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 00:00:09,679 --> 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 00:00:28,779 --> 00:00:31,179 This is Gracelyn Keller with the Becker's Healthcare 11 00:00:31,179 --> 00:00:31,679 Podcast, 12 00:00:31,980 --> 00:00:34,140 and I am excited today to be joined 13 00:00:34,140 --> 00:00:36,539 by doctor Mark Mavis, who is the chief 14 00:00:36,539 --> 00:00:39,600 medical informatics officer and the VP of EHR 15 00:00:39,739 --> 00:00:42,619 at Parkview Health. Mark, thanks for joining me. 16 00:00:42,619 --> 00:00:44,994 We'd love to have you start off by 17 00:00:44,994 --> 00:00:47,234 introducing yourself and sharing a bit more about 18 00:00:47,234 --> 00:00:48,774 your background and your role. 19 00:00:49,634 --> 00:00:51,015 Thanks for having me. 20 00:00:51,554 --> 00:00:52,054 Yep. 21 00:00:52,434 --> 00:00:55,074 As mentioned, I'm, doctor Mark Vebas. I am, 22 00:00:55,395 --> 00:00:57,335 family medicine and clinical informatics, 23 00:00:57,875 --> 00:01:00,240 board certified. I've been a been a doc 24 00:01:00,320 --> 00:01:03,620 for over, 15 years at Parkview Health. 25 00:01:04,400 --> 00:01:07,760 And I am the chief medical informatics officer, 26 00:01:07,760 --> 00:01:09,459 which means that I help with, 27 00:01:09,840 --> 00:01:11,060 provider efficiencies 28 00:01:12,159 --> 00:01:14,954 and some tech projects, you know, clinical decision 29 00:01:14,954 --> 00:01:15,454 support, 30 00:01:16,234 --> 00:01:16,734 reducing 31 00:01:17,034 --> 00:01:21,115 note bloat or documentation burden reduction, we're gonna 32 00:01:21,115 --> 00:01:22,015 call it now, 33 00:01:22,715 --> 00:01:23,594 and also, 34 00:01:23,995 --> 00:01:27,594 lead our extensive epic. Everything clinical and revenue 35 00:01:27,594 --> 00:01:28,079 cycle, 36 00:01:28,400 --> 00:01:30,420 for our, Epic EHR, 37 00:01:31,040 --> 00:01:32,480 reports up through me. So, 38 00:01:33,120 --> 00:01:34,560 working with our, 39 00:01:35,280 --> 00:01:36,180 with our clinicians 40 00:01:36,959 --> 00:01:39,520 and our staff to, make Epic the best 41 00:01:39,520 --> 00:01:41,299 it can be at Parkview Health. 42 00:01:42,575 --> 00:01:45,615 Wonderful. Well, thank you for joining me. And 43 00:01:45,615 --> 00:01:47,555 let's start by talking about 44 00:01:48,015 --> 00:01:51,234 AI adoption. This is exploding in health care. 45 00:01:51,295 --> 00:01:53,055 So in your view, what is the most 46 00:01:53,055 --> 00:01:56,400 significant or promising application of AI technology right 47 00:01:56,400 --> 00:01:58,819 now, and how is that informing your organization's 48 00:01:58,959 --> 00:02:00,020 innovation strategy? 49 00:02:01,439 --> 00:02:03,459 Sure. AI is, being, 50 00:02:03,760 --> 00:02:06,079 tested out in so many different areas of 51 00:02:06,079 --> 00:02:08,455 health care. Mine from a, 52 00:02:08,935 --> 00:02:09,675 a provider 53 00:02:09,974 --> 00:02:12,235 standpoint and an efficiency standpoint. 54 00:02:13,655 --> 00:02:15,974 My big, area that I focused on that 55 00:02:15,974 --> 00:02:18,715 helps providers right now is ambient 56 00:02:19,080 --> 00:02:20,620 technology. You know, the technology 57 00:02:20,919 --> 00:02:23,159 where you can pull out your cell phone, 58 00:02:23,159 --> 00:02:24,219 start the app, 59 00:02:24,759 --> 00:02:25,080 and, 60 00:02:25,719 --> 00:02:28,039 have it listen to your patient encounter and 61 00:02:28,039 --> 00:02:29,879 transcribe all of that into a, 62 00:02:31,165 --> 00:02:32,865 cohesive bit of documentation. 