1 00:00:00,640 --> 00:00:03,199 Philips is a health tech leader focused on 2 00:00:03,199 --> 00:00:06,000 innovation that improves the health and well-being of 3 00:00:06,000 --> 00:00:09,460 people. Our health care technology and informatics solutions 4 00:00:09,599 --> 00:00:12,559 help care teams diagnose, treat, and manage more 5 00:00:12,559 --> 00:00:16,244 patients with greater precision, speed, and confidence across 6 00:00:16,244 --> 00:00:19,225 the care journey. With Philips, clinicians are empowered 7 00:00:19,285 --> 00:00:21,765 with streamlined insights in the moments that matter 8 00:00:21,765 --> 00:00:24,904 for every patient. Better care for more people. 9 00:00:25,204 --> 00:00:25,704 Philips. 10 00:00:28,969 --> 00:00:31,210 This is Gracelyn Keller with the Becker's Healthcare 11 00:00:31,210 --> 00:00:33,049 Podcast, and we are live at the 9th 12 00:00:33,049 --> 00:00:36,509 annual Health IT Digital Health and RCM conference. 13 00:00:37,130 --> 00:00:39,609 I'm joined right now by Lisa Stevenson, who 14 00:00:39,609 --> 00:00:42,649 is the chief nursing information officer at Houston 15 00:00:42,649 --> 00:00:43,149 Methodist. 16 00:00:43,585 --> 00:00:45,344 Thanks so much for joining me today, Lisa. 17 00:00:45,344 --> 00:00:46,945 I would love to get started by having 18 00:00:46,945 --> 00:00:48,704 you introduce yourself and your role a little 19 00:00:48,704 --> 00:00:51,585 bit further. Sure. Thanks for having me. As 20 00:00:51,585 --> 00:00:53,585 you said, I'm the chief nursing information officer 21 00:00:53,585 --> 00:00:54,564 for Houston Methodist. 22 00:00:55,344 --> 00:00:57,100 I have been in informatics 23 00:00:58,120 --> 00:01:00,440 over 13 years now, nurse by background, of 24 00:01:00,440 --> 00:01:01,979 course, for over 20 years. 25 00:01:02,840 --> 00:01:06,359 Houston Methodist is a, academic medical center. We 26 00:01:06,359 --> 00:01:08,920 have 8 hospitals as well as a physician 27 00:01:08,920 --> 00:01:09,420 organization 28 00:01:10,515 --> 00:01:12,534 with primary and specialty care practices, 29 00:01:13,234 --> 00:01:15,015 serving the greater Houston area. 30 00:01:16,275 --> 00:01:17,954 Well, thank you for taking the time to 31 00:01:17,954 --> 00:01:19,635 be here. And I would love to start 32 00:01:19,635 --> 00:01:22,834 our conversation today with AI adoption. It's a 33 00:01:22,834 --> 00:01:24,780 total buzzword right now in health care, 34 00:01:25,260 --> 00:01:26,239 and it's exploding. 35 00:01:26,540 --> 00:01:28,140 So in your view, what is the most 36 00:01:28,140 --> 00:01:31,260 significant or promising application of AI right now, 37 00:01:31,260 --> 00:01:33,920 and how is this informing your organization's innovation 38 00:01:34,060 --> 00:01:34,560 strategy? 39 00:01:35,340 --> 00:01:37,739 Yeah. AI is huge. I think what's interesting 40 00:01:37,739 --> 00:01:40,364 is that there's been some form of AI 41 00:01:40,364 --> 00:01:41,984 for actually several years. 42 00:01:42,685 --> 00:01:45,164 But with chat gpt and generative AI, it's 43 00:01:45,164 --> 00:01:46,304 gotten a lot of attention, 44 00:01:47,644 --> 00:01:50,364 recently. So I think I'm excited as far 45 00:01:50,364 --> 00:01:52,125 as right now. You know, we already had 46 00:01:52,125 --> 00:01:52,625 things, 47 00:01:53,244 --> 00:01:54,640 like predictive analytics, 48 00:01:55,180 --> 00:01:56,880 in our EHR, helping 49 00:01:57,500 --> 00:01:59,760 with clinical decision support for our practitioners. 50 00:02:00,299 --> 00:02:02,620 And I'm excited that the, with the growth 51 00:02:02,620 --> 00:02:04,140 of the large language models, we'll be able 52 00:02:04,140 --> 00:02:06,719 to look at besides just discrete data. But, 53 00:02:07,255 --> 00:02:09,094 you know, note notes and narratives to be 54 00:02:09,094 --> 00:02:10,455 able to pull in more data to make 55 00:02:10,455 --> 00:02:12,935 those models even richer than they are. And 56 00:02:12,935 --> 00:02:14,775 then, of course, being able to also use 57 00:02:14,775 --> 00:02:15,574 these tools. 