CMIO Podcast

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CMIO News to Know for the Week of August 17th Aug 18, 2020

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This week I cover the FANTASTIC news that CMS is delaying the penalty phase of the PAMA law that requires providers to consult with clinical decision support before ordering advanced imaging tests. The delay is for another year; perhaps someone will wake up and kill this awful thing before it drains more money from the system. I also cover an interesting article about the strain on primary care caused by COVID and then a different article about how Duke is partnering with One Medical for primary care services. Both issues have Health IT implications. Those articles and more on this weeks CMIO News to Know.

Interview with Dr. Craig Joseph Aug 15, 2020

Show notes

Craig is now a CMO at Nordic, but has significant experience as a CMIO and with informatics. He has his own blog and I picked a few posts to dive in a little deeper on those topics. We cover "Leading the Curated Life", a post about delivering what we know is right and NOT always exactly what the doc asked for. Then we discussed "Healthcare IT Guiding Principles". As CMIOs we can have a significant impact on the workflows so a provider is doing the work that only they can do. The final blog post we hit was "Are Quality Metrics Becoming McGuffins of Healthcare". I love Craig's philosophy that the EMR is a tool for taking care of your patient and not a place to go to enter quality data. Finally, we discuss if he is funnier or better looking than Dr. David Butler. Evidently, they have a competition going on; David may not be aware of it.

CMIO News to Know for the Week of Aug 10th Aug 10, 2020

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This week I cover how UCHealth automated prior auth processes and saved a ton of money; we should all be looking at these technologies to reduce the cost of manual data entry in healthcare. I also cover the difficulties of installing Cerner in the VA, Cerner and Xealth connecting for improved patient experience, and telehealth difficulties for 38% of those over 65. Those stories and more in this week's CMIO News to Know.

Interview with Dr. Gabe Charbonneau about AI speech to text Aug 08, 2020

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Are we getting to the place where AI speech to text is ready to go mainstream? Gabe is a vocal proponent for fighting physician burnout and is always seeking new technologies to make charting more efficient. In this episode, we explore AI speech to text from a company called Saykara and how he uses it in his clinic.

CMIO News to Know for the Week of August 3rd Aug 03, 2020

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This week I cover a study from JAMIA about the completeness of problem lists; good info for you to compare how your system does versus what they found in the study for completeness and duplicates. The House approved a bill that moves us one step closer to having a unique patient identifier. Inbasket messages cause burnout and none of our EHR tools for efficiency work. Wait - that is not the real takeaway from the story about the JAMIA study on inbasket messages and burnout, but it does raise some interesting points on the topic. I spend a bunch of time talking about the reporting requirements for COVID testing that went into effect Aug 1. Our health department said to hold off because they are not in a position to receive the data. Seems like HHS rushed this one. I also review how some of those measures are very vague and difficult for non-clinicians to answer. Those stories and more on this week's CMIO News to Know.

Interview with Paddy Padmanabhan. What a CMIO Needs to Know About the Digital Front Door Jul 31, 2020

Show notes

The Digital Front Door is an area typically covered by the chief marketing officer or perhaps a CTO or CDO, but I think there is plenty for a CMIO to be involved with in this area as well. In this episode, I interview a clear expert in the field. Paddy is well published in the field of digital transformation and shares some of his insights about what a CMIO needs to know about the Digital Front Door.

CMIO News to Know for the Week of July 27th Jul 27, 2020

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This week I cover the New Yorker piece on how primary care is struggling; worth reading about to help understand what is going on in private practices. Another article I like from this week is Google's announcement about BigQuery Omni, that lets you evaluate data regardless of your cloud vendor. Seems like a good idea to not get locked down in a single cloud vendor relationship. I also covered the Information Blocking Boot Camp from The Sequoia Project, which is helping us prepare for that Nov 2, 2020 deadline for complying with the ONC rule. Those stories and a lot more on this week's CMIO News to Know. And as usual, I ran out of time so I will cover some other great pieces of news to know again next week.

Interview with Dr. Everett Weiss Jul 26, 2020

Show notes

Everett has an interesting journey as a former CMIO and previous employee at Allscripts. We discuss the importance of showing value to your health system and get very tactical. We provide real life examples of where we focus to generate a positive ROI for the programs we participate in.

CMIO News to Know for the Week of July 20th Jul 20, 2020

Show notes

This week I cover 6 articles, including what UC health is doing with huge data sets to help us all understand what is working and what is not with COVID treatments, a new bipartisan bill hit the House on Thursday that aims to keep telehealth alive and well into the future (bout time!), RWJBarnabas sent their IT staff home and saw productivity increase (perhaps we do not have to micro manage analysts after all), and an upcoming study that should help with patient matching - eventually. Those stories and more on this weeks CMIO News to Know.

Interview with Matt Mesnik Jul 17, 2020

Show notes

Special 100th episode anniversary for CMIO Podcast. I have Dr. Matt Mesnik on the show to talk about the collaboration we have between Spok and Peninsula Regional. Matt is their CMO and has a phenomenal background in healthcare IT and is an entrepreneur as well. Great story about how he got to where he is today. We discuss clinical communication and how CMIOs get involved with these projects. Everything from paging other doctors, critical response teams, to nurse call integration into your mobile phone system is all possible with today's technology. As the EMR APIs open up we will see more communication coming from our EMRs bringing the clinical data to the clinicians in real time.

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