63 00:02:33,645 --> 00:02:35,724 You know, the Ambient vendors have been around 64 00:02:35,724 --> 00:02:37,585 for the last couple years, and the functionality 65 00:02:37,724 --> 00:02:40,844 within Ambient keeps growing as well. It's not 66 00:02:40,844 --> 00:02:42,925 just for progress notes. It writes some of 67 00:02:42,925 --> 00:02:44,729 the best progress notes out there. I know 68 00:02:44,729 --> 00:02:47,129 my nurse herself says your progress notes look 69 00:02:47,129 --> 00:02:48,829 better when you do the ambient. 70 00:02:49,689 --> 00:02:51,689 But then also, you know, being able to, 71 00:02:52,409 --> 00:02:54,969 you know, improve efficiencies in other ways, like 72 00:02:54,969 --> 00:02:56,189 queuing up diagnoses 73 00:02:56,569 --> 00:02:57,469 or orders, 74 00:02:57,965 --> 00:02:59,425 just making that whole 75 00:02:59,805 --> 00:03:00,305 documentation 76 00:03:00,764 --> 00:03:03,165 experience that a provider has had to do 77 00:03:03,165 --> 00:03:05,165 as a data entry specialist for the last 78 00:03:05,165 --> 00:03:07,645 20 years, taking that out of their hands 79 00:03:07,645 --> 00:03:10,125 and getting providers back to where they're more 80 00:03:10,125 --> 00:03:10,625 comfortable 81 00:03:11,085 --> 00:03:13,264 in treating that patient, that one 82 00:03:13,610 --> 00:03:16,030 person that's right in front of them, connecting 83 00:03:16,090 --> 00:03:16,830 with them. 84 00:03:17,129 --> 00:03:19,050 I think it's such a great use of 85 00:03:19,050 --> 00:03:20,409 the technology to, 86 00:03:20,889 --> 00:03:23,209 empower providers to do what they wanna do 87 00:03:23,209 --> 00:03:26,189 and help people, not be a data entry, 88 00:03:26,490 --> 00:03:28,974 person. Yes. Of course, there's other areas that 89 00:03:28,974 --> 00:03:32,014 AI can, you know, help out. But, you 90 00:03:32,014 --> 00:03:34,495 know, that one is is is key for 91 00:03:34,495 --> 00:03:35,715 for me and my providers, 92 00:03:36,334 --> 00:03:38,275 getting them efficient and getting those, 93 00:03:39,134 --> 00:03:41,875 people connection, you know, that, that really, 94 00:03:42,500 --> 00:03:43,960 fills our tank. You know? 95 00:03:45,139 --> 00:03:45,639 Absolutely. 96 00:03:46,340 --> 00:03:48,419 And kinda going off of that, on a 97 00:03:48,419 --> 00:03:51,219 daily basis, health care leaders are managing greater 98 00:03:51,219 --> 00:03:52,280 volumes of data 99 00:03:52,659 --> 00:03:54,915 and more devices across a growing number of 100 00:03:54,915 --> 00:03:56,375 care settings and populations. 101 00:03:57,235 --> 00:03:58,935 So this is a complex environment, 102 00:03:59,314 --> 00:04:01,235 and I'd love to know what clinical data 103 00:04:01,235 --> 00:04:02,694 integration tools or practices 104 00:04:03,235 --> 00:04:06,354 you're seeing drive improvements in patient outcomes and 105 00:04:06,354 --> 00:04:06,854 operations. 106 00:04:07,395 --> 00:04:09,495 And can you share an example of this? 107 00:04:10,569 --> 00:04:13,629 Data is is key to managing 108 00:04:13,930 --> 00:04:16,329 your health care organization on a on a 109 00:04:16,329 --> 00:04:18,810 on a individual patient level, but then also 110 00:04:18,810 --> 00:04:21,850 on that population health level and then, you 111 00:04:21,850 --> 00:04:23,610 know, as as a system, you know, and 112 00:04:23,610 --> 00:04:25,944 how you interact with all the different areas 113 00:04:26,245 --> 00:04:28,644 in the health care, sector. So, 114 00:04:29,045 --> 00:04:30,485 one of the one of the key kind 115 00:04:30,485 --> 00:04:32,485 of focuses that