CHIME 3

My rough notes from the CHIME CIO Forum

CHIME CIO Forum concluded today with a great closing speaker.

John Izzo, PhD – Leading with Spirit in Turbulent Times. www.theizzogroup,com

• CIOs must feel like a fire hydrant in a room full of dogs
• If we keep saying it is all about the patient then what we are saying to our employees is “it is not about you”
• We need to be relationship centered organizations“Great relationships can overcome poor processes but great process can never overcome poor relationships” Darren Entwistle, CEO Telus
• If the OR team is on a first name basis (they have true relationships) there is a 70% reduction in the possibility of a fatal event
• Never focus on the HOW without working the what and the why
• We cannot give what we do not have. What are we sacrificing? Why? We must take care of ourselves. Children are great mentors for the keeping of the soul.
• If you destroy yourself by working too much you will not be able to lead with spirit
• Remember the balance between caring and accountability
• Tough Love – Synovus Bank
• Centegra Health System – Mission Statement
• Toxic colleagues and physicians who are not helpful take away from a spirited environment
• The more connected a person is to the higher purpose of their work the more spirited they are about their job. What is your higher calling? Why are you doing it? Remember the contribution.

CHIME 2

David Nash, M.D., The Dr. Raymond C. and Doris N. Grandon Professor of Medicine, and Chairman, Department of Health Policy.
Personal (rough) notes from his presentation:

• Value driven health care and bundling. It is the key to the future.
• We get treatment right about half the time (based on recent research)
• To Err is Human will be 10 years old in September....unbelievable!
• What Doctors Hate About Hospitals
• What role does an information system play in improving care?
• Ten Commandments Crossing the Quality Chasm - There are new rules that we must play by - Don Berwick 2002
• If we don't allow our patients to truly own their clinical record we will never really improve
• Hospital report cards are very important for public awareness but how are we as an industry using them to communicate meaningful information to our patients (customers). What do we report? How do we report it? Is it meaningful?
• Culture at Work in Aviation and Medicine - Interesting Book Title
• Why Hospitals Should Fly - another book on crew resource management being used in hospitals. An ok read if you are already familiar with CRM, aviation and hospitals...
• Communication Communication Communication - how do we communicate effectively with the consumer of the future? Back to report cards and transparent data. How do we report and communicate with our customers in a meaningful way?
• Advice to new President. 1) make health reform the top domestic priority, 2) be a leader, not a partisan, set a broad agenda, 3). create a bare bones outline and leave the details to congress
• The Berwick Triple Aim. 1) Improve the individual experience of care, 2) improve the health of population, 3) reduce the per capita costs of care for population, 4) have to be series of trade offs...etc
• Will we give up some professional autonomy to improve care of the population?

Very interesting programs at Jefferson School of Population Health

CHIME 1

I am attending the CHIME CIO Forum this morning at McCormick Convention Center in Chicago. Robert Kolodner, M.D., National Coordinator for Health Information Technology, was a last minute add-on speaker for the CIO Forum. He provided generic opening comments and promoted the town hall meeting this afternoon. He was very gracious to his replacement, David Blumenthal, coming in a couple of weeks. Dr. Kolodner was given the CHIME Distinguished Service to the Healthcare Industry IT Award. He believes that we are at the tipping point in healthcare IT and that we will see true movement. There is no stopping it now.

Scientists are Working on Mapping the Brain. Gene by Gene

(As a CIO one of the most amazing things in this article is the fact they are creating 1 terabyte of data everyday.)
Excerpt:

In March 2002, Paul Allen—cofounder of Microsoft and 41st-richest person in the
world—brought together a dozen neuroscientists for a three-day meeting aboard his 300-foot
yacht, Tatoosh, which was anchored in Nassau, Bahamas. At the time, Allen's philanthropic
work consisted of an eclectic (some say frivolous) set of endeavors. There was the
Experience Music Project in Seattle, a rock-and-roll museum designed by Frank Gehry; the
Allen Telescope Array, 350 radio telescopes dedicated to deep-space observation and the
search for extraterrestrial life; and SpaceShipOne, the first privately funded plane
developed to put a human in space. But Allen was eager to start something new: a project
involving neuroscience. He was excited by the sheer uncharted mystery of the mind—one of the
last, great scientific frontiers—hoping a single large-scale endeavor could transform the
field.
"I first got interested in the brain through computers," Allen says. "There's a long history
of artificial intelligence programs that try to mimic what the brain is doing, but they've
all fallen short. Here's this incredible computer, a really astonishing piece of
engineering, and we have no idea how it works."

Photo: David Clugston
WIRED MAGAZINE: 17.04
Med-Tech : Health

Scientists Map the Brain, Gene by Gene

By Jonah Lehrer 03.28.09

Preparing a fresh specimen for analysis.

The Visible Human Project at NLM

The Visible Human Project® is an outgrowth of the NLM's 1986 Long-Range Plan. It is the
creation of complete, anatomically detailed, three-dimensional representations of the normal
male and female human bodies. Acquisition of transverse CT, MR and cryosection images of
representative male and female cadavers has been completed. The male was sectioned at one
millimeter intervals, the female at one-third of a millimeter intervals. The long-term goal of the Visible Human Project® is to produce a system of knowledge
structures that will transparently link visual knowledge forms to symbolic knowledge formats
such as the names of body parts.

The Visible Human Project Gallery

CT trip through the human body from head to toe - MPEG Video

Introverted?

I spend a lot of time trying to learn more about who I am as a person and a leader. Discovering more about myself allows me to understand why I lead the way I do and why I react the way I do in different situations. I am a sucker for the Myers Brigg Type Indicator Test or the Emotional IQ test or the DISC assessment or other personality assessments that may pop up.

I just finished reading Introvert Power by Laurie Helgoe, PhD. This is a very good book that explores the Introvert's role in society and how we interact with extroverts and the general societal obligations surrounding us. The author does an excellent job of clarifying research about Introverts over the last 50+ years. I also found the information on rearing introverted children very good. Overall, I highly recommend this book.

We are in a Recession. Cut the IT Budget!

Hang on, not so fast.
Trustee Magazine (Published by Health Forum Inc., http://www.healthforum.com/) has a good article in the March 2009 issue that advises how Trustees should look at information technology expenditures in the current economic environment.

The Information Technology and Innovation Foundation, a Washington D.C. based think-tank, recommends continued investment in information technology to help revive the economy and improve productivity. Continued investment will also create more jobs and lay a solid foundation for electronic health record improvements.

Electronic health records will continue to receive an enormous amount of attention in the next 5 years as the stimulus dollars come online for physicians and hospitals. We are getting closer to a tipping point in health care information technology and when that point is reached adoption will move so fast that vendors will not be able to keep up.

Our HIT world has changed dramatically in the last three years. Who could have imagined three years ago that Wal Mart, through Sam's Club, and eClinicalWorks would partner to sell physician office EMRs on Dell hardware. The market is changing under our feet faster than hospitals and strategies can adapt.
Hospitals cannot afford to cut information technology budgets. New technology used appropriately and implemented wisely is part of the solution that will help hospitals operate more effectively and efficiently.