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Which show is number 1? We produced over 100 shows with industry leaders this year and here are the top 10 shows for 2019.

Transcript

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 This week in Health it our last episode of the year, the countdown of our 10 most listened to podcast interviews for 2019. That's right. This week someone will walk away with the bragging rights for the coming year the most. Listened to interview on this week in Health it for 2019. My name is Bill Russell, CIO, coach and creator of this Week in Health.

It a set of podcast videos and collaboration events designed. To develop the next generation of health IT leaders. Special thanks to our channel sponsors VMware and health lyrics for choosing to invest in developing the next generation of health leaders. Reminder, we need your feedback this week, health.com/survey.

Uh, if you complete the survey, it only takes a couple minutes. Really helpful, really helpful to me, to the staff as we try to figure out what is best gonna serve the industry and to serve you as our listeners, uh, in the coming years. So that's this week, health.com. Slash survey. Before we get started, I wanted to thank everyone who appeared on the show.

Uh, we had so many wonderful guests, uh, volunteer, their time, their expertise, their um, their experience and their wisdom, uh, with us over the past year, and it is, uh, really valued. I just want you to know that I sincerely, uh, thank you for taking that time, spending it with me, uh, giving me the opportunity to capture it on audio and video and then sharing it with the industry.

To hopefully propel, uh, the future health leaders forward as they are thinking about, uh, solutions for their communities. So, uh, thank you very much. So we're gonna get to the top 10. So a few notes about the tabulation process. Uh, time matters, right? So, uh, podcasts and, uh, and YouTube's, uh, YouTube videos are, uh, evergreen content, which means something that gets produced in January.

Probably has more of an opportunity to be in the top 10 than something that got produced in, um, July, August, September. So if you're wondering, Hey, how did I not make this list? Uh, there are some great episodes in the second half of the year, but, uh, the evergreen nature of this, I'll give you one example.

Every time Dr. Klasko speaks, uh, he gets a bump of about 40, uh, downloads of the podcast or of the, uh, of the video on the YouTube channel. So, . Um, you know, there's, he's speaking to a thousand people. Uh, they go out and search for him. About 40 of 'em find the site. They listen to the podcast, and so that's naturally going to drive that up.

So someone who, who is out in the public eye, somebody who we interviewed before July, these are things that matter in the countdown. So just because this is the top 10 for this year, it's a point in time snapshot. I'm sure if we did it at the end of February, it'll be a different point in time. But, uh, I'm not taking away.

These are 10 great. Podcast. So, uh, so let's just get to it at number 10. Russ Brandel, the president and CEO for Chime, our professional organization, uh, within health. It, uh, Russ has traveled the world, literally has traveled the world over the past, uh, year or so, uh, speaking to crowds in several countries, uh, and, and health systems and professionals.

Uh, in this conversation, uh, you know, we discussed some of the innovations that he's found in his travels. Is there is best practice out there in every area, especially this area of innovation or AI or whatever you want to call it across the globe. If we can just figure out how to leverage what's already been done, nevermind what's being worked on, we could absolutely revolutionize he healthcare even to a few years ago, a good example, Jang Hospital in Singapore went from a materials management department of hundreds of people to advanced robotics, delivering almost everything in a department of a few people.

That just sounds like, well, we just replaced some people with robots. No, it's advanced AI based. Their materials cost are way down. Their shelf time is nearly perfect. Nurses and and caregivers are saying that those are things they don't even worry about anymore. So we augmented the care process and improved it by doing that.

When one of our members there, probably the, some of the most interesting things we've seen obviously is. What I would call proactive security and what we've discovered from a, from a innovation perspective, and obviously there are countries like Israel that do this really, really well. Uh, obviously they have to, they have a little bit different security requirement in their country than others.

But when you talk to the security leaders that are there where we talk about stuff of, well, we need to make sure we react to this, or we're monitoring really aggressively, their answer is, we need to catch 100%. Everything coming in 100% of the time, and if necessary, fight back 100% of the time. What I love is some of the things that we're seeing in places like the UK where they're figuring out how to use advanced analytics to help manage patients in what I would call one of the few places in the world that are truly doing it holistically.

They've combined health and social care, what we would call mental health care. In such a way that the entire patient, the entire record, everything is being managed from a universal perspective, but not only that, they're proactively looking forward on how to use it from a preventive perspective. Again, they're using advanced analytics technology, community engagement strategy, consumer strategies.

We just don't see that, at least here domestically quite yet. Yeah, that was a fun conversation with Russ and I love what Chime is doing internationally. I. Uh, look forward to more of that in 2020. You're gonna hear me say that a lot. I'm looking forward to more of that. These are 10, again, 10 great podcasts.