we've done at Parkview more 116 00:04:32,485 --> 00:04:35,365 more recently is is trying to get more 117 00:04:35,365 --> 00:04:37,845 discrete data, you know, in some type of, 118 00:04:37,845 --> 00:04:39,305 you know, clinical repository 119 00:04:39,605 --> 00:04:42,080 that we can, you know, run multiple different, 120 00:04:42,699 --> 00:04:45,740 clinical intelligence and business intelligence metrics off of. 121 00:04:45,740 --> 00:04:47,439 You know, everybody's trying to 122 00:04:48,060 --> 00:04:48,800 be properly 123 00:04:49,259 --> 00:04:49,759 compensated 124 00:04:50,139 --> 00:04:50,639 for 125 00:04:51,020 --> 00:04:52,319 the level of 126 00:04:57,204 --> 00:04:59,865 different coding and, insurance and regulatory, 127 00:05:00,724 --> 00:05:03,764 factors that go into that complex system that 128 00:05:03,764 --> 00:05:05,764 is payment in the health care system. You 129 00:05:05,764 --> 00:05:07,865 know, can we get more data to accurately 130 00:05:09,360 --> 00:05:10,819 reference, you know, how, 131 00:05:11,360 --> 00:05:14,399 a patient actually looks, you know, comparing it 132 00:05:14,399 --> 00:05:16,720 to real life in in the computer and 133 00:05:16,720 --> 00:05:19,199 all that data? You know, we've had some, 134 00:05:19,519 --> 00:05:20,019 initiatives 135 00:05:20,319 --> 00:05:22,035 at Parkview that look at, 136 00:05:22,595 --> 00:05:22,914 the, 137 00:05:23,634 --> 00:05:24,854 MCCs, HCCs, 138 00:05:25,475 --> 00:05:26,854 risk adjustment factors, 139 00:05:27,714 --> 00:05:29,175 the those clinical 140 00:05:29,714 --> 00:05:31,414 indicators of the patient. 141 00:05:31,875 --> 00:05:34,914 Different initiatives for better documentation on the provider 142 00:05:34,914 --> 00:05:35,414 side, 143 00:05:36,035 --> 00:05:39,020 help on the coding query side, you know, 144 00:05:39,020 --> 00:05:40,399 through clinical documentation, 145 00:05:41,420 --> 00:05:43,580 even throwing in some AI in this air 146 00:05:43,740 --> 00:05:46,939 arena too. You know, looking at the, professional 147 00:05:46,939 --> 00:05:49,754 billing claims and and hospital coding, you know, 148 00:05:49,754 --> 00:05:52,714 are we capturing all of those, discrete little 149 00:05:52,714 --> 00:05:54,735 nuggets of data that can help, 150 00:05:55,035 --> 00:05:55,754 like I said, 151 00:05:56,394 --> 00:05:59,514 accurately represent the complexity of a patient that 152 00:05:59,514 --> 00:06:01,454 can therefore be translated 153 00:06:01,754 --> 00:06:03,454 into all those different initiatives, 154 00:06:03,914 --> 00:06:04,735 whether it's 155 00:06:05,259 --> 00:06:08,060 for for reimbursement or for for population health 156 00:06:08,060 --> 00:06:09,360 care gap closure, 157 00:06:10,060 --> 00:06:12,699 all those things that make health care so 158 00:06:12,699 --> 00:06:13,199 complex. 159 00:06:13,580 --> 00:06:15,660 You know, work on it from a provider 160 00:06:15,660 --> 00:06:18,220 standpoint in their day to day workflows, but 161 00:06:18,220 --> 00:06:18,959 then also 162 00:06:19,435 --> 00:06:23,115 encourage and empower your, your teams that work 163 00:06:23,115 --> 00:06:25,115 in the background to make this work as 164 00:06:25,115 --> 00:06:25,615 well. 165 00:06:26,875 --> 00:06:27,535 A 100%. 166 00:06:28,235 --> 00:06:28,735 And 167 00:06:29,274 --> 00:06:30,814 how can health care organizations 168 00:06:31,435 --> 00:06:34,270 better support both IT and clinical teams as 169 00:06:34,270 --> 00:06:36,509 they carry out innovation efforts, and what are 170 00:06:36,509 --> 00:06:38,529 some common pitfalls you've seen here? 171 00:06:39,790 --> 00:06:43,470 Definitely, this is an area that everybody always 172 00:06:43,470 --> 00:06:45,330 needs, you know, help with, I think. 