Perspectives on Health and Tech

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 Learn more about clinical team communication and collaboration with Oracle Cerner CareAware Connect.

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

During the pandemic and social and economic unrest of the last few years, there was a dramatic increase in demand for mental health services. Stigma had already been on the decline, and now, available mental health services are on the rise. Some patients are now seeking treatment for the first time, while others are continuing decades-long treatment with better coordinated services. Many don't travel this journey alone. The help their family, friends and caregivers provide is critical—for some, a caregiver's records have provided the only continuity of care. Travis Dalton, general manager of Oracle Health, and Danny Gladden, director of behavioral health for Oracle Health, talk about their personal experiences in this area and how Oracle Cerner and Oracle Health can work together with health systems and clinics to alleviate the administrative burdens of caregivers to provide better care for behavioral health patients. Hear them discuss: • How do you think the last few years have changed how the general public talks about mental health and wellness? (3:30) • Why is mental health and well-being a personal driver for you? Can you share more about your experience being a caregiver? (7:11) • Recently, it's been estimated that 70% of behavioral health records are still on paper. And many patients don't have a personal advocate to help them keep track of their records and treatment plans. What are some of the biggest challenges that are still being addressed in behavioral health? (12:55) • What are some ways health care systems and providers can help alleviate the burden for mental health caregivers and patients? (17:45)

It's estimated that 80% of an individual's health is determined by nonclinical factors, such as socioeconomic, behavioral and physical environments. Today more than 38 million people in the United States are facing hunger, including one in six children. Those struggling with food insecurity are at increased risk for chronic diseases such as diabetes and high blood pressure. Hunger impacts their stress levels and ability to care for themselves and others. Hunger also impacts their performance at work and school; it's even been linked to suicide risk. Yet some of the most vulnerable communities don't know how to take advantage of free food resources. In this episode, members of University Health, a safety net hospital in Kansas City, share how they've been working to increase access to resources for one of their most food-insecure communities—immigrants and refugees. Guests: • Gloria Diamond, Director, Oracle Cerner • Susan Oweti, Supervisor of Cultural Health Navigation / Arabic Interpreter and Director of UH One World Food Pantry, University Health • Deborah Sisco, Manager, Patient Advocacy and Engagement – Quality Resources, University Health • Alison Troutwine, Project Manager, University Health Hear them discuss: • How does your cultural health navigator program help identify patients as food insecure? (1:30) • What feedback have you heard? (7:12) • How are social determinants of health being addressed at the community level? (10:54) • Tell us about how University Health formed a partnership with a local food bank? Why did you pursue that route instead of only doing referrals? (13:09) • Since many recipients of your pantry come from different cultures, how have you provided foods that are tailored to your community's needs? (15:00) • How do you build a food program that makes an impact and is sustainable for the long term? (20:10)

September is Suicide Prevention Awareness Month. In general, 45% of individuals who die by suicide will have seen their primary healthcare provider within one month of their death, but only 20% will have seen a mental health professional. During the last few years, there has been an increased awareness and focus on mental health. Despite the increased availability of mental health apps and virtual connections to providers, the demand for services is still high. Recently, a national three-digit crisis number, 988, was rolled out in the US to help connect anyone in need with suicide prevention and crisis resources. What can health systems and providers do on a larger scale to help prevent suicide? In this episode, Danny Gladden, director of behavioral health at Oracle Cerner, talks with Dr. Caitlin Thompson, clinical psychologist and chief clinical officer at Red Duke Strategies, who formerly served as the national director of suicide prevention at Veterans Affairs. Hear them discuss: - Demystifying crisis lines—what happens on the call, how it's utilized by patients and providers (2:34) - With the increase in mental health screenings at non-behavioral appointments, the importance of training, and how to help your non-behavioral staff feel comfortable talking about mental health and suicide with patients (6:47) - How asking if someone is suicidal opens doors to conversation (9:30) - The availability of training and safety plans to help staff (12:10) - Non-behavioral staff mental health check-ins during appointments (15:10) - Safer Communities Act and risk mitigation that has helped (17:00) - New areas of research, interventions (18:25)

In this episode – recorded at Oracle Cerner Middle East and Africa Collaboration Forum in 2022 – an expert panel, hosted by Dr. Mohamed AlRayyes, Oracle Cerner, addresses how recent advancements in data and technology, from the clinical level to the system level, have enabled health care innovation across the Middle East.