Uh, at number nine, Karina Edwards. Karina Edwards is a rockstar if you don't know her. She was at sinks then she was at, uh, Imprivata, uh, and instrumental in in growing the, uh, the work at Imprivata. And, uh, this past year she took over as the CEO for a cool digital startup called Quill Health out of, uh, Philadelphia.

And it's a combination of, uh, some work from Independence Blue Cross outta Philly. And, uh, and, uh, Comcast, NBC and they brought her in. She's now the CEO and we had a great discussion. In this clip, uh, we talk about the foundation for digital and, and that's really data and data liquidity and the promise of digital, which is personalization.

Have a listen. . And now I think with 21st Century Cures Act and Teka going to legislation, we have the right as patients to make our data portable. Right. And so that's step one. Yes. And so now that I can get with Blue Button Paving the way I can bring my data into an app when I consent. Yeah. I can also consent to share my information with others.

And now you have a digital ecosystem with you and your sup. 14, um, some people call 'em caregivers, whatever name you want. These are not the clinical professionals that care for you. These are your niche, your nephew, the, the the, oh yeah. The friend that's gonna take you to the appointment. Now I can see what those feeds.

I can see schedules, I can see medications, I can see claims data. And from that I can share with you a comprehensive recommendation of what to do next, not just on the journey you're on. So in the current pilot that we have now, we have some patients. . That are going in for hip replacement. Great. Full stop.

Now you add to that though. Hmm. Their BMI is 40 and they're a smoker. So before we get them on the table, can we also get them to potentially change some behaviors in the next seven to eight weeks? That makes sense. That will make them better for that, that encounter and get to the better outcome. And I

Think finally our incentives are aligned because now with value-based bundles, right, the risk lies with making sure that patient is well, if they, if they get readmitted, then I hold the cost for that. So what can I do to drive adherence education and really then get the. Through this, this journey together and get them to the healthiest version of themselves because it's not about everyone is to go climb a mountain.

And so this has to be innately personal. Yeah, right. When you think about the content, I had a friend, uh, who was going through Hip Journey. So I say, please use quilt, give it a shot, gimme a ton of feedback. And his best feedback was, stop showing me 80 year old women in Walkers. I'm gonna be back on the golf course soon.

And I said, fair point. And so I, I turned to the team and I said, what can we do for customization and personalization? And so within a month we've now tagged all of the content and we've actually done a demographic tag. And so literally I can present to you, based on your goals, what are you looking to achieve?

Are you looking to play with your grandkids? Are you looking to run a five K? Are you looking to get back to a marathoner? There's all, everyone has a place they wanna start. Yeah. And where they want to go. How long? Wow, there, there were so many insights in this podcast. It was hard to pull just one clip.

Um, I would encourage you as with all these, but this one, I would encourage you to dig it up and have a listen. Uh, a lot of great conversation, uh, at that, uh, on that podcast. So the coming in at number eight is one of the good guys within healthcare, Drexel Ford and I sat down, uh, and discussed the announcement of Haven, uh, which is the Amazon Berkshire Hathaway, JP Morgan.

Uh, joint venture. Uh, direct is a great guest, uh, similar to myself. He's a independent consultant, so he travels around a lot, gets to talk to a lot of different people, interact with a lot of different health systems. So I try to have him on a couple times a year. Uh, just try to catch up on different things and a lot of times we talk about, uh, the news, things we're sharing in our feed and those kind of things.

Um, you know, I know that this episode got a majority of its listens 'cause we talked about Haven. But uh, as I was listening to it again, in preparation for the show, uh, I found . You know, a clip, which I, I quite frankly, I thought was more interesting from that show. Uh, and we talked about an article that he shared in social media about, uh, how the EHR was having mixed results, uh, in rounding at different health systems.

And it had four reasons for that. And, uh, and we just, we went back and forth a little bit on it. So have a listen. Uh, I, you know, I thought the same thing when I read the article. I don't know that any of those things, um, surprise me. I think the real sort of takeaway in that is our inability in healthcare to yet create clinical standard work around the use of the electronic health record.

So we've. You know, to sort of turn a phrase, we've kind of paved a cow path instead of sort of sort of saying, we're going to do everything a different way. So now that we're using EHRs and that means we're gonna change the way we do morning rounds so that we can integrate the EHR more effectively and not do work arounds, that creates a whole group of risk in and of itself for patients and families.

And, uh, none of us really want that, but I think we've still sort of got this weird situation where we have, um. Uh, we have clinicians and others who are unwilling to change and unlearn the habits that they already have about how they do morning rounds and other clinical. Provision of care too. But in this instance, particularly around morning rounds, they're unwilling to sort of change their ways of doing it to integrate the EHR more effectively.

