Secure Computing Enclaves Move Digital Medicine Forward
By providing a safe, secure environment, novel approaches enable health care innovators to share data without opening the door to snoopers and thieves.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.We know that bringing together AI algorithms and data in ways that preserve privacy and intellectual property is one of the keys to delivering the next generation of clinical decision support. But meeting that challenge requires health care innovators to look to other innovators who themselves have created uniq...
Source: Life as a Healthcare CIO - September 9, 2021 Category: Information Technology Source Type: blogs

Breast Cancer Screening: We Can Do Better
The three risk assessment tools now in use fall far short. Using the latest deep learning techniques, investigators are developing more personalized ways to locate women at high risk.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.The promise of personalized medicine will eventually allow clinicians to offer individual patients more precise advice on prevention, early detection and treatment. Of course, the operative word iseventually.A closer examination of the screening tools available to detect breast c...
Source: Life as a Healthcare CIO - August 31, 2021 Category: Information Technology Source Type: blogs

Can Social Determinants of Health Predict Your Patient ’s Future?
This article was written by Tim Suther, Nicole Hobbs, Jeff McGinn, Matt Turner with Change Healthcare, John Halamka, MD, MS, president of Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform.By one estimate, social determinants of health (SDoH) influence up to80% of health outcomes. Although reports like this suggest that these social factors have a major impact, thought leaders continue to debate whether they can also enhance the accuracy in predictive models. Resolving that debate is far from simple because the answer depends on the type, source and quality o...
Source: Life as a Healthcare CIO - August 23, 2021 Category: Information Technology Source Type: blogs

We Need to Open Up the AI Black Box
To convince physicians and nurses that deep learning algorithms are worth using in everyday practice, developers need to explain how they work in plain clinical English.Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, and John Halamka, M.D., president, Mayo Clinic Platform, wrote this article.AI ’s so-called black box refers to the fact that much of the underlying technology behind machine learning-enhanced algorithms isprobability/statistics without a human readable explanation.Oftentimes that ’s the case because the advanced math or the data science behind the algorit...
Source: Life as a Healthcare CIO - August 17, 2021 Category: Information Technology Source Type: blogs

The Future Belongs to Digital Pathology
Advances in artificial intelligence are slowly transforming the specialty, much the way radiology is being transformed by similar advances in digital technology.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Any patient who faces a potential cancer diagnosis knows how important an accurate, timely pathology report is. Similarly, surgeons often require fast pathology results when they are performing a delicate procedure to determine their course of action during an operation. New technological develop...
Source: Life as a Healthcare CIO - July 30, 2021 Category: Information Technology Source Type: blogs

Shift Happens
Dataset shift can thwart the best intentions of algorithm developers and tech-savvy clinicians, but there are solutions.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Generalizability has always been a concern in health care, whether we ’re discussing the application of clinical trials or machine-learning based algorithms. A large randomized controlled trial that finds an intensive lifestyle program doesn’t reduce the risk of cardiovascular complications in Type 2 diabetics, for instance, sugg...
Source: Life as a Healthcare CIO - July 28, 2021 Category: Information Technology Source Type: blogs

Causality in Medicine: Moving Beyond Correlation in Clinical Practice
A growing body of research suggests it ’s time to abandon outdated ideas about how to identify effective medical therapies.Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, and John Halamka, M.D., president, Mayo Clinic Platform, wrote this article.“Correlation is not causation.” It’s a truism that researchers take for granted, and for good reason. The fact that event A is followed by event B doesn’t mean that A caused B. An observational study of 1,000 adults, for example, that found those taking high doses of vitamin C were less like ly to develop lun...
Source: Life as a Healthcare CIO - July 23, 2021 Category: Information Technology Source Type: blogs

Taking Down the Fences that Divide Us
Innovation in healthcare requires new ways to think about interdisciplinary solutions.Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform and John Halamka, M.D., president, Mayo Clinic Platform, wrote this article.During the 10 years we have worked together, John and I have written often about the power of words liketransformation, optimism, cynicism, and misdiagnosis. Another word that needs more attention is “interdisciplinary.” It’s been uttered so many times in science, medicine, and technology that it’s lost much of its impact.  We all give lip se...
Source: Life as a Healthcare CIO - July 19, 2021 Category: Information Technology Source Type: blogs

