November 25, 2020: What does a Chief Innovation Officer do? What does innovation really mean? https://www.linkedin.com/in/myra-davis-98350613/ (Myra Davis) of https://www.texaschildrens.org/ (Texas Children’s Hospital) joins us to talk leadership, talent, innovation and COVID-19 response. The role of CIO is a precarious one. What is the secret sauce to longevity? How do you build a team that has diversity and inclusion? Can the problems within your organization be solved with simple changes? Or do they require partnering with an outside company? Front of mind should be enhancing existing opportunities and optimizing and leveraging the assets that you do have instead of going out and buying more technologies. And what is your leadership statement? Is transparency the key to success?

Key Points:

What is your leadership statement? [00:09:15]

What does innovation really mean? [00:12:10]

Texas Children’s Hospital’s COVID-19 response [00:14:59]

To make progress in healthcare a lot of barriers have to come down [00:19:23]

DISC profiles [00:31:45]

A CIO's responsibilities first and foremost are to keep systems available, reliable and secure [00:39:00]

https://www.texaschildrens.org/ (https://www.texaschildrens.org)

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

Key Points:

Moderna's vaccine found to be nearly 95% effective in preliminary analysis [00:03:45]

The vaccine is a precious argument for why you need a national patient identifier [00:06:30]

CVS are offering contactless payment options; PayPal, Venmo, QR codes etc. [00:10:00]

Six health system CEOs have retired this year [00:14:30]

Do I use Zoom, Microsoft Teams, Cisco Webex Meetings or GoToMeeting? [00:22:58]

Highly Successful Digital Leaders Possess 7 Characteristics [00:23:30]

Why should hospitals have a Chief Imitation Officer? [00:25:35]

FCC opens applications to distribute 100 million dollars to help with broadband costs related to bringing telehealth to low-income Americans and veterans [00:31:10]

Stories:

https://www.dmagazine.com/healthcare-business/2020/08/amazons-first-neighborhood-health-center-will-be-in-dfw/ (Amazon's First Neighborhood Health Center Will Be in DFW - D Magazine)

https://healthitsecurity.com/news/amp/zoom-reaches-settlement-with-ftc-over-misleading-security-practices (Zoom Reaches Settlement with FTC Over Misleading Security Practices)

https://www.gartner.com/smarterwithgartner/7-traits-of-highly-successful-digital-leaders/ (Highly Successful Digital Leaders Possess 7 Characteristics)

https://www.beckershospitalreview.com/ehrs/epic-s-ceo-says-hospitals-should-have-a-chief-imitation-officer-and-its-new-initiative-will-help.html (Epic's CEO says hospitals should have a 'chief imitation officer' and its new initiative will help)

https://www.modernhealthcare.com/cybersecurity/21-million-patients-had-data-exposed-october-reported-breaches (2.1 million patients had data exposed in October-reported breaches)

https://www.modernhealthcare.com/information-technology/fcc-opens-applications-its-100m-telehealth-pilot (FCC opens applications for its $100M telehealth pilot)

https://www.modernhealthcare.com/government/biden-plan-lower-medicare-eligibility-age-60-faces-hostility-hospitals (Biden plan to lower Medicare eligibility age to 60 faces hostility from hospitals)

https://www.hcinnovationgroup.com/policy-value-based-care/public-health/article/21162938/fauci-discusses-data-sharing-public-health-needs-at-amia?oly_enc_id=3204I9595689H9H (Fauci Discusses Data Sharing, Public Health Needs at AMIA | Healthcare Innovation)

November 20, 2020: Do you have an application rationalization focus for your organization? Are you in a steady state or are you still responding to COVID? In constant troubleshooting mode? https://www.linkedin.com/in/mollytraver/ (Molly Katsanes) and https://www.linkedin.com/in/amandabass1/ (Amanda Bass), leaders of the application team at https://www.peacehealth.org/ (PeaceHealth) show us how to manage a clinical and business application suite smoothly. How do we handle rogue applications? What’s it like to upgrade whilst working virtually? Do we stay on prem or go to the cloud? How can we keep the focus on COVID but also get those other IT projects going? And will we ever get back to “normal” health IT operations?