And then I think the other part of that is sometimes the EHR doesn't work very well to be able to facilitate the work that they're trying to do too. So it's really sort of two different pieces of this. One is a management engineering effort to make sure that we're using the EHR as much as we can in the workflow and the modified.

Changing the EHR and doing the informatics stuff that we need to do to make sure that the right data is available when it needs to be used in morning rounds. There you have it coming in at number eight, Drex to Ford. Um, as I said, one of the really good people within health, it, uh, regardless of what Wess, uh, says about him, uh, and the good news for Drex is that, uh, Wes' episode is below Drex.

So, uh, at least within the two of you, you have bragging rights for the coming year. following the epic UGM meeting. I, I keep calling it a conference. It's a user group meeting. Uh, following, uh, epic, UGMI caught up with Dr. David Butler, uh, to get his thoughts around the meeting. Uh, he was, uh, in his bell bottoms.

He was still hyped up on caffeine and, uh, uh, you know, and quite frankly, we caught him on the way to the airport. So he is sitting on the side of the road. Um, you know, maybe, maybe next year we can catch up to him, uh, in person and, uh, not . As frenzied a, a conversation. But, uh, you know, again, I think he captured really well the, uh, the essence of the UGM meeting in this short clip.

So coming in at number seven for 2019, Dr. David Butler, principal and Chief Digital officer for Helix Partners from Epic UGM. And, uh, you know, so some of the patient-centered things that, uh, that I'm picking up on are, uh, you know, Epic's happy together, unified patient-centered view of MyChart. Uh, you had, uh, MyChart estimates, you had, uh, care everywhere, patient initiated, uh, sharing of the uh, uh, record.

Um, yeah. I'm just throwing out some of the things. Were there some other things that they, they did that you, you heard that you were like, yeah, they're, they're really making movement around this, uh, around patient centered, around helping.

Yeah. You know, uh, I think, I think you, you, you totally rattle off the big ones and those are a lot of, sometimes I call epic some of those words. And, and so non-Epic clients may not know what that mean or even patients that may be listening. So yeah, put, putting the care into the patient's hand is what.

It's about, and that's where it's gonna, it's been about. And so where if you have three different records, like for example, I moved over four states, me and my family, uh, for various jobs. I have about five different MyChart accounts now. One there. Now I can, one click, I can now see one patient portal and all my data.

And if I go to a doctor somewhere and that doctor does not have Epic, it could be a medical care, it could be of urgent care. I can always share everywhere. I can give them a code. They'll log into a website, not a patient portal. They can log into a website, put in that code because I've given them access to my, my notes or whatever they need, if they need that.

So I think that is, has been the biggest, uh, one of the bigger deals, innovations that I've seen in over like 10 years dealing with Epic, um, on the. Without much build or effort on the client side. So, alright. I, 2019 was a breakout year for this week in health. It, and I'm gonna take a a, a couple moments within this show to share with you where we've been and where we're going.

Um, you know, our mission is to, uh, develop the next generation of health leaders and we do that by amplifying great thinking. And, and that's why we do the interviews. It's why we do the podcast and, uh, it's why we're gonna do some collaboration events, uh, coming into 2020. Um, . You know, with our, with that in mind, our goal was to get this to amplify great thinking, to get this thinking in the hands of as many, uh, health IT professionals as possible people on the front lines that can make a difference.

And by our measures and by our goals, we exceeded every, uh, goal that we set for this year. We had a hundred thousand audio downloads of the podcast. Uh, we averaged in the, in Q four. Here's a couple things we did. We averaged 2,700 downloads per week, 154 hours of watch time on YouTube. And 10,000 page views on our website.

We really revamped our website towards the second half of this year. It was, is quite frankly, it was pretty lame in the beginning of the year. And we're, we're, uh, gonna continue to do that. Uh, and that's one of the areas we're gonna use our sponsor money is to, uh, is to, uh, make that content more accessible to more people.

Uh, we also had 200 new subscribers aft uh, since July, uh, to our, uh, email services. We have a couple of those that we send out. So our accomplishments. For this year, we piloted a virtual summit. Uh, we had a hundred percent NPS on that, and I'm looking forward to rolling that out in 2020. Uh, we created guest pro profiles on the, uh, website, uh, this week, health.com/guests.

Easier way to navigate. If you have a favorite person that you, uh, follow are interested in, you go to that site. All the pictures are there. Click on it, and then underneath that, it'll, it, it, a lot of 'em have a profile. Um, I'm a little behind, but a lot of 'em have a profile and those that don't have a profile, um, it will have the episodes that they appeared in.

We, uh, we launched a weekly new show and then we revamped it twice this year. Uh, the second, the most recent time we revamped it. What you said to me is. Um, you wanted me to take the top 10 stories for the week. Uh, I, I'm, I'll be shocked if there's 10 stories every week, but there has been so far. So top 10 stories, uh, and tell you why it's relevant to health it, and then circle back and go a little deeper on one or two of those stories.