Identifying the Best De-Identification Protocols
Keeping patient data private remains one of the biggest challenges in healthcare. A recently developed algorithm from nference is helping address the problem.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.In the United States, healthcare organizations that manage or store personal health information (PHI) are required by law to keep that data secure and private. Ignoring that law, as spelled out in the HIPAA regulations, has cost several providers and insurers millions of dollars in fines, and serious dam...
Source: Life as a Healthcare CIO - July 12, 2021 Category: Information Technology Source Type: blogs

Learning from AI ’s Failures
A detailed picture of AI ’s mistakes is the canvas upon which we create better digital solutions.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.We all tend to ignore clich és because we’ve heard them so often, but some clichés are worth repeating. “We learn more from failure than success” comes to mind. While it may be overused, it nonetheless conveys an important truth for anyone involved in digital health. Two types of failures are worth closer scrutiny: alg orithms...
Source: Life as a Healthcare CIO - July 6, 2021 Category: Information Technology Source Type: blogs

A Paradigm Shift in Digital Health
Innovation is best scaled when pipelines are replaced with platforms.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.TheDigital Health Frontierincludes cutting edge predictive analytics, machine learning enhanced algorithms and big data analytics. But for these innovations to have their full impact on patient care requires the right strategic and operational foundation. In the past, many technology-focused organizations have relied on a pipeline approach as the foundation to construct innovations and promo...
Source: Life as a Healthcare CIO - June 28, 2021 Category: Information Technology Source Type: blogs

When AI Meets SDOH
Artificial intelligence can help identify and address the social determinants of health.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Machine learning is getting better at predicting things. There are now algorithms that improve the detection of diabetic retinopathy, predict the onset of sepsis, and help determine a critically ill patient ’s risk of dying. But a piece of wisdom from Warren Buffet comes to mind: “Predicting rain doesn’t matter. Building arks does.” Even the mo...
Source: Life as a Healthcare CIO - June 15, 2021 Category: Information Technology Source Type: blogs

The Digital Reconstruction of Healthcare is Upon Us
The transition from brick and mortar to digital medicine will profoundly impact the way clinicians and patients interact —and will likely improve clinical outcomes.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Paul Cerrato and I are excited to finally announce the publication of our 5th book together:The Digital Reconstruction of Healthcare: Transitioning from Brick and Mortar to Virtual Care.In March, we posted thetable of contents of the new book. Now that it ’s reached the “news...
Source: Life as a Healthcare CIO - June 11, 2021 Category: Information Technology Source Type: blogs

AI-Enhanced Cardiology Takes Another Step Forward
Combining a convolutional neural network with routine ECGs detected low ejection fraction, a signpost for Asymptomatic left ventricular systolic dysfunctionJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Asymptomatic left ventricular systolic dysfunction (ALVSD) may not be the most familiar disorder in medicine, but it nonetheless increases a patient ’s risk of heart failure and death. Unfortunately, ALVSD is not that easily detected. Characterized by low ejection fraction (EF) — a measure of h...
Source: Life as a Healthcare CIO - May 21, 2021 Category: Information Technology Source Type: blogs

A Unique Partnership Delivers Acute and Holistic Home Care
Mayo Clinic, Kaiser Permanente, and Medically Home join forces to offer patients the best of both worlds, forging a partnership that has the potential to redefine the hospital industry.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.One of the problems facing most patients who require hospital admission is removing their familiar surroundings and emotional supports. While these resources might be considered less critical than specialized clinical expertise, there's little doubt that these "less import...
Source: Life as a Healthcare CIO - May 14, 2021 Category: Information Technology Source Type: blogs

Health Data Privacy Gets the Attention It Deserves
The Partners in Privacy Conference gathered world-class experts to address some of health care ’s most vexing problems.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.The challenges involved in keeping patient and consumer health data private may seem daunting. Still, a recent virtual conference hosted by Mayo Clinic brought together over 80 world-class experts to address the issues. Their insights are worth a closer look.During his opening remarks atPartners in Privacy Conference: The Ethical and Re...
Source: Life as a Healthcare CIO - May 5, 2021 Category: Information Technology Source Type: blogs