Key Points:

First step is an applications inventory, next is a governance model [00:09:45]

A lot of people talk about Epic really being the tip of the spear for application rationalization [00:10:55]

What happened during the pandemic within the EHR, telehealth and other modules? What were you asked to do? And what are some of the things that piece off that? [00:12:15]

PeaceHealth’s ERP journey [00:19:10]

Doing an upgrade whilst working virtually was a success. What else is more effective in this virtual environment? [00:28:10]

https://www.peacehealth.org/ (https://www.peacehealth.org)

November 18, 2020: https://rxrevu.com/ (RxRevu) is an integrated Real-Time Prescription Benefit solution. CEO https://www.linkedin.com/in/carmhuntress/ (Carm Huntress) joins us for a conversation around transparency at the point of care. Three components come into play when making prescribing decisions, value-based care, consumer-driven care and the regulatory environment. How can we choose the path of least resistance to picking the most effective medication at the lowest cost? We have come a long way but are we only at the second inning for how this needs to work? We know the data helps make informed decisions but the final piece to the puzzle is measurement. How can providers use the data to change behavior? And what value is that providing to the provider, the patient and the payer?

Key Points:

Helping providers make the most cost-effective decision for every patient [00:01:55]

Data now is patient-specific, cost specific and it's in real-time [00:08:20]

Finding alternative meds without prior-authorization means 50 minutes of cost savings per provider per script [00:15:20]

For every prescription switch we get, we're seeing an average saving of $225 per fill [00:15:50]

We tend to rush to consumer driven experiences [00:26:50]

The pharmaceutical value chain is incredibly complex. There's wholesalers, PBMs, providers, payers, retail pharmacies, specialty pharmacies, Medicare, Medicaid and commercial. [00:27:15]

https://rxrevu.com/ (https://rxrevu.com)

November 17, 2020: Today is a great day for science and humanity. Pfizer and BioNTech have come out with a revolutionary genetic coding vaccine. We also discuss cloud, interoperability, price transparency and Zoom 5.0. In the words of Seema Verma, every patient has a right to know the price of their care upfront. There’s a lot of considerations for cloud-based EHR hosting hospitals. CIOs and CTOs weigh in. Interoperability in cities is improving but if you're a smaller system you just don't have the resources or financial incentives. Are our health IT leaders at risk of burnout? And why does the US still have a severe shortage of medical supplies?

Key Points:

CHIME Fall Forum [00:02:00]

Zoom 5.0 upgrade [00:07:40]

If you're a smaller system you don't have the resources or financial incentives for interoperability [00:18:45]

The price of ransomware. What security leaders need to know. [00:22:10]

COVID is going to be the priority in 2021 [00:25:45]

Pharmacy drug pricing is a difficult issue to tackle [00:28:10]

Disengaging from work is a sure sign of burnout [00:30:55]

Stories:

https://www.healthcareitnews.com/news/interoperability-cities-improving-small-hospitals-lag-behind (Interoperability in cities is improving, but small hospitals lag behind | Healthcare IT News)

https://mhealthintelligence.com/news/year-long-study-validates-telehealth-use-in-diabetes-prevention-efforts?eid=CXTEL000000384172andelqCampaignId=16733andutm_source=nlandutm_medium=emailandutm_campaign=newsletterandelqTrackId=8e284f418a244d71a833f24fdb94cc33andelq=f144111d41d7427692bc11e45e665829andelqaid=17536andelqat=1andelqCampaignId=16733 (Year-Long Study Validates Telehealth Use in Diabetes Prevention Efforts)

https://www.forbes.com/sites/amyschoenberger/2020/10/20/dear-future-president-the-women-of-america-have-a-message-for-you/?sh=283723d475a0 (Dear Future President, The Women Of America Have A Message For You)

https://hbr-org.cdn.ampproject.org/c/s/hbr.org/amp/2020/09/why-the-u-s-still-has-a-severe-shortage-of-medical-supplies (Why the U.S. Still Has a Severe Shortage of Medical Supplies)

https://m.washingtontimes.com/news/2020/nov/4/implementing-a-health-plan-that-puts-patients-firs/?utm_campaign=shareaholicandutm_medium=linkedinandutm_source=socialnetwork (Implementing a health plan that puts patients first - Washington Times)

https://www.healthcarefinancenews.com/news/centers-medicare-and-medicaid-services-announces-51-direct-contracting-entities (Centers for Medicare and Medicaid Services announces 51 direct contracting entities | Healthcare Finance News)

