1 00:00:00,275 --> 00:00:02,875 - Phillips is focused on innovation to improve the health 2 00:00:02,975 --> 00:00:05,155 and wellbeing of people, our devices 3 00:00:05,295 --> 00:00:08,515 and device agnostic informatics solutions can scale across 4 00:00:08,515 --> 00:00:11,755 your enterprise to help care teams diagnose, treat 5 00:00:11,935 --> 00:00:14,435 and manage patients with accuracy, speed, 6 00:00:14,615 --> 00:00:17,555 and confidence by connecting the digital patient's story. 7 00:00:17,725 --> 00:00:20,115 Physicians and clinicians have intelligence 8 00:00:20,135 --> 00:00:23,355 for decision making in the moment and insight to see beyond. 9 00:00:23,665 --> 00:00:25,835 It's our privilege to partner with you, to care 10 00:00:25,855 --> 00:00:28,435 for the carers, and to improve the lives of the people 11 00:00:28,575 --> 00:00:29,875 and patients they serve. 12 00:00:30,835 --> 00:00:32,675 Phillips Innovation. And you. 13 00:00:33,665 --> 00:00:36,555 - This is Kate Cruz recording at the eighth annual Becker's, 14 00:00:36,715 --> 00:00:39,835 HIT Digital Health and RCM conference in Chicago. 15 00:00:40,695 --> 00:00:42,155 I'm here with Lisa Stevenson. 16 00:00:42,225 --> 00:00:43,315 Lisa, to get us started, 17 00:00:43,495 --> 00:00:44,875 can you tell us a bit about yourself 18 00:00:44,935 --> 00:00:46,315 and your role at your organization? 19 00:00:46,905 --> 00:00:50,875 - Yeah, sure. Um, so I've been a nurse for over 20 years, 20 00:00:51,375 --> 00:00:54,115 and the last 10 has been in, uh, informatics 21 00:00:54,695 --> 00:00:58,555 and currently, um, I have a role at Houston Methodist, 22 00:00:58,895 --> 00:01:00,675 um, as the CNIO. 23 00:01:00,735 --> 00:01:03,195 I'm actually the first CNIO, um, for the organization. 24 00:01:03,195 --> 00:01:04,475 So it's been an exciting opportunity. 25 00:01:05,025 --> 00:01:07,355 - What have been, um, being the first person 26 00:01:07,375 --> 00:01:08,755 to have that title? 27 00:01:09,385 --> 00:01:12,835 What are some unique opportunities that you've had? 28 00:01:14,145 --> 00:01:18,195 - Yeah, so really, um, engaging with operational leaders, 29 00:01:18,535 --> 00:01:20,755 um, and our clinical partners on 30 00:01:21,175 --> 00:01:24,195 how informatics can really assist, um, especially 31 00:01:24,195 --> 00:01:25,915 with digital, digital innovation, right? 32 00:01:25,915 --> 00:01:28,995 Really making sure that the technology we're implementing, 33 00:01:29,095 --> 00:01:30,835 uh, is within the workflow of the clinician 34 00:01:30,855 --> 00:01:32,635 and is solving the problem we're trying to solve. 35 00:01:33,835 --> 00:01:35,075 - Absolutely. When you think 36 00:01:35,075 --> 00:01:37,395 of digital innovation in healthcare right now, 37 00:01:37,665 --> 00:01:39,155 there's a lot of AI talk. 38 00:01:39,615 --> 00:01:43,075 Um, is there something specific about AI that excites you 39 00:01:43,075 --> 00:01:45,035 or is there something else that you're excited about 40 00:01:45,215 --> 00:01:46,565 in digital 41 00:01:46,595 --> 00:01:47,595 - Talk? 42 00:01:47,595 --> 00:01:49,205 Um, AI really is, um, one 43 00:01:49,205 --> 00:01:50,805 of the most exciting pieces for sure. 44 00:01:51,325 --> 00:01:54,565 I think it's just got a lot of future potential, um, 45 00:01:55,745 --> 00:01:58,205 and really for healthcare 46 00:01:58,345 --> 00:02:01,365 and in my perspective as a nurse, the ability 47 00:02:01,425 --> 00:02:03,365 to automate really some simple tasks 48 00:02:03,465 --> 00:02:07,285 and documentation pieces, um, summarize and create notes 49 00:02:07,385 --> 00:02:09,765 and things that can save time for the clinicians 50 00:02:09,765 --> 00:02:12,005 so they have more time at the bedside is, uh, 51 00:02:12,105 --> 00:02:14,885 really an exciting opportunity, I think. Absolutely. 