It ’s OK to Break the Rules Now and Then
This study introduces an augmented intelligence platform for the real-time synthesis of institutional knowledge captured in EHRs.” One caveat that the researchers acknowledge in the report was that they had yet to conduct prospective validation of the augmented EHR curation approach.A second nference-based investigation reviewed the records of patients who had received more than 94,000 doses of the Pfizer COVID-19 vaccine, more than 36,000 doses of the Moderna vaccine, and 1,745 doses of the Johnson& Johnson vaccine. The study ’s goal was to determine the incidence of cerebral venous sinus thrombosis (...
Source: Life as a Healthcare CIO - April 26, 2021 Category: Information Technology Source Type: blogs

Can AI Reinvent Radiation Therapy for Cancer Patients?
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Of all the advances in health care artificial intelligence (AI), medical imaging is probably the most remarkable success story. Two prominent examples come to mind: Machine learning has helped improve the screening and diagnosis of retinal disease and is making inroads in skin cancer detection. Given these developments, it ’s not surprising to find researchers and clinicians developing the digital tools to improve radiotherapy, which combines imaging te...
Source: Life as a Healthcare CIO - April 19, 2021 Category: Information Technology Source Type: blogs

A Heart Held Humble Levels and Lights the Way
Observations on executive training& executive restJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Humility is not a very popular word among business and health care executives. Often considered a sign of weakness, this personality trait is not often applauded in executive training programs or boardrooms. A revealing piece inHarvard Business Review sums up the problem in its title: “If Humility is So Important, Why Are Leaders So Arrogant?” The article goes on to discuss the push among HR co...
Source: Life as a Healthcare CIO - April 9, 2021 Category: Information Technology Source Type: blogs

Health Care Needs Better Marketing, Too
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Inspiration comes in all sizes and shapes. Neil deGrasse Tyson, a world-renowned astrophysicist and director of the Hayden Planetarium in New York City, continues to inspire us with words like, “The good thing about science is that it's true whether or not you believe in it. ” Amidst all the confusion and debate in the popular press about health science, this form of uncommon sense needs more media attention. It’s a truism that may have prom...
Source: Life as a Healthcare CIO - March 30, 2021 Category: Information Technology Source Type: blogs

Diabetes Meets Machine Learning, Part 2
Continuous glucose monitoring takes center stageJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.In February, we discussed the benefits ofusing machine learning (ML) to improve screening for diabetes and for managing the disorder. In some situations, ML can more accurately detect the presence of prediabetes, for instance. Similarly, there ’s research to show that the right algorithms can improve the treatment of Type 1 diabetes.  But there ’s also mounting evidence to suggest ML can benefit...
Source: Life as a Healthcare CIO - March 23, 2021 Category: Information Technology Source Type: blogs

When Technology, Policy, and the Urgency to Change Converge
Our new book,The Digital Reconstruction of Healthcare, is about to be published by Taylor and Francis, as part of its HIMSS book series. We wanted to give readers a preview of what ’s to come so we are posting the Preface of the book ahead of time.In our last two books, we began the conversation discussing the power of words, including misdiagnosis, cynicism, and optimism.1,2In this book, our focus is onreconstruction, and all its implications for healthcare. To some, it might suggest the tearing down of an existing structure, a complete replacement of the healthcare ecosystem as we know it. Neither of us believe tha...
Source: Life as a Healthcare CIO - March 19, 2021 Category: Information Technology Source Type: blogs

The Year of Living Dangerously
It's been exactly one year since our lives changed. On March 10, 2020, Governor Charlie Baker declared a state of emergency for Massachusetts, changing the way many of us travel. On March 11, 2020, the World Health Organization declared COVID-19 a global pandemic, its first such designation since declaring H1N1 influenza a pandemic in 2009. On March 15, 2020, I flew to Minnesota and prepared my Rochester apartment for a lockdown. I said my goodbyes to colleagues on March 16 and flew back to Boston. We've run the Mayo Clinic Platform at a distance for the past year.During the pandemic, those old enough to have overcome adve...
Source: Life as a Healthcare CIO - March 16, 2021 Category: Information Technology Source Type: blogs

