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 00:00:28,869 --> 00:00:30,789 Hello, and welcome to the Becker's Health Care 11 00:00:30,789 --> 00:00:32,950 podcast recorded live at the 9th annual health 12 00:00:32,950 --> 00:00:35,750 IT Digital Health and RCM conference. I'm joined 13 00:00:35,750 --> 00:00:38,949 today by Garrett Olin, CIO at Shasta Community 14 00:00:38,949 --> 00:00:40,949 Health Center. Garrett, to get us started, can 15 00:00:40,949 --> 00:00:42,390 you please share a little bit about yourself, 16 00:00:42,390 --> 00:00:44,090 your background, and your role at your organization? 17 00:00:44,685 --> 00:00:46,844 Oh, sure. Yeah. As you said, I'm with, 18 00:00:47,085 --> 00:00:50,125 Shasta Community Health Center, in Redding, California. It's 19 00:00:50,125 --> 00:00:51,184 in Northern California. 20 00:00:52,604 --> 00:00:55,265 My background, I've been a chief information officer 21 00:00:55,325 --> 00:00:59,239 for 30 years or so. Also oversee the 22 00:00:59,239 --> 00:01:00,539 quality and informatics 23 00:01:01,079 --> 00:01:01,899 for the organization. 24 00:01:02,679 --> 00:01:05,019 We're a federally qualified health center 25 00:01:05,319 --> 00:01:07,099 and outpatient clinics. 26 00:01:07,400 --> 00:01:09,500 We have 8 throughout Shasta County. 27 00:01:10,204 --> 00:01:13,265 We do primary care, dental, behavioral health, 28 00:01:13,645 --> 00:01:14,145 podiatry, 29 00:01:14,765 --> 00:01:15,265 chiropractic, 30 00:01:15,564 --> 00:01:16,064 optometry, 31 00:01:17,005 --> 00:01:18,064 a little bit of everything. 32 00:01:19,005 --> 00:01:19,505 Okay. 33 00:01:20,045 --> 00:01:22,444 So AI adoption is exploding in health care. 34 00:01:22,444 --> 00:01:24,959 In your view, what's the most significant or 35 00:01:24,959 --> 00:01:27,759 promising application of this technology right now, and 36 00:01:27,759 --> 00:01:30,739 how is this informing your organization's, innovation strategy? 37 00:01:32,640 --> 00:01:33,939 So it is exploding. 38 00:01:35,280 --> 00:01:37,140 The most significant or promising, 39 00:01:38,234 --> 00:01:40,254 you know, some of the the vendors here 40 00:01:40,314 --> 00:01:41,135 being able 41 00:01:41,995 --> 00:01:44,015 to use AI in imaging, 42 00:01:44,954 --> 00:01:48,094 detecting, you know, cancer or tumors or 43 00:01:48,474 --> 00:01:50,795 brain bleeds and and what have you. I 44 00:01:50,795 --> 00:01:51,855 think that's that's 45 00:01:52,849 --> 00:01:54,310 pretty, pretty impressive 46 00:01:55,009 --> 00:01:57,409 for ourselves. You know, we're looking at it 47 00:01:57,409 --> 00:02:00,310 and other ways that we can being outpatient 48 00:02:00,369 --> 00:02:00,869 clinics, 49 00:02:01,409 --> 00:02:02,229 how we can 50 00:02:02,689 --> 00:02:05,729 make our providers more efficient, you know, reduce 51 00:02:05,729 --> 00:02:07,750 the pajama time, things like that. 52 00:02:08,614 --> 00:02:11,995 Being able to increase patient access, patient engagements, 53 00:02:13,014 --> 00:02:14,954 and just, you know, trying to 54 00:02:15,334 --> 00:02:17,435 to get better patient outcomes overall. 55 00:02:18,375 --> 00:02:20,454 So on a daily basis, health care leaders 56 00:02:20,454 --> 00:02:21,914 like yourself are managing, 57 00:02:22,439 --> 00:02:24,520 greater volumes of data and more device ac 58 00:02:24,680 --> 00:02:26,840 across a growing number of care settings and 59 00:02:26,840 --> 00:02:27,340 populations. 60 00:02:28,039 --> 00:02:30,599 In this complex environment, what clinical data integration 61 00:02:30,599 --> 00:02:33,000 tools or practices are you seeing drive improvements 62 00:02:33,000 --> 00:02:34,459 in patient outcomes and operations? 