Perspectives on Health and Tech

In the last decade, a growing amount of research has increasingly exposed how a lack of funding for medical and pharmaceutical research around women’s bodies has put both patients and clinicians at a disadvantage for treating even common illnesses. With a lack of knowledge and awareness on women’s health, clinicians don’t have the data with which they need to practice, and patients don’t feel heard, some even experiencing bias at the bedside. How can AI and other technologies help address some of these challenges?

Featuring:

• Moderator: Nasim Afsar M.D., MBA, chief health officer, Oracle Health
• Christy Dueck, Ph.D., global head of the Learning Health Network and Health System Activation, Oracle Health
• Esther Gathogo, M.Pharm., Ph.D., senior performance improvement leader, Oracle Health
• Sarah Matt, M.D., MBA, vice president, physician and healthcare technology executive, Oracle Health

Listen as they discuss:

The moment they realized, personally or professionally, there was a gap in women’s health care (2:47)

• In practice for oncology patient
• Collegiate athlete performance
• Menstrual health care in school settings
• In practice, while pregnant

What is being done to address the lack of research on women and diversity amongst women (10:56)

• Representation in clinical trials
• Product development
• Expanding inclusivity in EHR data

What can be done to help address the lack of women and women of color in clinical studies (15:11)

The role of AI in care delivery (17:15)

• Tips for training AI algorithms
• Burnout, patient engagement, automation

Notable quotes:

“When we think about women's health in general, using more automation, using more AI/ML, could it help women in their ability to get care for themselves? It absolutely could … Because right now I think what we're finding is that the system’s stressed, all the people are stressed, the patients are stressed. Everyone needs a break and we can't do more with less. We're going to have to do things differently.” – Dr. Sarah Matt

“At the end of the day, we want to make, just like you said, those 15 minutes with the community members that you serve more impactful and with the option to bring more innovative things to your community than ever before.” – Christy Dueck, Ph.D.

“And we know that if there's such a low representation of women in clinical trials, it means that products are being approved without the representation of these women. And it means that the real-world evidence then becomes really important. If we are then using these products, we have to understand the female body and the diversity—in terms of the genetic background as well—and that diversity means that they might respond differently to the approved medicines. It’s also thinking about how to recruit and making it a lot simpler for women to understand the products.” – Esther Gathogo, M.Pharm, Ph.D.

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Episode Transcript:

00:00:00

Nasim Afsar
You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone.

Today on the podcast, we're discussing women and health equity. From personal and professional experience, how we've become familiar with the lack of resources and research on women's health and how AI and other technologies can help address some of these challenges.

00:00:35

Hi, I'm Dr. Nasim Afsar, chief health officer at Oracle Health. And joining me today on the podcast are three of my colleagues from around the world. I'll ask them to introduce themselves and give a brief overview of what they do.

Sarah Matt

Thanks, Nasim. I'm Dr. Sarah Matt. I'm a surgeon by training my fellowships and burns, but I've been in product development all over the world for my entire career. That's building our electronic medical records, new mobile applications, patient engagement solutions, you name it. First, I came in to drive our OCI, the cloud side of our business for health care and life sciences. And now, after our acquisition of Cerner, I focus on new product development.

Nasim Afsar
Thank you. Esther?

Esther Gathogo
Hi, I'm Dr. Esther Gathogo, and I'm a pharmacist with 18 years’ experience working across different sectors: community, hospital, academia and clinical research. And I currently work as a senior performance improvement leader in international based in UK. And I also focus on health equity and AI.

00:1:37

Nasim
Thank you, Esther. Christy?

Christy Dueck
Hi, everyone, I’m Dr. Christy Dueck. I'm the vice president and global head of our Learning Health Network and really have responsibilities around creating health system partnerships with life sciences industries to bring clinical research as an integrated component of clinical care.

Nasim
Thank you, Christy. And my background is in internal medicine. I practiced as a hospitalist for over a decade in tertiary quaternary academic medical centers.

I've been in health care administration on the health care delivery side for over sixteen years in roles, in quality roles, in health management, contracting and health care operations. My team is focused on how do we ensure that across the globe we have healthy people, healthy workforce and healthy businesses. Driving the best of products and services to ensure that we're improving the health of the world.

