This Week Health

Donna Roach, CIO for University of Utah Health stops by at #chime21fall for a great discussion about digital strategy. Hope you enjoy.

Transcript
Bill Russell:

Today in health, it interviews from the chime

Bill Russell:

conference in San Diego.

Bill Russell:

My name is bill Russell.

Bill Russell:

I'm a former CIO for a 16 hospital system and creator of this week in health.

Bill Russell:

It a channel dedicated to keeping health it staff current and engaged.

Bill Russell:

Just a quick reminder.

Bill Russell:

I wouldn't be dropping interviews over the next couple of days and into

Bill Russell:

next week from the chime conference.

Bill Russell:

And then I'm going to have some more interviews from the next conference I

Bill Russell:

want to be going to, and then eventually I'll get back to Florida and to the studio

Bill Russell:

where we'll start looking at the news.

Bill Russell:

Once again.

Bill Russell:

Hope you enjoy this interview.

Bill Russell:

All right.

Bill Russell:

We're at the, uh, chime conference in San Diego.

Bill Russell:

We're doing another interview from the floor.

Bill Russell:

We have done a Roche.

Bill Russell:

Who is the CIO for university of Utah health.

Bill Russell:

Yes.

Bill Russell:

It's great to see you again.

Bill Russell:

Thanks.

Bill Russell:

We actually ran into each other at, uh, at BJC.

Bill Russell:

So you used to be at BJC,

Donna Roach:

BJC and worst in university.

Donna Roach:

Well, what'd you do there?

Donna Roach:

I was the vice president over epic.

Donna Roach:

So one instance of epic over two different tax ID companies.

Donna Roach:

Very interesting

Bill Russell:

two different tax ID company.

Bill Russell:

That's an interesting dynamic.

Bill Russell:

I was going to say over epic at any academic medical center is a,

Donna Roach:

it is, it is different competing priorities.

Donna Roach:

Definitely go on and you have to balance a lot of different, um, personalities.

Donna Roach:

You have a lot of different losses.

Bill Russell:

And do you have that, that disarming smile, like that's secure

Donna Roach:

area.

Bill Russell:

Let's, let's run that through governance.

Bill Russell:

Let's see how that goes.

Bill Russell:

And governance is really important

Donna Roach:

in a place like that.

Donna Roach:

It is, it is definitely an academics.

Donna Roach:

That's one thing that has surprised me is how much is committee run.

Donna Roach:

And I love something that, uh, Charro Goswami up at UWS said it's.

Donna Roach:

It's not committee.

Donna Roach:

You want to workshop, then you want to work.

Donna Roach:

Like I'm going to use that.

Donna Roach:

That was a really good way to think about

Bill Russell:

it.

Bill Russell:

So you're now CIO university, a university of Utah

Donna Roach:

hospital and clinics, uh, academic

Bill Russell:

medical center, I assume.

Bill Russell:

Yes.

Bill Russell:

Um, headquartered in salt lake salt lake city.

Bill Russell:

Okay.

Bill Russell:

But you have a

Donna Roach:

larger area than that?

Donna Roach:

Yes, we are a five state contenary referrals.

Donna Roach:

To the university of Utah, we are the only academic facility

Donna Roach:

and that five state area.

Bill Russell:

And you're between you and Intermountain

Bill Russell:

probably have what 90% market

Donna Roach:

share and, um, HCA Stewart, we're kind of those three

Donna Roach:

are the big players in music.

Donna Roach:

That's what we

Bill Russell:

find in most major metros is you have three players and a lot of

Bill Russell:

times it's not, you know, an even split.

Bill Russell:

They're at scale.

Donna Roach:

Yeah.

Donna Roach:

And you know, where are the academics?

Donna Roach:

So we, and we're

Bill Russell:

state.

Bill Russell:

And so you have to work with everybody or you the children's hospital as well, or

Donna Roach:

so the children's hospital is a, um, relationship with Intermountain.

Donna Roach:

It is, um, their facility, their EHR, but our physicians.

Bill Russell:

Okay.

Bill Russell:

That's interesting.

Bill Russell:

As much as I'd like to explore that, I'm not sure my audience would be really

Bill Russell:

excited about that, but I, but I do want to talk about like, what's top of mind,

Bill Russell:

what are you thinking about these things?

Donna Roach:

Um, a lot is digital roadmap.

Donna Roach:

So when I got there, I was asked to create, actually take what

Donna Roach:

they had in terms of digital.

Donna Roach:

Before we go there.

Donna Roach:

When did you get there?

Donna Roach:

Year ago?

Donna Roach:

October 5th was my

Bill Russell:

anniversary.

Bill Russell:

So you were, you were what?

Bill Russell:

Six to seven months into COVID at that point.

Bill Russell:

And really they wanted to focus on digital at that point.

