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 00:00:33,505 --> 00:00:36,195 - This is Kate Cruz recording live at the eighth annual 14 00:00:37,035 --> 00:00:40,475 Becker's, HIT Digital health and RCM conference in Chicago. 15 00:00:41,375 --> 00:00:43,155 I'm with Paul Testa. 16 00:00:43,385 --> 00:00:45,715 Paul, to get us started, can you share a bit about yourself 17 00:00:45,735 --> 00:00:47,115 and your role at your organization? 18 00:00:47,375 --> 00:00:50,235 - Thanks, Kate. My name is Paul Testa, as you said. 19 00:00:50,455 --> 00:00:52,035 I'm the Chief Medical Information Officer 20 00:00:52,335 --> 00:00:53,875 for NYU Langone Health. 21 00:00:54,535 --> 00:00:58,115 And in that role across the health system, I sit 22 00:00:58,115 --> 00:00:59,915 between the clinical practice, 23 00:01:00,495 --> 00:01:01,995 the patient digital experience, 24 00:01:02,815 --> 00:01:05,915 and our IT teams, what we refer to as MCIT 25 00:01:06,535 --> 00:01:09,475 and I, uh, we've created the Department 26 00:01:09,475 --> 00:01:11,835 of Health informatics within MCIT to sort 27 00:01:11,835 --> 00:01:13,475 of bring together informatics, innovation 28 00:01:14,055 --> 00:01:15,475 and all those asundry tools. 29 00:01:15,735 --> 00:01:16,755 - How long have you been doing that? 30 00:01:17,105 --> 00:01:20,555 - I've been in the role for about six years. 31 00:01:20,665 --> 00:01:23,435 I've been within clinical informatics for about 12 32 00:01:23,535 --> 00:01:25,235 and I'm coming up on 19 or 20. 33 00:01:25,335 --> 00:01:27,355 I'm losing track at NYU Langone. 34 00:01:27,655 --> 00:01:29,875 - So I'm going to switch our questions up around here. 35 00:01:29,935 --> 00:01:32,915 So having, you know, been in your position for six years, 36 00:01:33,015 --> 00:01:35,195 one of our question is five years from now, 37 00:01:35,585 --> 00:01:37,835 what do you think will be the most significant change in 38 00:01:37,835 --> 00:01:39,395 healthcare delivery and operations? 39 00:01:40,135 --> 00:01:43,195 I'd be interested to hear, you know, your perspective from, 40 00:01:43,415 --> 00:01:45,275 you know, maybe when you started at this position, 41 00:01:45,385 --> 00:01:47,315 what you kind of thought we would be at today, 42 00:01:48,015 --> 00:01:49,675 and maybe how that affects 43 00:01:51,415 --> 00:01:53,115 how you view five years from now 44 00:01:53,115 --> 00:01:54,475 or just anything else that's come up 45 00:01:54,855 --> 00:01:55,995 - That's a great change up. 46 00:01:57,335 --> 00:01:59,635 So five 47 00:01:59,775 --> 00:02:03,235 or 10 years ago I took note 48 00:02:03,235 --> 00:02:08,035 and was impressed by how leadership viewed technology 49 00:02:08,495 --> 00:02:12,675 and health informatics as a strategic differentiator for us, 50 00:02:13,695 --> 00:02:17,835 um, and how it was going to be used to engage our patients 51 00:02:18,455 --> 00:02:20,035 and our clinicians and our workforce. 52 00:02:21,215 --> 00:02:25,105 And it came true Covid certainly accelerated it. 53 00:02:25,725 --> 00:02:28,185 You often hear people talk about the big covid pivot. 54 00:02:28,205 --> 00:02:31,265 It was never a pivot. This is foundational work 55 00:02:31,265 --> 00:02:34,425 that was done over the last five to 10 years to get us ready 56 00:02:34,445 --> 00:02:36,865 for something as horrific as that was for us in New York. 57 00:02:37,925 --> 00:02:40,025 So how does that inform the next five years? 58 00:02:41,685 --> 00:02:42,985 Not a great crystal ball guide, 59 00:02:43,205 --> 00:02:47,785 but I, I think what got us there 60 00:02:48,725 --> 00:02:50,345 is a discipline to commit 61 00:02:50,525 --> 00:02:53,705 to doing certain things really well without distraction 62 00:02:54,325 --> 00:02:55,945 and that at the power of no 63 00:02:56,645 --> 00:02:59,025 and the power of innovation at scale, 64 00:02:59,215 --> 00:03:01,325 which can all great be buzzwords and certainly, 65 00:03:01,985 --> 00:03:06,245 but like how do we just do a few great things 66 00:03:06,265 --> 00:03:09,005 for our patients, but for all 9 million of them 67 00:03:10,185 --> 00:03:13,685 and all of our 375 locations at all six hospitals, 68 00:03:14,515 --> 00:03:18,485 this one patient, one record, one experience. 