So thrilled to be here and thank you all for joining me today as we talk about women and health equity.

00:02:47

To start us off, I want to talk about the moment that you all realize that there is a wide gap in women's care and that could be either personally and professionally.

Nasim
So, to kick us off all kind of share a story from my background. This really kind of hit me a number of years ago when I had the privilege of taking care of a 48-year-old woman with end-stage metastatic colon cancer during her final hospitalization. I learned during this hospitalization that leading up to her terminal diagnosis, for about a year, she had seen a number of providers with her symptoms.

Initially started off with fatigue. She then had some abdominal pains, some nausea, and this was continually attributed to stress, irritable bowel syndrome. And during those 12 months, she was really never provided the appropriate diagnostic interventions, like a colonoscopy, until it was too late.

I also learned during that time that she was a phenomenally dedicated teacher. She was a caring mother. She was a spouse, a child, a sister, an incredible friend to many. It was absolutely heartbreaking to see that her voice was not heard as she didn't receive standard of care that really could have been lifesaving. And I wish I could say that this was a rare case. But cases like this happen every single day in the U.S. and across the globe.

00:04:22

Christy, I'm wondering if you can share with us when this really became real for you.

Christy
Sure. A little bit different story for me, and mine's actually personal. So, when I was studying pre-med, I was an intercollegiate athlete in rowing with aspirations of competing at the national and elite level. And like so many female athletes’ experience, I really got caught up in the cycle of being asked to lose a significant amount of weight by my coaches, because rowing, like other sports, has weight classifications.

So over the course of a summer, I dutifully lost 35 pounds and returned back in the fall at under 130 pounds, which is a light weight. And in about three months I had a full osteoporotic hip fracture at the age of 20. And it was really a peak milestone for me. I was in my junior year. I was pre-med at the time.

00:05:22

I was never given, obviously, any guidance around the impact that that weight loss would have on my health, my endocrine system. And so that was really a milestone of it ended my rowing career, unfortunately. But it was really a driver for my career. I went on and got my Ph.D. in reproductive endocrinology and did a whole lot of research around the female-athlete triad since I was sort of the poster child for it at that time.

00:05:50

Nasim
What a challenging personal experience to go through. Christy, thank you so much for sharing that, Sarah.

00:05:58

Sarah
So I think, you know, as I went through my medical training, you kind of see things, you hear things, if things don't seem quite right a lot of times. I think where it really hit me is when I started having my own children.

So, I have four kids, and my first, I was still doing surgery at the time. And when I think back to that time, there were so many assumptions made about what I, as a professional, might already know about women's health or might know about my own body, and that I didn't. And when I would ask caregivers, they would either be like, “Oh, well, you know, it's this or it's that.”

And I think that having come from the medical field and having a baseline of information already, I still didn't have the answers I needed. And I was relying on my grandma or my mother or my sister or friends to ask advice when I couldn't get what I needed out of the medical system. And as a medical professional, I needed information like, “Hey, if I'm going to go into a vascular procedure, do I need to wear lead?”

00:06:57

“Hey, is this chemical okay for me? What if I get exposed to that?” And yes, sometimes there was a paper that I could Google and sometimes I could ask my doctor, but sometime

Summary

It’s essential to prioritize cybersecurity, particularly for healthcare organizations that handle sensitive patient information. With so much at stake, it’s critical to recognize the importance of cybersecurity and take proactive measures to prevent potential breaches. In a recent discussion, two experts from Oracle emphasized the significance of areas such as ransomware resiliency, cyber-recovery, and other crucial aspects of cybersecurity.