58 00:02:16,294 --> 00:02:18,875 We are doing some work with different models 59 00:02:18,935 --> 00:02:20,775 for summarization of the chart. You've got a 60 00:02:20,775 --> 00:02:21,675 lot of information 61 00:02:22,330 --> 00:02:23,770 in the chart right now, so it's hard 62 00:02:23,770 --> 00:02:26,090 for clinicians to always find everything. It takes 63 00:02:26,090 --> 00:02:29,150 time to review notes, to review data points. 64 00:02:29,530 --> 00:02:30,830 So having those summary 65 00:02:31,129 --> 00:02:31,629 summarizations 66 00:02:32,009 --> 00:02:33,150 being brought forward, 67 00:02:34,009 --> 00:02:36,729 fits in an easy easily digestible format for 68 00:02:36,729 --> 00:02:39,324 clinicians really helps to save time for them. 69 00:02:39,944 --> 00:02:42,205 One thing in particular we're doing for nursing 70 00:02:42,344 --> 00:02:44,365 is a end of shift care plan note, 71 00:02:44,665 --> 00:02:45,645 an AI model 72 00:02:46,264 --> 00:02:47,944 that will help look at not only the 73 00:02:47,944 --> 00:02:50,365 goals and interventions that nurses have, 74 00:02:51,110 --> 00:02:53,909 assigned, but within their flow sheet documentation, bring 75 00:02:53,909 --> 00:02:56,229 that forward so that they have an actual 76 00:02:56,229 --> 00:02:58,229 summary of the patients, how they've done for 77 00:02:58,229 --> 00:03:00,949 the shift, as well as their progression on 78 00:03:00,949 --> 00:03:03,689 the goals in a more usable format, 79 00:03:04,469 --> 00:03:06,525 that it can really give a a nice 80 00:03:06,604 --> 00:03:08,305 snapshot of how the patient's doing. 81 00:03:09,004 --> 00:03:10,864 So and then there's obviously 82 00:03:11,245 --> 00:03:13,824 continual other applications that we're looking into, 83 00:03:14,525 --> 00:03:17,125 with Ambient Voice and others, with AI. But 84 00:03:17,125 --> 00:03:19,424 I think those right now are are big. 85 00:03:19,965 --> 00:03:22,840 But to consider all these applications, we've really 86 00:03:22,840 --> 00:03:24,360 done a lot as far as putting some 87 00:03:24,360 --> 00:03:26,759 governance in place and making sure that we're 88 00:03:26,759 --> 00:03:28,699 reviewing all the new models and and, 89 00:03:29,240 --> 00:03:31,099 practices that come forward with AI, 90 00:03:31,479 --> 00:03:33,400 and and making sure that especially when it's 91 00:03:33,400 --> 00:03:36,414 within clinical practice that we are putting that 92 00:03:36,414 --> 00:03:38,414 human in the loop. And so as as 93 00:03:38,414 --> 00:03:38,914 I 94 00:03:39,294 --> 00:03:41,294 gave an example with the care plan note, 95 00:03:41,294 --> 00:03:43,375 that's something that will be generated. Nurses need 96 00:03:43,375 --> 00:03:45,794 to review. They can edit and then actually 97 00:03:45,854 --> 00:03:47,155 put into the chart. 98 00:03:48,400 --> 00:03:50,879 And searching gears just a little bit to 99 00:03:50,879 --> 00:03:51,379 data. 100 00:03:51,840 --> 00:03:54,560 Currently, health care leaders are managing greater volumes 101 00:03:54,560 --> 00:03:57,280 of data and more devices across a number 102 00:03:57,280 --> 00:03:58,979 of care settings and populations. 103 00:03:59,520 --> 00:04:01,780 And this is becoming a very complex environment. 104 00:04:01,919 --> 00:04:02,419 So 105 00:04:02,784 --> 00:04:04,965 what clinical data integrations or tools 106 00:04:05,425 --> 00:04:08,645 are you seeing drive improvements in patient outcomes? 