Bill Russell:

So you really had responded to the pandemic.

Bill Russell:

You had some things in place we're ready

Donna Roach:

to go.

Donna Roach:

And they were like any academic or any hospital.

Donna Roach:

We went from zero to close to, I think 40,000, um, telehealth visits.

Donna Roach:

It just, um, the curve that we experienced now we've settled

Donna Roach:

off we're about 20,000 a month.

Donna Roach:

Um, and inpatient, uh, ambulatory visits have picked back up.

Donna Roach:

So what we're seeing in tele-health is just an add on to

Donna Roach:

our in-person ambulatory visits.

Donna Roach:

Oh,

Bill Russell:

interesting.

Bill Russell:

All right.

Bill Russell:

So digital, you come in in October and they're like, all right,

Bill Russell:

we have this digital roadmap.

Bill Russell:

I'm putting words in their mouth.

Bill Russell:

We now recognize how important digital is, especially in the age of the

Bill Russell:

pandemic is we need to reach people in a lot of different, different

Bill Russell:

ways that we used to have four.

Bill Russell:

So what, what did it look like to sort of, I assume you picked something

Bill Russell:

up that was already existing.

Bill Russell:

How do you, where do you start to ideate?

Bill Russell:

Do you go back into the organization?

Bill Russell:

Do you bring it outside people to look

Donna Roach:

at it?

Donna Roach:

I mean, actually it was kind of funny.

Donna Roach:

I probably week one, I got there and they said, we have this digital strategy.

Donna Roach:

We want you to run.

Donna Roach:

And partner with the CMIO who is great, absolutely wonderful Dr.

Donna Roach:

Hightower.

Donna Roach:

And I said, well, tell me digital strategy.

Donna Roach:

You have something, tell me what that is.

Donna Roach:

And they're like, well, it's our virtual tele-health program.

Donna Roach:

I said, you do, you do know it's more than that.

Donna Roach:

Like, we want to grow that bigger than just that one space.

Donna Roach:

So they suddenly they're like, well, yeah, yeah.

Donna Roach:

Cool.

Donna Roach:

Yeah.

Donna Roach:

Do that.

Donna Roach:

Go ahead.

Donna Roach:

Get that done.

Donna Roach:

Um, my, uh, doctor, hi Tara and I work together.

Donna Roach:

We actually did a couple of things right up front.

Donna Roach:

We brought in, um, impacted by users to help us with the initial, how do

Donna Roach:

we start to assess the environment?

Donna Roach:

Where are we?

Donna Roach:

What does governance start to look like?

Donna Roach:

How do we create the charter?

Donna Roach:

So in that first year, we pulled together a charter.

Donna Roach:

We pulled together, uh, what we call our digital enablement committee.

Donna Roach:

We looked at early on what should be on our road.

Donna Roach:

So we have like three key things on our roadmap, but we also went back

Donna Roach:and said the same time that:Donna Roach:

Goode.

Donna Roach:

Who's the head of the medical school and kind of my boss's boss.

Donna Roach:

And he had a directed steps.

Donna Roach:

So every year there's a group of directed steps.

Donna Roach:

So we went and looked at all.

Donna Roach:, some directed steps for:Donna Roach:

We talked to, we've looked at that.

Donna Roach:

We said there's about 30 digitally enabled strategies in there.

Donna Roach:

We've talked to each of those.

Donna Roach:

And then we have, are starting to now put that back on the roadmap, using

Donna Roach:

our deck committee to help in the prioritization of where those should fit.

Bill Russell:

It's Intermountain is a, a strong digital.

Bill Russell:

Yes.

Bill Russell:

They're also operating at margins that cause I go to the JP Morgan conference,

Bill Russell:

they report out their margins and I, I look at those and I go, they have

Bill Russell:

to be the envy of just about every health system across the country.

Bill Russell:

So they have a fair amount of money to spend there.

Bill Russell:

Is there any sort of looking out of the corner of your eye going, what are

Bill Russell:

they doing over there or do you just try to focus in on that your specific

Donna Roach:

communities?

Donna Roach:

It's good to know what they're doing.

Donna Roach:

Um, Ryan and I.

Donna Roach:

Who's the CIO, we partner quite a bit and we're, we are, I don't see them as a

Donna Roach:

competitor, especially in the it space.

Donna Roach:

I think we have to partner and we have to be coming to the community and to

Donna Roach:

different vendors in the same way.

Donna Roach:

And so we're doing that partnership together,

Bill Russell:

sort of that expectation in the community.

Bill Russell:

If I thought, if I lived in salt lake, I would expect that the university

Bill Russell:

and inner mountain would work for.

Donna Roach:

Absolutely.

Bill Russell:

Th the neat thing is I think I could see you and Ryan working together.