In this episode—recorded at Oracle Cerner Middle East and Africa Collaboration Forum 2022—Dr. Bashar Balish, Senior Director and Client Site Leader at Oracle Cerner, speaks with keynote speaker Himanshu Puri, Head of Information Technology, King's College Hospital London, UAE, about how the pandemic opened new opportunities for patient engagement and which innovations healthcare systems are utilizing to deliver better care.

In this episode – recorded at Oracle Cerner European Collaboration Forum 2022 – speakers from the UK, Canada, and Qatar consider where we currently are with the long-running challenge of interoperability and what we need to do to in the future to help achieve its key goals.

In this episode – recorded at Oracle Cerner European Collaboration Forum 2022 – an expert panel in the field of health and care disparities discuss their views on the opportunities to remove systemic barriers to health equality and thereby improve health equity through digital innovation.

Even before the COVID-19 global pandemic, consumers were asking providers for more autonomy and convenience with their healthcare. Given the pandemic, there has been a subsequent boost in healthcare consumerism, pushing patients to adopt the patient engagement technologies at a much faster rate. In this episode, Sue Martin, vice president, financial alignment at Cerner, and Rick Gundling, senior vice president, professional practice at HFMA, discuss the impact that COVID-19 has had on consumerism. Tune in to hear Sue and Rick discuss: • How the rapid increase in consumerism has impacted the healthcare industry (1:39) • The largest behavior differences between pre-pandemic patient behavior and today, and healthcare organizations' reactions to the change in patient behavior (3:25) • Helpful strategies that healthcare organizations can leverage to empower and support patients as they navigate a changing landscape (8:26) • Industry insight into consumer expectations moving forward (13:49)

In this episode, Dr. Lu de Souza, Vice President & Chief Medical Officer, Cerner, is joined by Dr. Tania Tajirian, Chief Medical Information Officer, Centre for Addiction and Mental Health. They discuss the topic of clinician burnout, what factors play a role in burnout, and lessons learned in tackling this issue. Tune in to hear Dr. de Souza and Dr. Tajirian these questions: • How are EHRs impacting clinician burnout? (02:17) • Why taking a multi-prong approach is important in tackling this issue? (06:22) • What are the top three or four things you (Dr. T) have learned through this process? (16:31) • What is coming up in your strategy immediately, and what is coming in the next five years? (18:59) • Share some wisdom that has helped you in your journey. (22:33)

In this episode, Josh Mast, director & product regulatory strategist at Cerner, is joined by fellow associate Hans Buitendijk, director of interoperability strategy, and special guest Mariann Yeager, CEO at The Sequoia Project. Through their own experiences, they discuss TEFCA (Trusted Exchange Framework and Common Agreement), including what it is, how it impacts healthcare providers today, and how it can impact healthcare in the future, both locally and globally. Tune in to hear Josh, Hans, and Mariann answer these questions: • What is TEFCA? (01:39) • Why is that such an important topic for users and healthcare providers? (03:02) • What role is the Sequoia project playing within this trusted exchange network? (04:44) • What do you see as the ultimate goal in implementing TEFCA? (06:15) • What do you think are the biggest challenge for achieving that goal? (07:55) • What is the next big milestone for TEFCA? (08:47) • What advice would you give healthcare organizations going forward? (10:13) • What does healthcare data-sharing look like over the next 5-to-10 years? (11:48) • Do you believe that U.S. policies like TEFCA have a potential worldwide impact on healthcare exchange? (14:50)