Vaccine Credentials Done Right
Vaccine credentials could be a safe and convenient way for people to resume a more normal daily life, but it ’s critical that we do it in the right way. Public and private sector collaboration is essential, and we must be driven by science and our best understanding of what vaccines mean for immunity under different conditions. It’s reasonable to expect that some businesses, schools and countries may r equire it – just like yellow fever vaccine certificates.So if we are moving toward those uses, we need to create a way patients can share their vaccination status if they wish to do so, with tools designed ...
Source: Life as a Healthcare CIO - March 11, 2021 Category: Information Technology Source Type: blogs

Listen Better, See Deeper
Combining Medical Attentiveness with Artificial IntelligenceJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Embracing an “ecology of attention” will significantly improve patient care, according to Mark Kissler, MD, at the University of Colorado.1Kissler and his colleagues point out that clinicians spend much of their time multi-tasking and navigating around interruptions. While such juggling acts are often unavailable, it ’s important to occasionally step back and ask: Is this the best u...
Source: Life as a Healthcare CIO - March 2, 2021 Category: Information Technology Source Type: blogs

Diabetes Meets Machine Learning, Part 1
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Of all the disorders that have responded well to artificial intelligence and machine learning, diabetes mellitus probably tops the list. The evidence supporting a role for Machine Learning (ML)-enhanced algorithms in managing the disease is persuasive and applies to several components of patient care, including screening, diagnosis, treatment, and prognosis.Let's start with screening: As most clinicians know, there's a difference between screening for disease...
Source: Life as a Healthcare CIO - February 22, 2021 Category: Information Technology Source Type: blogs

High-Quality Hospital Care — Minus the Hospital
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.In a time of COVID, the current care models just can ’t remain in place. We need innovative ways to address the high cost of acute care. One solution that is taking a front seat is telemedicine. Telecare has accelerated from 3-4% of visits in January 2020 to 90% in April to a new normal of 20% in 2021. Cultural change has modified patient expectations for the care they can get at a distance, which can be more convenient, less likely to result ...
Source: Life as a Healthcare CIO - February 12, 2021 Category: Information Technology Source Type: blogs

Let Your Freak Flag Fly
 John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.If Mary Putnam Jacobi were alive today, she would probably embrace artificial intelligence (AI), machine learning, and data analytics. Dr. Jacobi might best be described as the mother of modern scientific medicine — or at the very least one of its founding parents. In 1868, she was the first woman to enroll in the University of Paris School of Medicine. After graduating in 1871, this unconventional thinker arrived in the U.S., where she ...
Source: Life as a Healthcare CIO - February 10, 2021 Category: Information Technology Source Type: blogs

The Therapeutic Potential of Voice Technology
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.The human voice is capable of extraordinary feats of genius and everyday acts of kindness. It can recite Shakespearean sonnets, teach our children moral values, stir audiences with a dramatic performance, and much more. But few of us ever imagined it capable of assisting in the diagnosis of disease. That ’s about the change, as evidenced by several innovative projects in voice technology.With the right digital tools, it is now possib...
Source: Life as a Healthcare CIO - February 4, 2021 Category: Information Technology Source Type: blogs

Wearable Danger
This article is written by John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform.If you ask health care executives what keeps them up at night, many would sum up their worries in one word: ransomware.  By one estimate, 56% of organizations suffered aransomware attack in the last year. While there are countless ways in which a cyberthief can penetrate a facility ’s computer network to block access to essential data, one avenue that gets too little attention is through wearables and related medical devices.  A growing...
Source: Life as a Healthcare CIO - January 26, 2021 Category: Information Technology Source Type: blogs

How is AI Impacting Health Care Today?
By John Halamka and Paul Cerrato*We are often asked this question during interviews, podcasts and speaking engagements. It ’s a complicated question that requires context. A closer look at the research and product offerings in digital health demonstrates that there are several high-quality, well-documented algorithms now available, but there are also several questionable vendors that have rushed to market with little evidence to support their claims. Separating the wheat from the chaff can be a full-time occupation.We recently received a press release from a large U.S. company highlighting a new AI system that may be...
Source: Life as a Healthcare CIO - January 22, 2021 Category: Information Technology Source Type: blogs