173 00:06:45,870 --> 00:06:46,370 There 174 00:06:46,910 --> 00:06:47,490 are ideas 175 00:06:47,824 --> 00:06:49,764 that come in from all different sites, 176 00:06:50,704 --> 00:06:52,404 but you have to have great communication 177 00:06:53,024 --> 00:06:55,365 between IT and the clinical, 178 00:06:55,824 --> 00:06:57,524 teams. That's where informatics 179 00:06:57,985 --> 00:07:00,464 certainly can help out, can help bridge that 180 00:07:00,464 --> 00:07:03,459 gap between true clinical and true IT. 181 00:07:03,839 --> 00:07:05,459 You know, look at those workflows. 182 00:07:06,319 --> 00:07:07,860 Look to see what, 183 00:07:08,319 --> 00:07:09,699 can be improved, 184 00:07:10,959 --> 00:07:11,699 and brainstorm 185 00:07:12,000 --> 00:07:12,800 on those, 186 00:07:13,120 --> 00:07:14,979 ideas. You know, that's where that innovation, 187 00:07:15,599 --> 00:07:18,164 comes in. You know, common pit pitfalls 188 00:07:18,544 --> 00:07:20,485 are things like, implementing 189 00:07:20,865 --> 00:07:22,164 without properly testing, 190 00:07:22,464 --> 00:07:23,125 you know, 191 00:07:23,584 --> 00:07:26,564 in in making someone do a completely 192 00:07:27,024 --> 00:07:28,084 different workflow 193 00:07:28,709 --> 00:07:29,610 just to achieve, 194 00:07:30,550 --> 00:07:32,629 you know, someone else's goal. You know, if 195 00:07:32,629 --> 00:07:34,709 I have to do something completely different to, 196 00:07:35,350 --> 00:07:37,910 code a certain way, I'm gonna be more 197 00:07:37,910 --> 00:07:40,389 resistant as a clinician to do that. It's 198 00:07:40,389 --> 00:07:42,149 gonna take more effort, and they'll be more 199 00:07:42,149 --> 00:07:43,269 resistant. So, 200 00:07:43,589 --> 00:07:46,074 can can informatics bridge that gap, 201 00:07:46,455 --> 00:07:47,975 and kind of meet the 2 in the 202 00:07:47,975 --> 00:07:49,574 middle and figure out, you know, what is 203 00:07:49,574 --> 00:07:52,935 that best workflow to achieve things? And and, 204 00:07:52,935 --> 00:07:55,895 yeah, it could be innovation in workflow design. 205 00:07:55,895 --> 00:07:58,634 It could be innovation in software design, 206 00:07:59,420 --> 00:08:01,980 or could be some brand new, you know, 207 00:08:01,980 --> 00:08:04,560 element of technology that we haven't, thought about. 208 00:08:05,180 --> 00:08:06,720 I'm really thankful for 209 00:08:07,020 --> 00:08:07,520 informatics 210 00:08:07,899 --> 00:08:09,199 kind of filling that role, 211 00:08:10,220 --> 00:08:10,720 and, 212 00:08:11,180 --> 00:08:12,399 being so engaging 213 00:08:12,779 --> 00:08:14,639 and, willing to, 214 00:08:15,064 --> 00:08:16,685 know, help make 215 00:08:17,064 --> 00:08:17,564 everything 216 00:08:18,104 --> 00:08:20,824 all those different parts connect and work to 217 00:08:20,824 --> 00:08:22,524 the best of, the, 218 00:08:23,224 --> 00:08:26,204 needs for for each side, IT and clinical. 219 00:08:27,879 --> 00:08:29,980 Wonderful. And then as we wrap our conversation, 220 00:08:30,920 --> 00:08:32,440 I would love to know your top piece 221 00:08:32,440 --> 00:08:34,279 of advice for health care leaders as they 222 00:08:34,279 --> 00:08:34,779 prepare 223 00:08:35,240 --> 00:08:38,360 for further advancements in technology and greater demands 224 00:08:38,360 --> 00:08:39,100 for care. 225 00:08:40,274 --> 00:08:42,214 Definitely be open minded, 226 00:08:42,914 --> 00:08:45,414 to all those new different possibilities. 