Featuring

• Waleed Ahmed, Senior Manager, Cloud Engineering, Oracle
  Esteban Rubens, Field Chief Technology Officer, Oracle Cloud   

Hear Them Talk About:  

• What’s going on with cybersecurity in healthcare today (0:42)

• What Oracle Health is doing to address the cybersecurity situation (1:17)

Areas of Focus

1. What is the threat intelligence in the platform? (1:27)

2. The need to continuously monitor and detect threats (1:50)

3. How to allow the businessto continue and provide care in the event of an attack (2:35)

4. Ransomware resiliency and ransomware recovery (2:53)

5. How to deliver a cyber-recovery (3:17)

6. A recap of the three prongs that Oracle is focused on to deliver cybersecurity (3:47)

7. How Oracle can support both clinical and non-clinical systems (4:08)  

Notable Quotes

“There’s an incredible amount of scrutiny in understanding what the threat landscape is and it’s becoming more prevalent in healthcare, where it’s an opportunity for attackers to lock in and prevent businesses from occurring where it matters most.” - Waleed Ahmed

“You have to be able to say, not only is my architect resilient, but in the event I do have a cyberattack, can the business continue?” - Waleed Ahmed

“Oracle is delivering in three different prongs. The ability to detect, the ability to assess, monitor, and also provide the capability of bringing the systems back up.” - Waleed Ahmed

Learn more about howOracle is safeguarding operations with resilient architecture and military-grade security.

Watch on-demand and live webcasts by registering for Oracle Health Inside Access. 

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Episode Transcript:

00:00:00:00 – 00:00:00:09
Perspectives introduction
You’re listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data, and technology to help improve health for everyone.

00:00:00:10 - 00:00:00:24
Esteban
Hi, I'm Esteban Rubens. I’m the Field Healthcare CTO at Oracle Cloud. And we're here to have a quick chat on cybersecurity and health care. I'm joined by Waleed Ahmed. He's a leader on the engineering and architecture side of Oracle Cloud. Welcome.

00:00:00:24 - 00:00:00:25
Waleed
Pleasure to be here, Esteban.

00:00:00:26 - 00:00:00:35
Esteban
What's going on in cybersecurity in health care today? We've seen so many headlines. There's a lot going on, very high profile attacks. There's a lot of flack everywhere. What's your take on it?

00:00:00:36 - 00:00:01:01
Waleed
There is there's an incredible amount of scrutiny in understanding what the threat landscape is, and it's becoming more and more prevalent where especially in health care, where it is an opportunity for attackers to lock in and prevent businesses from occurring where it matters the most, especially after the pandemic that we've come out of right now.

00:00:01:01 - 00:00:01:36
Waleed
And it has opened up a great amount of pressure on the organizations to do something about it. And in Oracle Health, what we're doing is we are addressing the situation in a manner of three areas. First of all, is understanding what the threat intelligence is in the platform, understanding threat intelligence and using capabilities from security scientists, and also third party vendors such as CrowdStrike to bring in and assess, assess and interpret what the possible threat areas are.

00:00:01:37 - 00:00:02:07
Waleed
Now, once you've assessed it, you need to be able to continuously monitor and while you're monitoring, being able to immediately detect it. So understanding these two capabilities need to exist in an architecture will allow, you know, security leaders within the health space to take a take a relaxing mode and saying understanding that, yes, I have the intelligence and I also have the constant detection and and and monitoring of our of of our architecture.

00:00:02:08 - 00:00:02:34
Waleed
So those two parts are there now. It's not really complete unless you think about in the event of an attack, how do I allow the business to continue? We cannot stop giving care, especially in a provider space. So in those type of settings, it's a it's a it's a life or death situation. Right. It's being able to provide critical emergent care immediately.

00:00:02:34 - 00:00:02:59
Waleed
Now, to be able to do that, you have to not only think about ransomware resiliency, but you have to think about ransomware recovery. You have to be able to say, not only is my architecture resilient, but in the event I do have a cyber attack, can I allow the business to continue as, as you all know, that a cyber attack, when it happens, there is a crime scene investigation put around it and there has to be scrutiny, investigation.

00:00:03:00 - 00:00:03:30
Waleed
So business can come to a halt. If you were able to address by delivering a clean room and at dynamically through the cloud capabilities of Oracle, rebuild a reliable, uninfected environment and provisioning it at a moment's notice, that's where you deliver a cyber recovery, a true cyber resilience that is able to recover in and with confidence and allow the business to continue.

00:00:03:31 - 00:00:03:43
Waleed
So Oracle is really delivering in three different prongs. It's the ability to detect, the ability to assess, monitor and also provide you provide the capability of of bringing bringing the systems back up.