So we started that new format probably in, uh, November. And, uh, again, the, uh, feedback on it so far has been pretty good. Uh, we launched staff meeting, which is, uh, designed to help you get the conversation started on the right foot. We take a little longer clips from these interviews and then we, uh, put some questions around it.

So you could, you could give this to, uh, nurses who wanna talk about security or those kind of things. They download it, they watch it, uh, and then it just has two questions to get the conversation started. And then we launched, uh, insights. Insights is really about personal development. So we're taking shorter clips and we're putting some context around it of how health IT professionals can apply some of the things that, uh, we talk about on the show.

Uh, to develop their career and to, uh, advance their work within the health system. Alright, back to our countdown number six. Uh, this is a podcast as I mentioned earlier, that I expect to climb. Uh, I sat down with Nasser, AMI, and, uh, this of Jefferson Health, CIO for Jefferson Health, and Dr. Steven Klasko, the CEO for Jefferson Health on one of my trips to Philly.

Uh, in fact, uh, you know, two of our top tens from that trip. Uh, or from that trip to Philadelphia, uh, Karina Edwards, uh, with Quill Health. And, uh, now this, uh, interview with, with the people at Jefferson Health. And you know, as I said, every time Dr. Klasko speaks, we get a spike on the, uh, number of downloads on the, uh, podcast and video.

So I imagine in no time, this will probably, um, surpass all the other podcasts, uh, just 'cause he speaks an awful lot. And because . , he's very provocative. He, he, he makes statements that cause us to think and cause us to have conversations, which is why I really enjoyed this, uh, this conversation. Uh, you know, he's, he's, he's challenging the age old truths that we hold onto and to a certain extent hold us back.

Uh, here's a clip that I think really demonstrates that I'm old enough to remember when EMRs were just starting. And you know, the, the epics of the world, the Allscripts and Cerners of the world will come to us and say, we want, we want you to help us develop it. So we're fine. Our handwriting is fine. Same thing happened with telehealth.

People are mailing it in and saying, oh, I just got Meck, andwell, Teladoc, MD lives to some folk person in Ohio can, and I can say I'm doing telehealth. We took a totally different approach and, and one of my mentors, and actually our commencement speaker this year has been John Sculley. And he said, stop talking about telehealth.

He said, we don't talk about telebank. We don't get up in the morning and say, I think I'm gonna telebank. It's just that 90% of banking went from being in the bank to, to being at home. The same thing's gonna happen. So the question for you, Steve, is, is what technologies can you use to have more and more and more things for the patient happen at home so they don't have to see you?

And, and, and that's how we view things. We have 24 7 telehealth virtual triage. Now here's the problem. Once you get to that, it's gonna become painfully obvious that if you're a provider, you have to be a payer also, and I'll give you a real live example with our virtual triage. Mm-Hmm. given our sophistication in telehealth and, and it, we're now at the point where we get 60% of our patients.

Non-trauma non ambulance out of our expensive inefficient ed, and we have about half a million patients come to our ed. Mm-Hmm. problem is I make an average of about $89 through urgent care or telehealth or an appointment next morning, an average of $1,400 if somebody walks into my ed, that the insurers are happy to, to, to, to pay.

We have 32,000 employees now. Bill, so what we said is with our TPA partner, Aetna, we said for our 32,000 employees, if you show up to our ED and you haven't gone through Jeff Connect. Virtual triage, $500 deductible if you end up in R eed through Jeff Connect. Zero deductible including zero deductible if you end up getting admitted.

That's really changed behavior. So there's a great Upton Sinclair quote. It's hard to get somebody to do something when their salary depends upon them not doing it. And we do so much of that in healthcare and I think it's especially true when you talk about population health. You're, you're sitting here in Philadelphia with five academic medical centers, two in the top 25 US in Penn.

Okay. And we have the greatest discrepancy in life expectancy of any city in the country based on zip code, based on zip code. So a baby born today at Jefferson, that goes to 1 9 1 4 7, which is about, you know, uh, three quarters of a mile from here will live to 2104. A baby born today that goes about three miles north of here.

North Stro Mansion will not make it to 2090. That's a year less than Iraq and Syria. So while we talk about meds and eds in Philadelphia, we failed . And the simple answer is that 80% of a person's health, as much as we hate to admit, it, has nothing to do with a doctor or the academic medical center or the research that I'm doing here at Jefferson.

So that's why that whole, you know, B two, B two, B two C model becomes so important. You know, who the greatest percentage of users of our, of Jeff Connect our telehealth program is. This situation we have with a homeless, with, with a homeless shelter. Sister Mary is one of the largest. Why? Because . If you think about it, most of them don't have cars that they're housed in this, in this, in this, uh, great, uh, uh, thing called project home.