69 00:03:18,825 --> 00:03:20,085 That's sort of our standard 70 00:03:21,465 --> 00:03:23,805 and I think it's the continuation of the discipline. Okay. 71 00:03:23,875 --> 00:03:25,485 - Yeah, I like that. Thanks for sharing. 72 00:03:26,065 --> 00:03:29,485 Um, gonna jump around on our questions a little bit more, 73 00:03:29,485 --> 00:03:32,125 but I'll try to not throw any more, 74 00:03:32,185 --> 00:03:33,325 uh, surprise ones at you. 75 00:03:33,865 --> 00:03:36,765 Um, so you talked a little bit about leadership. 76 00:03:37,315 --> 00:03:39,365 What is a piece of advice that you would give 77 00:03:39,365 --> 00:03:41,365 to healthcare leaders today, specifically 78 00:03:41,365 --> 00:03:43,125 regarding digital innovation? 79 00:03:44,785 --> 00:03:46,845 - I'm gonna return back to the concept of discipline. 80 00:03:48,465 --> 00:03:50,045 As soon as we put the word digital in front of it, 81 00:03:50,045 --> 00:03:51,085 we think it's different than it. 82 00:03:52,665 --> 00:03:55,685 And that's why I love to see the convergence of the titles 83 00:03:56,285 --> 00:03:57,805 CIO and CDIO 84 00:03:58,715 --> 00:04:01,925 because we can innovate all we want with, with new shiny, 85 00:04:01,925 --> 00:04:05,365 bright digital tools, but if it affects 12 patients 86 00:04:06,065 --> 00:04:09,605 and not 120,000 patients, we haven't done anybody justice. 87 00:04:10,825 --> 00:04:13,365 So I think to exert the leadership, 88 00:04:14,225 --> 00:04:18,045 to maintain discipline around how we see digital 89 00:04:18,225 --> 00:04:19,445 as very much part of it 90 00:04:20,065 --> 00:04:22,165 and not some distraction that takes us 91 00:04:22,165 --> 00:04:23,325 to do something cool in the corner, 92 00:04:23,905 --> 00:04:25,685 but innovate at scale on platform, 93 00:04:26,335 --> 00:04:28,205 we'll really reap benefits for our patients, 94 00:04:28,205 --> 00:04:30,045 for our clinicians, for how we do our work. 95 00:04:30,295 --> 00:04:31,725 - Definitely, definitely. 96 00:04:32,275 --> 00:04:34,885 When you think of digital innovation in healthcare right 97 00:04:34,885 --> 00:04:36,925 now, what is exciting you the most and why? 98 00:04:37,715 --> 00:04:38,925 - Good question. Um, 99 00:04:39,645 --> 00:04:41,365 I get excited really easily about a lot of things. 100 00:04:42,065 --> 00:04:45,205 Uh, right now the convergence 101 00:04:45,205 --> 00:04:47,565 of technologies we never would've thought were clinical. 102 00:04:48,345 --> 00:04:51,205 By that I mean robotic process automation, 103 00:04:51,615 --> 00:04:55,685 large language models, natural language processing, um, 104 00:04:55,895 --> 00:05:00,485 email, slack, uh, platforms around communication. 105 00:05:00,485 --> 00:05:04,405 They're all racing together in this incredibly cool, 106 00:05:04,725 --> 00:05:09,285 interesting big knot of cool tools, um, that will make us 107 00:05:10,385 --> 00:05:12,845 not recognize what we're interacting with in five years. 108 00:05:13,035 --> 00:05:14,445 - Yeah, that's really interesting. 109 00:05:14,665 --> 00:05:16,845 It goes back to, uh, the first question 110 00:05:16,845 --> 00:05:19,605 that I asked you, uh, at your organization. 111 00:05:19,605 --> 00:05:21,925 What are the top priorities for technology 112 00:05:22,065 --> 00:05:24,085 and what are the issues that it's trying to solve? 113 00:05:25,065 --> 00:05:29,425 - So NYU Lingon as a, as a enterprise, 114 00:05:29,705 --> 00:05:32,505 I would suggest doesn't have technology priorities. 