https://healthsystemcio.com/2020/11/04/what-are-the-risks-in-paying-ransomware/ (The Price of Ransomware: What Security Leaders Need to Know | healthsystemcio.com)

https://www.beckershospitalreview.com/ehrs/considerations-for-cloud-based-ehr-hosting-hospital-cios-and-ctos-weigh-in.html (Considerations for cloud-based EHR hosting — hospital CIOs and CTOs weigh in)

https://www.healthpopuli.com/2020/11/06/covid-19-has-accelerated-consumers-interest-in-healthy-home-tech/ (HealthPopuli.com)

https://www.healthcareitnews.com/news/vermont-governor-deploys-national-guard-response-uvm-cyberattack (Vermont governor deploys National Guard in response to UVM cyberattack | Healthcare IT News)

https://www.goodwinlaw.com/publications/2020/11/11_02-department-of-justice-announces-massive (Department Of Justice Announces Massive Healthcare Fraud Takedown Focused On Fraudulent Telemedicine Schemes)

https://www.forbes.com/sites/steveforbes/2020/11/06/building-company-culture-and-innovating-the-future-with-judy-faulkn ( )

https://www.forbes.com/sites/steveforbes/2020/11/06/building-company-culture-and-innovating-the-future-with-judy-faulkn ( )

November 13, 2020: It’s been about a decade since the passing of the HITECH Act when we as a country decided to invest many billions of dollars into our health IT infrastructure. So it’s the perfect time to look back and see how things are going. https://www.linkedin.com/in/bob-rudin-0b23a8/ (Bob Rudin) of the https://www.rand.org/ (Rand Corporation), a nonprofit think tank, shares their research. The working paper is called “https://pubmed.ncbi.nlm.nih.gov/33068915/ (Optimizing Health IT to Improve Health System Performance).” They interviewed executives from 24 health systems around the country. We see all kinds of efficiencies in every industry, why isn’t it happening in healthcare? What’s going on? What’s the problem? Are we getting value from all the new technology? If not, why not? How can we do better? What about distribution? How do we get apps out to the masses? How do we get the clinicians to adopt them? And with so many mergers happening, is there a secret sauce?

Key Points:

Looking at health IT in the context of health systems and how we're trying to use it to improve performance [00:05:25]

There's now industry consensus that it’s better for a health system to be on one electronic health record rather than on more. There’s so many efficiencies you gain from doing that. [00:11:25]

The 10 year foundation has been laid but it was 5 years ago when the 21st Century Cures was signed into law that we really saw the first seeds [00:34:05]

Can we all agree that evidence-based medicine makes the most sense? The answer to that is not always. [00:43:45]

"https://pubmed.ncbi.nlm.nih.gov/33068915/ (Optimizing health IT to improve health system performance)"

November 11, 2020: Seth Pazinski from the ONC for HIT joins us to flesh out the heart of the 2020-2025 Federal Health IT Strategic Plan. How can you get your hands on it? What’s the best way to use it? The plan’s mission is to improve the health and wellbeing of individuals and communities using technology and health information that is accessible when and where it matters most. Is there an underlying set of assumptions around the problems that we're facing? Can the plan reduce current regulatory burdens? What does it mean for the individual to be first? And what expectations does it set for data sharing including privacy and security of information?

Key Points:

The six principles that underlie the plan’s strategy [00:05:51]

Trusted Exchange Framework and Common Agreement (TEFCA) [00:08:36]

Promote Health and Wellness and Enhance the Delivery and Experience of Care [00:08:55]

One thing we focus on is improving access to smartphones and other technologies amongst at-risk minority, rural, disabled and tribal populations [00:15:10]

Plans for aligning and coordinating efforts that focus on health disparities or social determinants [00:17:00]

ONC did a specific strategy in response to a congressional requirement that was focused on provider burden reduction [00:20:05]

It creates the opportunity for advancements and analytics including machine learning, artificial intelligence and the ability to forecast and have the potential to transform care and improve health [00:23:40]

https://www.healthit.gov/topic/2020-2025-federal-health-it-strategic-plan (2020-2025 Federal Health IT Strategic Plan)

November 10, 2020: Welcome to News Day. What does the Intermountain Sanford Merger tell us about the future of healthcare? Can mergers get too big and unwieldy? There’s been a reported 10% drop in hospital admissions in 2020. What pre COVID behaviors were the most detrimental to health? Will our new habits change forever? Telehealth visits grew by 2000%. Now it's time to step back and ask what did we really do? Did it improve our efficiency? Did it improve our care? And is Zoom the king of telehealth platforms?

