This Week Health

Dr. Zafar Chaudry with Seattle Childrens stops by to top of mind issues for a CIO on our next #interviewinaction from #chime21fall. Great conversation, 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:

Another interview from the chime floor.

Bill Russell:

We're with Zephyr Chaudry from Seattle children's CIO.

Bill Russell:

Uh, welcome back to the show.

Bill Russell:

We hear you.

Bill Russell:

And I had a great conversation a little while ago.

Bill Russell:

Um, but it's been a little while.

Bill Russell:

I mean, the, uh, pandemics hit we're now back together at chime.

Bill Russell:

So a lot of transport.

Bill Russell:

What is top of mind for you right now as

Zafar Chaudry:

a CIO?

Zafar Chaudry:

Oh, I'm just trying to talk to people.

Zafar Chaudry:

Well, first of all, talking to people in 3d is amazing.

Zafar Chaudry:

It is.

Zafar Chaudry:

And also just talk to people about what's keeping them up at night.

Zafar Chaudry:

And, uh, I think the trends are similar.

Zafar Chaudry:

I was at the boot camp earlier this week and a lot of trends around

Zafar Chaudry:

teams, high-performing teams, uh, some mental health, psychological

Zafar Chaudry:

safety, you know, people are stressed.

Zafar Chaudry:

People have.

Zafar Chaudry:

They've been going after it for 18 months straight.

Zafar Chaudry:

Uh, but technologically speaking, you know, similar trends, some

Zafar Chaudry:

people are wrapping up their EMR.

Zafar Chaudry:

Some people optimizing their EMR, lots of discussion on analytics as

Bill Russell:

well.

Bill Russell:

So are we going to go back to the stress?

Bill Russell:

Are we seeing that in the health it portion of the organization, has it been a

Bill Russell:

significant sprint for the last 18 months?

Bill Russell:

And we have to start looking at that pretty closely.

Bill Russell:

What are some things we, you hear that people are.

Bill Russell:

That you think are good practices to,

Zafar Chaudry:

well, I think that's the debate.

Zafar Chaudry:

What do we do to keep people safe?

Zafar Chaudry:

So technologists working in the background and support services are still facing

Zafar Chaudry:

the same mental pressures that everybody else is many have lost family to COVID.

Zafar Chaudry:

Then you have sick family members, but working 12 hours a day from home,

Zafar Chaudry:

not having that social interaction.

Zafar Chaudry:

Some of those conversations when people have tried virtual events, happy hours,

Zafar Chaudry:

Uh, all sorts of different things.

Zafar Chaudry:

We've, we've got our own employee welfare group in it.

Zafar Chaudry:

They call themselves your voice and they they've had some fun events, some

Zafar Chaudry:

virtual events, you get mixed feedback from those people still actually just

Zafar Chaudry:

want to sit down and share a sandwich.

Bill Russell:

Okay.

Bill Russell:

Yeah.

Bill Russell:

You know, it's, it's interesting.

Bill Russell:

Cause when, when people were coming to the office, you could identify the

Bill Russell:

people that were working 12 hours.

Bill Russell:

And you can just walk into their office and say, Hey, go home.

Bill Russell:

It'll be here tomorrow.

Bill Russell:

And you know, you could, you could sort of coach them, but you don't see it.

Bill Russell:

Now they're working, you know, they're getting up early in the

Bill Russell:

morning, they're doing meetings.

Bill Russell:

They're whatever they're doing aspects of their job and they're,

Bill Russell:

they're not getting it all done.

Bill Russell:

And they never did before either.

Bill Russell:

And now they're, they're working an extra four hours from the home.

Bill Russell:

And so even though they're home, they're not seeing their family,

Bill Russell:

they're not, uh, uh, How, how much of that is, is on leadership to sort of

Bill Russell:

step back and say, all right, we're going to put these things in place.

Bill Russell:

We're going to shut off email at five o'clock that's an

Bill Russell:

extreme case, but maybe, but

Zafar Chaudry:

absolutely.

Zafar Chaudry:

I mean, for example, I could tell you the Germany, that's exactly what they do.

Zafar Chaudry:

They shut off email after a certain time and don't let people, they

Zafar Chaudry:

can accrue their email, but it won't go out over the weekend.

Zafar Chaudry:

For example,

Bill Russell:

you know, I, I coached the IoT.