115 00:05:32,645 --> 00:05:34,865 We have institutional priorities 116 00:05:35,165 --> 00:05:37,665 and we use technology to affect those to an end. 117 00:05:38,425 --> 00:05:40,605 So it's not about implementing ai, it's about 118 00:05:40,825 --> 00:05:43,605 how do we provide the highest quality, most safe 119 00:05:44,115 --> 00:05:45,845 care in the most equitable way. 120 00:05:45,985 --> 00:05:47,245 How do we provide world class care? 121 00:05:47,945 --> 00:05:49,485 And there are all these touchpoint 122 00:05:49,915 --> 00:05:51,685 that we fold technology into it. 123 00:05:52,025 --> 00:05:54,685 How do we ensure there's digital health equity in 124 00:05:54,685 --> 00:05:56,605 communities that cannot access smartphones 125 00:05:56,745 --> 00:05:58,125 or don't have broadband access 126 00:05:58,305 --> 00:06:01,525 or who don't necessarily understand why we're asking certain 127 00:06:01,765 --> 00:06:03,125 questions that they may find to be invasive, 128 00:06:03,945 --> 00:06:05,165 be it digital or analog. 129 00:06:06,225 --> 00:06:11,165 So I think as the discipline, again, to go back to that term 130 00:06:11,945 --> 00:06:15,285 of using technology, digital 131 00:06:16,225 --> 00:06:20,925 and other to make real our enterprise goals is 132 00:06:20,925 --> 00:06:23,605 how we succeed in using digital health. Mm-Hmm. 133 00:06:23,645 --> 00:06:25,765 - . Yeah. Um, I really like that perspective. 134 00:06:25,775 --> 00:06:30,165 Thank you. Um, if you could provide specific examples 135 00:06:30,165 --> 00:06:33,405 of instances where the integration of informatic solution 136 00:06:33,985 --> 00:06:35,765 led to improved patient outcomes 137 00:06:35,865 --> 00:06:37,725 or enhanced patient provider communication. 138 00:06:37,725 --> 00:06:40,445 You've already kind of gone over some examples of these, 139 00:06:40,465 --> 00:06:43,325 but is there a specific one that you'd like to touch on? 140 00:06:44,005 --> 00:06:45,485 - I think the one a lot of us talk about 141 00:06:45,485 --> 00:06:47,525 that I'm really proud of is how fast 142 00:06:48,065 --> 00:06:50,125 we scaled digitally in the face of covid, 143 00:06:51,945 --> 00:06:53,645 but in the time cycles of news 144 00:06:53,665 --> 00:06:56,165 and healthcare, that was three years ago 145 00:06:56,625 --> 00:06:59,285 and we showed we could scale and impact care 146 00:06:59,385 --> 00:07:02,885 and we could provide care beyond the borders of our walls. 147 00:07:04,025 --> 00:07:05,325 And now how do we sustain that? 148 00:07:06,325 --> 00:07:08,165 I think if I had to look at examples 149 00:07:08,165 --> 00:07:10,925 that make me particularly proud is 150 00:07:11,525 --> 00:07:13,485 whenever I hear the story being told of 151 00:07:14,105 --> 00:07:16,565 how we achieve high rankings in quality 152 00:07:16,705 --> 00:07:19,085 or safety, um, the highest rankings 153 00:07:19,085 --> 00:07:20,525 of quality safety, which we can be proud of. 154 00:07:21,945 --> 00:07:26,245 The story is always told with the infusion of technology, 155 00:07:26,865 --> 00:07:28,845 how do we leverage appropriate analytics? 156 00:07:29,345 --> 00:07:32,325 How do we visualize information to our providers? 157 00:07:32,625 --> 00:07:34,845 How do we give our patients information to arm themselves 158 00:07:34,845 --> 00:07:37,165 and engage in their own care in a way that is both 159 00:07:37,755 --> 00:07:40,205 appropriate for them and equitable for their communities? 160 00:07:41,025 --> 00:07:44,685 And how do we nudge behavior for both the clinicians, docs, 161 00:07:44,685 --> 00:07:47,165 nurses, technologists, and our patients? 