63 00:02:34,759 --> 00:02:36,120 And do you have an example or 2 64 00:02:36,120 --> 00:02:36,860 you can share? 65 00:02:37,685 --> 00:02:40,025 Yeah. I don't have a data integration tools 66 00:02:40,085 --> 00:02:42,245 per se, but a practice you know, we're 67 00:02:42,245 --> 00:02:44,004 looking at health equity. You know, we serve 68 00:02:44,004 --> 00:02:45,224 an underserved population, 69 00:02:45,925 --> 00:02:48,104 and health equity is always on our mind. 70 00:02:48,405 --> 00:02:48,905 And 71 00:02:49,250 --> 00:02:51,509 one of the things that we have tried 72 00:02:51,650 --> 00:02:54,449 and, and it's showing great improvement for patient 73 00:02:54,449 --> 00:02:57,330 outcomes, as far as getting screening, cancer screenings, 74 00:02:57,330 --> 00:02:58,229 things like that, 75 00:02:59,169 --> 00:03:00,229 instead of using, 76 00:03:01,169 --> 00:03:02,150 just interpretation 77 00:03:02,530 --> 00:03:03,030 services 78 00:03:03,634 --> 00:03:05,894 is actually hiring native language speakers, 79 00:03:07,234 --> 00:03:09,555 and doing outreach to get them into the 80 00:03:09,555 --> 00:03:13,074 clinic, scheduling appointments, getting their screenings done, things 81 00:03:13,074 --> 00:03:13,734 like that. 82 00:03:14,194 --> 00:03:17,474 We've actually increased our scores from, you know, 83 00:03:17,474 --> 00:03:18,775 patients being maybe 84 00:03:19,580 --> 00:03:22,719 55, 60% compliant into the high seventies. 85 00:03:23,819 --> 00:03:25,919 So coming from, an FQHC 86 00:03:26,300 --> 00:03:27,599 with an underserved population, 87 00:03:28,540 --> 00:03:30,319 you know, how would you say 88 00:03:31,020 --> 00:03:33,180 especially in your role, like, how does your 89 00:03:33,180 --> 00:03:33,680 outlook 90 00:03:34,444 --> 00:03:37,564 on, you know, new upcoming technologies differ from 91 00:03:37,564 --> 00:03:39,245 that of maybe somebody from a larger health 92 00:03:39,245 --> 00:03:42,044 system? Like, what additional challenges or I mean, 93 00:03:42,044 --> 00:03:44,844 are there things you see that maybe excite 94 00:03:44,844 --> 00:03:47,324 you in somebody, like, coming from an organization 95 00:03:47,324 --> 00:03:49,324 like yours that might not be as exciting 96 00:03:49,324 --> 00:03:50,500 or might be, you know what I mean, 97 00:03:50,500 --> 00:03:52,260 different to someone from one of those bigger 98 00:03:52,260 --> 00:03:52,760 organizations? 99 00:03:53,700 --> 00:03:56,439 Yeah. Obviously, you know, the the bigger organizations 100 00:03:56,900 --> 00:03:58,840 for for us, we're about a $75,000,000, 101 00:03:59,780 --> 00:04:01,159 you know, budget organization, 102 00:04:01,939 --> 00:04:03,080 not a lot of resources, 103 00:04:03,644 --> 00:04:05,884 whether it's human or cap or money. Right? 104 00:04:05,884 --> 00:04:06,384 Financial. 105 00:04:07,164 --> 00:04:07,664 But 106 00:04:08,044 --> 00:04:09,344 what excites me is 107 00:04:09,805 --> 00:04:11,025 with some of these technologies, 108 00:04:12,685 --> 00:04:15,644 I can see how we can improve patient 109 00:04:15,644 --> 00:04:17,185 outcomes. Mhmm. Mhmm. 110 00:04:17,919 --> 00:04:19,599 One of the things that we're looking at, 111 00:04:19,599 --> 00:04:21,779 we just aren't quite there yet, is 112 00:04:22,240 --> 00:04:24,879 using AI. You know, we get a new 113 00:04:24,879 --> 00:04:25,699 patient in. 114 00:04:26,000 --> 00:04:28,000 We want their health records Mhmm. Wherever they 115 00:04:28,000 --> 00:04:29,680 come from. And it might be a 500 116 00:04:29,680 --> 00:04:32,685 page PDF. Right. Right. Right. Right. The clinician 117 00:04:32,745 --> 00:04:34,264 is not going to take the time to 118 00:04:34,264 --> 00:04:35,404 look through that document. 