that is an opportunity for digital and needs to be addressed. And I’m sure there’s a handful [00:42:00] of others that I’m not even thinking about at this point. 

[00:42:02] Sue Schade: [00:42:02] You know, I think the point on that is Disney was already very much there. In terms of their digital and their con their consumer experience, their customer experience. So they probably didn’t have to take it up that many notches.

[00:42:24] For what you’re describing. Right? So the healthcare systems that have been ahead of the game in terms of [00:42:30] digital and are there are in a position to take it up those few notches pretty quickly, the ones that haven’t been thinking about this yet, and are not there, have a long way to go. And I think it worked that’s, it’s a focus that we’re going to see, you asked about, you know, what am I hearing?

[00:42:49] I’m hearing from a lot of people in they’re trying to figure out their digital health strategy their digital front door and beyond. So it is, it is it is a [00:43:00] definite focus that has been probably gotten more executive level attention to. Great in the past year, how has the need and the importance?

[00:43:09] Bill Russell: [00:43:09] Well Sue every six weeks, you and I are going to get together on this show, we’re going to talk about things. So and it feels like it still feels six weeks might as well be six months. It feels like so much happens between each time we get together. So who knows what we’ll be talking about the next time around. Thanks. Thanks again for your time. 

[00:43:30] [00:43:30] Sue Schade: [00:43:30] All right. Well, thank you.

[00:43:33]Bill Russell: [00:43:33] All right. That’s all for this week. If you know someone that might benefit from our channel, please forward them a note. They can subscribe on our website this weekhealth.com or wherever you listen to podcasts. Apple, Google, Overcast, Spotify, Stitcher, probably some other places that I’m not even familiar with. We want to thank our channel sponsors who are investing in our vision to develop the next generation of health IT leaders VMware, Hill-Rom, Starbridge Advisors, Aruba Networks and McAfee. Thanks for listening. That’s all for now. [00:44:00]