Today in health, it I'm just going to do some headlines and some comments. And who knows, maybe there'll be something in the headlines about change healthcare. We'll see. My name is bill Russell. I'm a former CIO for a 16 hospital system and creator this week health set of channels and events dedicated to transform health care.

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They're all big. Hackers received $22 million payment payout. From change healthcare. And that's a big haul. Bitcoin, I believe. That's a big haul for them. So that is a successful attack, which means we can expect more attacks. They will identify the. The supply chain that serves the healthcare organizations and they will attack that.

No, your supply chains, your data supply chains, how it feeds your workflow and work goes. That's going to be important. And that $22 million ensures that there will be more tax on healthcare, especially upstream. So look at your business associates and see what that means for you. Let's see change healthcare, cyber attack outage could persist for weeks. That is truth.

And I have already talked to a couple that are looking for alternatives. To change and potentially swapping out. There's no guarantee that they're going to be coming up in a week or two weeks or three weeks. That data might be beyond repair, who knows maybe the ransomware code that they're giving them.

It's going to unlock it all. And we'll be good to go. Who knows? But that is neither here nor there contingencies are important. And we should understand who the alternatives are, how they integrate with our existing systems. And I'm sure many of you are working on that already. Probably tired of hearing the word change. Let's see cyber attack on United health, still impacting prescription access. These are threats to life and there are stories coming out now. Around how people are unable to get there. Prescription meds and how children are unable to get there. Prescription meds.

This is a CBS news. A story. And I think it's out of Chicago. But a watch that is. Heartbreaking and difficult. You have people who have essentially medications that are too pricey for them to pay out of pocket. And they require the insurance in order to get the medication and they can't get the medication without the insurance and the insurance can't be. Validated without change.

That's bad. The age. American hospital association is slamming. United health group and change healthcare. Change healthcare offers a funding program, prescribing workarounds, or yeah, prescribing work around after cybersecurity attacks. And then there's a. I don't see it here, but there's another article that we put up on our site, which talked about how it is woefully inadequate.

It's essentially. Program and this physician mapped it out. They said, essentially, they're going to give me $50 for a $50,000 problem. It's almost that kind of ratio. They're like, this is not going to cut it. And so the impact is going to be far ranging and challenging from an it perspective for us. Let's make sure this doesn't happen again.

So let's identify, let's do our business. Impact analysis. That's what I talked about yesterday on the show. Let's identify all the the supply chain of data and information that feeds our systems. And let's identify our core systems and make sure that we can bring them back. In the event of a. Ransomware attack.

So. And I think the other interesting headline here. Actually there's two more. One is Dell says on-prem. Is the future of AI. It's interesting. Clearly they have a motive for saying that because they sell on-prem AI is why they say that. But regardless of if that, if they're doing it for that reason or not, It caused me to think, is that true?

Will we have AI systems on prem? And I think we will. I think there's going to be use cases where we have on-prem AI. And so I think that's going to be worth looking at or understanding how to integrate that into your architecture. I'm trying to think of the use cases. I'll play around with it a little bit more and I'll ask some questions. Of the various partners that are out there and try to figure that out.

But it was an interesting premise and I decided to to put that up on the site as well, and then 10 ways to drive change in healthcare Saatchi. And Jane is talking about 10 methods. To drive change in healthcare and he goes through these. They're pretty good. Research and publication is one. The problem is a lot of that research and publication never gets read. And the stuff that does could be flawed.

So that's one way to Institute change in healthcare. The other is financial incentives. We know that is a powerful motivator. Within healthcare, but sometimes it's a negative motivator. Motivates towards the wrong incentives. Social movements is another one. You have a, movements that happened such as I think he cites Michelle Obama and the move now, or to fight childhood obesity move now. That doesn't sound right, but it's close to that.

It's get moving or something to that effect. And talks about social movements and how some are effective. Some are not. Device and pharma innovations. Sometimes we're out of the reach of a common people. Leadership and culture is a strong driver and probably the most proven. Of the drivers, but he talks about the lack of courage. Of many leaders today who are just holding onto their jobs and not doing what's in the best interest of their institutions or their communities. Really. Kudos to him for saying it. I'm not sure it will be received, but kudos to him for saying it.

Corporate mergers is another way that we drive a change in healthcare. That has had mixed results at best new roles, creating new roles and those kinds of things. Politics is another way we look at. Instituting change in healthcare and that has had mixed results at best as well. Site of care changes is another way we were looking to drive change. And I like the site of care changes, but again some of these trumpet, right?

So you have financial incentives and some other things which when people are looking at site of care, there, there's going well. I, I don't know if we're gonna make as much money and it's going to cost us more to deliver and all those things. Site of care changes while I think could be relatively impactful is a slow to happen.

And an education is the 10th way. Hey, this article is worth reading such and Jane maps out these 10 ways. And the reality is it's not going to be one of them. We're not all of a sudden going to have a political leader. Who's going to lead us into the healthcare promised land and we're not going to have a health somebody who's in charge of HHS or somebody who's in charge of our health system.

That's going to lead us to the promised land. It's probably a combination of those things. That's going to lead to the change that we need. Make that change. Be the change that you're going to be a little Michael Jackson to end the show. So that's all, that's just a run through the headlines and some of the things that I was thinking as I. As I chose those stories that were submitted. By our contributors.

If you want to be a contributor real simple, this week, health.com/news. And become a contributor and you will get the magic phone number that you can text stories to. That comes into the feed. And then gets approved to go on our site. And we were trying to curate only the stories that have relevance to health it professionals.

So we can eliminate the noise. And get to the signal. That's all for today. Don't forget. Share this podcast with a friend or colleague. We want to thank our channel sponsors who are investing in our mission to develop the next generation of health leaders. Short test artist site interprise health parlance, certified health, notable and 📍 service.

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