00:00:03:44 - 00:00:04:03
Esteban
That's crucial, though, whether the rapid recovery so that you can continue operations regardless of what's going on. And what about tiering of the different kinds of systems or clinical non-clinical, things like the EHR, billing? We've heard about things happening around the billing system. We can help with all of those areas.

00:00:04:04 - 00:00:04:15
Waleed
Absolutely. I mean we have front line EHR that delivers into a backend payroll that pays critical resources to deliver the necessary needs.

00:00:04:16 - 00:00:05:04
Waleed
So with that, we we understand and deliver security in depth. That means we will start at where the data resides to secure that all the way out to the edge. So that that in itself is because we run our oracle help platform on oracle cloud infrastructure. Inherently, it delivers security at the data tier all the way up to data in motion and as well providing key capabilities such as web access, firewalls such as, such as cloud strike capability within a cloud guard, and also with the same tool monitoring and detecting issues on the front line too, all the way in the back end where you're having connectivity between provider and payer in that sense.

00:00:05:05 - 00:00:05:23
Esteban
Obviously, we could talk about this for hours and hours. We would love to talk to all of you about this. We are more than happy to have any of those discussions and expand upon them and give you very specific examples. So reach out to your Oracle resources and we can happily get engaged. So again, thank you, Waleed.

00:00:05:24 - 00:00:05:26
Esteban
Thank you all and we look forward to seeing you soon.

00:00:05:26 – 00:00:05:38
Perspectives outro
Be sure to subscribe to Perspectives on Health and Tech podcast. For more insights from industry experts, visit Oracle.com/health or follow Oracle Health on social media.

Healthcare is ever evolving and new trends and tech capabilities are on the horizon for 2024 and beyond. What should healthcare organizations, clinicians, and patients be prepared for? How might healthcare delivery and operations be impacted? Listen in as two leaders from Oracle and Deloitte Consulting LLP dive in and share their perspectives from industry clouds and AI adoption to burnout, workforce shortages, rising costs, consumerism, and more.

Featuring:
Hashim Simjee, Principal, Global Oracle Healthcare Leader, Deloitte Consulting LLP
Sarah Matt, M.D., MBA, Vice President of Oracle Health Product Strategy

Hear them talk about:

• Healthcare organizations adopting industry clouds (1:30)

• Utilizing AI to improve operations, support caregivers, and make diagnoses (4:32)

• How AI adoption can help free clinicians’ time, improve clinician workflows, and decrease burnout (6:49)

• A recent JAMA study comparing empathetic responses of physicians and chatbots and how AI, augmentation, and telemedicine could help offload clinician workload and address workforce shortages (9:02)

• Consumerization of patient care and how tech can help (11:23)

• Interoperability, and accurate and accessible patient data’s potential to influence health outcomes for populations disproportionately affected by social determinants of health (14:15)

• How to make use of IoT with data from wearables and hospital at home (16:54)

• How tech innovation can make a difference in healthcare’s biggest challenges this year (18:05)

Notable quotes:

“You can’t replace the bedside manner, you can’t replace the empathy for a clinician, but you can replace the components around pulling together information and coming back with a reasonable diagnostic that can be done and that has to be reasonable and validated.” – Hashim Simjee

“So what we're really looking at is, as we think about AI and access—we really want to start to think about equitable access and using technology to drive easier access for consumers.” - Hashim Simjee

Learn more about howOracle is connecting healthcare with cloud capabilities through products and solutions.

Watch on-demand and live webcasts by registering for Oracle Health Inside Access.

Check out Deloitte’s 2024 Global Health Care Sector Outlook.

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Episode Transcript:

00;00;00;11 - 00;00;23;18
Sarah Matt
You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. We're at the start of another new year, and I can't help but be curious about what's coming in the health care industry in 2024 and beyond. More specifically, the tech capabilities and trends that are ramping up to support health care delivery and operations.

00;00;23;29 - 00;00;42;20
Sarah
Now, Deloitte published a 2020 for Global Health Care Sector Outlook report that shared several key trends that are anticipated to make quite a splash in the future of health care delivery. And I'm excited to dive in and hear more. So with that, I'll introduce our guest speaker with us today, Hashim Simjee. Hashim, introduce yourself a little bit.