52 00:02:15,385 --> 00:02:18,445 - Um, what are your top priorities for technology 53 00:02:18,545 --> 00:02:20,845 and what are the issues that you're trying to solve with it? 54 00:02:22,625 --> 00:02:26,045 - So, um, a lot of what we focused on has dealt with, um, 55 00:02:26,465 --> 00:02:28,405 you know, the nursing shortage 56 00:02:29,065 --> 00:02:31,325 and as it's grown, the pandemic, right? 57 00:02:31,385 --> 00:02:34,245 The, so virtual nursing really got put into high gear at 58 00:02:34,245 --> 00:02:36,645 Houston Methodist, um, during that pandemic. 59 00:02:36,985 --> 00:02:39,245 Um, we continue to spread that model, um, 60 00:02:39,425 --> 00:02:42,325 and grow that so that we are able to do admissions 61 00:02:42,325 --> 00:02:44,045 and discharge documentation for bedside nurses. 62 00:02:44,095 --> 00:02:46,885 Again, giving them more time, um, at the bedside. 63 00:02:48,305 --> 00:02:50,565 Um, and so we're continuing to find other ways 64 00:02:50,565 --> 00:02:51,805 to also automate tasks 65 00:02:52,505 --> 00:02:56,365 and, um, really put nursing, you know, focus their skills on 66 00:02:56,365 --> 00:02:58,525 that interaction with the patient so that they're not having 67 00:02:58,525 --> 00:03:00,090 to do those administrative type 68 00:03:00,090 --> 00:03:01,090 - Tests. 69 00:03:01,090 --> 00:03:02,325 Definitely, I'm sure that saves a lot of time. Yeah. 70 00:03:02,585 --> 00:03:05,205 Um, what is a piece of advice that you would give 71 00:03:05,205 --> 00:03:07,885 to healthcare leaders today regarding digital innovation? 72 00:03:09,545 --> 00:03:14,325 - Um, I think it's important to, uh, really make sure 73 00:03:14,325 --> 00:03:16,805 that you're not implementing technology just 74 00:03:16,805 --> 00:03:19,805 because it's, you know, for the sake of technology, uh, 75 00:03:19,805 --> 00:03:22,005 that you really consider, um, 76 00:03:22,105 --> 00:03:23,485 the problem you're trying to solve. 77 00:03:23,905 --> 00:03:27,005 You consider the workflow and the impact to the clinician. 78 00:03:27,025 --> 00:03:30,485 So really partnering with, uh, informatics can help, um, 79 00:03:30,485 --> 00:03:32,925 really develop a, a plan from the beginning, um, 80 00:03:32,925 --> 00:03:36,245 with this strategic kind of global view, um, understanding 81 00:03:36,345 --> 00:03:38,965 how the technology fits in with your existing architecture 82 00:03:39,025 --> 00:03:41,085 and how you can really make sure 83 00:03:41,195 --> 00:03:42,845 that all those pieces fit together 84 00:03:42,945 --> 00:03:45,765 and that the clinicians are properly prepared and trained 85 00:03:45,945 --> 00:03:49,125 and are using the tool, uh, to its, uh, optimal benefit. 86 00:03:49,905 --> 00:03:51,645 - So I'm gonna throw in a bit of a bonus question. 