227 00:08:46,274 --> 00:08:47,654 Don't fall behind 228 00:08:48,034 --> 00:08:49,315 either. There's 229 00:08:50,115 --> 00:08:50,934 you know, the 230 00:08:51,315 --> 00:08:53,254 the the rate of technology explosion 231 00:08:53,720 --> 00:08:56,040 just seems to get faster and faster. AI, 232 00:08:56,040 --> 00:08:57,259 you you've seen it. 233 00:08:57,879 --> 00:09:00,200 What was just briefly talked about, you know, 234 00:09:00,200 --> 00:09:02,200 chat gpt a few years ago is so 235 00:09:02,200 --> 00:09:05,240 integrated into all these new gen AI tools, 236 00:09:05,240 --> 00:09:07,415 and it's becoming faster and faster 237 00:09:07,955 --> 00:09:10,915 on, those improvements there too. There's a new 238 00:09:10,915 --> 00:09:13,075 model right around the corner. So, 239 00:09:13,715 --> 00:09:15,495 being able to keep up with, 240 00:09:16,035 --> 00:09:18,274 what those trends are in technologies, what your 241 00:09:18,274 --> 00:09:19,735 EHR vendors are 242 00:09:20,139 --> 00:09:22,299 providing for you. You know, 243 00:09:22,779 --> 00:09:24,240 there there are 244 00:09:25,100 --> 00:09:26,080 so many different, 245 00:09:26,539 --> 00:09:29,259 avenues of new things. Be willing to try 246 00:09:29,259 --> 00:09:30,080 them out. 247 00:09:30,459 --> 00:09:33,355 See what works for your health system. You 248 00:09:33,355 --> 00:09:35,434 know, don't just do it to to to 249 00:09:35,434 --> 00:09:37,115 do it, but do you have a use 250 00:09:37,115 --> 00:09:38,955 case for it? You know, it it's not 251 00:09:38,955 --> 00:09:40,735 something that IT, like I mentioned, 252 00:09:41,115 --> 00:09:43,355 can implement, and the clinician would have to 253 00:09:43,355 --> 00:09:46,779 completely change something around. Well, what fits into 254 00:09:46,779 --> 00:09:49,519 that clinician needs, or what fits into that 255 00:09:49,740 --> 00:09:50,720 IT needs? 256 00:09:51,420 --> 00:09:54,000 Is there some area of technology 257 00:09:54,460 --> 00:09:56,320 or a new module, 258 00:09:57,019 --> 00:09:59,420 that would be helpful for your system? Don't 259 00:09:59,420 --> 00:10:00,639 be afraid to 260 00:10:01,225 --> 00:10:03,945 to reach out and get things going sooner 261 00:10:03,945 --> 00:10:04,605 than later, 262 00:10:05,144 --> 00:10:07,705 so you're not, you know, left, cleaning up 263 00:10:07,705 --> 00:10:09,725 in in the background. I know 264 00:10:10,264 --> 00:10:12,024 there are some things that, you know, we 265 00:10:12,105 --> 00:10:14,089 we've been used to doing some things a 266 00:10:14,089 --> 00:10:15,769 a certain way, and maybe you just need 267 00:10:15,769 --> 00:10:17,370 to be a little bit more open minded 268 00:10:17,370 --> 00:10:20,269 as to trying, something a little bit different. 269 00:10:21,209 --> 00:10:24,089 Not completely disruptive, you know, but, maybe just 270 00:10:24,089 --> 00:10:26,455 a a little bit different can help you 271 00:10:26,455 --> 00:10:28,634 and your team achieve their goals 272 00:10:29,095 --> 00:10:29,835 a little bit, 273 00:10:30,295 --> 00:10:31,995 quicker and more efficiently. 274 00:10:33,095 --> 00:10:35,415 Wonderful. Well, Mark, thank you so much for 275 00:10:35,415 --> 00:10:37,095 taking the time to join me today on 276 00:10:37,095 --> 00:10:39,894 the Becker's Healthcare Podcast and share these thoughts 277 00:10:39,894 --> 00:10:40,634 and insights. 278 00:10:41,386 --> 00:10:43,147 Thank you for the opportunity. Have a great 279 00:10:43,147 --> 00:10:43,647 day.