Bill Russell:

I mean, you're two very reasonable people, very smart and have

Bill Russell:

probably really good teams.

Bill Russell:

I haven't met your teams, but I've interviewed some of Ryan's

Bill Russell:

teams over the year years.

Bill Russell:

They're really some of the top people in the industry on this stuff, you

Bill Russell:

could probably get a lot done just at

Donna Roach:

that level, I would think.

Donna Roach:

Yeah, just take one space.

Donna Roach:

We so at and T with the FirstNet rollout of, you know, the first responder network,

Donna Roach:

it's much easier for us to go together and talk to FirstNet and at, and T as a group,

Donna Roach:

rather than me going and him going now, he's got a lot more power and probably.

Donna Roach:

Get them to move on it, but us together and then showing the legislature

Donna Roach:

that we're working together is

Bill Russell:

what about like vaccination programs that, that

Bill Russell:

came at probably a little, well, no, that would have come right after you

Donna Roach:

got there.

Donna Roach:

Yeah.

Donna Roach:

So vaccine and the state of Utah was kind of interesting.

Donna Roach:

It was managed by the department of health within Utah.

Donna Roach:

It wasn't necessarily managed by the academics, so they would,

Donna Roach:

the state would give us back.

Donna Roach:

Yeah.

Donna Roach:

And we had to show, especially for us, we had to show 85% vaccination rate

Donna Roach:

before they would give us more vaccine.

Donna Roach:

So we actually didn't necessarily vaccinate the largest percentage.

Donna Roach:

The largest percentage of vaccinations came from the state.

Bill Russell:

It's interesting because my vaccination was a drive through a park

Bill Russell:

and it was paramedics, but essentially the, the card was filled out by the state

Donna Roach:

health department.

Donna Roach:

Yeah, the beauty of it.

Donna Roach:

When people were having it done at Utah health, if you had a, my chart record,

Donna Roach:

it automatically it's populated in.

Donna Roach:

And, and you know, some of those that was a clear pass and everything now

Donna Roach:

that's all kind of being integrated.

Donna Roach:

It's

Bill Russell:

nice.

Bill Russell:

Yeah.

Bill Russell:

I mean, I could pull up my phone right now and show you my vaccination on clear pass.

Bill Russell:

Cause I went to the health conference and it was required and it's interesting.

Bill Russell:

The next conference I go to they're like, Hey, bring your card.

Bill Russell:

I'm like, I don't, I brought my card.

Bill Russell:

I don't want to keep bringing my card.

Bill Russell:

Cause that cards kind of.

Donna Roach:

Yeah, it'll wear

Bill Russell:

down.

Bill Russell:

And I w I w wanted to know if I can just show you this on my phone and

Bill Russell:

they're like, we'd rather see your card.

Bill Russell:

And I'm like, that is such a healthcare thing to say.

Bill Russell:

I'd rather see your card.

Bill Russell:

Yeah.

Bill Russell:

Um, have you seen things progress?

Bill Russell:

Um, you know, we started using chat bots.

Bill Russell:

We started doing, uh, you know, telehealth.

Bill Russell:

There's a new, what we started to maybe integrate it in different ways and stuff.

Bill Russell:

Have you started, what are some of the things that maybe you started during

Bill Russell:

the pandemic that you think will.

Donna Roach:

No, I think definitely what the vaccine process us looking

Donna Roach:

at, how well we did, especially in the equity piece of it was really telltale.

Donna Roach:

We did a great job for the Caucasian population, but when you looked at

Donna Roach:

Hispanics, African-Americans native Indians, we didn't do such a good job.

Donna Roach:

And the beauty of the university of Utah is that they're willing to

Donna Roach:

look at it and say, we need to do.

Donna Roach:

And be more equitable and so really put some programs in place.

Donna Roach:

So they're buried when it comes to data.

Donna Roach:

They're very transparent.

Donna Roach:

You could go out there now and look at some of the data points that I'm

Donna Roach:

talking about and it's out there and it really is open to the public to

Donna Roach:

kind of see who, you know, how well we

Bill Russell:

do.

Bill Russell:

Yeah.

Bill Russell:

We say salt lake, but I mean, Utah salt lake Provo, and a bunch of

Bill Russell:

really neat towns, but their towns.

Bill Russell:

A lot of space in between those are you servicing

Donna Roach:

those areas?

Donna Roach:

Yeah, we do.

Donna Roach:

We are pretty much that pretty much that entire state of Utah.

Donna Roach:

And then a lot of those five state regions that don't have academic facilities.

Donna Roach:

We have a fairly, um, extensive connect program where we send physicians out to

Donna Roach:

other smaller regional hospitals to help with kind of connecting or doing programs.

Donna Roach:

We also have a really pretty cool program.

