1 00:00:00,275 --> 00:00:02,875 - Phillips is focused on innovation to improve the health 2 00:00:02,975 --> 00:00:04,195 and wellbeing of people. 3 00:00:04,535 --> 00:00:07,875 Our devices and device agnostic informatics solutions can 4 00:00:07,875 --> 00:00:11,035 scale across your enterprise to help care teams diagnose, 5 00:00:11,405 --> 00:00:14,435 treat 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 00:00:33,605 --> 00:00:35,995 - Hello, this is Kate Cruz recording live at the eighth 14 00:00:35,995 --> 00:00:37,475 Annual Becker's, HIT 15 00:00:37,675 --> 00:00:39,715 and digital health conference in Chicago. 16 00:00:40,395 --> 00:00:42,355 I am here with Daniel Barce. 17 00:00:42,775 --> 00:00:44,595 Um, Daniel, to get us started, 18 00:00:44,695 --> 00:00:45,955 can you share a bit about yourself 19 00:00:45,955 --> 00:00:47,755 and your role at your organization? Sure. 20 00:00:47,755 --> 00:00:49,235 - Kate, I'm Daniel Barce, 21 00:00:49,235 --> 00:00:51,595 I'm the Chief Information Officer for Common Spirit. 22 00:00:52,405 --> 00:00:56,635 We're a $35 billion health system in 24 states 23 00:00:56,735 --> 00:00:58,315 across the United States. 24 00:00:58,975 --> 00:01:02,755 We have about 140 hospitals and about 2000 physician 25 00:01:02,855 --> 00:01:04,035 and nurse care sites. 26 00:01:04,095 --> 00:01:06,515 And so we're serving a large portion 27 00:01:06,695 --> 00:01:08,195 of the United States population 28 00:01:08,695 --> 00:01:10,835 and we're really focused on our Catholic mission 29 00:01:11,095 --> 00:01:13,555 and serving all of our patients equitably. 30 00:01:14,225 --> 00:01:15,595 - Well, thank you for sharing. That's awesome. 31 00:01:16,185 --> 00:01:18,675 When you think of digital innovation in healthcare right 32 00:01:18,675 --> 00:01:20,395 now, what excites you the most and why? 33 00:01:21,155 --> 00:01:23,595 - I think the thing that excites me most is the way we can 34 00:01:23,595 --> 00:01:25,675 use data to improve the care we deliver. 35 00:01:26,315 --> 00:01:28,755 Healthcare's accelerated in so much in the past couple 36 00:01:28,755 --> 00:01:30,955 of years and it was a point care solution 37 00:01:31,135 --> 00:01:32,875 as recently as 10 years ago. 38 00:01:33,095 --> 00:01:35,915 And now the kind of data we can provide our physicians 39 00:01:35,935 --> 00:01:40,475 and our other caregivers is so extensive that it allows 'em 40 00:01:40,475 --> 00:01:42,915 to make choices that they just weren't able to before. 41 00:01:43,415 --> 00:01:46,515 And if I think about a patient in a remote area 42 00:01:46,695 --> 00:01:48,155 of the country, he 43 00:01:48,155 --> 00:01:49,155 or she didn't have access 44 00:01:49,215 --> 00:01:53,075 to world-class academic medicine and now they do. 45 00:01:53,295 --> 00:01:56,595 Uh, we can pervade the same type of care no matter 46 00:01:56,595 --> 00:01:59,555 where a patient goes with the same type of care team, 47 00:01:59,555 --> 00:02:01,075 with the same type of insights. 48 00:02:01,455 --> 00:02:02,875 And we can provide our physicians 49 00:02:02,875 --> 00:02:04,155 with cutting edge technology 50 00:02:04,155 --> 00:02:05,675 and insights that they just didn't even 51 00:02:05,675 --> 00:02:07,755 have a couple of years ago. Yeah, that's 52 00:02:07,755 --> 00:02:08,755 - Huge. 53 00:02:08,755 --> 00:02:10,555 Thank you. At your organization, 54 00:02:10,705 --> 00:02:12,795 what are your top priorities for technology? 55 00:02:12,905 --> 00:02:14,715 What are big issues that you're trying to solve? 56 00:02:15,595 --> 00:02:16,835 - I think it's important to recognize 57 00:02:16,835 --> 00:02:18,395 that more technology is not better. 58 00:02:19,015 --> 00:02:22,235 So we're not looking for more technology at every turn. 59 00:02:22,745 --> 00:02:24,195 What we're trying to see is 60 00:02:24,265 --> 00:02:27,475 what are the best tools we can provide our caregivers so 61 00:02:27,475 --> 00:02:30,315 that they're able to best serve the needs of our patients. 