87 00:03:51,645 --> 00:03:53,005 With your background as a nurse 88 00:03:53,305 --> 00:03:56,965 and the nursing shortage, what are some big successes 89 00:03:56,965 --> 00:03:58,965 that you have seen in your work? 90 00:03:59,305 --> 00:04:03,485 Um, either, you know, recruiting nurses, um, 91 00:04:03,825 --> 00:04:05,645 taking jobs off their plate, 92 00:04:06,305 --> 00:04:08,245 and how has technology played a role in that? 93 00:04:09,705 --> 00:04:14,445 - Uh, so certainly with the, um, virtual nursing, um, 94 00:04:15,005 --> 00:04:16,645 platform that we have, it's really helped. 95 00:04:17,265 --> 00:04:19,285 Uh, it's, uh, it's twofold, right? 96 00:04:19,315 --> 00:04:20,565 It's, it's helped nurses 97 00:04:20,565 --> 00:04:22,365 that may have wanna leave the profession, 98 00:04:22,435 --> 00:04:24,525 have another opportunity to be able 99 00:04:24,525 --> 00:04:26,605 to do something different that's not as taxing, right? 100 00:04:26,605 --> 00:04:28,925 You're, you're sitting in a, um, at a computer 101 00:04:29,305 --> 00:04:31,765 and still interacting with patients using your skills, 102 00:04:31,945 --> 00:04:34,045 but in a very limited and controlled fashion. 103 00:04:34,665 --> 00:04:37,045 Um, so it's saving those nurses 104 00:04:37,105 --> 00:04:39,565 and then helping the nurses that are at the bedside have 105 00:04:39,565 --> 00:04:41,445 less work to do an admission assessment. 106 00:04:41,905 --> 00:04:44,045 Um, can usually take a bedside nurse 107 00:04:44,245 --> 00:04:45,365 anywhere from 30 to 40 minutes. 108 00:04:45,905 --> 00:04:47,205 Um, so that's a big chunk 109 00:04:47,205 --> 00:04:49,125 of their time away from patient care 110 00:04:49,195 --> 00:04:50,805 that we can now give back to them 111 00:04:50,805 --> 00:04:52,325 because the virtual nurse can do it. 112 00:04:52,325 --> 00:04:56,165 And by the virtual nurse specializing in the that format 113 00:04:56,345 --> 00:04:59,085 and having a focus there, they're able to get it down 114 00:04:59,085 --> 00:05:00,565 to like 15, 16 minutes. 115 00:05:00,785 --> 00:05:03,165 So it's been beneficial on both sides. Yeah. 116 00:05:03,165 --> 00:05:04,965 - That's awesome. Um, so you just 117 00:05:05,125 --> 00:05:07,525 provided a great example of how that's helping clinicians. 118 00:05:08,105 --> 00:05:11,165 Um, could you provide examples of specific instances 119 00:05:11,175 --> 00:05:13,885 where the integration of informatics solutions led 120 00:05:13,885 --> 00:05:15,245 to improve patient outcomes 121 00:05:15,385 --> 00:05:17,085 or patient provider communication? 122 00:05:18,675 --> 00:05:21,045 - Yeah, I, I would say virtual nursing, um, 123 00:05:21,305 --> 00:05:22,685 has helped with that as well. 124 00:05:23,025 --> 00:05:25,445 Um, but I, I would also say I've worked on, um, 125 00:05:25,445 --> 00:05:27,205 something else that's near 126 00:05:27,205 --> 00:05:29,325 and dear to me is the social determinants of health and, 127 00:05:29,325 --> 00:05:32,245 and health equity and, you know, we're implementing, um, 128 00:05:32,245 --> 00:05:35,965 thanks to CMS, uh, an inpatient screening tool, um, 129 00:05:36,105 --> 00:05:38,485 for patients to really make sure, um, 130 00:05:38,485 --> 00:05:40,205 that they're getting the resources they need 131 00:05:40,205 --> 00:05:43,085 and looking at them holistically, um, to ensure that their, 132 00:05:43,455 --> 00:05:45,125 their medical conditions improve 133 00:05:45,225 --> 00:05:48,325 and aren't hindered by some potential social determinants 134 00:05:48,325 --> 00:05:49,405 that are impacting their care. 135 00:05:50,065 --> 00:05:53,605 So, um, but not only focused on the inpatient piece. 