Addressing racism with compassion, data analytics
This article is written byJohn Halamka, M.D.,president, Mayo Clinic Platform, andPaul Cerrato,senior research analyst and communications specialist, Mayo Clinic Platform.We speak often about the need to combine human and artificial intelligence (AI) to improve patient care. Equally important is the marriage of compassion and data analytics ― a powerful duo that is proving invaluable in the battle to eradicate the systemic racism that still permeates health care.Unfortunately, numerous examples demonstrate that systemic racism continues to affect the patient experience and leads to mistrust of health care institutions amo...
Source: Life as a Healthcare CIO - January 19, 2021 Category: Information Technology Source Type: blogs

Responding to Misinformation
By John Halamka and Paul CerratoThe singer/songwriter Paul Simon once penned the lyrics: A man hears what he wants to hear and disregards the rest (The Boxer). If that ’s the case, how do we respond to misinformation that contradicts the data/evidence guiding development of treatment and cures?  If the only audience willing to read such articles are already critical thinkers, perhaps we are just preaching to the choir. And if by chance, a person who believes in controversial ideas does read articles based on real world evidence, will they consider them a one-sided discussion by the “medical-indus...
Source: Life as a Healthcare CIO - January 14, 2021 Category: Information Technology Source Type: blogs

To Build a Fire
In 2021, much of our work at Mayo Clinic Platform will be creating repeatable processes that achieve their intended result in a timely, repeatable, scalable fashion. To understand what it means to achieve process maturity, let me tell the story of firewood management at Unity Farm Sanctuary, a great illustration of use case definition and attention to detail.At the Sanctuary, we heat the farmhouse in the evening with a wood fire using fallen trees from the property. The logs must be sorted into wood species  — ash and black birch can be burned without aging, while maple and oak must be aged. Cedar and pine ...
Source: Life as a Healthcare CIO - January 4, 2021 Category: Information Technology Source Type: blogs

Unity Farm Sanctuary – A Community Benefit Startup
Recently I was speaking to Nick Dougherty, managing director ofMassChallenge HealthTech, the digital health accelerator in Massachusetts. After analyzing hundreds of startups, he concluded there are three types of companies:1. Transactional – Buy my product.  If you don't like it, I'll try someone else.2.  Confirmatory – Do you like my product?  If you don't like it, I'll change it for you.3.  Diagnostic – What product do you need to solve your most pressing issues?Transactional companies limp along. Confirmatory companies succeed but not wildly. Diagnostic companies can grow...
Source: Life as a Healthcare CIO - December 29, 2020 Category: Information Technology Source Type: blogs

Network medicine offers new insights into susceptibility to diseases such as COVID-19
In the past year, we've become familiar with the factors that can make a person more vulnerable to COVID-19 infection. The elderly are more at risk, as are those who smoke and are already dealing with other diseases, such as cancer and Type 2 diabetes.At a deeper level, though, there are dozens of other factors that may come into play and influence a person's susceptibility to disease. A recent analysis of hospitalized COVID-19 patients in 14 states found that among patients ages 50-64 that obesity was the most prevalent underlying medical condition. Similarly, there's growing evidence to suggest that vitamin D deficiency ...
Source: Life as a Healthcare CIO - December 17, 2020 Category: Information Technology Source Type: blogs

The Facilitation of Change in Health Care
Recently, the Washington Post gave an in-depth analysis from the frontlines of the pandemic in Eau Claire, Wis. The moving piece portrays the compassion and ingenuity needed from frontline providers to meet patient needs during a COVID-19 surge. It is a portrayal of excellence that reminds me why so many pursue work in health care. The article highlights the deployment of a hospital-at-home model to increase hospital capacity for the surge. Rita Huebner ’s experience in Mayo Clinic’s advanced care at home offering provides a great exemplar of how technology facilitates patient-focused change with...
Source: Life as a Healthcare CIO - November 30, 2020 Category: Information Technology Source Type: blogs