62 00:02:31,135 --> 00:02:33,075 And so that might mean better data, 63 00:02:33,335 --> 00:02:36,155 it might be better integration of the tools that we have. 64 00:02:36,415 --> 00:02:39,035 It might be simplifying the tools that we have, 65 00:02:39,335 --> 00:02:41,635 better optimizing them for what they need. 66 00:02:42,245 --> 00:02:44,115 We've got many, many different instances 67 00:02:44,175 --> 00:02:45,315 of electronic health records. 68 00:02:45,495 --> 00:02:48,675 That's not a good thing. I wish we just had two or three 69 00:02:48,815 --> 00:02:51,395 and so that our physicians could count on one tool. 70 00:02:51,735 --> 00:02:53,955 And so my team is focused on optimizing them. 71 00:02:54,565 --> 00:02:57,795 We've got more than 4,300 different applications. 72 00:02:58,145 --> 00:03:00,005 It's not a good thing. You should have 73 00:03:00,005 --> 00:03:01,205 fewer than a thousand. 74 00:03:01,385 --> 00:03:03,965 And so in many cases, my role 75 00:03:04,065 --> 00:03:07,285 as a technology leader is not about searching out new 76 00:03:07,285 --> 00:03:09,965 technology, it's optimizing what we have. 77 00:03:09,985 --> 00:03:12,165 And I think that's where our teams focus for the next couple 78 00:03:12,165 --> 00:03:14,645 of years, especially as resources are constrained 79 00:03:14,645 --> 00:03:16,085 and we need to focus our capital 80 00:03:16,825 --> 00:03:19,445 on other areas, not just technology. Yeah, 81 00:03:19,845 --> 00:03:20,845 - Interesting perspective. 82 00:03:20,845 --> 00:03:22,845 Thanks for sharing. What is one piece 83 00:03:22,845 --> 00:03:25,005 of advice you would give to healthcare leaders today 84 00:03:25,005 --> 00:03:26,405 regarding digital innovation? 85 00:03:27,725 --> 00:03:29,965 - I think we need to look for the best in digital innovation 86 00:03:30,305 --> 00:03:32,605 and yet not focus on the bright shiny objects. 87 00:03:32,745 --> 00:03:34,085 And so that's easy to say, 88 00:03:34,425 --> 00:03:36,485 but the things that are exciting 89 00:03:36,545 --> 00:03:38,165 to read about in New York Times 90 00:03:38,185 --> 00:03:41,605 or the Wall Street Journal are not critical to the physician 91 00:03:41,605 --> 00:03:43,885 or the nurse at 3:00 AM They're looking 92 00:03:43,905 --> 00:03:45,485 for a core system that works well. 93 00:03:45,485 --> 00:03:47,525 They're looking at keeping their patients in the 94 00:03:47,645 --> 00:03:49,045 ICU in a stable condition. 95 00:03:49,585 --> 00:03:50,885 Our surgeons want data 96 00:03:51,065 --> 00:03:53,685 and the ability to see images as they're doing a case. 97 00:03:53,785 --> 00:03:57,005 Our radiologists want easy access to the PAC system. 98 00:03:57,495 --> 00:03:58,725 These things are fundamental 99 00:03:58,865 --> 00:04:00,325 and in many ways when we get 100 00:04:00,385 --> 00:04:04,205 so focused on cutting edge tools, we get away from 101 00:04:04,205 --> 00:04:05,365 that core infrastructure. 102 00:04:06,025 --> 00:04:08,685 My team and I have created something we call the Maslow's 103 00:04:08,685 --> 00:04:10,085 Hierarchy of Healthcare Technology. 104 00:04:10,625 --> 00:04:11,845 So at the very tip 105 00:04:11,845 --> 00:04:15,525 of the pyramid are things like advanced care and AI 106 00:04:15,585 --> 00:04:17,765 and integrated care, but at the bottom 107 00:04:17,765 --> 00:04:19,805 of the pyramid is core technology. 108 00:04:19,905 --> 00:04:22,925 And right above that is infrastructure. 109 00:04:23,025 --> 00:04:25,285 And right above that is information security. 110 00:04:25,385 --> 00:04:27,725 And then you get to the EHRs, then you get to the ERP 111 00:04:27,725 --> 00:04:29,205 as you keep working up the stack, 112 00:04:30,205 --> 00:04:31,565 customer experiences near the top. 113 00:04:31,785 --> 00:04:33,885 And then AI is the very tip. 114 00:04:34,025 --> 00:04:37,205 But unless you get those basic fundamentals done, 115 00:04:37,875 --> 00:04:39,885 then you really can't do the advanced technology. 116 00:04:39,945 --> 00:04:42,245 And it's our role in the healthcare space 117 00:04:42,825 --> 00:04:44,805 to be thinking about all of these at the same time. 118 00:04:45,225 --> 00:04:48,285 - Of course, of course. Could you provide examples 119 00:04:48,285 --> 00:04:50,645 of specific instances where the integration 120 00:04:50,645 --> 00:04:53,845 of informatic solutions led to improved patient outcomes 121 00:04:53,945 --> 00:04:56,005 or enhanced patient provider communication? 