In this episode, Dick Flanigan, senior vice president, Cerner, is joined by fellow associate Rob Helton, senior director of platform management. They discuss the upcoming bulk API requirement, stemming from the 2015 CEHRT Cures Update, on health systems as well as how this new functionality will help advance innovation in healthcare. Tune in to hear Dick and Rob answer these questions: • Why are APIs important for the industry? (2:00) • Why are APIs so exciting? (4:45) • What kind of value does Bulk API add to the future? (7:23) • What is FHIR? (8:41) • What is required of health systems when it comes to the January 2023 deadline? (10:40) • What challenges will organizations face, and how is Cerner helping address those challenges? (12:26) • What does the future hold for clients and consumers in an API enabled world? (13:52)

In this episode, Dick Flanigan, senior vice president, Cerner, is joined by fellow associate Rob Helton, senior director of platform management. They discuss the upcoming bulk API requirement, stemming from the 2015 CEHRT Cures Update, on health systems as well as how this new functionality will help advance innovation in healthcare. Tune in to hear Dick and Rob answer these questions: • Why are APIs important for the industry? (2:00) • Why are APIs so exciting? (4:45) • What kind of value does Bulk API add to the future? (7:23) • What is FHIR? (8:41) • What is required of health systems when it comes to the January 2023 deadline? (10:40) • What challenges will organizations face, and how is Cerner helping address those challenges? (12:26) • What does the future hold for clients and consumers in an API enabled world? (13:52)

In this episode, Dick Flanigan, senior vice president, Cerner, is joined by fellow associates Sue Martin, vice president, financial alignment, and Josh Mast, director, regulatory strategy. They discuss the impact of the No Surprises Act (NSA) on health systems as well as how this new federal legislation may help patients avoid unexpected and potentially devastating medical bills. Tune in to hear Sue and Josh answer these questions: • What healthcare problems does the NSA help solve? (1:29) • Which healthcare players are expected to accomplish the goals of the NSA? (3:42) • How does the NSA impact surprise billing, balance billing and good faith estimates? (5:24) • What challenges are health systems facing as they work to comply with the NSA? (6:47) • What part of the healthcare process will see the greatest workload? (10:44) • What changes can consumers and health systems expect around price transparency? (12:09) • What's the burden on providers and how can Cerner help? (14:46) • What's next for the NSA? (19:25)

In this episode, Dick Flanigan, senior vice president, Cerner, is joined by Nate Shinagawa, FACHE, chief operating officer, Banner Ocotillo Medical Center. They discuss healthcare workforce trends and how organizations can implement strategies around retention, clinician burnout and more.

In this episode, Bob Robke, vice president, real real-time health system and clinical products, Cerner, is joined by Lisa Gulker, senior director, health system operations and clinical surveillance, Cerner. They discuss COVID-19's impact on how health system leaders use real-time and predictive data and the challenges of managing scarce and expensive resources to address growing health needs.

In this episode, Dick Flanigan, senior vice president and Cerner brand ambassador, is joined by Hans Buitendijk, director interoperability strategy, Cerner, for a conversation around the current and future state of data reconciliation, connectivity and usability.

In this episode, Jessica Herstek, MD, chief medical informatics officer, Children's National Hospital, joins Lu de Souza, MD, vice president & chief medical officer, Cerner, for a conversation around funding disparities in children's health innovation. Learn about the unique relationship between Children's National Hospital and the Bear Institute, which enables the health system to pursue a multifaceted approach to innovation — including a new pediatric accelerator challenge that invites start-ups, student teams, pediatric providers and administrators to collaborate on creative solutions aimed to help close the innovation gap in children's digital health.

In this episode, we're joined by Casey Sansale, senior director & product integration executive, Cerner, for a conversation around the future of ambulatory care and how organizations can optimize their outpatient efforts.

In this episode, David Harse, vice president and general manager, consumer engagement, Cerner, is joined by Allison Hess, vice president, health innovations, Geisinger, for a conversation around wellness and addressing inequities in healthcare.

