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March 30: Today on the Conference channel, it’s an Interview in Action live from ViVe 2023 with Matt MacVey, EVP & CIO, Children's National Hospital. What are the top three things his organization is focusing on? How will AI like ChatGPT in the hands of scammers change the cybersecurity conversation? Why should you look outside of the EHR to build a more complete patient profile?

We understand that staying ahead of the curve regarding Security Priorities can be challenging. Join us, April 6, 1:00pm, for this webinar to learn how CISOs in healthcare address Security Priorities for 2023 – insights that can help keep your healthcare organization safe and secure. https://thisweekhealth.com/ciso-priorities-2023/

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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.

Welcome to this week, health my name is Bill Russell. I'm a former CIO for a 16 hospital system and creator of this week Health. A set of channels dedicated to keeping health IT staff current and engaged. Today we have an interview in action from the 2023 Spring conferences, vibe in Nashville and hymns in Chicago.

Special thanks to our sponsors on the, conference channel, which are sure Test, c d w, healthcare, Artis site and rubric for making this content possible and for investing in our mission to develop the next generation of health leaders. You can check them out on our website this week, health.com, now onto this interview.

 All right. Here we are from vi another interview in action. And we're just doing this on the fly. I mean, there's no prep, there's just, we're just gonna talk about it. Matt McVeigh with national Children's. Children's National. Children's National. I don't know why I always get that backwards.

Children's National Hospital cio. Welcome welcome to the conference. What have you seen so far? What are you looking for at the conference?

Well, it's off to a great start, fast start and even this setup and the energy around this conference, like even a year ago, it's grown so immensely.

Yeah. And I think there's a lot of energy and excitement, notwithstanding the challenges we all face. Right. But the it's good to be here interacting, and I. Some of the things I pick up on is kind of this continued balance between kind of our core, legacy and how we're shoring that up with all the great startups and innovators that are here and how you'd blend them into the ecosystem.

Is there anything, I mean, the interesting thing about this conference is, I mean, the main stages right there, another stages over here, and then we're looking at all the booths right on the side of the camera. Yeah. And it's an interesting vibe. Coming down here, you know, typically I would look at, all right, these are the three areas I'd like to look at.

Are there specific areas you're looking at?

Yeah, so right now in my organization, we're laser focused on data how we provide better structure for it, how we use it really, you know, as a foundational,

is it focused on. Outcomes or operations or

We've done a lot of work over time on the clinical outcomes on quality and safety and data elements there, and that's still gonna be very important to us.

That's obviously quite our mission, but we're, renewing our focus on operational data and then really how do we make better business decisions based on, data? You know, Have a highly kind of decentralized data set of tools and resources in our organization today. So I'm really looking for opportunities, options to bring that together and be able to, provide back to the organization, an environment that they can, create that, kind of continually learning health system. Everybody wants to create.

So as a cio you're creating the platform and then you're rallying people to look at it and go

rallying people. And I fully recognize and appreciate that it's not can't solely be driven out of the CIO's office. Right. And that's something that, But we do need to have a common vision driving force, and we're working with some key partners to go create that and then create a cloud-based, health Lake type approach to it, which takes a different set of skills and resources that we're also trying to figure out.

Yeah, that is a challenge. Yeah, we got to number one of your three, but I'm not done with data yet. Yeah. Patient generated data. We used to talk about this like eight years ago or nine years ago. We're gonna start taking in patient gen. Now. My experience with that is the minute we started talking about it with the physicians, they just looked at me like, you are nuts.

Right? But there is some value to be gained from that patient generated paper.

There absolutely is. And I think whether it's patient generated or whether it's, as we open up the interoperability spigots, I think. Challenge and the provider reaction is, what am I gonna do with all

this?

Yeah.

And am I gonna be liable for all this? Right, Like they may not look at the record every day. Right. And if somebody's pumping data in there every day and then something happens, it's like, oh, I expected you to be looking at my record. But we don't have that kind of resources. Right.

Absolutely. And I think that's, you know, probably a great use of application of technology, right. Is how do you do. The duplication, how do you raise up the things in all of that, significant amount of data that makes sense, that need attention. How do you pre-populate them onto a scratch pad so somebody can easily pull them into the record and not have to review all of it to both address kind of the provider burnout concerns related to the massive data, but also try and make sure that we highlight the key things.

I think there's a huge opportunity. .

So that was number one data.

Yes. Cyber's always top of mind. So that's certainly, and they go hand in hand, right? So as we continue to expand, our data ecosystem as we kind of like trying to unlock it how do we do that in a secure way? So I'm always interested in knowing what and.

Kind of interacting with companies that are thinking about how to go solve the cyber quandary different hot topic in my conversations with people is just, the level of sophistication that attacks continues. Have had a couple interesting conversations with some peers about, You know, given Chad gtp and there's other things you can't distinguish really, a phishing email anymore.

So it's just like they're so cleverly written. So how do we continue to innovate to stay ahead of the application of technology by the bad guys coming at us? It's, It's wild,

it's. OpenAI ChatGPT 3.5 and 4 couldn't be more up the hype cycle. I mean, that's like, if there's a peak it's pretty much there.