If they have cars, gas is expensive. Um, but they have phones, you know, and they want their families to be healthy. So I think, I think we just haven't come close to pushing the envelope of getting it away from I'm just gonna get this company so I can say I'm doing stuff versus really believing. You want to do it?

Yeah. Thanks to, uh. Uh, to Nasser and Dr. Klasko for, uh, really a thought provoking conversation. Um, I love the C-E-O-C-I-O dynamic on the show. It was a, uh, it was a really good back and forth if you get a chance to watch it. The, uh, you know, the two of them talking about fire interoperability, uh, telehealth and other things, uh, it was good back and forth.

I'd love to do more of those shows, uh, next year. So if you're ACIO, who wants to come on the show. And you're not sure whether I'll have you on the show get your CEO to sit down with us. C-E-O-C-I-O. I love that conversation 'cause we can talk about, uh, the strategic application of technology within your health system and we can also talk about specific projects that you have been successful at in your community in taking that forward.

Uh, already what I'm seeing on the end of your survey is that people want us to start to elevate some of those stories where people have been successful so that they can, uh, implement those things. All right, so. Our next one. That was number six, our next one. So Fortune Magazine, uh, wrote an article this year and everyone who's in healthcare is aware of this article.

It's called Death by a Thousand Clicks, where The Electronic Health Record went wrong. And, um, you know, we talked a lot about this. As soon as I read this article, I knew I had to talk about it with a clinician, somebody who's been in the trenches, somebody who's implemented EHRs at multiple systems. And so I called my friend at Starbridge Advisors who do consulting work across the board, and I knew they'd have somebody I could talk to, and they connected me with, uh, Nancy Beal.

So this is the first time Nancy and I met was on this, on this show. And she was a phenomenal guest. She's a registered nurse, NYU, um, I think she was at Children's in Ohio, a children's hospital in Ohio. So she, she'd implemented a lot of, uh, EHRs, uh, very familiar with the process, very familiar with the article.

And, uh, we just, we just, you know, dove right into it. It was, uh. It was really good. So in this clip I ask her, you know, what does this simply we can do to address the unintuitive? These are words straight outta the article. Unintuitive, clumsy, and hard to navigate. EHR. Have a listen to this clip from our number five.

Most listened to podcast for 2019. I. I think there are three things really, design, implementation, and optimization. And, um, what they do, what successful organizations that I have worked with do is really ensure that they have highly qualified clinicians engaged in the design process. And when I say highly qualified, what I mean by that is not just somebody who might be available who happens to have RN or MD after their name, but actually somebody who understands technology and has some level of, uh, experience and or education with technology.

So I really believe that clinical informatics is crucial in appropriate design. Um, likewise, those same clinicians are essential when it comes to implementation, implementation strategy, spotting where the problems are. Um, identifying the folks who are really struggling. How do we. Solve those problems or identifying, um, what could be really dangerous situations that are occurring that otherwise you may not know because you don't have that clinical connection.

And then ultimately optimization. You know, we, one of my, one of the things that really encourages me, um, to be interested in pursuing how we measure technology adoption. And putting some standardization around that is that we continue to develop all these really wonderful technologies. And some are integrated and some are not.

But we put some of these things out there and don't always measure how they're being used and if they are in fact, um, being used as intended. And, uh, one of the challenges with that, of course, is. Um, if you have workarounds that are occurring, there could be downstream implications of that, and in, in fact even patient safety implications of that.

So really optimization, going back after the fact, making sure that what you implemented is actually working and if it's not, how we make it better. Yeah. I wanna, thanks Nancy for, uh, coming on the show. We tried several times after this recording to, uh, get together. . And, uh, have been un unable to at this point.

But, uh, I would love to have her back on the show, uh, to have further conversations. So, uh, we'll see if we can make that happen. We'll get back to our show in just a minute. As you know, health Catalyst is a new sponsor for our show and a company I'm really excited to talk about. I. In the digital age, cloud computing is an essential part of an effective healthcare and precision medicine strategy, and we've talked about it many times on the podcast, but healthcare organizations themselves are still facing huge challenges in migrating to the cloud.

Currently, only 8% of EHR data needed for precision medicine and population health is being effectively captured and used. That's 8%. One of the things I like about Health Catalyst is that they are committed to making . Healthcare are more effective through freely sharing what they have learned over the years.

Uh, they published a free ebook on how to accelerate the use of data in the delivery of healthcare and precision medicine. You can get that ebook by visiting this week, health.com/health catalyst. And, uh, you know, this is a great opportunity to learn how a data platform, uh, brings healthcare organizations the benefits of a more flexible computing infrastructure in the cloud.