Key Points:

What are the nuts and bolts behind a strategic merger? Is it as simple as a shared belief in how healthcare is going to be procured and delivered? [00:03:50]

We should be applauding 10% less hospital admissions but is it sustainable? [00:12:05]

You really do have to rethink your security model [00:17:45]

How much will health IT change as a result of the election? [00:17:55]

One of the conversations that keeps coming up is telehealth [00:22:05]

Don't NOT solve a problem because you can't solve a hundred percent of the problem [00:32:00]

Stories:

https://www.healthcareitnews.com/news/cios-perspective-promise-digital-transformation (A CIO's perspective on the promise of digital transformation | Healthcare IT News)

https://www.healthcareitnews.com/news/trihealth-switches-zoom-pandemic-sees-3650-increase-telehealth-use (TriHealth switches to Zoom for pandemic, sees 3,650% increase in telehealth use | Healthcare IT News)

https://www.healthevolution.com/insider/are-ceos-obligated-to-address-social-determinants-of-health/ (Are CEOs obligated to address social determinants of health? | Health Evolution)

https://www.damoconsulting.net/2020/10/29/healthcare-gets-ready-for-a-starbucks-and-bopis-revolution/ (Healthcare gets ready for a Starbucks and BOPIS revolution)

November 6, 2020: Interoperability. Where have we been, where are we now and where are we going? https://www.linkedin.com/in/micky-tripathi-890a335/ (Micky Tripathi), Chief Alliance Officer at https://www.arcadia.io/ (Arcadia) helps us untangle the intricate web of data and analytics in healthcare. There’s a minefield of acronyms TEFCA, RCE, USCDI, QTF, FHIR, QHIN. How do we piece them together in this environment of policies and regulations? Is the 21st Century Cures Act the starting point for changing how we currently do things on a national level? What about a local level? Do we anticipate opening up digital health data to the world of developers in collaboration with health providers and even payers? Will we see a whole new set of applications?

Key Points:

TEFCA is a nice overlay but it isn't necessary to accelerate the market [00:12:55]

An important part of the 21st Century Cures Act is information blocking [00:13:00]

Da Vinci HL7 FHIR [00:27:40]

Apple is not technically under HIPAA. What does this mean and how can it be addressed? [00:33:45]

The creation of a nationwide framework to bring networks together under a single governance [00:11:00]

https://www.arcadia.io/ (https://www.arcadia.io)

https://twitter.com/mickytripathi1?lang=en (Micky Tripathi Twitter)

Email: [email protected]

November 4, 2020: There are more and more patients with mental health issues and the lack of access to quality behavioral health services can be frustrating. Today we explore the intersection between primary care and behavioural health. For a very long time healthcare has separated the two. https://www.linkedin.com/in/christinebrocato1/ (Christine Brocato) of https://commonspirit.org/ (CommonSpirit) and https://www.linkedin.com/in/sphutchins/ (Spencer Hutchins) of https://concerthealth.io/ (Concert Health) share their elegant solution. It’s called the collaborative care model. How do we get patients access to quality care more quickly? How do we lighten the load of the primary care physician? What are the codes? How does this get funded? And what are the projected results?

Key Points:

Concert Health is aiming to build America's largest and best behavioral health medical group. The vast majority are counselors and psychiatrists that work from home. [00:06:25]

Projected results include a reduction in mild to moderate depression and anxiety, a reduction or improvement in clinical outcomes. And a reduction in ED and inpatient visits, all contributing to a reduction in cost of care. [00:12:40]

Assembling your three person team: Primary Care Manager, Behavioral Care Manager and Site Consultant [00:16:25]

The collaborative care model can be done incredibly effectively over the phone [00:22:55]

For the primary care physician there needs to be a single source of truth [00:23:45]

https://commonspirit.org/commonspirit-health-expands-behavioral-health-support-through-primary-care-collaboration-in-partnership-with-concert-health/ (CommonSpirit Health Expands Behavioral Health Support through Primary Care Collaboration in Partnership with Concert Health)

https://commonspirit.org/ (https://commonspirit.org)

https://concerthealth.io/ (https://concerthealth.io)