Donna Roach:

So Encore or corner, forget the name.

Donna Roach:

I get that name mixed up, but where we help train and do actually kind of

Donna Roach:

virtual training programs for physicians in other markets that wouldn't have

Donna Roach:

any access to that kind of training

Bill Russell:

to a company that was doing all this work in, in, uh,

Bill Russell:

ORs where they're actually watching surgeries and that kind of stuff.

Bill Russell:

They're training people from.

Bill Russell:

And doing that.

Bill Russell:

And I thought this is going to be interesting for rural health.

Bill Russell:

I mean, right now, I think we're sort of resigned to the fact that if you

Bill Russell:

need a major surgery, you're driving to salt lake, but you know, the

Bill Russell:

rural health stuff has me fascinated.

Bill Russell:

I didn't have that problem per se, in the markets that I serve.

Bill Russell:

But the, it is, is such a multifaceted problem.

Bill Russell:

The technology, maybe isn't up to speed.

Bill Russell:

You don't have the connectivity.

Bill Russell:

Uh, Uh, accessibility to doctors trained medical staff is not there.

Bill Russell:

Right.

Bill Russell:

Is that something that you guys have groups looking at

Bill Russell:

and you're bringing technology?

Bill Russell:

Yeah.

Donna Roach:

So, um, take our orthopedic hospital in our Creek team.

Donna Roach:

Nielsen rehab is Craig T Nielsen is state of the arts.

Donna Roach:

Whenever you come out to salt lake, you gotta come and you gotta see this.

Donna Roach:

Cause it is, it opened.

Donna Roach:

I, I feel bad for them.

Donna Roach:

They open right at the start of the.

Donna Roach:

So when they had their one year anniversary was smack in the middle of

Donna Roach:

it, but the, what they do awesome services to the point where when a patient comes

Donna Roach:

into the room, they can actually control all of the devices in the room by, um,

Donna Roach:

breath, if, if needed, if they have no capacity in their arms or their legs, um,

Donna Roach:

that the city itself is almost set up.

Donna Roach:

Like, it looks like the whole time.

Donna Roach:

And it, you know, you know, what rehab hospitals can sometimes look

Donna Roach:

like, or, you know, they're, they're not necessarily the prettiest.

Donna Roach:

This is very much, uh, state-of-the-art the programs, the

Donna Roach:

services and what they're doing.

Donna Roach:

The counterpart, the rehab, um, facility, just down the street, they

Donna Roach:

do surgeries and, and train residents and medical students on surgeries.

Donna Roach:

They, they kind of, um, project the.

Donna Roach:

And I got to do a tour of it, kind of an I'm kind of a geeky person.

Donna Roach:

They're like, do you want to see the cadavers?

Donna Roach:

And I'm like, you bet, I'm sure they thought, well,

Donna Roach:

let's freak out the it person.

Donna Roach:

And I'm like, no, I love, you know, but they, they actually take a cadaver bone.

Donna Roach:

They recreate it with a 3d printer and then they show and train the residents on

Donna Roach:

how do I place this pin in this cadaver?

Donna Roach:

They're projecting, you know, the whole surgery, medical students can kind of

Donna Roach:

be part of this because it's, you know, it's just a cadaver bone that's been

Donna Roach:

recreated, but it helps in the training process of those kinds of procedures.

Donna Roach:

It is,

Bill Russell:

man.

Bill Russell:

It's such a, must be such a fun job because there's so many aspects to

Bill Russell:

it that you get to get to play with.

Bill Russell:

Yeah.

Bill Russell:

Thank you

Donna Roach:

for stopping out.

Donna Roach:

Really good.

Donna Roach:

Yeah.

Donna Roach:

This is great.

Donna Roach:

Thanks.

Bill Russell:

Don't forget to check back as we have more of these interviews

Bill Russell:

coming to you, that's all for today.

Bill Russell:

If you know of someone that might benefit from our channel,

Bill Russell:

please forward them a note.

Bill Russell:

They can subscribe on our website this week, health.com or wherever you listen

Bill Russell:

to podcasts, apple, Google, overcast, Spotify, Stitcher, you get the picture.

Bill Russell:

We are everywhere.

Bill Russell:

We want to thank our channel sponsors who are investing in our mission to

Bill Russell:

develop the next generation of health.

Bill Russell:

VMware Hill-Rom Starbridge advisors, McAfee and Aruba networks.

Bill Russell:

Thanks for listening.

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

Thank You to Our Show Sponsors

New Shows for 2022

Insights - This Week Health
This Week Health Town Hall
Keynote - This Week HealthSolution Showcase This Week Health
Newsday - This Week HealthToday in Health IT - This Week Health

Related Content

1 2 3 135

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

© Copyright 2022 Health Lyrics All rights reserved