STEPS to Value Podcast

Each day, the amount of data in the world increases by 2.5 quintillion bytes.  Ninety percent of all the data created the world over has been produced in the last two years.  That there is more data is not in doubt.  If we will be able to harness that data to affect our everyday lives is up to the women and men that craft insights into impact, informed perspectives into effective policy.Welcome to STEPS to Value, the HIMSS podcast that looks at people and processes, information and technology as they work together to transform the delivery of healthcare.  In today’s episode, we explore how to craft data into collective action with Jessica Kahn, Senior Expert in Public Sector Healthcare IT and Data at McKinsey & Company and recent recipient of HIMSS’ Most Influential Women in HIT award.  In her time as the Director for Medicaid’s Data and Systems Group, Jessica oversaw $5 billion in annual federal spending for state Medicaid IT and data projects. Through her leadership of the Medicaid EHR Incentive Program, over 202,000 providers received more than $12 billion in incentive payments to adopt, implement, upgrade and meaningfully use federally-certified EHR systems.  We talk to Jessica about what her leadership experiences have taught her about consensus-driven outcomes, data’s powerful impact on how patients and providers experience their healthcare, and how answering an ad in a college newspaper truly changed her life.  This Episode’s Guest:Jessica Kahn, MPHSenior Expert, Public Sector Healthcare IT and DataMcKinsey & CompanyConnect with Jessica Most Influential Women in HIT AwardThe HIMSS Most Influential Women in Health Information and Technology Awards recognize influential women at all stages of their career progressions. These awards celebrate individuals who harness the power of information and technology to transform health and healthcare; are unique among power lists and award programs; and are inclusive of all women of influence, no matter where they may be in the health information and technology field.  Learn more about HIMSS' Most Influential Women in HIT Award here.

Nevada Senate Republican Candidate Sue Lowden got skewered back in 2010 when she said “in the olden days, our grandparents…would bring a chicken to the doctor. They would say I'll paint your house.  In the old days, that's what people would do to get health care with their doctors.” It is easy to snicker at the image... walking into the doctor’s office holding a couple of chickens. What Sue Lowden got right, even if we couldn’t hear above our laughter, was that before health insurance, consumers had a much more direct experience paying for their healthcare.  They paid cash for care when they had it, battered for that care when they didn’t.  Took charity care when they had neither.  They understood that the doctor too had hungry mouths to feed and that a couple of chickens can make a lot of meals for a week.  Examples abound of the collective willful blindness healthcare consumers tolerate when it comes to paying for their healthcare today.  Just hand over the insurance card.   The national care card.  Just sign that co-pay check.  Like children at Chuckie Cheese, handing over paper tickets for plastic trinkets.  Did you read the last health insurance bill you received in the mail?  Or did you do what I do? A glance at it and put it in the pile to be filed away, in a box, to be forgotten about until the next one arrives.  Why do we tolerate the fact that we have more transparency around the delivery pizza we purchase than the healthcare services we consume, currently at the rate of 17 percent of our national gross domestic product.  Is it time for Dominos to take over America’s healthcare system?  Welcome to STEPS to Value, a podcast that explores the intersection of people, processes & technology in healthcare as the industry moves towards a value-focused model.  In today’s episode, we will talk with Jonathan Wiik, Principal, Healthcare Strategy at TransUnion.   We talk with Jonathan about the transformation of healthcare customer expectations and what the healthcare industry finally needs to do to meet them.   This Episode’s Guest:Jonathan Wiik, MSHA, MBAPrincipal, Healthcare StrategyTransUnionConnect with Jonathan