Bill Russell:

Uh, invariably I'll I'll I do this kickoff process.

Bill Russell:

I interviewed their staff typically when they're coming into the organization.

Bill Russell:

And, uh, they'll say, I hope the CIO doesn't send me emails on

Bill Russell:

the weekend and it's amazing.

Bill Russell:

We don't think anything of it.

Bill Russell:

Cause as a CIO you're like, Hey, Saturday's a good day.

Bill Russell:

I can get up and get through some emails and a couple of hours and

Bill Russell:

then I'll go have my weekend.

Bill Russell:

But when they received that email from the CIO, that's a big deal.

Bill Russell:

That's like a trigger for action for them.

Bill Russell:

And.

Bill Russell:

Potentially ruin their Saturday.

Bill Russell:

Yeah.

Bill Russell:

Because they

Zafar Chaudry:

feel like they have to respond if the CIO sends an email.

Zafar Chaudry:

So yeah, we could, we could adjust our patterns as well.

Zafar Chaudry:

I mean, personally, I like to send emails usually Sunday evening.

Zafar Chaudry:

I don't do anything on Saturdays or Friday evenings, uh, hoping that they

Zafar Chaudry:

won't pick that up till Monday morning.

Zafar Chaudry:

But I think your idea of shutting off an email system at a particular

Zafar Chaudry:

time could be a possibility we have.

Zafar Chaudry:

Email free hours that would send an email between, you

Zafar Chaudry:

know, 12 and one on a Wednesday.

Bill Russell:

Our, our, our CEO did come to me and say, Hey, can we

Bill Russell:

shut off the email over the weekend?

Bill Russell:

She said, I just want you to explore the ideas of possible.

Bill Russell:

Technically they came back to us, technically, it's possible.

Bill Russell:

We could do this.

Bill Russell:

And after some conversation we realized, Hey, we're a hospital.

Bill Russell:

We do a lot of stuff.

Bill Russell:

And there's a lot of automated procedures that happen via email in the.

Bill Russell:

That's the, that's the, that's the kind of complexity we have to deal with though.

Bill Russell:

I mean, it's yeah.

Bill Russell:

We're we're uh, it's.

Bill Russell:

I don't know.

Bill Russell:

It's fascinating.

Bill Russell:

What about labor shortages?

Bill Russell:

I mean, there's there, there's a nursing shortage.

Bill Russell:

There's a battle right now for health it talent people are, uh, I I've

Bill Russell:

talked to two CIO since I've been here who are hiring people in 48 states.

Bill Russell:

It's like, we've now opened it up to if you want to work for us and you have these

Bill Russell:

skills, we will hire you in 48 states.

Bill Russell:

That used to be a no-no.

Bill Russell:

Yeah, my finance team would come to me and be like, we're not doing taxes

Bill Russell:

in 48 states, but now I guess it's just part of the part of the world.

Bill Russell:

Are you guys doing some of that?

Bill Russell:

We've

Zafar Chaudry:

expanded.

Zafar Chaudry:

So our primary business was in Washington, Alaska, Montana, and Idaho.

Zafar Chaudry:

We've added Georgia, Florida, and Texas during the pandemic.

Zafar Chaudry:

And we do have some it folks in Florida, Georgia, and Texas

Zafar Chaudry:

now, but they're very isolated.

Zafar Chaudry:

So that's one issue that

Bill Russell:

you come across.

Bill Russell:

They're never coming into

Zafar Chaudry:

the office.

Zafar Chaudry:

Potentially maybe once a year for a team meeting or some people

Zafar Chaudry:

will try to come together and regions and have a team meeting.

Zafar Chaudry:

It's not helped that much in the sense that you're right.

Zafar Chaudry:

There's, there's too much competition for tech talent.

Zafar Chaudry:

It's hard to compete with the salaries that are being offered

Zafar Chaudry:

by other technology companies.

Zafar Chaudry:

So we are really leveraging mission to try and retain people, but I can

Zafar Chaudry:

tell you for us and during this whole.

Zafar Chaudry:

We had an 8% turnover rate at children's and in it, it's now 18%.

Bill Russell:

It's, children's very distinct.

Bill Russell:

Like you, do you try to find people with children's hospital experience

Bill Russell:

and background or, I mean, the technology is the technology, right?

Bill Russell:

So routers or routers, emails, emails, switches, switches, that kind of stuff.