107 00:04:08,865 --> 00:04:10,884 And can you share an ex a specific 108 00:04:10,944 --> 00:04:12,004 example of this? 109 00:04:13,104 --> 00:04:15,425 Yeah. It is becoming complex. And that's one 110 00:04:15,425 --> 00:04:17,610 of the things, I think, informatics, we we 111 00:04:17,610 --> 00:04:20,569 really emphasize is that whenever you're implementing new 112 00:04:20,569 --> 00:04:21,550 software applications 113 00:04:22,009 --> 00:04:23,850 or devices, it really needs to be something 114 00:04:23,850 --> 00:04:26,270 that's within the clinician's workflow to be useful 115 00:04:26,410 --> 00:04:27,709 and to be fully utilized. 116 00:04:28,250 --> 00:04:28,750 So, 117 00:04:29,384 --> 00:04:31,224 you know, really drive a lot of, especially 118 00:04:31,224 --> 00:04:33,944 on the software side, integration into our main 119 00:04:33,944 --> 00:04:36,584 EHR so that that's where they get their 120 00:04:36,584 --> 00:04:38,745 data because that's where the clinicians really live. 121 00:04:38,745 --> 00:04:40,345 So they get all their information in one 122 00:04:40,345 --> 00:04:42,664 place and then obviously input their information in 123 00:04:42,664 --> 00:04:44,620 one place. And it makes sure that we're 124 00:04:44,620 --> 00:04:45,120 having 125 00:04:45,580 --> 00:04:48,460 a standardized format that all clinicians can use 126 00:04:48,460 --> 00:04:50,300 as well, to make sure we're not missing 127 00:04:50,300 --> 00:04:52,379 any critical information in the care of the 128 00:04:52,379 --> 00:04:52,879 patient. 129 00:04:53,420 --> 00:04:56,300 We're also looking on the device side. Right? 130 00:04:56,300 --> 00:04:57,199 Really standardizing, 131 00:04:58,379 --> 00:04:59,120 our clinical 132 00:04:59,444 --> 00:05:02,104 communications, for example. So we've got iPhones, 133 00:05:03,444 --> 00:05:05,284 that we've rolled out and really looking for 134 00:05:05,284 --> 00:05:08,084 that mobile device to be the communication. So 135 00:05:08,084 --> 00:05:10,964 the voice discussion, the secure messaging, you have 136 00:05:10,964 --> 00:05:13,069 access to the EHR. You can put in 137 00:05:13,069 --> 00:05:15,009 documentation. You can review documentation. 138 00:05:15,870 --> 00:05:18,750 And also then that alert management as well 139 00:05:18,750 --> 00:05:19,490 on the phone. 140 00:05:20,029 --> 00:05:22,669 So getting alarms and and notifications that way 141 00:05:22,669 --> 00:05:24,370 to, again, just centralize, 142 00:05:25,389 --> 00:05:26,209 then and 143 00:05:26,634 --> 00:05:28,875 minimize the number of tools that clinicians are 144 00:05:28,875 --> 00:05:31,675 using, but have that especially for, like, nurses 145 00:05:31,675 --> 00:05:34,074 and physicians, having the tool that's mobile that 146 00:05:34,074 --> 00:05:35,134 can go with them, 147 00:05:35,594 --> 00:05:37,615 so that they can get, information 148 00:05:38,074 --> 00:05:38,735 more quickly, 149 00:05:39,430 --> 00:05:42,069 and streamline those processes. And, again, by having 150 00:05:42,069 --> 00:05:43,529 a standardized communication 151 00:05:43,910 --> 00:05:44,410 tool, 152 00:05:45,029 --> 00:05:47,029 being able to improve the care coordination of 153 00:05:47,029 --> 00:05:47,769 the patient. 154 00:05:48,790 --> 00:05:49,930 And as we're discussing 155 00:05:50,230 --> 00:05:53,524 greater volumes of data and integrating new technologies, 156 00:05:53,524 --> 00:05:55,925 AI, all of those things, the burden on 157 00:05:55,925 --> 00:05:57,144 our IT teams 158 00:05:57,605 --> 00:05:59,064 becomes a lot more significant. 159 00:06:00,004 --> 00:06:01,444 So I would love to hear how you 160 00:06:01,444 --> 00:06:04,165 think healthcare organizations can better support both our 161 00:06:04,165 --> 00:06:06,930 clinical teams and our IT teams as they 162 00:06:06,930 --> 00:06:09,009 carry out innovation efforts? And what are some 163 00:06:09,009 --> 00:06:10,949 of the common pitfalls that you've seen? 164 00:06:12,370 --> 00:06:14,209 Yeah. So I think, really, 165 00:06:15,169 --> 00:06:17,669 it's important that you instead of 166 00:06:18,050 --> 00:06:21,430 implementing innovation for innovation's sake, really making sure 167 00:06:21,584 --> 00:06:24,064 that it may it ties into solving a 168 00:06:24,064 --> 00:06:26,785 problem that you're having, as well as, again, 169 00:06:26,785 --> 00:06:28,884 fitting into the workflows of the clinicians. 