00;00;43;26 - 00;01;04;19
Hashim
Thanks, Dr. Matt. Great to be here with you. The way to help your practice, primarily focusing on technology and health in the intersection of health care. And I'm responsible for our global Oracle health care practice, including clinical plan analytics, HRA, HCM, ERP. So happy to be here with you today.

00;01;05;03 - 00;01;23;05
Sarah
Nice. We're happy to have you. You know, in our last podcast, we discussed cloud tech for health care. And looking at this year's health care predictions, I was really excited to see that in a recent report published by the International Data Corp.. So I see that 70% of health care organizations are going to adopt industry clouds by 2025.

Can you share with us a little bit about the emerging technology prediction and how it aligns with the Deloitte's 2024 outlook?

00;01;29;18 - 00;01;58;08
Hashim
Yeah, it aligns very nicely with that. We expect to see AI cloud interoperability as kind of huge, huge upturns in the market with air driving potential savings of $300 billion through 2026 relative to the broader market and think that cloud is going to continue to drive adoption and continue to drive efficiency in the market as well as help to improve access and equity as well.

00;01;59;16 - 00;02;21;06
Sarah
So you know, when I think about AI, just in the last year, we've had such a huge exponential increase in visibility use cases, you name it. You know, it was maybe last spring when chatbots really just kind of blew it out of the water. We think about AI to improve operations or support caregivers or do diagnostics, you know, Hash, where do you think it's really going to touch us the most?

00;02;24;25 - 00;03;15;29
Hashim
So we see it in a few major areas right in. But think about it. It's really streamlining of administrative tasks, improving overall quality of care. Again, you mentioned access to expanding access to care and really around helping clinicians spend more time with patients. So looking at next-best outcomes, suggesting outcomes, looking at case histories and really being able to consolidate test results and whatnot and allow the physician to spend less time inputing all that information together where the clinician can pull all that information together, allowing for admin tasks such as clinical inventory, or to be able to say, you know what the stock levels are and using algorithmic components to really be able to drive that improving quality of care, really looking at time cost to outcomes, to being able to say, you know what the optimal procedure or so on and what location, as an example, to say, how do we pull some of that together and using all of that information that reside in the facilities today and being able to do that much more automated fashion in in a predictive fashion. And so we think those are probably going to be some of the biggest or option these out there that are going to help.

00;03;48;03 - 00;04;20;09
Sarah
That's very interesting. Let's dig in a little bit. You know, IDC also shared some interesting stats around AI and Jenny AI and they estimated that 60% of health care organizations will see a 60% increase in AI solution adoption by 2025. And by that time, just like you mentioned, clinicians, time will free up 15% due to Gen AI. So these are pretty incredible stats considering health care organizations have realized the difficulties of rising costs and they're really trying to improve care, quality and clinician satisfaction. So when we think about improving clinician workflows, quality of life for providers, decreasing burnout. What are your thoughts on how we can really make an impact There.

0;04;33;28 - 00;05;05;26
Hashim
Prior in the conversation, Sara, you're going to kill me for this is, you know, one of the one of the thoughts that I've had over the years and I've had this discussion with physician friends is physicians are really an amalgamation of a lot of data. So they are, you know, one of your quintessential as you can't replace the bedside manner, you can't replace the empathy for a clinician that you can replace the components around pulling together information and coming up with a reasonable diagnostic that can be done and that has to be verified and validated.

00;05;06;08 - 00;05;26;08
Hashim
And so as I think about it, how do you free up the time for them to be able to pull that information together, being able to utilize that time to spend time with the patient and then being able to be much more in the moment with the patient and not have to do all of the routine things that they historically had to do around filling out notes, filling out paperwork.

00;05;26;20 - 00;05;42;17
Hashim
How do you use ambient listening to be able to support that and do some of the other tools that are already in the market or coming to market to better describe the position on the clinician experience and then

It’s no secret: healthcare systems are overburdened—could cloud capabilities really provide some of the needed reprieve? Could the right data presented at the right time reduce costs and improve operations, ease the administrative burden on clinicians and payers, and help improve the patient experience? Two experts discuss use cases on cloud-enabled intuitive assistance, streamlining and vetting data, how cloud-enabled technologies are benefiting the whole patient experience, and more.