136 00:05:53,625 --> 00:05:56,405 As a informaticist, I really worked with our ambulatory 137 00:05:56,425 --> 00:05:57,885 and our community benefits folks 138 00:05:57,905 --> 00:06:00,925 and really developed a program across the care continuum so 139 00:06:00,925 --> 00:06:05,365 that from a time a patient is seen, um, in a, uh, 140 00:06:05,365 --> 00:06:07,605 whether they're seen in a practice in a clinic 141 00:06:07,905 --> 00:06:09,165 or on the inpatient side, 142 00:06:09,625 --> 00:06:11,565 we have the same standardized domains 143 00:06:11,565 --> 00:06:12,885 and questions that we're asking 'em. 144 00:06:12,885 --> 00:06:15,085 The information is available to all clinicians across that 145 00:06:15,645 --> 00:06:18,645 spectrum to see what potential risk the patient has. 146 00:06:19,065 --> 00:06:21,765 Um, and then we're also taking a step forward in piloting 147 00:06:22,135 --> 00:06:25,165 electronic referrals to community organizations so 148 00:06:25,165 --> 00:06:27,765 that then they can also feed back information. 149 00:06:27,765 --> 00:06:30,565 So we have a complete circle of a patient, for example, 150 00:06:30,565 --> 00:06:33,085 that had food insecurity and was at risk there. 151 00:06:33,665 --> 00:06:35,685 Um, and now we've partnered them with a resource 152 00:06:35,705 --> 00:06:38,445 and we can see that they're getting what they need so 153 00:06:38,445 --> 00:06:39,445 that box is checked 154 00:06:39,585 --> 00:06:41,805 and we don't have to worry about that as a potential, 155 00:06:42,025 --> 00:06:43,125 uh, impact on their health. 156 00:06:43,235 --> 00:06:44,285 - Yeah, that's incredible. 157 00:06:44,285 --> 00:06:48,045 Thanks for, uh, explaining that five years from now, 158 00:06:48,045 --> 00:06:50,365 what do you think will be the most significant change in 159 00:06:50,365 --> 00:06:51,965 healthcare delivery and operations, 160 00:06:51,985 --> 00:06:53,645 and how should leaders prepare? 161 00:06:56,205 --> 00:06:57,565 - I think there's a lot of opportunities. 162 00:06:57,635 --> 00:06:59,365 It's a really exciting time in healthcare. 163 00:06:59,485 --> 00:07:01,805 I feel like we're finally catching up to everybody else. 164 00:07:02,385 --> 00:07:04,685 Um, but ai, uh, and, and, 165 00:07:04,685 --> 00:07:07,005 and automation I think is gonna be the biggest change. 166 00:07:07,095 --> 00:07:08,765 We'll see. There will be a lot of things 167 00:07:08,765 --> 00:07:10,565 that clinicians have to do now 168 00:07:10,565 --> 00:07:12,285 that they won't have to do in the future. 169 00:07:12,905 --> 00:07:15,565 Um, but we need to be preparing them now for that 170 00:07:15,825 --> 00:07:18,325 and really understanding as kind of strategic goal 171 00:07:18,325 --> 00:07:21,765 and how we move forward and retraining our staff 172 00:07:22,265 --> 00:07:25,325 to do the task at the highest kind of level of their license 173 00:07:25,505 --> 00:07:28,845 and, and that are more patient centered task instead 174 00:07:28,845 --> 00:07:29,885 of those administrative 175 00:07:30,065 --> 00:07:32,965 or, um, basic things that we can automate. 176 00:07:33,185 --> 00:07:36,365 Uh, so it'll be kind of preparing them to use the tools 177 00:07:36,505 --> 00:07:37,645 and understanding how their, 178 00:07:37,855 --> 00:07:40,725 their role is is changed as well. Definitely. 