I wanna give a special thanks to Health Catalyst for investing. . In our show and more specifically for investing in developing the next generation of health leaders. Now, back to our show. Okay, we're at number four. The fourth most most listened to podcast for 2019 is a former CIO and someone who made the move just now in 2019.

Actually, not too long ago now, I think about it. Dr. John Lanka is now the head of platforms for Mayo, and, uh, we sat down following the HIMSS conference. To, uh, to talk about this patient-centered interoperability among other topics. Here's a clip from that conversation. So I will take your theme of using natural language processing, ai, machine learning to craft a less burdensome clinical experience to even tell you about a larger trend, which is machine learning, not gonna save us all right?

Gotta be very careful about that. You know, uh, wouldn't wanna criticize any particular company's marketing strategy, but the likelihood that Dr. Watson is gonna read a thousand articles and treat you tomorrow with no human intervention. Isn't happening in the next six quarters , right. What's happening in the next six quarters is I can say, oh, I have studied a million patients like Bill.

What I know is that I can improve Bill's lifestyle if I make these two or three interventions. If I offer these two or three incentives and that kind of thing, the patients of the past informing the care of the patients in the future gets us closer and closer to a personalized medicine approach. We're already deploying a dozen such projects at Beth Israel Deaconess, and it's simple things like, how do I schedule the, or?

Who's gonna show up to the appointment? How long are you going to be in an inpatient setting? And maybe we can schedule all the events in a Gantt chart and not randomness, or how is it that I can figure out for the wellness care that is going to reduce total medical expense and improve quality that I can put you through the right preventative rather than, you know, curative kinds of measures.

All these sorts of things we're doing with existent 11 petabytes. Of patient identified data hosted at Amazon Web Services, Google Cloud, and other places under BAAs to figure out the possible, and it works. You know, I'm pretty sure no one put on more miles last year than John in pursuit of innovation in healthcare.

Um, you know, I, I really am excited that Mayo, he's joined Mayo and I, I, no pressure, but I'm really expecting great things from them in 2020. You know, in our, uh, in our top 10, we have two acting CIOs. Uh, they're both with new organizations in 2019, but, uh, but they are two acting CIOs, which is fantastic. Uh, the next one is someone that, uh, I think is a really great thinker in the space, in the, uh, digital space.

Uh, and also gets the conversation going with, with really provocative statements. Uh, Jonathan Manis is the CIO for Christus Health, and, uh, we sat down to talk about the digital hurricane. He had brought this up maybe a year and a half, two years ago, maybe three years ago now that I think about it at a conference.

And, uh, it stuck with me. I, you know, I downloaded, uh, the . Um, the presentation that it came from, uh, I've talked about it with several people and I thought, uh, when John came on, I thought this is a great opportunity to talk to him about digital, and specifically the digital hurricane and how, uh, how industries go through this change that digital brings upon them.

So in, in this clip, John and I discussed the impact of digital on healthcare. Here. Where do you think we're at today with healthcare in terms of this digital hurricane? Well, I, I think we've still, we're still on the outer bands and, and we're fighting it tooth and nail to, to not get towards, uh, uh, you know, our, our digital destiny as it were.

I think, um, you know, we are in many ways, a lot like, um, uh, other industries who, who just can't seem to let go of our current model. Um, we've got so much invested in terms of . Capital, uh, in facilities and brick and mortar buildings, um, in an old operating model, in, in an old clinical delivery model. And, and we don't know how to let it go.

Um, and we are, we are doomed to failure if we can't let go of, uh, of, of the things that have made us successful for. In order to be successful in the, in this new environment. And, uh, there's no question in my mind, um, that, uh, that, you know, I, I think about the, the millennial generations, the Gen Xers, the, the, the folks who are being born, even today, they're a very different breed of people.

People wanna know, why are we on the outer band of that hurricane? And it's because we haven't had to change. Um, and, and nowadays, uh, in, in modern life, um. You know, there's a different expectation for service and, uh, and people wanna be service. There's an immediacy expectation. They wanna be serviced when, where, and how they want to receive services.

And, and they frankly don't care about the convenience of the supplier. It's all about the convenience of the customer. And, uh, and we have been very slow as an industry to realize that. There it is. That's the number three most listened to podcast for 2019 with Jonathan Manis, the CIO for Christus Health.

Uh, I, the, you know, realizing our digital destiny. I just, those are the kind of phrases I just love realizing our digital destiny. It is our destiny. It is what's gonna happen in healthcare. It's just a matter of when are we going to embrace it, and how are we going, going to get from where we're at to, uh, to that point in our future.