119 00:04:35,944 --> 00:04:37,245 But using AI, 120 00:04:38,104 --> 00:04:40,425 we can summarize what's in there Right. And 121 00:04:40,425 --> 00:04:43,064 give the clinician, put that into the EHR 122 00:04:43,064 --> 00:04:45,305 as a note Mhmm. Of here's their medical 123 00:04:45,305 --> 00:04:45,805 history 124 00:04:46,250 --> 00:04:48,509 that maybe has their late their their 125 00:04:48,810 --> 00:04:49,629 most recent 126 00:04:49,930 --> 00:04:50,430 labs, 127 00:04:50,889 --> 00:04:53,770 diagnostics, etcetera. Mhmm. And it gives them a 128 00:04:53,770 --> 00:04:56,330 quick overview that they can look at Mhmm. 129 00:04:56,410 --> 00:04:59,050 Before they see the patient. Mhmm. And instead 130 00:04:59,050 --> 00:05:00,910 of scheduling that 1 hour appointment, 131 00:05:01,495 --> 00:05:03,014 maybe we can get it done in 30 132 00:05:03,014 --> 00:05:03,495 minutes 133 00:05:03,814 --> 00:05:06,774 Right. Which will help patient access. Right? Because 134 00:05:06,774 --> 00:05:08,535 now we can see more patients if that's 135 00:05:08,535 --> 00:05:10,714 the case. Right. And, hopefully, 136 00:05:11,974 --> 00:05:12,714 that can, 137 00:05:13,175 --> 00:05:15,654 again, help in patient outcomes in the long 138 00:05:15,654 --> 00:05:16,154 term. 139 00:05:17,019 --> 00:05:18,539 Can you talk a little bit more about 140 00:05:18,539 --> 00:05:19,039 how, 141 00:05:19,979 --> 00:05:20,479 technology 142 00:05:20,779 --> 00:05:23,019 and AI or other tools might, you know, 143 00:05:23,019 --> 00:05:25,419 help that underserved community, like, with the social 144 00:05:25,419 --> 00:05:27,439 determinants of health and kind of, you know, 145 00:05:27,500 --> 00:05:29,659 help these underserved communities in ways that it 146 00:05:29,659 --> 00:05:31,599 might not in, like, a traditional setting? 147 00:05:32,074 --> 00:05:33,834 Yeah. Well, we also have a street medicine 148 00:05:33,834 --> 00:05:34,814 program. So, 149 00:05:35,274 --> 00:05:38,314 you know, talking about interpretation services and things 150 00:05:38,314 --> 00:05:40,735 like that, you know, we have our clinicians 151 00:05:40,794 --> 00:05:42,875 go out into the woods to the camps. 152 00:05:42,875 --> 00:05:45,480 Right? Mhmm. But we have some patients that 153 00:05:45,480 --> 00:05:49,500 are are deaf. Mhmm. But using technology interpretation 154 00:05:49,720 --> 00:05:52,600 services with an iPad that has cellular services 155 00:05:52,759 --> 00:05:55,420 Right. We can now bring an ASL interpreter 156 00:05:55,800 --> 00:05:59,500 Right. With video online to That's awesome. Yeah. 157 00:05:59,675 --> 00:06:02,074 That connection with the patient and be able 158 00:06:02,074 --> 00:06:04,475 to communicate with them in the field. So 159 00:06:04,875 --> 00:06:06,975 That's really cool. That's really cool. 160 00:06:07,435 --> 00:06:10,254 So how can health care leaders and organizations 161 00:06:10,555 --> 00:06:13,240 better support their IT and clinical teams, you 162 00:06:13,240 --> 00:06:14,839 know, as they carry out some of these 163 00:06:14,839 --> 00:06:16,479 innovation efforts? And, you know, what are some 164 00:06:16,479 --> 00:06:18,060 of the common pitfalls here? 165 00:06:18,919 --> 00:06:20,759 So I think the the biggest thing is 166 00:06:20,759 --> 00:06:22,139 to manage expectations. 