CHIME Fall Forum 21 – G.P. Singh with Ellkay

Bill Russell 00:00:03 Today in health, it interviews from the chime Bill Russell 00:00:05 conference in San Diego. Bill Russell 00:00:07 My name is bill Russell. Bill Russell 00:00:08 I'm a former CIO for a 16 hospital system and creator of this week in health. Bill Russell 00:00:11 It a channel dedicated to keeping health it staff current and engaged. Bill Russell 00:00:16 Just a quick reminder. Bill Russell 00:00:17 I wouldn't be dropping interviews over the next couple of days and into Bill Russell 00:00:20 next week from the chime conference. Bill Russell 00:00:23 And then I'm going to have some more interviews from the next conference I Bill Russell 00:00:27 want to be going to, and then eventually I'll get back to Florida and to the studio Bill Russell 00:00:32 where we'll start looking at the news. Bill Russell 00:00:33 Once again. Bill Russell 00:00:34 Hope you enjoy this interview. Bill Russell 00:00:36 All right. Bill Russell 00:00:36 Another interview from the chime floor. Bill Russell 00:00:38 We're here with GPC with LK. Bill Russell 00:00:40 Hi, how are you? Bill Russell 00:00:41 Good. Bill Russell 00:00:41 I'm looking forward to the conversation. Bill Russell 00:00:42 So thank you for having me. Bill Russell 00:00:44 I would normally ask what's top of mind, but top of mind Bill Russell 00:00:47 for you is interoperability. Bill Russell 00:00:48 I GP Singh 00:00:48 interrupted, but it is the big thing that everybody's spending Solomon. GP Singh 00:00:52 Yeah, that'd be at the Bill Russell 00:00:53 top of my mind. Bill Russell 00:00:54 So what kind of conversations in what aspect are they looking at? Bill Russell 00:00:57 Interoperability? Bill Russell 00:00:58 Is it, is it broadly to share information with, with other health systems? Bill Russell 00:01:02 Is it sharing it with consumers? Bill Russell 00:01:03 Is it RJ? Bill Russell 00:01:04 Just all of it. GP Singh 00:01:05 It's, you know, what's, what's been really interesting is that, uh, GP Singh 00:01:08 you know, the healthcare systems have really evolved around having shared data. GP Singh 00:01:12 So it isn't just between systems. GP Singh 00:01:14 It's now with a lot of the digital health systems that are out there, there's a lot GP Singh 00:01:18 of the digital front door applications. GP Singh 00:01:21 Patient engagement applications out there. GP Singh 00:01:23 Um, so digital health has really taken off in a big way in the last couple of years GP Singh 00:01:28 with COVID obviously in addition to that there's pop health platforms, there's life GP Singh 00:01:32 sciences, there's, uh, you know, working with all of the networks out there. GP Singh 00:01:36 So there's a lot that happens in the hospital or healthcare GP Singh 00:01:39 system around exchange of data. GP Singh 00:01:41 And so interoperability really plays Bill Russell 00:01:42 a key role. Bill Russell 00:01:43 What about, uh, so 21st century cures, is that spurred that on a little bit or. Bill Russell 00:01:48 Naturally happening as a result of our digital transformation, GP Singh 00:01:51 that's been part of the deal with the 21st century cures act as there's GP Singh 00:01:56 been a lot of emphasis on, on being able to allow for easy exchange of data. GP Singh 00:02:02 Uh, but also COVID Israeli, um, made that even more imperative GP Singh 00:02:07 because telehealth was almost like people were kind of working. GP Singh 00:02:11 It wasn't obvious that there was going to be a lot of folks using it, but GP Singh 00:02:15 COVID has really changed that around. GP Singh 00:02:17 It's gained a lot of acceptance and Vitale help, you know, a lot GP Singh 00:02:20 of the digital health applications that have really gained acceptance. GP Singh 00:02:23 So, uh, a lot of those factors out there, so Bill Russell 00:02:26 LK is pretty much agnostic, right? Bill Russell 00:02:28 You're not like pushing a single tool or, or solution at this GP Singh 00:02:32 point, you know, elk is, has been in business for about what 20 years. GP Singh 00:02:36 Uh, you know, we've built the platform. GP Singh 00:02:38 Time, uh, we're known as a healthcare data plumbers, uh, for a reason GP Singh 00:02:42 because we understand healthcare data plumbing better than I think better GP Singh 00:02:46 than a lot of other folks out there. GP Singh 00:02:47 So, uh, we have a platform that's been built to enable, uh, data exchange GP Singh 00:02:52 across, uh, different entities, different types of applications. GP Singh 00:02:56 And we have our own interface engine that really has been GP Singh 00:02:59 developed within the organization. GP Singh 00:03:01 When you think