179 00:07:41,465 --> 00:07:45,005 - In your work on that kind of already, um, 180 00:07:45,075 --> 00:07:48,245 what are some big challenges that you've seen come up? 181 00:07:50,545 --> 00:07:53,485 - So with any, just like anything, 182 00:07:53,505 --> 00:07:56,485 and I think, um, you know, technology, we all know, right? 183 00:07:56,485 --> 00:07:58,285 We get excited, we get this shiny new thing, 184 00:07:58,285 --> 00:08:00,965 this new iPhone, and then it doesn't work as easily 185 00:08:01,065 --> 00:08:03,245 as you thought or you need help, you're stuck. 186 00:08:03,515 --> 00:08:06,245 Like clinicians are double time on that, right? 187 00:08:06,555 --> 00:08:08,645 It's not just something they're doing for fun, 188 00:08:08,645 --> 00:08:10,125 they're taking, trying to take care of a patient 189 00:08:10,185 --> 00:08:11,725 and if that technology's not working 190 00:08:11,785 --> 00:08:13,525 or they're not understanding how to use it, 191 00:08:13,915 --> 00:08:17,725 it's a big barrier to adoption and the success of the tool. 192 00:08:17,865 --> 00:08:21,045 So, um, really not only having, uh, 193 00:08:21,185 --> 00:08:23,605 the staff understand the why behind the technology, how 194 00:08:23,605 --> 00:08:27,605 to use it, but having support prepared, um, kind 195 00:08:27,605 --> 00:08:29,525 of a plan B in place as well. 196 00:08:29,745 --> 00:08:31,725 Um, so sometimes some things that we try, 197 00:08:31,925 --> 00:08:33,245 'cause we're willing to innovate 198 00:08:33,305 --> 00:08:36,125 and try, um, new technology, new solutions, 199 00:08:36,185 --> 00:08:37,685 and if it doesn't work 200 00:08:37,985 --> 00:08:39,205 or needs a backup plan, 201 00:08:39,205 --> 00:08:40,445 you gotta have a failover plan, right? 202 00:08:40,445 --> 00:08:43,285 Because you can't, the patient care can't stop. Yeah. 203 00:08:43,425 --> 00:08:46,925 Um, and you wanna be as, as minimal minimally disruptive 204 00:08:46,925 --> 00:08:48,245 to the clinician workflow as 205 00:08:48,405 --> 00:08:49,405 - Possible. 206 00:08:49,405 --> 00:08:51,565 Definitely. I really like that idea of like the plan B. 207 00:08:51,675 --> 00:08:52,845 Yeah. Especially with all the 208 00:08:52,845 --> 00:08:54,845 technology, like you said, you need it. 209 00:08:55,195 --> 00:08:57,205 Well Lisa, I've really enjoyed our time talking today. 210 00:08:57,205 --> 00:08:59,125 Is there anything else you want our listeners to know? 211 00:09:01,105 --> 00:09:05,925 - Um, I think that really, uh, taking advantage 212 00:09:06,105 --> 00:09:08,645 of, uh, venues like this, you know, at Becker's 213 00:09:08,665 --> 00:09:11,525 or other conferences and really sharing, um, 214 00:09:12,235 --> 00:09:14,525 with other healthcare organizations, what you're doing. 215 00:09:14,525 --> 00:09:16,485 People are doing great things out there. 216 00:09:16,625 --> 00:09:18,165 And to be able to learn from others 217 00:09:18,625 --> 00:09:20,805 and not always reinvent the wheel, uh, 218 00:09:20,885 --> 00:09:22,045 I think is a big takeaway. 219 00:09:22,195 --> 00:09:23,845 - Awesome. Well, Lisa, thank you so much. 220 00:09:23,875 --> 00:09:24,885 It's been a pleasure talking 221 00:09:24,885 --> 00:09:26,085 to you and I appreciate our time. 222 00:09:26,195 --> 00:09:27,565 - Sure. Thank you. 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