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December 15: Today on the Community channel, it’s an Interview in Action live from CHIME’s Fall Forum with Michael Saad, CIO & SVP at University of Tennessee Medical Center. What advancements are we making in the area of digital health and specifically AI and Machine Learning?

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Transcript

This transcription is provided by artificial intelligence. We believe in technology but understand that even the smartest robots can sometimes get speech recognition wrong.

interview in action from the:

In our mission to develop the next generation of health leaders and they are Olive Rub, trx, mitigate, and F five. Check them out at this week, health.com, and here we go. All right, we're here with Michael Sod with the University of Tennessee Medical Center. Michael, welcome, interview and action. Chime, fall form.

You tell I'm outta practice. I've only done 10 of these. And finally, it's just, it's the morning. You're one of the first ones this morning. Great to see you again. Thanks for helping me out. How, how was the. It was interesting. So we had Sophia, the robot on today, and the first 10 minutes was definitely a glitch.

There were some type of technical issues and so I think they literally had to reboot the robot and then have the robot come back. One more sympathetic audience than the people I'm sure. I'm sure Russ was up there going, oh my gosh, Russ, don't worry about it. We've all been there. Crazy. So what's, what's top of mind?

What's going on at the University of Tennessee? Like everyone we're struggling with, uh, staffing challenges. That's a big. We're getting budget season right now, which we're fiscal year for budgets. So we're putting our budgets together and like health systems across the country, we're having a lot of bunch of challenges.

So your calendar fiscal year? We are, yes. Okay. Yeah. So you're at the really tail end of the process, correct? Yes. We have to get a two hour board first week of December. So this is crunch day today. Actually, after this I have a two hour zoom call back in Knoxville to finalize the budgets. I am finding that a lot that the CIOs, I see 'em on their phone, I see them, uh, running off to meetings and that kinda stuff.

It's like people are. But they're also there. It's really hard to just be present and that's the blessing and the curse of Zoom and Teams and everything else nowadays is you can work from anywhere. Also, you can work from anywhere, work from anywhere. What are you looking forward to at the conference? Any track sessions or?

I am, yes. Yeah, so I'm looking forward to, there's some cybersecurity sessions. I think will be helpful. I know you just had a get together with some CISOs, which I heard was very successful, so congratulations. Thanks. So that was popular. So I'm looking forward to the cybersecurity piece of it. Digital health, that's all the rage right now.

Everybody's focused on digital health for good reason, so we're focused on that. And then some ai, and I'm curious to see what that artificial intelligence looks like. That's, in some ways, that's a solution looking for a problem. Yeah. No, but it's interesting. You're. Firmly planted where we're at today, but you're also looking out over a couple years and saying, right, what's the potential?

I'm not gonna ask you about cybersecurity for obvious reasons. We don't, um, we don't generally go into that so that we don't reveal our posture and those kind of things. Right. But I will ask you about things like patient experience, digital and patient experience. Yes. Where are, where are you focusing on, what are you looking at this point?

s stuff we were doing back in:

Right. Digital is very interesting. I think the patient engagement piece of it is very important as well. And from a consumer perspective, we do everything on our phones now. And so it's really driving that same type of patient engagement to the phones where patients can see the doctor when they wanna see the.

Schedule, telehealth appointments, navigate way finding over the phone. So all that in one single app. And that's what we use today for buying groceries or having food delivered to the house. So healthcare needs to also go that direction. How are we gonna measure that in marketing? Cuz I've done some work in marketing and whatnot.

You have very clear metrics and progressions for people. You could measure friction in the process. You know why some things work. You could do AB testing, Hey, this works for this, or how are we going? I don't almost adopt that same kind of, of approach in my, that's a great question. I think press gaining scores is probably one way to measure that.

It's a survey we send out to the patients that that's certainly one way. And then there's the online scores, which we still utilize the and the Find a doc about the how is your physician, how's the experience at the medical center itself in using those things to gauge. So, but I think you're right. I think it's time to probably come up with a new metric, what that looks like from a patient engagement per.

Are we moving the needle on the patient experience? Are we getting the patients what they really want? What as you, as you round and talk to physicians, what are physicians asking for these days? So they're asking for the ability to directly interact with the patient without a system in between them.

We've heard that for years, right? We've heard a patient wanna interact directly with the providers. The providers wanna work with the patients, but they don't wanna have to document in the emr. They don't wanna have to have their back to the. Documenting and typing things. So they wanna be able to interact directly and they want information, which is somewhat of a kind of an oxymoron, is I don't want to have to work with a computer, but yet I want information at the point of care to help me understand how to deal with the patient.

So it's really getting that information to the patient and to the provider that's actionable and it doesn't become noise. We talk about wearables, we talk about all this other technology where it's important that the patient can get information to the. But it has to be actionable for the provider at the point of care.

And so that, that's what I'm hearing is the providers want actionable data at the point of care, but they don't want it to be a distraction when they're interacting with patients. Yeah. I think the session just left out speaking of distractions, so it's a little loud for us, but the, the microphone will cut a lot of that stuff out.