170 00:06:29,504 --> 00:06:31,285 So it really needs to be a partnership, 171 00:06:31,664 --> 00:06:33,285 between operations and IT, 172 00:06:34,064 --> 00:06:36,805 to really maximize the use of any innovation. 173 00:06:37,639 --> 00:06:39,419 And then there has to be education, 174 00:06:40,600 --> 00:06:43,240 especially for the clinicians on not only how 175 00:06:43,240 --> 00:06:45,399 to use all this new technology that's coming 176 00:06:45,399 --> 00:06:47,579 out, but how it will benefit them. 177 00:06:48,120 --> 00:06:49,959 And making sure they understand so there's no 178 00:06:49,959 --> 00:06:52,525 anxiety and fear over that unknown, especially as 179 00:06:52,525 --> 00:06:53,725 you're getting things like with AI and, ambient 180 00:06:53,725 --> 00:06:55,324 sensors and cameras. It it's really important to 181 00:06:55,324 --> 00:06:57,165 make sure that they understand what it can 182 00:06:57,165 --> 00:06:58,845 do and what it can't do. And this 183 00:06:58,845 --> 00:07:00,785 also includes educating our patients. 184 00:07:05,220 --> 00:07:07,139 So really working to make sure that the 185 00:07:07,139 --> 00:07:09,240 the staff can also speak to the patients 186 00:07:09,300 --> 00:07:11,060 on how we're using these tools and how 187 00:07:11,060 --> 00:07:12,520 they will benefit them. 188 00:07:13,699 --> 00:07:15,639 And then as we wrap up our conversation 189 00:07:15,860 --> 00:07:17,964 today, I'd love to hear your top piece 190 00:07:17,964 --> 00:07:19,725 of advice for health care leaders as they 191 00:07:19,725 --> 00:07:22,764 prepare for further advancements in technology and greater 192 00:07:22,764 --> 00:07:23,904 demands for care. 193 00:07:25,644 --> 00:07:26,705 Yeah. I think, 194 00:07:27,165 --> 00:07:30,464 again, it's important to certainly embrace the technology 195 00:07:30,870 --> 00:07:32,229 that's out there. I think we're in an 196 00:07:32,229 --> 00:07:33,910 exciting time in health care where we can 197 00:07:33,910 --> 00:07:36,329 finally take advantage of a lot of these, 198 00:07:36,870 --> 00:07:38,490 new tools that are available. 199 00:07:39,029 --> 00:07:40,949 But I think it's also an opportunity for 200 00:07:40,949 --> 00:07:43,769 us to look at how we provide care. 201 00:07:44,185 --> 00:07:45,944 Health care and the way we deliver it 202 00:07:45,944 --> 00:07:48,365 hasn't changed really in decades foundationally. 203 00:07:49,064 --> 00:07:51,944 So introducing new technologies, for example, when we're 204 00:07:51,944 --> 00:07:53,084 introducing this, 205 00:07:53,544 --> 00:07:55,305 AI model to do a end of shift 206 00:07:55,305 --> 00:07:57,310 care plan note, it's really having us question, 207 00:07:57,310 --> 00:07:59,350 how do we do care plans? What is 208 00:07:59,350 --> 00:08:01,430 their usefulness to begin with? How do we 209 00:08:01,430 --> 00:08:03,930 fix up front and streamline the entire process 210 00:08:04,069 --> 00:08:05,769 and make something very useful, 211 00:08:06,389 --> 00:08:09,129 and that clinicians can find, 212 00:08:09,829 --> 00:08:10,970 value out of? 213 00:08:11,855 --> 00:08:13,855 Well, Lisa, thanks so much for taking the 214 00:08:13,855 --> 00:08:15,375 time to join me today on the Becker's 215 00:08:15,375 --> 00:08:17,855 Healthcare Podcast. Again, we're recording live at the 216 00:08:17,855 --> 00:08:20,595 9th annual health IT, digital health, and RCM 217 00:08:20,654 --> 00:08:21,154 conference. 218 00:08:21,935 --> 00:08:23,634 Thank you. Thanks for having me.