But one of the reasons it's there is it's not disappointing, right? So people are going in and they're playing with it and they're going, oh my gosh. It may not be, oh, this can be, do a diagnosis. Because it can't do a diagnosis. But it. is I can't believe how far this has come.

Yeah, no doubt. I think there's gonna be like, the companion tools like that that come around that help providers. I don't think in any way they're gonna replace the providers, what they do, their intelligence expertise, but there's gonna be companion capabilities that are gonna help.

But also, I think maybe we could apply some of that technology to write even, Some of the things we produce as a healthcare organization, right? Our D part or discharge summaries aren't always clearly intelligible by our families, and aren't always easily translated multiple ways.

And so using tools that kind of help those outputs might a also be an opportunity. And even if

healthcare doesn't use it, I could see me getting a diagnosis or a child getting a diagnosis and I'd just go to ChatGPT and say, explain this to me.

What you're doing today in Google, right?

You're going to Google, but now it's the level of sophistication of the explanation gets better.

Yeah. Google's like a librarian, right? So you ask it and it goes, Hey, here's 10 10 books you can read and figure this out. ChatGPT is a little more prescriptive in that you say, Hey, what does this diagnosis mean?

And it, and then it comes back and essentially it's scoured, WebMD, and all this other stuff and says This could mean one of three things now that probably is scaring some doctors. , but there's a certain aspect as the cio, it's like, our job is to educate and say, look, we're not implementing this tomorrow, but whether we want to or not, our patients are gonna start using this tomorrow.

Oh, absolutely. Absolutely. 📍    📍 We'll get back to our show in just a minute. We have a great webinar coming up for you in April. We just finished our March. On April 6th at 1:00 PM Easter time, the first Thursday of every month, we're gonna have our leadership series. This one is on CSO priorities for 2023. Chief Information Security Officers, we have a great panel.

We have Eric Decker within our mountain, Shauna Hofer with St. Luke's Health System out of Boise, Idaho, and Vic Aurora with Hospital four Special Surgery. And we are gonna delve into what are the priorities for security? What are we seeing? What are the new threat? What is top of mind for this group? If you wanna be a part of these webinars and we would love to have you be a part of them, go ahead and sign up.

You can go to our website this week, health.com, top right hand corner, you'll see our webinar. And when you get to that page, go ahead and fill out your information. Don't forget to put a question in there. one of the things that we do, I think that is pretty distinct is we. like for today's webinar, we had 50 some odd questions that we utilized, in order to make sure that the conversation is the conversation that you want us to have with these executives.

So really appreciate you guys being a part of it and look forward to seeing you on that webinar. Now, back to the show. 📍

  📍 It's really kinda interesting. Yeah. Was that the third or so? I think there was a second, but it was a good segue to the third. Right? Because the third is our continued and I think a lot of our peer organiz. Continued investment in the digital technologies, advancing consumer experience, right?

This is a huge area of focus. We're heavily focused in our organization on access, right? But both like, so Children's,

children's, you're focused on the family.

We're focused on the family, and it does create interesting dynamics, right? Both in the traditional portal sense, where you've got, right, you have the consent and all that stuff, consent issues, and, adolescent issues and you kind of have to relinquish the parents right to the portal at a period of time, depending on state law.

But , it's really though orienting towards and basically using the. Have and can collect, make a more personalized experience, in getting to that true CRM for healthcare, that's one of our key initiatives. And being able to pull the family unit together. Right, right. So knowing that there's siblings that have appointments that are.

On opposite sides of our system, how do we bring those together? How do we create, kind of experience moments by just being aware, contextually aware of what a family's, dealing with multiple, children and encounters and those sorts of things. So how we continue to use our CRM that we're putting in place to do that work, and then trying to create a more seamless experience of the digital tools we've.

Place which we don't want them to feel disparate, so we're working on how do you create a common framework and look and feel for these things.

It's interesting when people hear the CRM word, they think, oh, this is really about outreach, and this is really about a lot of that kinda stuff, but it's really about that whole patient profile.

It's like understanding who their family members are. Absolutely. And all that stuff. Yeah. Yeah. You need a record for that. And that's not necessarily the ehr, is it?

Yeah, it's not at all the ehr. And I know there's efforts by some of the HR companies to move into that space. Right. And I think those are good.

I think they're well placed, but I always also think there's going to be a, system of care record and then the, know me. Record, right? The, and how do we, and there's just, it's a different approach and it will drive some level of capability to do outreach and follow up on, either missed appointments or, reschedule requests or wait listing and those sorts of things that you're just not gonna get right out of your EHR in the way that it's constructed today.

Matt, I want to thank you for your time. Really appreciate it. You bet. You can tell this is a healthcare conference, so just rolled out a whole. Thing of dessert right

there. Go. I mean, the looks lovely. It's like precedes the lunch. I know. I know. It's amazing. Looks good. Well, thank you again.

Yeah, thank you.

Another great interview. I wanna thank everybody who spent time with us at the conference. I love hearing from people on the front lines and it's phenomenal that they've taken the time to share their wisdom and experience with the community. It is greatly appreciated.

We also want to thank our sponsors who make this content possible and our investing in our mission to develop the next generation of health leaders.

They are Shore Test cdw, healthcare, Artis site, and rubric. Thanks for listening. That's all for now.

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