What does the transformation of healthcare look like from the population health perspective?  New models of value-based care not just depend on patients having more access to information about their care, but also on more involvement with their care.  So what does that mean? And how do providers help their patients to get to that point?  Welcome to STEPS ot Value, the HIMSS podcast focusing on people, process, information and technology in the evolving healthcare landscape.  In this episode, we speak with Judy Murphy, Chief Nursing Officer at IBM Healthcare about the mindset shift patients and providers are currently going through to move from episodic healthcare to continuous life care.  Whether you are a healthcare professional or patient, there is something in this episode for you.  This Episode’s Guests:Judy Murphy, RN, FACMI, FHIMSS, FAANChief Nursing OfficerIBM Global HealthcareConnect with Judy Most Influential Women in HIT AwardThe HIMSS Most Influential Women in Health Information and Technology Awards recognize influential women at all stages of their career progressions. These awards celebrate individuals who harness the power of information and technology to transform health and healthcare; are unique among power lists and award programs; and are inclusive of all women of influence, no matter where they may be in the health information and technology field.  Learn more about HIMSS' Most Influential Women in HIT Award here.

Some technology standards are driven by the market.   Think VHS vs. Beta.  Some technology standards are driven by the preferences of early adopters. Think  TCP/IP.  Some technology standards are driven by a dedicated, global effort to build consensus and take collective action.  Think personal health data interoperability.Welcome to Steps to Value, the people, process and technology podcast from HIMSS. In this episode, we explore the complex work of creating technology standards with Horst Merkle, Director, Diabetes Management Platforms & Solutions at Roche Diagnostics Operations Inc., and Paul Coebergh van den Braak is Intellectual Property & Standards Manager Healthcare, Senior Director at Philips.  Horst and Paul discuss their insights on the state of personal health device data interoperability, their experiences helping to shape the Continua Design Guidelines, and the potential unintended consequences when industries don’t come together around a common standard.   This Episode’s Guests:Horst MerkleDirector, Diabetes Management Platforms & SolutionsRoche DiagnosticsConnect with Horst Paul Coebergh van den BraakIntellectual Property & Standards Manager, HealthcareSenior DirectorPhilipsConnect with Paul Continua Design GuidelinesThe Continua Design Guidelines are only open implementation framework for authentic, end-to-end interoperability of personal connected health devices and systems.  The guidelines are based on common international standards and are built on four key principles: Unity, Benevolent, Inclusive, Holistic.  Learn more about the Continua Design Guidelines here. Personal Connected Health AllianceThe Personal Connected Health Alliance (PCHAlliance) aims to make health and wellness an effortless part of daily life. The PCHAlliance, a non-profit organization formed by HIMSS, believes that health is personal and extends beyond healthcare. The Alliance mobilizes a coalition of stakeholders to realize the full potential of personal connected health. PCHAlliance members are a vibrant ecosystem of technology and life sciences industry icons and innovative, early-stage companies along with governments, academic institutions, and associations from around the world.  Learn more about the PCHAlliance here.

We hear it all the time: Leadership in the age of rapidly evolving technology requires quick thinking and adaptability, but without an endpoint in mind, we can get stuck fixing the endless supply of daily issues that inevitably pop up. So we have to learn to think big picture and learn how to share that vision with those we lead. It’s a long journey, but each step takes us closer.Welcome to STEPS to Value. This episode touches on a number of topics but centers around leadership’s role in change management and how important that is in accomplishing your goals. A real leader understands that everyone has something to gain in an effective, organization-wide change management process. As our guest on this podcast notes, it’s all about creating a “vivid picture of the end state.” Our guest on this episode is Vice Admiral Raquel C. Bono, Director, Defense Health Agency, and we sat down at the HIMSS global conference earlier to discuss change, ownership, interoperability, and ensuring that patients are treated as people.  This Episode’s Guest:VADM Raquel C. Bono, MDDirector, Defense Health AgencyMilitary Health SystemConnect with Raquel Most Influential Women in HIT AwardThe HIMSS Most Influential Women in Health Information and Technology Awards recognize influential women at all stages of their career progressions. These awards celebrate individuals who harness the power of information and technology to transform health and healthcare; are unique among power lists and award programs; and are inclusive of all women of influence, no matter where they may be in the health information and technology field.  Learn more about HIMSS' Most Influential Women in HIT Award here.