Featuring:
Michelle Flemmings, M.D., industry executive director, Healthcare North America Cloud Infrastructure

Sarah Matt, M.D., vice president of Oracle Health product strategy

Hear them talk about:
• What’s going on in the healthcare industry right now (0:24)

• Using cloud and other technologies to improve workplace experience and retain healthcare workers (1:15)

• Challenges and concerns when moving from rules-based applications and tools to more predictive forecasting and AI (2:54)

• Working with clients going through the transition of bringing together disparate data sources separated by geography, organization, privacy, and security (4:27)

• Harnessing cloud capabilities for clinical trials (7:24)

• How to build trust around privacy and security for cloud and AI—and how cloud can be a secure mechanism to bring forth that trust (10:05)

• Opportunities in leveraging the cloud for healthcare (14:24)

Notable quotes:

“I think that cloud has a great availability of information, but it also has the functionality whereby it can hopefully look at the system overall, if it's dialed in right, and then predict what's necessary and then take out the rest of the chaos. You know, taking in the signal and taking out the noise.” – Michelle Flemmings

“Now with the potential of AI using thoughtful implementation to support our providers from burnout, empower our patients to lead their healthcare teams, make those right decisions using trusted information that's fit for purpose, it changes the entire landscape.” – Michelle Flemmings

“We need to make certain that we're not replacing that trust that has been in the provider relationships so long and then got compromised when we did start going digital. There's an opportunity here to rebuild that, and magnify that, and still broaden our ability to care for more patients.” – Michelle Flemmings

Learn more about how Oracle is connecting healthcare with cloud capabilities through products and solutions.

Watch on-demand and live webcasts by registering for Oracle Health Inside Access.

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Episode Transcript:

00:00:00 Dr. Sarah Matt
You're listening to Perspectives on Health and Tech, a podcast by Oracle where we have conversations on creating a connected healthcare world where everyone thrives. I'm Dr. Sarah Matt. I'm the VP of Oracle Health product strategy. And with me today, I have Dr. Michelle Flemmings from our OCI team. So, Michelle, I know we've been hearing a lot about cloud capabilities for healthcare. Can you get us a bit of an overview of what's really going on in the industry right now?

00:00:24 Dr. Michelle Flemmings
Well, Sarah, thank you for that question. I have had the pleasure of meeting with a lot of our clients and being at several events recently and top of mind is cost containment especially with the economy as it is, and the cost continuing to rise. Second, a very close second, is achieving and maintaining operational efficiency that will help support that cost containment.

00:00:44
Things around process improvement, throughput, driving patient outcomes, improving quality performance as well. And then I think, honestly, the one that really surprised me the most is road mapping around the implementation of AI and wanting to establish the right partnerships in order to know that they're doing it in the right way.

00:01:03
You know, in a race not to be last, they got to be they're busy road mapping but they also have to assess the readiness for change. And I think that's where I'm having the best conversations.

00:01:15 Sarah Matt
Interesting. So we talk about cost containment as a start. I know that over the last couple of years, especially when COVID hit, we had huge issues with not just supply chain but the supply of our workers.
So we think about utilizing cloud and some of our technologies to improve not only the experience of our workers, but how do you keep and retain them? What have you seen as really effective mechanisms, especially in healthcare?

00:01:37 Michelle Flemmings
Oh goodness, that is a double-edged sword. Having worked with a lot of systems and in a lot of digital tools that support our care of patients, you have to be careful in the balance. You don't want to be very disruptive in the way of inset and alerts, but you also don't want to overload with minutia and tab hopping and logins and so forth.

00:02:01
Where the sweet spot is is intuitive assistance and uplift for productivity as well as insight speaking specifically around things such as items that occur in the background. So I'm seeing a patient, they know that this patient has a hip fracture and automatically, based on the fact that the patient weighed 125 pounds and is, you know, five-feet-three, this patient will need this size of prosthesis and it automatically taps out two supply chain to identify the location and availability. Those sorts of items that are intuitive and in the background and I don't have to touch another tab are important.

00:02:38
Additionally, clinical decision support—the right information at the right time that doesn't disrupt my brain processes and my thoughts, because anytime a provider is interrupted, an opportunity for omission and errors.