167 00:06:22,519 --> 00:06:23,659 Mhmm. Right? Mhmm. 168 00:06:24,439 --> 00:06:26,919 The the common pitfall, I think, is scope 169 00:06:26,919 --> 00:06:27,419 creep. 170 00:06:27,754 --> 00:06:30,475 Right? Because we start with, you know, here's 171 00:06:30,475 --> 00:06:31,535 our goal, and 172 00:06:32,074 --> 00:06:34,074 as we approach it, they keep moving the 173 00:06:34,074 --> 00:06:35,214 goalposts. Mhmm. 174 00:06:35,915 --> 00:06:37,294 And managing the expectations, 175 00:06:38,154 --> 00:06:39,375 you know, with the clinicians 176 00:06:39,915 --> 00:06:41,774 on the the business side of things, 177 00:06:42,300 --> 00:06:44,399 understanding that, you know, maybe 178 00:06:45,019 --> 00:06:47,019 we we have to do this piecemeal. Right? 179 00:06:47,019 --> 00:06:48,720 Phase 1, phase 2, etcetera. 180 00:06:49,100 --> 00:06:50,959 And it's gonna take some time because 181 00:06:52,459 --> 00:06:54,779 there's you always have projects that you're working 182 00:06:54,779 --> 00:06:56,860 on, and then there's always something that comes 183 00:06:56,860 --> 00:06:59,544 up that is a priority due to some 184 00:06:59,544 --> 00:07:01,964 regulation change or what have you. Right. 185 00:07:02,425 --> 00:07:03,944 And it may take you away from that 186 00:07:03,944 --> 00:07:06,104 project for a little bit, and, and then 187 00:07:06,104 --> 00:07:07,464 you have to come back to it again. 188 00:07:07,464 --> 00:07:10,845 So just managing those expectations of, you know, 189 00:07:11,029 --> 00:07:12,250 are we making progress? 190 00:07:12,629 --> 00:07:14,970 And, you know, don't don't move the goalpost. 191 00:07:15,110 --> 00:07:17,830 Just, you know, let's let's complete this step 192 00:07:17,830 --> 00:07:19,370 and then start the next. 193 00:07:20,629 --> 00:07:22,569 So, you know, again, being from an FQHC 194 00:07:22,710 --> 00:07:25,014 in your role, do you feel like some 195 00:07:25,014 --> 00:07:26,615 of the challenges that go along with that 196 00:07:26,615 --> 00:07:28,935 force you to be, you know, maybe more 197 00:07:28,935 --> 00:07:32,055 creative and more innovative than, you know, people 198 00:07:32,055 --> 00:07:33,735 in your in your similar role, like other 199 00:07:33,735 --> 00:07:34,555 larger organizations? 200 00:07:35,175 --> 00:07:36,714 Oh, I think so. You know, 201 00:07:37,110 --> 00:07:40,229 having having few resources, right, is we have 202 00:07:40,229 --> 00:07:41,129 to think 203 00:07:41,509 --> 00:07:42,649 of innovative ways, 204 00:07:43,269 --> 00:07:46,709 alternate ways to get something done Mhmm. Or 205 00:07:46,709 --> 00:07:49,449 negotiate a really good contract. Right. Right. Right. 206 00:07:49,669 --> 00:07:51,910 And and we've done that too for for 207 00:07:51,910 --> 00:07:52,649 some vendors. 208 00:07:53,404 --> 00:07:55,904 You know, we've had some contracts cut 209 00:07:56,524 --> 00:07:57,024 67% 210 00:07:57,725 --> 00:07:59,564 just so we could just so we could 211 00:07:59,564 --> 00:08:01,185 afford to put it in. Right? 212 00:08:01,805 --> 00:08:04,625 So we're always, you know, thinking of 213 00:08:05,149 --> 00:08:06,529 how can we, you know, 214 00:08:07,470 --> 00:08:08,990 we we want the whole pie, but if 215 00:08:08,990 --> 00:08:10,750 we can't get the whole pie, how big 216 00:08:10,750 --> 00:08:12,830 of a piece can we do Right. With 217 00:08:12,830 --> 00:08:15,629 what we have now? Right. And then maybe 218 00:08:15,629 --> 00:08:16,830 we have to wait a year and we 219 00:08:16,830 --> 00:08:18,430 get the rest of it next year's budget. 220 00:08:18,430 --> 00:08:18,930 Right? 