In this episode, five Cerner leaders, Matthew Pickett, senior director, marketing and corporate affairs, Colin Fincham, M.D., senior director and chief medical officer, Dan Catt, director and nursing executive, and healthcare executives Patience Chinwadzimba and Tim James, have a conversation about returning to the frontlines as a nurse in the UK during COVID-19. This podcast was recorded on March 2, 2021, at a time when hospital pressures were particularly acute.

In this episode, we’re joined by Cerner leaders David Bradshaw, senior vice president, consumer and employer solutions,  and Jessica Oveys, director, product market management, for a conversation around the future of healthcare in a post-pandemic world and the potential impact on consumerism and engagement. Read the show notes: https://www.cerner.com/perspectives/the-tipping-point-of-healthcare-consumerism-and-engagement

In this episode, we share a sneak peek of a conversation with Cerner leaders Brenna Quinn, senior vice president of revenue cycle, and Steve Colucci, vice president of revenue cycle product, around delivering a healthier bottom line and what to expect at Cerner Health Forum 2021. The full podcast, which includes video, will be available for Cerner Health Forum attendees within the virtual platform. Read the show notes: https://www.cerner.com/perspectives/cerner-health-forum-21-preview-a-healthier-bottom-line Register for Cerner Health Forum: https://www.cerner.com/cernerhealthforum

In this episode, we share a sneak peek of a conversation with Sam Lambson, vice president, interoperability, Cerner, around going beyond connectivity to true usability and what attendees can expect at Cerner Health Forum 2021. The full podcast, which includes video, will be available for Cerner Health Forum attendees within the virtual platform. Read the show notes: https://www.cerner.com/perspectives/cerner-health-forum-21-preview-right-data-right-place-right-time Register for Cerner Health Forum: https://www.cerner.com/cernerhealthforum

In this episode, we share a sneak peek of a conversation with Max Reinig, senior vice president, clinical, device integration & interop solutions, Cerner, around enhancing the provider and patient experience and what attendees can expect at Cerner Health Forum 2021. The full podcast, which includes video, will be available for Cerner Health Forum attendees within the virtual platform. Read the show notes: https://www.cerner.com/perspectives/cerner-health-forum-21-preview-improving-clinician-efficiency-and-operational-excellence Register for Cerner Health Forum: https://www.cerner.com/cernerhealthforum

In this episode, we share a sneak peek of a conversation with Kim Hlobik, senior vice president, Cerner Health Ventures, around advancing data and network strategies and what attendees can expect at Cerner Health Forum 2021. The full podcast, which includes video, will be available for Cerner Health Forum attendees within the virtual platform. Read the show notes: https://www.cerner.com/perspectives/cerner-health-forum-21-preview-advancing-data-and-network-strategies Register for Cerner Health Forum: https://www.cerner.com/cernerhealthforum

In this episode, Paul Schwartz, director, security solutions, Cerner has a conversation with Randy Rahman, chief information officer, Olathe Health. Read the show notes: https://www.cerner.com/perspectives/covid-19-vaccine-distribution-and-cybersecurity-risks

In this episode, we share a sneak peek of a conversation with David Bradshaw, Cerner senior vice president, consumer and employer solutions, around consumer engagement and what attendees can expect at Cerner Health Forum 2021. The full podcast, which includes video, will be available for 2021 Cerner Health Forum attendees within the virtual platform. Register for Cerner Health Forum: https://www.cerner.com/cernerhealthforum Read the show notes: https://www.cerner.com/perspectives/cerner-health-forum-21-preview-enhancing-the-consumer-experience

In this episode, we share a sneak peek of a conversation around healthcare leadership with Lu de Souza, MD, chief medical officer, Cerner, and Tom Lawrie, MD, chief medical officer, Sharp HealthCare in San Diego, California. The full podcast, which includes video, will be available for 2021 Cerner Health Forum attendees within the virtual platform. Register here: https://www.cerner.com/cernerhealthforum Read the podcast show notes: https://www.cerner.com/perspectives/the-importance-of-visible-leadership-in-healthcare