Internet Pioneer Stuart Brand once said “On the one hand information wants to be expensive because it’s so valuable. The right information in the right place just changes your life. On the other hand, information wants to be free, because the cost of getting it out is getting lower and lower all the time. So you have these two fighting against each other.”  That thirty-year-old phrase is an eerily prescient commentary on the state of health data interoperability today in 2018. Welcome to Steps to Value, the people process and technology podcast from HIMSS. In this episode, we explore the state of personal connected health interoperability with Michael Kirwan, Vice President and Thom Erickson, Director, Technical Operations for Continua. We talk about the role of the Continua Design Guidelines in creating secure, interoperable health data exchange for personal health devices.  We discuss the importance of standards in driving effective health data interoperability, and the challenges across the globe for healthcare systems trying to achieve interoperability that positively impacts clinical and operational outcomes.  This Episode’s Guests:Michael Kirwan, MBA, PMPVice President, ContinuaPersonal Health Connected AllianceConnect with Michael Thomas Erickson, MSBA, BSEEDirector of Technical Operations, ContinuaPersonal Health Connected AllianceConnect with Thom Continua Design GuidelinesThe Continua Design Guidelines are only open implementation framework for authentic, end-to-end interoperability of personal connected health devices and systems.  The guidelines are based on common international standards and are built on four key principles: Unity, Benevolent, Inclusive, Holistic.  Learn more about the Continua Design Guidelines here. Personal Connected Health AllianceThe Personal Connected Health Alliance (PCHAlliance) aims to make health and wellness an effortless part of daily life. The PCHAlliance, a non-profit organization formed by HIMSS, believes that health is personal and extends beyond healthcare. The Alliance mobilizes a coalition of stakeholders to realize the full potential of personal connected health. PCHAlliance members are a vibrant ecosystem of technology and life sciences industry icons and innovative, early-stage companies along with governments, academic institutions, and associations from around the world.  Learn more about the PCHAlliance here.

Oscar Wilde taught us that “people know the price of everything and the value of nothing”.  Economic indicators of success in the healthcare delivery business have historically been driven by reimbursement and volume, with limited focus on understanding and optimizing costs in achieving ideal outcomes.  The result has been hundreds of billions of dollars in wasteful spending.  The challenge for healthcare organizations navigating the transformation to value based care must is to effectively understand and manage their variable and fixed costs while improving patient outcomes.  Welcome to STEPS to Value, HIMSS’ people, process and technology podcast.  In today’s episode, we discover how healthcare organization are adapting their operational strategies to leverage data analytics to lower costs of delivering high-quality care.   We also explore how the clinicians of tomorrow are being trained to thrive in a value-based care environment. In an interview from HIMSS18, HIMSS North America Clinical & Business Intelligence Committee Member Jeff Fuller finds out how the transition to value-based care is driving the costs of quality care talking with Dr. Stephen Klasko,  President and CEO of Philadelphia-based Thomas Jefferson University and Jefferson Health.Jeff also speaks with Ann O’Brien, a clinical informatics pioneer and 2018 recipient of the HIMSS’s Most Influential Women in Health IT award.This Episode’s Guest:Ann O'Brien, MSN, FHIMSS, CPHIMSThought Leader Nursing and Clinical  TransformationConnect with Ann Stephen Klasko, MD, MBAChief Executive Officer Jefferson HealthConnect with Stephen  This Episode’s Moderator:Jeff Fuller. MS, FACHEExecutive Director, Analytical Solutions at UNC Health CareRaleigh-Durham, North Carolina AreaConnect with Jeff HIMSS Clinical & Business Intelligence CommitteeLearn more about the great work the HIMSS Clinical & Business Intelligence committee is doing on behalf of HIMSS members. HIMSS Clinical & Business Intelligence ResourcesLearn more about the HIMSS Clinical & Business Intelligence resources here.