122 00:04:57,115 --> 00:04:58,565 - Sure. I'll think about two. 123 00:04:59,065 --> 00:05:01,325 One is a purely AI based tool 124 00:05:01,345 --> 00:05:03,765 and I heard from some of our cardiologists on the west coast 125 00:05:03,825 --> 00:05:07,725 who are thrilled with the way we're using AI in our imaging 126 00:05:07,825 --> 00:05:11,045 to give them better models for the procedures they're doing 127 00:05:11,145 --> 00:05:12,645 and for the care they need to deliver. 128 00:05:13,385 --> 00:05:15,325 It was something that we took 129 00:05:15,345 --> 00:05:17,205 as an embedded tool within a core 130 00:05:17,205 --> 00:05:18,765 infrastructure tool that we rolled out. 131 00:05:18,785 --> 00:05:21,045 It was not a unique standalone tool, 132 00:05:21,425 --> 00:05:23,085 but we're at the point where these kind 133 00:05:23,085 --> 00:05:25,325 of integrated solutions are just rolling out. 134 00:05:25,655 --> 00:05:28,405 Physicians are finding them and fully embracing them. 135 00:05:28,505 --> 00:05:29,525 And the idea 136 00:05:29,525 --> 00:05:31,925 that we are advancing the care in that way is exciting. 137 00:05:32,355 --> 00:05:34,365 Another AI based thing, 138 00:05:34,845 --> 00:05:39,325 although it's kind of fundamental to what anybody is doing, 139 00:05:39,785 --> 00:05:41,805 is the way we're using sepsis prediction tools. 140 00:05:41,945 --> 00:05:43,925 And so everybody's been focusing on this for 141 00:05:45,115 --> 00:05:47,805 past several years and it was a lot of if then statements 142 00:05:47,825 --> 00:05:49,845 and looking for basic indicators 143 00:05:49,875 --> 00:05:51,085 from a patient's point of view. 144 00:05:51,705 --> 00:05:54,605 At Common Spirit. We've been using an AI-based sepsis 145 00:05:54,605 --> 00:05:56,165 prediction tool since 2017, 146 00:05:56,385 --> 00:05:58,205 and our clinical informatics team thinks 147 00:05:58,205 --> 00:06:00,645 that we've probably saved more than 2000 lives using it. 148 00:06:01,075 --> 00:06:02,965 It's not something that we talk about every day. 149 00:06:03,555 --> 00:06:06,765 It's core, it's ai, but it's not that exciting. 150 00:06:06,865 --> 00:06:09,005 And yet it's the kind of thing that changes lives. 151 00:06:09,585 --> 00:06:11,645 And then if I think about a consumer facing tool, 152 00:06:11,935 --> 00:06:13,805 we're working with a company called Vital. 153 00:06:13,945 --> 00:06:16,125 And in some of our southwestern hospitals, 154 00:06:16,415 --> 00:06:17,565 we've rolled out a tool. 155 00:06:17,665 --> 00:06:19,925 So if you're waiting in the emergency department, 156 00:06:20,425 --> 00:06:23,925 we give access through a mobile phone application to know 157 00:06:23,985 --> 00:06:25,325 how long a patient's gonna have 158 00:06:25,325 --> 00:06:27,045 to wait while they're in the waiting room. 159 00:06:27,045 --> 00:06:28,365 They can tell us if they're hungry 160 00:06:28,465 --> 00:06:30,165 or they're tired if they're not feeling well. 161 00:06:30,665 --> 00:06:33,885 Uh, and also once they're back in our emergency department, 162 00:06:33,885 --> 00:06:36,445 we let them know the current state of their care. 163 00:06:36,865 --> 00:06:38,885 If labs have been drawn, how long's it gonna be 164 00:06:38,885 --> 00:06:40,165 before they get the results, how 165 00:06:40,165 --> 00:06:41,205 long before they'll go home. 166 00:06:41,625 --> 00:06:44,565 And that we also allow them to communicate with their, uh, 167 00:06:44,565 --> 00:06:47,125 family members who are not there through the same tool. 168 00:06:47,225 --> 00:06:50,125 So basic AI tool, um, not 169 00:06:50,125 --> 00:06:52,645 that much cutting edge technology based in it, 170 00:06:52,665 --> 00:06:55,205 but by tying all those pieces together, it makes 171 00:06:55,205 --> 00:06:56,565 for a better consumer experience. 172 00:06:56,775 --> 00:06:58,285 - Those are really great examples. 