The clinicians. And their experience right now is really important with, with burnout, not only on the physician side, but also on the nursing side and those kinds of things. And it's interesting when you talk about breaking down the, the barrier are, is it the same, are we looking at the same kind of thing?

Are we still looking at essentially ambient clinical intelligence and that kinda stuff? It is still those kinds of things. Are we actually looking at, we, I don't know. Creating those workflows and those processes? I think it's a little bit of both. So I think it is using that ambient technology, the scribe, some of those type of things to eliminate some of the friction.

But then I think it's also transformational items like you just talked about. I, I think the way we deliver care has to change. I think that's absolutely critical. You look at nursing, for example, they wanna operate a top of license. You don't need nurses out there looking for equipment or looking for an IV pole and spending 10 minutes.

What are things that we can do from a technology perspective to allow them to be at the bedside and care for the patient and spend less time worrying about trays and worrying about IV poles and transport and room cleaning and all about that. So what are some of those things that we can do to help optimize their time knowing that they're already stressed, have staffing constraints and everything else, and deal those?

How, uh, how are you finding that equipment that was. Yes, we found some equipment on eBay , but how are you finding that? So we're actually rolling out our F I D now house wide. So we have about a 3 million square foot campus in Knoxville, Tennessee. And so we're rolling out our F I D technology now so that nurses can tell real time, here are my IV poles, here are the vitals that I'm looking for.

Here's a bad our patient's, not a radiology. So track real time instead of literally. Nurses go around floor to floor looking for an iv. That explains way, finding way findings pretty important as well. Absolutely. Yep. And we're building off the foundation of way finding, so we already had patient way finding rolled out.

We had the Bluetooth beacons already in the hospital, so now we're just expanding those beacons to allow for tracking of devices beyond patients. It's interesting you went with R F I D. Was there no way to use the Bluetooth low energy kind of stuff or. Cool. Doing the same thing you're gonna be doing with RFI D.

So there were, but it's not, doesn't have the same level of pinpoint accuracy. So you're tracking larger individuals and you're tracking kind of the low Bluetooth, but it also has issues getting between walls in the rooms. Okay. So we had to have different sensors put in the room. So you could literally tell this IV pole was in room five 12.

Any patient tracking with RFID or not yet? We're talking about armbands and whether or not that makes sense. There's a whole logistics. Do you have a disposable arm band? Do you put a chip in them? And then do you turn them over? And who does that work? So we're looking at arm bands and putting chips in there for that.

What's the benefit of that? What's the ROI on that, or what's the thought process on that? So I think it helps track from metrics perspective, how long it takes to get somebody from the ED up to an inpatient room. So you can see your patient flow throughout the entire Absolutely. And even a heat map. So we talked about can you even put a heat map together to see where are your bottlenecks within the organiz?

That's interesting. Um, ai, you mentioned it. I am, uh, I'm really delving into AI personally at this point. Cause I feel like it's on that precipice. We are seeing some applications within healthcare, not necessarily on the clinical side, although we are seeing, starting to see some clinical applications to it as well.

Definitely on the administrative side, but we're still on that cusp. You talked about the hitch in here and, uh, we can't afford to have hitches in healthcare. That's right. But there, there are. What are. Applications you're looking at to say, Hey, this might have some potential for us. I think if you look at areas like radiology, that's a great example where you utilize AI to look at images, flag them for the radiologist, and then they know to pinpoint a certain area.

So that's something from a workflow perspective. So they have a cue, they work. And then can AI look and say, you know what? Here's something in the brain scan you may wanna look at and flag it for us. And the radiologist can then look and queued into that. Are you looking at that or is that something you're doing today?

That is something we're doing today. Oh, wow. Yes. Man, that's fantastic. Yeah.

th, priorities for:

Right? You're paying somebody to enter the same information. Can we do almost remember the virus, the keystroke virus that used to be out there where they would look at your keyboard and. Steal some of the information. It's almost leveraging that technology for good, so it's understanding things. These repeated keystrokes happen a hundred times during the day.

If we can build AI into it, and it knows that when it sees this form or this column, it pre-fills out that information. So we can make that work quicker and cut down on time. That's fantastic. Michael, I wanna thank you for your time. Thank you. Pleasure. Great catch up. Thank you for all you're doing in industry too.

Thanks for keeping us all informed. It's your podcasts are helpful. I listen to 'em all the time. I appreciate it. Thank you for that. Thank you.

Another great interview. I wanna thank everybody who spent time with us at the conferences. I love hearing from people on the front lines and it is Phenomen. That they have taken the time to share their wisdom and experience with the community, which is greatly appreciated. We also want to thank our channel sponsors one more time, who invest in our mission to develop the next generation of health leaders. They are Olive, Rubrik, 📍 Trellix, Medigate and F5. Thanks for listening. That's all for now.

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