00:02:54 Sarah Matt
So I know when I see patients—I still do charity care on the side—it is a very difficult job for all providers to keep up with the latest and the greatest when it comes to new literature, new guidelines, and that most hospital systems are doing whatever they can within the application space, whether it's their electronic medical record or otherwise, to assist with some of those areas.

00:03:15
When we think about moving from rules-based applications and tools to more predictive forecasting and AI, what do you think are some of the challenges and concerns that health organizations really need to think about?

00:03:31 Michelle Flemmings
Wow. Overload of information we have that now we need to prevent it. Especially when you start doing predictive. If we're going to do that, we need to be very dialed in on our resources, our sources of information and eliminate duplication. As well, make certain that it's not just raw data that you're bringing in, and then you leave it to be sorted by the individual.

00:03:54
So any ability to bring in items that are useful that are already vetted somewhere in the system and provide the right-size solution is going to be key. It can't just be everything that you bring in. I think that cloud has a great availability of information, but it also has the functionality whereby it can hopefully look at the system overall, if it's dialed in right, and then predict what's necessary and then take out the rest of the chaos. You know, taking in the signal and taking out the noise.

00:04:27 Sarah Matt
When we think about large healthcare organizations or even small healthcare organizations, especially United States, cloud is becoming a lot more necessary, if you will, because we're moving from a lot of extremely siloed on-prem installations of whatever it might be into an extremely connected environment and the HIEs of the past and the present may not give you enough of what you're looking for from a connectivity perspective. What I'm seeing a lot, and I'm wondering what your thought process is, is that payers, providers, even pharma, are all moving to systems where they're actually utilizing PaaS (Platform as a Service) to bring together some of those disparate pieces, whether it's in a data lake, a data lake house, whatever you want to call it. But they have so many different systems that are either separated by geography, separated by organization and separated by privacy and security, and they're trying to figure out the best ways to bring that disparate data together. How are you assisting some of those clients that you've been seeing in moving through that transition?

00:05:27 Michelle Flemmings
Absolutely. We start with, for lack of a better word, an audit of their inventory. What do they have? What do they utilize and where does it sit? How is it connected? Is it connected in a manner that works for you now? If so, great, we won't mess with that. But if it's not connected and you need to go ahead and log into something else or open up another platform, that doesn't work.

00:04:49
What we then go to is examine and evaluate in partnership with our clients. What else are you trying to achieve? What are the near misses that you have now that you're experiencing and are frustrated or struggling to capture? And what is your Nirvana?

00:06:06
And then we make a path with them from those starting from that basis. It needs to be end-to-end, is honestly where I think that we need to take our clients and go with them for success. It needs to be everything that starts with the patient walking in the door. In the case of the provider and how do we do dispositions that makes sense and prevent readmission.

00:06:26
In the case of payer, how do we get the first-time right rate for claim submission, but then also put automations that are thoughtful, meaningful, and impactful in that the prior auth

Mental health remains a significant area of concern in healthcare, especially after the pandemic. Universal screening tools, such as suicide risk assessment, have become a vital resource. One of the best ways to normalize mental health screening is by integrating it into your clinical electronic health record (EHR) workflow. However, with the influx in risk assessments, is your staff confident and prepared to handle the needs that arise? And does your organization have the infrastructure required to support those needs?

While telehealth has alleviated part of the burden for providers, it has also exposed many ways technology can create barriers to care, especially for communities who are already at a disproportionate risk for suicide and addiction. So, how can we better coordinate care across the illness-wellness continuum? Join Danny Gladden and Dr. Sarah Matt as they discuss the progress and opportunities to support mental health and improve suicide prevention.

Guests:

Danny Gladden, director of behavioral health and social care, Oracle Health

Dr. Sarah Matt, vice president of product strategy, Oracle Health

Hear them talk about:

• Education and training for physicians regarding suicide assessment and prevention treatment (2:00)
• Suicide screening assessments and lack of staff resourcing and infrastructure to meet those needs (4:15)
• Crisis intervention training for first responders and the increased availability of mental health first aid (11:15)
• Telehealth doesn’t solve access to care issues—there’s still a gap in equity and barriers to care (13:00)
• Benefits of behavioral health data collected on digital record (15:15)
• Moving toward a consumer-focused patient experience (17:20)
• Suicide prevention resources (19:18)

The very definition of healthcare communication has shifted over time. Today, fewer clinicians practicing at the bedside have highlighted the need for advanced communication tools and processes.