COVID-19 Update Part II: Collaborations & Insights to Come
Over the past seven months, COVID-19 has impacted our lives, and my writing moved from social media to Mayo internal communications, pandemic response research papers, and COVID-focused public awareness campaigns. While the challenges have been considerable, the work since April has validated that the healthcare system needs novel technologies, policy reform and cultural change.  It's time to return to social media posting.COVID-19 has forced a level of focus and collaboration that is accelerating the Mayo Clinic Platform's formation. While we are still navigating the pandemic challenges, but despite the obstacle...
Source: Life as a Healthcare CIO - November 23, 2020 Category: Information Technology Source Type: blogs

Reinventing Clinical Decision Support
In our latest book,Reinventing Clinical Decision Support: Data Analytics, Artificial Intelligence, and Diagnostic Reasoning, Paul Cerrato and I explore the promise of artificial intelligence and machine learning for improving clinicians ’ ability to make more informed diagnostic and therapeutic decisions. Here’s an excerpt from Chapter 2:“AI is a once-in-a-generation transformative technology. As such, expect its impact to be on the scale of the advent of electricity or the Internet,” says Jean-Claude Saghbini, Wolters Kluwer Health.(1)“Artificial intelligence and machine learning are set to t...
Source: Life as a Healthcare CIO - April 24, 2020 Category: Information Technology Source Type: blogs

A COVID update
I realize that my blog post frequency has diminished during COVID.  Writing time has been redirected to thenational COVID-19 coalition and its 14 workgroups:AnalyticsModeling& SimulationHealth Systems and Clinical SMESupply ChainTelehealthTestingICU and Mechanical VentilationCOVID-19 Data Standardization (mCoVD = Minimal COVID-19 Viable Dataset)Non-Pharmaceutical InterventionsOptimization of Clinical Therapeutics/ProtocolsData Storage and SourceDis/MisinformationPrivacy AdvisoryContact TracingBelow is a description of this week's highlightsa. Critical Shortages of Personal Protective Equipment (PPE)Worked wit...
Source: Life as a Healthcare CIO - April 18, 2020 Category: Information Technology Source Type: blogs

Coming Together to Save Lives
The following is a post from the members of theCOVID-19 Healthcare Coalition , #C19Coalition co-chaired by  Dr. Jay Schnitzer, Chief Medical and Technology Officer at MITRE  @MITREcorp who directs initiatives in health/life sciences and Dr. John Halamka @jhalamka, President of Mayo Clinic Platform who leads a portfolio of platform businesses focused on transforming health.-------Pandemics thrive in confusion.Not because diseases like COVID-19 have intent, but because the lack of a focused response makes the spread of disease so much easier.Pandemics stress our healthcare delivery system. We ar...
Source: Life as a Healthcare CIO - March 22, 2020 Category: Information Technology Source Type: blogs

Unity Farm Sanctuary and COVID Planning
You might think a farm sanctuary doesn't need cyber-liability insurance (we do because we track social security numbers associated with donations).  You may not think that a Farm Sanctuary needs a comprehensive COVID plan.We need a plan for five reasons1.  We are a community gathering point for over 100 volunteers and hundreds of people taking enrichment classes including Yoga, Tai Chi, Meditation, Beekeeping, and Council on Aging activities.2.  We are an employer with full time and part time workers3.  We are accountable for the health of more than 250 creatures.  Without humans, these creatu...
Source: Life as a Healthcare CIO - March 21, 2020 Category: Information Technology Source Type: blogs

Bringing Out the Best in Us
In the upcoming week you'll see numerous writings about national private sector efforts to enhance COVID response, communication, and collaboration.As part of doing this work, one of my colleagues noted that the she's seen many recent examples of current events bringing out the best in people.   There's a willingness to help, a eagerness to volunteer, and a sense of belonging by banding together for a common cause.   Yes there are stories about hoarding toilet paper and purell, but those are minor distractions compared to the good things happening around us.Here are examples of what I've seen in th...
Source: Life as a Healthcare CIO - March 21, 2020 Category: Information Technology Source Type: blogs