Kentucky’s poet, Naomi Judd, taught us that “There are many paths, but only one journey.” Over a dozen years ago, Dr. Michael Porter offered some of the earliest views toward creating a new system of value-based care that focused on the patient.  He implored us to build a healthcare system organized around the patient’s condition, not the specialty of the provider.  He beseeched us to use measures that focused on outcome improvements and costs of care.  He appealed to us to provide payment models based upon achieving good, not bad, outcomes. In the years since Dr. Porter’s pleas, where are we on the journey towards value-based care?  What paths lie ahead?  And what is the role of data in this transformation? Welcome to STEPS to Value, HIMSS’ people, processes & technology podcast.  In this episode thought leaders from the HIMSS community help us navigate the journey ahead of us. HIMSS Clinical & Business Intelligence Committee member Raj Lakhanpal will act as guest host for this episode.  Raj is founder and CEO of SpectraMedix, a healthcare data analytics firm. During this episode, Raj interviews Greg Allen Director, Program Development and Management at New York State Department of Health &  Dr. Thomas Feeley, Senior Fellow at the Harvard Business School and Professor Emeritus at the University of Texas MD Anderson Cancer Center in Houston, Texas.   This Episode’s Guest:Gregory Allen, MSWDirector Program Development & ManagementNew York State Department of HealthConnect with Greg Dr. Thomas FeeleySenior FellowHarvard Business SchoolConnect with Tom This Episode’s Moderator:Raj Lakhanpal, MDCEOSpectraMedixConnect with Raj HIMSS Clinical & Business Intelligence CommitteeLearn more about the great work the HIMSS Clinical & Business Intelligence committee is doing on behalf of HIMSS members. HIMSS Clinical & Business Intelligence ResourcesLearn more about the HIMSS Clinical & Business Intelligence resources here.

Technology and new care delivery models are bringing healthcare directly to people and places it previously ignored.  But as the wheres and hows of healthcare delivery evolve, are care providers still able to maintain the deep empathy that is at the core of any good care experience?    Welcome to STEPS to Value, HIMSS’ people, process and technology podcast.  In today’s episode we explore the role of empathy in the care experience with Dr. Adrienne Boissy, Chief Experience Officer of Cleveland Clinic Health System and a staff neurologist at the Cleveland Clinic Mellen Center for Multiple Sclerosis.  Dr. Boissy talks with us about the relationship between empathy and innovation, the difference between patient engagement and patient experience, and trends noted over the past decade of producing Cleveland Clinic’s Patient Experience Summit.  This Episode’s Guest:Adrienne Boissy, MD, MAChief Experience Officer, Cleveland Clinic Health SystemStaff Neurologist, Cleveland Clinic Mellen Center for Multiple SclerosisConnect with Adrienne Cleveland Clinic's Patient Experience SummitLearn more about Cleveland Clinic's Patient Experience Summit here.

Archimedes once said, “Give me a lever long enough and a fulcrum on which to place it, and I shall move the world.” As the healthcare industry moves to value, the industry is in search for impactful interventions to bend the cost curve and make meaningful change in patient lives.  Data, its analysis and its application are key levers for industry stakeholders to thrive during this transformation.Welcome to STEPS to Value, HIMSS’ people, process and technology podcast.  In this episode, we explore how change happens when people have better access to data to make day-to-day improvements as well as deep, high-effort improvements that creates a lot of value but takes a very coordinated, multi-disciplinary, multi-department approach for healthcare organizations to achieve.  In an interview from HIMSS18, HIMSS North America Clinical & Business Intelligence Committee Member Jeff Fuller finds out how leading healthcare organizations use data as levers of transformation with Tom Burton, Co-founder and President of Professional Services at Health Catalyst and  Jon Russell, Senior Vice President and Chief Information Officer of IT and Analytics at John Muir Health.  All that and more, coming up.   This Episode’s Guests:Tom BurtonCo-Founder & President of Professional ServicesHealth CatalystConnect with TomJon RussellSenior Vice President and CIO, IT & AnalyticsJohn Muir HealthConnect with JonJeff Fuller, MS, FACHE (Guest Interviewer)Executive Director, Analytical SolutionsUNC Health CareConnect with Jeff HIMSS Clinical & Business Intelligence CommitteeLearn more about the great work the HIMSS Clinical & Business Intelligence committee is doing on behalf of HIMSS members. HIMSS Clinical & Business Intelligence ResourcesLearn more about the HIMSS Clinical & Business Intelligence resources here.