162 00:07:47,745 --> 00:07:49,005 That's the best part. Yeah. 163 00:07:49,675 --> 00:07:53,845 - What technologies have you seen patients really 164 00:07:55,535 --> 00:07:59,165 enjoy or find, you know, a lot of benefit in 165 00:07:59,315 --> 00:08:00,605 - Sort of the amplification of care? 166 00:08:00,605 --> 00:08:05,005 Right. So it, it's amazing to watch my mom who's a patient 167 00:08:06,165 --> 00:08:07,285 interact with SMS. 168 00:08:08,235 --> 00:08:11,085 It's really, it's not brand new digital sexy, 169 00:08:11,945 --> 00:08:14,765 but being able to nudge an SMS message 170 00:08:15,545 --> 00:08:16,685 that's redundant a mess. 171 00:08:16,705 --> 00:08:19,765 An SMSA text to a patient to say, Hey, 172 00:08:20,785 --> 00:08:22,685 we see you just had an MRI ordered 173 00:08:22,705 --> 00:08:26,045 or a CT ordered using in the background, 174 00:08:26,045 --> 00:08:27,765 acknowledging they like to go in the morning, 175 00:08:27,765 --> 00:08:28,965 they like to go at this location. 176 00:08:29,785 --> 00:08:32,205 Um, this, this location has the right machine for them. 177 00:08:32,945 --> 00:08:35,405 We can just nudge a text with three options for them 178 00:08:35,405 --> 00:08:37,445 to select and all they need to do is reply. 179 00:08:37,475 --> 00:08:39,125 I'll take spot three and they're scheduled. 180 00:08:39,545 --> 00:08:40,565 And then that gets surfaced back 181 00:08:40,565 --> 00:08:42,925 to the NYU ongoing health app and we have a closed loop. 182 00:08:43,765 --> 00:08:45,645 I am continually amazed at how powerful, 183 00:08:46,155 --> 00:08:48,325 just good old fashioned text messaging is. 184 00:08:48,435 --> 00:08:49,565 - Yeah, definitely. 185 00:08:50,025 --> 00:08:53,405 Um, you know, people are on their phones all day, 186 00:08:53,405 --> 00:08:54,485 so they get it in a second 187 00:08:54,625 --> 00:08:55,765 and you know, it's, 188 00:08:56,285 --> 00:08:58,765 I I don't think people feel like the formality of replying 189 00:08:58,765 --> 00:09:00,285 to an email or, you know, talking 190 00:09:00,285 --> 00:09:01,765 to their doctor on the phone. Easy 191 00:09:01,785 --> 00:09:02,645 - Breezy text. Yeah, 192 00:09:02,645 --> 00:09:03,645 - Exactly. 193 00:09:03,645 --> 00:09:05,005 And so that, that's really interesting. 194 00:09:05,345 --> 00:09:07,565 Um, well as we kind of wrap up here, thank you 195 00:09:07,565 --> 00:09:08,605 so much for your time today. 196 00:09:08,785 --> 00:09:10,725 Is there anything else you want our listeners to know? 197 00:09:11,405 --> 00:09:15,445 - I am grateful for the ability to do what we do digitally 198 00:09:15,445 --> 00:09:16,725 with patients and their willingness 199 00:09:16,725 --> 00:09:18,005 to meet us halfway or further. 200 00:09:18,625 --> 00:09:20,965 Um, and I think it's just gonna get more interesting from 201 00:09:20,965 --> 00:09:25,445 here on so long as we're sort of authentically 202 00:09:26,245 --> 00:09:28,165 engaging with them and acknowledging the risks. 203 00:09:28,595 --> 00:09:31,325 Yeah. Both equitable and social. Definitely. 204 00:09:31,435 --> 00:09:32,485 - Yeah. All right. 205 00:09:32,485 --> 00:09:33,845 Well thank you so much for your time today. 206 00:09:33,845 --> 00:09:35,205 It was a pleasure talking to you. Thank 207 00:09:35,205 --> 00:09:36,205 - You so much. 208 00:09:37,395 --> 00:09:39,965 - It's so important for leaders at the top of organizations 209 00:09:39,985 --> 00:09:42,485 to keep learning, stay sharp, grow their networks 210 00:09:42,825 --> 00:09:45,325 to help our audience better do this in a more simplified, 211 00:09:45,325 --> 00:09:46,805 personalized, and meaningful way. 212 00:09:47,405 --> 00:09:50,005 Becker's Healthcare has launched my BHC, 213 00:09:50,595 --> 00:09:52,565 it's your trusted Becker's healthcare experience 214 00:09:52,565 --> 00:09:54,765 and more with content, connections, events 215 00:09:54,785 --> 00:09:55,805 and learning opportunities. 216 00:09:56,515 --> 00:09:57,605 Join the community free 217 00:09:57,605 --> 00:10:02,405 of charge@www.my dot becker's hospital review.com 218 00:10:02,505 --> 00:10:03,325 and we'll see you there.