What's a Platform Go Live?
As we plan our go-lives for the Mayo Clinic Platform, we recently discussed how best to measure what constitutes a go-live.First, let's review what Platform thinking (technology, policy, people and process) can do for an organization.*Facilitates collaborations and partnerships with external entities (i.e. participants on the Platform benefit from the presence of other participants)*Connects assets (data, algorithms, expertise) with customers in ethical, privacy protecting ways*Supports the development of ideas into products that may be licensed, spun out, or sold as services*Has turnkey technology and policy approaches th...
Source: Life as a Healthcare CIO - March 7, 2020 Category: Information Technology Source Type: blogs

What is the Architecture of a Modern Platform?
Platform businesses require technology that promotes interoperability and scalability.  For those who live in platform companies day-to-day, my thinking below may sound obvious, but for those who are thinking about a cloud journey, the list of technologies below may be helpful.Storage and compute functionality in the cloud enables agility via " infrastructure as code " products such asTerraform.   Terraform enables virtual server spin up on demand within applications to provision and manage any cloud, infrastructure, or service.  Each cloud provider has strengths.   Customers li...
Source: Life as a Healthcare CIO - February 25, 2020 Category: Information Technology Source Type: blogs

The Future of Elder Care
Last weekend I moderated an amazing group of presenters for Harvard Business School's 17th Annual Healthcare Conference, debating the future of elder care throughout the world.Discussants wereGeoff Price - Oak Street Health, Chief Operating OfficerSusan Diamond - Humana, President of Home SolutionsNeil Wagle - Devoted Health, Chief Medical Officer We started with a statement of the problem - in many countries such as Japan, the Nordics, Germany, Italy, and the United States, societies are rapidly aging.  Birth rates are declining.   Costs are rising and access to clinicians is becoming more challen...
Source: Life as a Healthcare CIO - February 14, 2020 Category: Information Technology Source Type: blogs

Innovation at Work
Over the past 40 years I've worked in a variety of workplace settings, each appropriately serving its intended purpose. I did not appreciate how much a workspace influences my productivity and mood until I starting working at Mayo. My new role focuses on convening stakeholders and facilitating discussion.   A supportive workspace is transformational.In my mid-teens, I worked in shared office space at TRW (a predecessor company to Raytheon) with large metal desks, filing cabinets and fluorescent tube lightingIn my late teens, I founded a company in a basement and worked at a drafting table next to a bedIn my ...
Source: Life as a Healthcare CIO - February 4, 2020 Category: Information Technology Source Type: blogs

Innovation at Home
This is the first of a two part series that describes where I live and where I work at Mayo Clinic.  To me, life and work are inseparably intertwined.   You cannot have a productive work life if your home life is unstable.   You cannot have a balanced home life if your work life is unstable.   When I decided to work at Mayo, my wife and I agreed that we would live in Massachusetts running Unity Farm Sanctuary but I would work in Rochester/Jacksonville/Scottsdale Sunday night through Thursday night. Over the past month, I've organized a life in Minnesota, maximizing my well-being...
Source: Life as a Healthcare CIO - February 4, 2020 Category: Information Technology Source Type: blogs

Moving Complex Systems Toward a Goal
I recently told several of my Mayo colleagues that I'm an outsider who has landed in a new environment where the degree of collaboration, dialog, and friendly debate is amazing.   The following a kind of guest blog, started byDr. Michael Joyner, who is also a writer He wrote to a number of us"Great paper written by chairman of bank of England in middle of financial crisis.  Pertinent to anyone interested in nudging complex systems towards a goal. "  Below are the responses:Let ’s move away from risk prediction a bit and apply these concepts to our world.  The world of...
Source: Life as a Healthcare CIO - January 30, 2020 Category: Information Technology Source Type: blogs

Advice for Aspiring CMIOs
Recently, my colleague Steve Peters, chief medical information officer, Mayo Clinic, and I discussed our life experiences as CMIOs.  We talked about how the role has evolved along with changing technology and the transition to nearly universal adoption of electronic health records by large health centers. I asked Steve to share his insights on'what makes a great CMIO in 2020'and captured his thoughts for you." I have thought about the'post-EHR'CMIO as most large centers and hospitals have moved on from the initial implementation.   Here are a few thoughts:1.    Serves as the pri...
Source: Life as a Healthcare CIO - January 22, 2020 Category: Information Technology Source Type: blogs