221 00:08:19,230 --> 00:08:20,930 And like I say, just kinda 222 00:08:21,365 --> 00:08:23,525 do what we can Mhmm. And then do 223 00:08:23,525 --> 00:08:25,845 the next phase later. So, you know, you 224 00:08:25,845 --> 00:08:27,125 said you've been in your role for, what, 225 00:08:27,125 --> 00:08:29,764 30 years? Well, I've been a CIO for 226 00:08:29,764 --> 00:08:31,925 30 years. Okay. I've been with Shasta Community 227 00:08:31,925 --> 00:08:34,245 Health Center for just over a year. Okay. 228 00:08:34,245 --> 00:08:36,710 Okay. So in in your years of experience, 229 00:08:36,710 --> 00:08:38,070 if you were to talk to, you know, 230 00:08:38,070 --> 00:08:39,669 younger leaders in health care or, you know, 231 00:08:39,669 --> 00:08:41,590 emerging leaders, you know, what would be your 232 00:08:41,590 --> 00:08:42,730 top piece of advice, 233 00:08:43,190 --> 00:08:45,769 you know, as they prepare for further advancements 234 00:08:45,910 --> 00:08:46,730 in technology 235 00:08:47,110 --> 00:08:48,730 and greater demands for care? 236 00:08:49,325 --> 00:08:51,164 I think the greatest advice I can give 237 00:08:51,164 --> 00:08:53,884 is is never stop learning. Mhmm. Right? You 238 00:08:53,884 --> 00:08:56,225 have to be a lifelong learner, be curious, 239 00:08:56,845 --> 00:08:57,345 be 240 00:08:57,804 --> 00:08:58,304 adaptable 241 00:08:58,924 --> 00:09:01,245 because, you know, I I I look at 242 00:09:01,245 --> 00:09:01,904 it as, 243 00:09:02,605 --> 00:09:03,504 again, right, 244 00:09:04,129 --> 00:09:06,610 with the resources that we have Mhmm. 245 00:09:07,089 --> 00:09:09,409 I'm always trying to think ahead of what 246 00:09:09,409 --> 00:09:11,209 are we gonna do in the future Mhmm. 247 00:09:11,570 --> 00:09:12,070 And 248 00:09:12,850 --> 00:09:15,490 expect that you're not going to get what 249 00:09:15,490 --> 00:09:17,970 you really need. Mhmm. So think of how 250 00:09:17,970 --> 00:09:19,269 you can find those alternatives. 251 00:09:19,570 --> 00:09:20,625 Right. So I'm 252 00:09:21,165 --> 00:09:23,404 always open to talk to vendors. Right? Because 253 00:09:23,404 --> 00:09:25,325 I never know who may give me a 254 00:09:25,325 --> 00:09:27,024 call or come across my path. 255 00:09:27,485 --> 00:09:29,325 And that has actually helped us in in 256 00:09:29,325 --> 00:09:31,524 so many different ways. So Mhmm. 257 00:09:32,684 --> 00:09:33,184 In 258 00:09:33,644 --> 00:09:36,190 my various careers, if you will, because I've 259 00:09:36,190 --> 00:09:37,329 been in different industries 260 00:09:37,949 --> 00:09:40,769 that that being open to to listen, learn, 261 00:09:41,069 --> 00:09:43,949 and and just be prepared that Mhmm. When 262 00:09:43,949 --> 00:09:45,789 the time does come, you you can pull 263 00:09:45,789 --> 00:09:48,350 the trigger to do that project because you've 264 00:09:48,350 --> 00:09:50,455 prepared yourself for that. Mhmm. 265 00:09:51,154 --> 00:09:53,394 Well, Garrett, I really appreciate you sharing your 266 00:09:53,394 --> 00:09:53,894 expertise, 267 00:09:54,674 --> 00:09:56,754 today. Do you have any final thoughts you'd 268 00:09:56,754 --> 00:09:57,894 like to leave with our listeners? 269 00:09:58,274 --> 00:09:59,794 If you haven't attended, you should come to 270 00:09:59,794 --> 00:10:01,414 Becker's conference. It's awesome. 271 00:10:01,906 --> 00:10:03,266 All right. Awesome. Well, thank you so much 272 00:10:03,266 --> 00:10:04,786 for joining us today on the Becker's healthcare 273 00:10:04,786 --> 00:10:05,986 podcast, and you have a lovely rest of 274 00:10:05,986 --> 00:10:08,006 your day, sir. Thank you. Thank you.