Join Jason Schaffer, MD, vice president and chief medical information officer at Indiana University Health, and Liz Harvey, MSN, chief nursing officer at Oracle Health, as they discuss the evolution of clinical care team communications and how increased demand for healthcare has made better collaboration tools both a necessity and an opportunity for innovation.

Hear them discuss:
• How have trends in healthcare communication changed? (1:20)
• What types of technology are now available for teams and what are the benefits for patients and caregivers? (3:21)
• Important points teammates should agree on regarding critical communications (8:04)
• Knowing your message responsibility and escalation paths in critical situations (12:35)
• How to create flexibility with communication when needed (15:20)
• How can a unified communication strategy help organizations proactively address system-wide challenges? (17:20)

Notable quotes:

“We should be separating technologies for the right speed and urgency of communication.” – Jason Schaffer, MD

“We can’t solely rely on technology. We have to engage our brains and use the years and years of school that we have all spent learning how to be clinicians as we start to look as some of these messages that we receive and talk about the criticality.” – Liz Harvey, MSN

The Federal Joint Health Information Exchange connects the health records of the Department of Defense, Department of Veterans Affairs, and Coast Guard by helping provide continuity of care from the time Veterans enter the service, throughout active duty, and the rest of their life. Now that the Joint HIE has been live for more than two years, what successes are we seeing? How has it impacted Veterans and improved the care they receive? Listen as Amanda Cournoyer, interoperability director of the Electronic Health Record Modernization Integration Office at U.S. Department of Veterans Affairs, talks about advocacy and interoperability at VA with Sam Lambson, Vice President of Interoperability at Oracle Health. Hear them discuss: • Amanda’s personal journey from active military service to working in interoperability at VA (1:50) • An overview of a few of the interoperability solutions VA is implementing to improve care for Veterans (7:53) • Why interoperability is a big deal for Veterans’ and active-duty service members’ care (11:45) • Why it’s a benefit to VA providers and community care providers (14:10) • What she is looking forward to improving in data exchange nationwide (15:11)

With significant and ongoing changes in the health industry in recent years, healthcare leaders have had to rapidly adapt to new ways of thinking and doing in order to stay resilient in the face of change. Yet some leaders push past the status quo and view these opportunities as a chance to explore new avenues for patient care, new partnerships for growth, and new ways to ease provider burden and boost their workplace culture. In this episode, Johnny Luu, vice president and chief marketing and communications officer of Oracle Health, talks to Stephanie Trunzo, senior vice president and general manager of Oracle Health, at Oracle Cerner Health Conference about her experiences within change management and how to instill enterprise-level thinking within one's team. They'll discuss: • Bringing entrepreneurial experience into larger organizations to become an intrapreneur (0:55) • How you need to think about the people first in transformation process (1:45) • How to embrace and mitigate risk and create a safe space for your team to create change alongside you (3:54) • How to avoid becoming stale and losing clarity and instead surrounding yourself with fresh ideas and people to stay sharp (6:58) • Getting an entrenched workforce onboard with change (11:09) • What we should be thinking about when trying to instigate long-term change (14:10) • What they’re excited about in bringing Oracle and Cerner together (16:50) • Pandemic introduced change, but how healthcare can now bring consumers along (18:38) Notable quotes: “We don’t work for org charts. We work for people we believe in. We work for the purpose that makes us get up and be excited about the work that we’re doing. It’s not different for the workforce you’re trying to move forward – how do you connect them back to that purpose in the first place?” – Stephanie Trunzo “Do you want to be right, or do you want to get it right? If you’re on the path of ‘be right’ you’re going to be blind to the kinds of changes that need to happen.” – Stephanie Trunzo “People sometimes fall in love with complexity. The very things that they want to change is what they derive their own value from … you want to help them see that by making this thing simpler they actually can show value in a much more important and different way.” – Stephanie Trunzo