So we're getting close. We only have two spots left. Um, before we get there, I want to talk about 2020. I want to talk about where we are going. As a, uh, at this week in health, it is going in 2020. So this past year we launched inside staff meeting. We've piloted virtual summits. All of those are gonna continue, um, in, uh, in 2020.

And we're going to expand those in 2020. Uh, two main things, uh, really three main things I wanna talk about here. One, I wanna partner more closely with health systems. If you, uh, if you have thoughts and ideas of how we could partner together as a health system and the show in terms of, uh, developing content,

And bringing content to your staff to help them to stay current and to develop, uh, so that they can serve the community and serve your health system better. Uh, I wanna talk to you, so shoot me a note Bill at this week, health bill in this week in health it.com. And, uh, let's have a conversation. I'd like to know how we can do that more effectively and how we can help you.

'cause one of the things I'm aware of is, uh, you know, budgets are gonna get tighter and the first thing that goes is travel. And the second thing that goes is training. And, uh, we cannot afford to not develop our people. And I want to help you to develop your people and to, uh, continue to move things forward within your health system.

Keep 'em current, and, uh, keep them exposed to some of the great work that's going on within, uh, within the industry itself. So that's the first thing I wanna partner with. Health, health systems. The second thing is that, uh, we are going to be, uh, . So there's two things in terms of production. The first is if you are thinking, Hey, I wanna do a podcast around the health it and the delivery of healthcare, um, then I, I'd like to talk to you 'cause I think we can help.

A lot of people are sitting back and go, I've got a great idea. I wanna launch a podcast. I don't know if I could do it as often as Bill does or whatever. Uh, you know, that's really fine. What we'd like to do is we'd like to support you in that. Uh, we offer production services, we offer tutorials, we offer, uh, coaching, uh, and we'll even offer our platform.

Uh, to, uh, highlight and to, uh, host your shows on our website going forward. So if you're thinking I have an idea for a great podcast, I would like to, uh, develop content that will help to develop the next generation of health leaders in whatever area. I'd love, you know, uh, you know, work in, you could focus in on a specific, uh, space within healthcare.

That would be great. Uh, I'm gonna continue doing the two shows, the, uh, news show and the interviews and, uh, if you're doing something that is . Uh, complimentary to what we're doing that develops health leaders. Uh, I wanna talk to you build it this week, health it.com. Uh, let's start a conversation and see where that goes.

And then finally, uh, I can't be everywhere. There were a bunch of conferences I wanted to go to last year that I couldn't go to. And, uh, you know, one of my friends introduced me to this concept of ambassador. I know I'm not the first to do it, I know others have done it, but, uh, I would like to start training ambassadors.

So if you're going to conferences and think, Hey, I could do an interview like this with a phone, uh, and with a, uh, with a mic. Uh, that is true. You probably could do it. I'd like to talk to you about if you could be an ambassador for, uh, this week health events so that we can cover more of the shows that are out there.

So again, those three things, partnering with health systems, uh, uh, hosting, uh, new podcast and helping you get 'em off the ground. And then the Ambassador program bill at this week in health it.com. So that's it. You know, we made the show for healthcare by healthcare, so, uh, we are healthcare leaders.

Helping and supporting other healthcare leaders. Okay. We are now at number two. And you know, I'm fond of saying that buzzwords in the hands of the wrong people remain buzzwords, but buzzwords in the hands of the right people. It's, it's magical. It's exciting. I, you know, when the right people are working with the really cool technologies, um, it, it, uh, you know, it sparks your imagination.

It, it makes, it makes you think of what's possible. I. And it gives you hope of what's going forward. And, and one of those people comes in at number two. It's, it's, uh, the, uh, VP of RD for Epic, and that's Seth Hane. And, uh, I'd love the conversation. We just went back and forth. He told me about all the things, uh, that they're looking at and they're doing.

And, uh, then he got into really where it's being applied. And in this clip we talk about, uh, how they are helping even the smallest rural hospital and health system apply ai. To the challenges they face. A couple come to mind. Um, the first one is North Oaks, an organization down in Louisiana, and they're actually one of the organizations, our community hospital down there that has at this point adopted over 10 models from our machine learning library.

They saw a 40% reduction in codes outside of the ICU by implementing deterioration models, which really are a way, you know, if I'm thinking about it from the patient perspective, I can be confident when I'm either, you know, uh, maybe unfortunately. Um, in a med surg on the med surg floor, or a family member next to somebody that's at the hospital, I can know that as those monitors at the bedside are collecting information, the system is running in real time analysis of that information along with my longitudinal chart.

To understand my risk of say, hospital acquired infections, deterioration in the context of North Oaks here, early onset of sepsis, and then alert individuals, maybe say in the ICU that I need some, uh, intervention and somebody to come check on me. Um, so North Oaks certainly stands out as one example.