about it, nine of the 10 labs in the country, work with us, GP Singh 00:03:03 we're pretty big in the lab space. GP Singh 00:03:05 We're pretty big into data, archiving data migration space. GP Singh 00:03:08 We're pretty big in the ambulatory space, right. GP Singh 00:03:12 And then of course, in the interoperability space, and now all GP Singh 00:03:15 of a sudden, the bare space, we're making some headway over there. GP Singh 00:03:18 So across a lot of segments in that sense. GP Singh 00:03:20 So I'm going to give Bill Russell 00:03:21 you my use case and I'd love to just bat it around. Bill Russell 00:03:26 Uh, Southern California, we weren't able to employ the docs. Bill Russell 00:03:28 So we had a foundation model. Bill Russell 00:03:30 We ended up with a hundred different instances of the EHR. Bill Russell 00:03:32 It's not like we could have said, Hey, we're all going to a single EHR. Bill Russell 00:03:36 That'll solve the issue that was not even on the table. Bill Russell 00:03:38 Right. Bill Russell 00:03:39 So we had to figure out how to build a first, the clinically integrated network. Bill Russell 00:03:42 And so with the clinically integrated network, you have to have the metrics Bill Russell 00:03:45 that you're going to be providing back to those, to those physicians, Bill Russell 00:03:48 to, you know, make value, create value from that, from that network. Bill Russell 00:03:53 So there was a lot of disparate systems. Bill Russell 00:03:54 We had to bring all that data together. Bill Russell 00:03:56 We had to put it into a, you know, some sort of, of, of data analytics engine. Bill Russell 00:04:03 And then we had to produce things and get it back into the workflow so Bill Russell 00:04:07 that they could, could utilize it. Bill Russell 00:04:10 Is that, so I was trying to solve that in 20 12, 20 13. Bill Russell 00:04:14 Have we solved that or GP Singh 00:04:15 is that still so, so we've solved that to a large extent. GP Singh 00:04:18 Um, you know, we've got something known as a clinical data. GP Singh 00:04:21 Where we bring in data from disparate systems in a community health GP Singh 00:04:23 systems out of Indiana uses us. GP Singh 00:04:25 For example, you know, where, you know, when a patient walks into an epic GP Singh 00:04:30 instance, right, or into a hospital and they're primary care setting on all GP Singh 00:04:34 kinds of different systems out there, we're able to bring that data into GP Singh 00:04:38 our CDX platform, make that available through epic or through Cerner or GP Singh 00:04:42 whatever system they might be out there. GP Singh 00:04:44 So that you'll get the holistic view of what the patients, you know, uh, record. GP Singh 00:04:50 And then that same platform then becomes helpful to be able to feed a GP Singh 00:04:53 lot of the analytics and the quality platforms and be able to feed that. GP Singh 00:04:58 So the pop health vendors use us for that. GP Singh 00:05:00 Uh, a lot of the, uh, folks that are around aggregating data for GP Singh 00:05:04 life sciences, trials and clinical trials users for that, because, you GP Singh 00:05:08 know, we clearly have demonstrated the ability to bring all of that. GP Singh 00:05:12 And create that sort of a consolidated view of that data. GP Singh 00:05:15 So we are doing that right now across, so a lot of customers, the Bill Russell 00:05:19 mature, and, and I'm not throwing this out as a buzzword, Bill Russell 00:05:21 that's going to solve the world. Bill Russell 00:05:22 I understand its limitations, but what's the maturity level Bill Russell 00:05:25 of, of, of fire right now. GP Singh 00:05:28 You know, um, fire has been on fire for awhile, GP Singh 00:05:32 again, kind of using the Domo. GP Singh 00:05:35 There's still a lot of work that needs to be done. GP Singh 00:05:37 Uh, just as an example, you know, a lot of the EMR companies have GP Singh 00:05:41 enabled fire to access data out of the EMR, but still not enabled to GP Singh 00:05:44 be able to write back into the EMR. GP Singh 00:05:46 So there's, there's still a lot of work that needs to be done GP Singh 00:05:48 around that, but it's definitely moving in the right direction. GP Singh 00:05:52 And I think in the next few years, we are going to see some more levels of maturity, GP Singh 00:05:55 but I wouldn't call it fully mature, but, um, you know, it's kind of getting there, Bill Russell 00:06:01 right. Bill Russell 00:06:01 Writing data back into the. Bill Russell 00:06:04 Has has always been one of those things that we are very cautious of because Bill Russell 00:06:08 you're, you're, it's, it's the system of record around the patients, right. Bill Russell 