173 00:06:58,915 --> 00:07:00,005 Five years from now, 174 00:07:00,005 --> 00:07:02,565 what do you think will be the most significant change in 175 00:07:02,565 --> 00:07:04,165 healthcare delivery and operations 176 00:07:04,225 --> 00:07:05,725 and how should leaders prepare? 177 00:07:06,445 --> 00:07:07,845 - I think we're gonna be surprised at 178 00:07:07,945 --> 00:07:09,925 how little has changed in five years 179 00:07:10,825 --> 00:07:12,885 and at the same time how much has changed. 180 00:07:13,225 --> 00:07:14,565 And so I think 181 00:07:14,565 --> 00:07:17,205 that reimbursement is gonna be much the way it is today. 182 00:07:17,255 --> 00:07:18,885 We're gonna be focused on coding 183 00:07:18,905 --> 00:07:20,245 and documenting appropriately. 184 00:07:20,695 --> 00:07:23,205 Healthcare executives are gonna be focused on patient 185 00:07:23,205 --> 00:07:24,565 throughput, length of stay, 186 00:07:25,345 --> 00:07:29,005 and a lot of the infrastructure of 187 00:07:29,145 --> 00:07:31,205 how we run healthcare will not have changed. 188 00:07:31,665 --> 00:07:33,765 And yet the tools we bring to the table will, 189 00:07:34,625 --> 00:07:38,645 if I think about things like ai, um, you know, 190 00:07:38,685 --> 00:07:41,045 I think there was a great Harvard Business Review quote 191 00:07:41,045 --> 00:07:44,085 that said AI is not gonna replace leaders, 192 00:07:44,585 --> 00:07:47,605 but leaders who use AI will replace leaders 193 00:07:47,705 --> 00:07:49,325 who do not use ai. 194 00:07:49,385 --> 00:07:53,045 And so we're all gonna have to become very facile 195 00:07:53,045 --> 00:07:57,605 with using tools like AI to drive the way we use change care 196 00:07:58,025 --> 00:07:59,125 and if these kind of things 197 00:07:59,125 --> 00:08:00,845 that are gonna change in the next couple of years. 198 00:08:01,455 --> 00:08:03,285 - Definitely. Well, thank you so much 199 00:08:03,285 --> 00:08:04,565 for spending some time with me today. 200 00:08:04,585 --> 00:08:06,805 Is there anything else our listeners should know? 201 00:08:07,885 --> 00:08:09,885 - I think the most important thing to know is 202 00:08:09,915 --> 00:08:12,125 that our health systems in the United States 203 00:08:12,905 --> 00:08:16,885 are working hard to keep up with the expectations for care 204 00:08:17,785 --> 00:08:20,045 and the quality of the care continues to deliver. 205 00:08:20,465 --> 00:08:22,525 And yet the challenges of reimbursement 206 00:08:22,825 --> 00:08:26,845 and investing in our infrastructure to keep up with all 207 00:08:26,845 --> 00:08:27,965 of the ways that we need to care 208 00:08:27,985 --> 00:08:29,725 for our patients is challenging. 209 00:08:30,025 --> 00:08:32,245 And I'm proud of what we do at Common Spirit. 210 00:08:32,425 --> 00:08:34,405 I'm proud of the healthcare system in the entire 211 00:08:34,405 --> 00:08:36,965 United States, and I'm really proud of the way 212 00:08:36,965 --> 00:08:38,525 that technology is coming to bear 213 00:08:38,545 --> 00:08:40,045 to improve the lives of our patients. 214 00:08:40,425 --> 00:08:41,445 - That's a great way to end this. 215 00:08:41,485 --> 00:08:43,365 I really appreciate your time, Daniel. Thanks again. 216 00:08:43,695 --> 00:08:48,125 - Thank you, Kate. - It's so important 217 00:08:48,125 --> 00:08:50,685 for leaders at the top of organizations to keep learning, 218 00:08:50,835 --> 00:08:52,525 stay sharp, grow their networks 219 00:08:52,825 --> 00:08:55,405 to help our audience better do this in a more simplified, 220 00:08:55,405 --> 00:08:57,085 personalized, and meaningful way. 221 00:08:57,645 --> 00:09:00,125 Becker's Healthcare has launched my BHC, 222 00:09:00,595 --> 00:09:02,605 it's your trusted Becker's healthcare experience 223 00:09:02,605 --> 00:09:04,765 and more with content, connections, events 224 00:09:04,825 --> 00:09:05,885 and learning opportunities. 225 00:09:06,555 --> 00:09:07,645 Join the community free 226 00:09:07,645 --> 00:09:12,445 of charge@www.my dot becker's hospital review.com 227 00:09:12,545 --> 00:09:13,445 and we'll see you there.