Another, let, let, let's stop on North Oaks real quick 'cause that, that kind of surprised me. That you started off with a community hospital in Louis, Louisiana. You know, you would think that the, the, the, the organizations using this are in, you know, in Seattle or la or San Francisco or Chicago. Uh, but you're saying that, you know, even the, the small hospitals have access and the benefit of utilizing these models is that because you're, you're packaging them up in a way that they can just, uh, implement them out of the box.

Yeah. And, and that's the key to those two approaches that I spoke of earlier, right? The, the library enables organizations to quickly begin implementing and using those models in their existing workflows and the underlying platform. Um, provides them the options to do that cost effectively, it's cloud-based, so as they need resources to localize or retrain models to their particular populations, they can spin up those resources in a public cloud.

Train those models and then implement them directly back into workflows without needing to bring all that infrastructure in-house. So yeah, our goal is, is really to help organizations of all sizes. I grew up in a small town outside of Lincoln, Nebraska, uh, with a community hospital, right. Help organizations like the community I grew up in, be able to implement machine learning for all patients.

Yeah, that was a great conversation and one that makes me optimistic about the future of technology in healthcare. We're here, we're at number one, uh, but first let me count 'em down for you. Number 10 was Russel. Number nine, Karina Edwards. Number eight, Drex to Ford. Number seven, David Butler. Number six, Steven Klasko and Nasser Naza with Jefferson Health.

Number five, Nancy Beal talking about death by a thousand clicks. Number four, John Mka. Number three, Jonathan Manis and I talking digital health. And number two was Seth Haine, the, uh, VP of RD for Epic. So have you figured out who's number one yet, do you think you know who's number one? It is ACIO. It's an acting CIO.

The most listened to podcast for the year comes from the CIO of Providence, St. Joseph Health, and former Microsoft executive BJ Moore. Uh, you know, BJ is one of those, uh, CIOs from outside the industry that is really challenging the status quo. Um, he really makes no bones about it, and he's unapologetic about his lack of healthcare experience.

Uh, I love the conversation we had and, and, uh, you know, I, I found a lot of this conversation to be, uh, really extremely refreshing and thought provoking. Uh, here's a clip from our most listened to podcast for 2019 with BJ Moore, the CIO of Providence, St. Joseph Health out of Washington. To, well, first some background on what I did at Microsoft.

So, um, I was responsible for all of our commercial, um, revenue systems, so a $70 billion business. And you asked earlier why I decided to leave Microsoft. One of the reasons is I completed our cloud journey. I was happy to say as of last October, I'd moved this $70 billion business to be a hundred percent on the cloud, not a single asset on premise.

And so to play it forward to what I expect to do at Providence, I expect to do the similar thing. Um, you know, we've got various data centers. All 4,000 of these applications are posted on brand. We haven't leveraged any of the cloud. So the journey as I see it today, you know, again, three weeks in, uh, I need to learn more is, is really getting out of that data center business, getting out of the business.

And that isn't gonna just be taking these 4,000 applications we have and moving it to the cloud. First thing that's gonna be to simplify this environment significantly. And so instead of moving 4,000 apps, we be moving a thousand applications off premises and into the cloud. Uh, yeah, it's gonna be using, you know, infrastructure as a service, probably primarily.

On the data front, we talked about that our data strategy is gonna have to include big data and leveraging the platform as a service that the cloud offerings, you know, have either Amazon or Microsoft and really have a sound data strategy around that. And then adopting software as a service. And so we've selected, um, Oracle Financials that are in the, in the cloud as our ERP.

And so we'll, in the case of ERP, we'll get away from on. Uh, software as a service model, Oracle. So what it looks like to me is, I don't know how long that journey takes, two or three years, but um, you know, we're either all infrastructure. Platform as a service or uh, software as service. And this concept of hosting these applications on premises just, just turns away.

Yeah. So my vision, my team looks at me like I'm crazy , but if I could move a $70 billion and nobody would accuse Microsoft of having a simplified business model, if I can do that already. Uh, I feel at least I've got the chops to, to, to do that with Samara. That's it for our top 10 for 2019. Um, you know, going through this list gets me excited about where we've been, but what we are going to be able to do in 2020.

Uh, 2020 is gonna be a great year in the application of technology, in the delivery of care and health. Uh, thanks again to all of our guests for 2019. Uh, I really appreciate your time, your dedication, your expertise, and uh, and sharing that with, with the community. So that we can advance health, uh, really across the globe.

Uh, your time really makes this show possible. Thank you for our sponsors. Uh, your investment in developing the next generation of health leaders is greatly appreciated. And, uh, I look forward to what we can do in 2020. This show is a production of this week in Health It. For work, great content, you check out our website at this week, health.com or the YouTube channel.

Thanks for listening. That's all for now.

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