00:06:13 Health and those kinds of things. Bill Russell 00:06:14 Plus we don't want to, we don't want to clog it up. Bill Russell 00:06:16 So even though we can connect to all these really cool devices and pull that data Bill Russell 00:06:20 in, uh, the personal devices and whatnot, we're, we're still reluctant to bring Bill Russell 00:06:26 that data in as are we, are we starting to figure out ways to, to incorporate that. GP Singh 00:06:31 Yeah. GP Singh 00:06:31 So, so what you're saying is, right, right. GP Singh 00:06:33 I mean, there's so much data that ultimately is that data even going to GP Singh 00:06:37 get used by anybody that is in somebody even going to look at it with everything GP Singh 00:06:41 is just kind of put back into the EMR. GP Singh 00:06:43 There's gotta be a certain process and a certain, uh, way to kind of, you know, GP Singh 00:06:48 bring that data in maybe, you know, insights from that data is probably GP Singh 00:06:52 more helpful than just your raw data. GP Singh 00:06:54 Right. GP Singh 00:06:54 And maybe bringing those insights into the EMR might be a better way GP Singh 00:06:57 to, to kind of really have actually. GP Singh 00:07:00 Uh, you know, goals that are so instead Bill Russell 00:07:02 of moving my, every time I step on the scale and to the EHR, Bill Russell 00:07:06 you're essentially letting the doctor know this information sits outside Bill Russell 00:07:10 of there, but there's intellects being run against it that says, Bill Russell 00:07:13 Hey, Bill's put on 10 pounds since GP Singh 00:07:15 COVID started. GP Singh 00:07:16 Exactly. GP Singh 00:07:16 I think something along those lines might be a better approach, although, GP Singh 00:07:19 you know, right now, when you think about it, right, this patient intake systems, GP Singh 00:07:23 patient intake systems are getting data from Pittsburgh data sources from the. GP Singh 00:07:29 And really taking a lot of information in front of help and move that into sort of GP Singh 00:07:34 a pre, uh, encounter sort of data, right. GP Singh 00:07:38 That data model works. GP Singh 00:07:39 Right? GP Singh 00:07:39 So those situations were, but then the RPN space where there's GP Singh 00:07:42 remote patient monitoring, that's happening, we're working with a lot GP Singh 00:07:45 of remote patient monitoring vendors. GP Singh 00:07:47 Uh, what we're seeing over there is the companies that have sending insights GP Singh 00:07:51 are actionable insights are probably have a better chance of engagement GP Singh 00:07:55 with the providers rather than. GP Singh 00:07:57 Plain and simple take all the data and throw it into the EMR, which really GP Singh 00:08:01 doesn't generate the same sort of that. Bill Russell 00:08:03 I love the, uh, data plumbers. Bill Russell 00:08:06 I don't know if you're trying to go away from it or whatnot. Bill Russell 00:08:07 Cause I know some people struggle with that, but that is Indic that's Bill Russell 00:08:11 essentially what you're trying to do is you're, you know, we look out Bill Russell 00:08:15 in the city of San Diego, right? Bill Russell 00:08:16 We don't see the plumbing. Bill Russell 00:08:17 We don't see all the things, but if it wasn't there so many things. GP Singh 00:08:22 Which is exactly what LK is about. GP Singh 00:08:23 There are so many places there they don't know LK is because they fully provide the GP Singh 00:08:28 plumbing, uh, you know, uh, for, for a lot of these organizations and health systems, GP Singh 00:08:33 but that's what we're really good at. GP Singh 00:08:34 And, uh, you know, we want to continue doing that and I don't think we're GP Singh 00:08:37 going to move away from plumbing. GP Singh 00:08:38 Plumbing is going to be our core business versus Chiefy. GP Singh 00:08:41 Thank you for your time. GP Singh 00:08:42 Thanks a lot. GP Singh 00:08:43 Appreciate it, bill. Bill Russell 00:08:44 Don't forget to check back as we have more of these interviews Bill Russell 00:08:47 coming to you, that's all for today. Bill Russell 00:08:49 If you know of someone that might benefit from our channel, Bill Russell 00:08:51 please forward them a note. Bill Russell 00:08:52 They can subscribe on our website this week, health.com or wherever you listen Bill Russell 00:08:56 to podcasts, apple, Google, overcast, Spotify, Stitcher, you get the picture. Bill Russell 00:09:00 We are everywhere. Bill Russell 00:09:01 We want to thank our channel sponsors who are investing in our mission to Bill Russell 00:09:04 develop the next generation of health. Bill Russell 00:09:06 VMware Hill-Rom Starbridge advisors, McAfee and Aruba networks. Bill Russell 00:09:11 Thanks for listening.