CMIO Podcast

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

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News stories this week touch on a variety of things Epic is up to. The letter from Judy to health system CEOs made the news and if you weren't aware, Judy doesn't like the proposed interoperability rules. Also in the news is coronavirus and CMIOs should be looking to review their travel screening questions in their EMR. We also touch on some financial stories out of BeckerHospitalReview. Those stories and more on this week's CMIO News to Know.

What a CMIO Needs to Know about 5G with Dr. John Lee Jan 23, 2020

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The extent of my 5G knowledge previously was from the T-mobile commercials that would play during the long booth reviews during a NFL game. But thanks to John, we can now all learn the pros and cons of this new technology and the impact it may have on the future of healthcare. Dr. John Lee is a CMIO and attended a 5G conference put on by CHIME. Sounds like it was a great learning experience.

CMIO News to Know for the Week of Jan 20th Jan 21, 2020

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This week I review the 5 year strategic plan presented by the ONC, and the lobbying fight that is ensuing. The mud slinging is far more entertaining than the strategic plan. We have Silicon Valley on one side and the EHR vendors on the other. Be sure to put your comments on the ONC site if you want to jump in. Cigna and MDLive to start virtual primary care; this is a big deal. Most virtual care is episodic urgent care type activities today, but that will change when the payment model changes. This appears to signal that shift is coming. The article that I found to be the most important of the week is Cerner's data published in Annals of Internal Medicine. They revealed the amount of time a provider is spending in the EMR per visit and provides us with a treasure trove of bench-marking opportunities.

Leadership Development with Dr. Mark Edney Jan 18, 2020

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Mark is a practicing urologist and medical staff leader and a student of leadership development. He got hooked on leadership theories while pursing his MBA and now helps develops others seeking to grow into leadership roles. In this episode, we discuss emotional intelligence, conflict management, and taking the time to build your social capital. All critical skills for CMIOs.

CMIO News to Know for the Week of Jan 13th Jan 14, 2020

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This week I cover a few stories about performance in pop health, including the announcement about the NextGen ACOs not creating enough savings for CMS in 2016 and 2017. I also cover Cleveland Clinics announcement of its first Chief Research Information Officer, which I think is a pretty cool title if you are an academic physician. I end with some brief coverage about an editorial that suggests transcription is better than voice recognition; personally, I disagree but I am always open to feedback. One of the articles I cover in this week's news is about the under-utilization of our analytic tools and that really is criminal. If you didn't catch last week's episode with John Wadsworth from Health Catalyst, it is definitely worth it and talks about how to get value out of these analytic tools.

Achieving Clinical and Operational Excellence Through the Use of Data Jan 11, 2020

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John Wadsworth, from Health Catalyst, has been instrumental in helping organizations improve clinical and operational challenges for decades. He highlights the 5 keys skills informaticists need to drive change with data: 1) Data Query skills 2) Understand Data Movement 3) Understand Data Modeling 4) Ability to Perform Data Analysis and 5) Data Visualization skills. Put those skills on top of a foundation of a solid understanding of how your organization makes money and change management skills and you have all the key ingredients to leading your organization to improve.

CMIO News to Know for the Week of Jan 6th Jan 06, 2020

Show notes

Starting the year off with some important topics. Seeing some early adoption of AI and I believe we will see AI become more mainstream. These tools are commercially available and having an impact on care; I cover 3 AI related stories. I also cover the NEJM article about the first blood clot treated in space. Now that's telehealth! Minnesota is cracking down on docs that over-prescribe narcotics; as if docs didn't have enough to worry about. I also cover the NY Times editorial about the need for docs and nurses to band together to fight the evil EHR. Finally, another NEJM article about the lack of benefit from hospital mergers. My 2 cents on this is that integration, especially health IT integration, is really hard and we need a lot more time to see if quality will improve.

Interview with Trisha Swift Jan 03, 2020

Show notes

Trisha is an amazing informaticist who is now applying her clinical skills outside of the traditional hospital setting. Ever wonder what it is like to survive as an informaticist in a software company? Hear Trisha's insights on what it is like and how to excel. My favorite quote from the episode: " Social capital is a currency you can spend anywhere". Love that line from Trisha.

EMR Implementation Strategies with Dr. Eric Lee Part 3 Dec 26, 2019

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The final part in the series on EMR Implementation with Dr. Eric Lee. This episode focuses on training, the go-live day, and optimization. Great practical advice for those preparing for a go-live.

CMIO News to Know for the Week of Dec 23rd Dec 23, 2019

Show notes

This week I cover the ONC data revealing safety issues in our EHRs, the limited data in the literature about how we should train medical students and residents in the use of the EHR, a study about reducing ICU delirium through the use of certain workflows and building these into Epic, and racial disparities in pain management uncovered in EHR data. Enjoy your holidays!

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