Bill Russell:

But the EHR patterns and the workflows, are those pretty

Bill Russell:

specific or are they pretty kind of.

Zafar Chaudry:

Based on whatever vendor you have, you try to

Zafar Chaudry:

seek out with some skill.

Zafar Chaudry:

So if you have vendor a that's fine, you might have vendor B skills

Zafar Chaudry:

and you can transfer those skills.

Zafar Chaudry:

But for the, for commodity it, we don't tend to seek pediatric experience,

Zafar Chaudry:

which is, look, as you said, a switch is a switch to the switch.

Zafar Chaudry:

Yeah.

Bill Russell:

How, um, innovation on the innovation side, I love

Bill Russell:

to hear what people are doing.

Bill Russell:

Through the pandemic.

Bill Russell:

What's the most innovative thing that you guys have really seen?

Bill Russell:

I would say

Zafar Chaudry:

that, uh, rolling out the vaccine at mega pace

Zafar Chaudry:

has been the most innovation.

Zafar Chaudry:

I've seen like ways of how to do that, how to automate that, how to have a

Zafar Chaudry:

whole scheduling system built in next to no time going to remote working.

Zafar Chaudry:

Those are all things we never got traction on.

Zafar Chaudry:

The pandemic has certainly pushed that.

Zafar Chaudry:

But I see a bit of a slow down now because clinically you've got a lot of burnout.

Zafar Chaudry:

So when you talk about, can we put more innovation in, can we do some automation?

Zafar Chaudry:

They don't have the bandwidth to participate in the project.

Bill Russell:

Yeah, it's interesting.

Bill Russell:

Because prior to the pandemic, some of these things would have been really hard.

Bill Russell:

We've really focused in on the consumer experience.

Bill Russell:

I go into three different conferences.

Bill Russell:

I had to get tested before each conference and now I just go out.

Bill Russell:

And I'm getting tested in places that aren't my hometown.

Bill Russell:

So I just find a place, get scheduled an appointment through tests, you

Bill Russell:

know, give me the, give me the results.

Bill Russell:

That's the kind of, that's kind of thing that I think has become

Bill Russell:

the new baseline for expectation.

Bill Russell:

How do I make this easier for the patient?

Bill Russell:

How are you guys making things easier for

Zafar Chaudry:

we've?

Zafar Chaudry:

We built a digital front door application as part of the journey

Zafar Chaudry:

of the last 18 months without it.

Zafar Chaudry:

Telemedicine into that space.

Zafar Chaudry:

We did a Cerner epic migration within the pandemic and went

Zafar Chaudry:

live just a year ago now.

Zafar Chaudry:

So my chart is available.

Zafar Chaudry:

That's integrated into our tele-health tele-health products

Zafar Chaudry:

that, so we've added those features, but we have an advisory board of

Zafar Chaudry:

patients and parents and caregivers, and they've been talking to us.

Zafar Chaudry:

The biggest thing we've heard from the group has been the equity to have.

Zafar Chaudry:

To equipment and internet connections, certainly in the pediatric space,

Zafar Chaudry:

not everybody has, you know, they may have four kids at home.

Zafar Chaudry:

Not every kid has their own laptop, right?

Zafar Chaudry:

Not everybody has a tablet.

Zafar Chaudry:

Not everybody has a fast internet connection to consume the apps

Zafar Chaudry:

that we create or even partake in telehealth telemedicine.

Zafar Chaudry:

So we've had to come up with a loaner program for those families

Zafar Chaudry:

that don't have this access.

Zafar Chaudry:

We will give you a device.

Zafar Chaudry:

With the 4g SIM card, and then you can consume that, that particular visit.

Bill Russell:

And that's, that's doable now that the cost of

Bill Russell:

those kinds of devices are not as expensive as they once were.

Bill Russell:

Yeah,

Zafar Chaudry:

it's doable.

Zafar Chaudry:

It's just, you don't have enough volume of right.

Zafar Chaudry:

Like either a hundred or 500 devices.

Zafar Chaudry:

You probably won't get them back.

Zafar Chaudry:

And so how do you keep handing out devices?

Bill Russell:

thank you for spending some time with us.

Bill Russell:

Thanks, Belgian.

Zafar Chaudry:

Pleasure.

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 3 137

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

© Copyright 2022 Health Lyrics All rights reserved