In this episode, Lu de Souza, MD, chief medical officer, Cerner, has a conversation around the importance of clinician wellness with Jennifer L. Bickel, MD, medical director for the Center for Professional Well-Being at Children’s Mercy Hospital in Kansas City, Missouri. Read the show notes: https://www.cerner.com/perspectives/assessing-and-prioritizing-clinician-wellness

In this episode, we have a conversation with Julie Crouse, administration coordinator at NorthBay Healthcare in Fairfield, California. She discusses the value of connected technology and data in times of extreme crisis. Read the show notes: https://www.cerner.com/perspectives/a-tale-of-two-crises-and-the-value-of-health-data-interoperability

In this episode, Christy Dueck, vice president and general manager of research, Cerner, leads a conversation with John Potthoff, CEO, Elligo Health Research, and Scott Rogers, director of innovation, CoxHealth, around how diverse community-based hospitals are a lifeline to saving clinical research, and can help increase patient trust and reduce health disparities. Read the show notes here: https://www.cerner.com/perspectives/how-diverse-community-based-hospitals-are-a-lifeline-to-saving-clinical-research

In this episode, palliative care leaders from Intermountain Healthcare and Cerner have a conversation about how technology is transforming the advance care planning process for clinicians and patients. Read the show notes here: https://www.cerner.com/perspectives/how-advance-care-planning-is-improving-patient-centered-outcomes-at-intermountain-healthcare

In this episode, Cerner global leaders Matthew Pickett and Colin Fincham, M.D., are joined by Cerner U.K.’s Andrea Dantas, M.D., director and physician executive, and Charlie Evans, population health analytics team manager, to discuss the role of technology and data in the U.K.’s successful COVID-19 vaccine efforts. Read the show notes: https://www.cerner.com/perspectives/finding-hope-in-the-uk-rapid-covid-19-vaccine-rollout

Cerner President Donald Trigg talks to Kurt Newman, M.D., president and CEO, Children’s National Hospital in Washington, D.C. Read the show notes here: www.cerner.com/perspectives/the-leadership-behind-better-pediatric-care

In this episode, Grant Johnson of Cerner leads a conversation with Jim Greer, former health division director for the Wisconsin Department of Corrections, and Tina Norton, a nurse practitioner and senior solution advisor for Cerner who has a decade of experience in correctional health care settings. Read the show notes: https://www.cerner.com/perspectives/using-technology-to-manage-health-care-in-correctional-settings

In this episode, we speak with Lori Halsey, director of health services for the Independence School District in Missouri. This school district partakes in the Healthe Kids Screenings program, offered by the Cerner Charitable Foundation. Learn more here: https://www.cerner.com/perspectives/improving-childrens-health-with-the-help-of-technology

In this episode, Cerner global leaders Matthew Pickett and Colin Fincham, M.D., are joined by Praveen Gurpur, M.D, of Cerner India for a conversation about how the COVID-19 pandemic is impacting the world’s second most populous country. Read the show notes: https://www.cerner.com/perspectives/understanding-the-low-covid-19-mortality-rate-in-india

In this episode, Cerner global leaders Matthew Pickett and Colin Fincham, M.D., are joined by Jason Tee, M.D., of Cerner Malaysia to discuss Asia's yearlong effort to tackle COVID-19. Read the show notes:

In this episode, two Cerner experts explore the benefits of being current, dive into Cerner’s latest innovation in health care interoperability and provide insight on how to position your organization to embrace the latest technology. Read the show notes: https://www.cerner.com/perspectives/the-value-of-preparing-for-innovation

In this episode, we hear from Shez Partovi, M.D., worldwide lead of business development for healthcare, life sciences, genomics and medical devices at Amazon Web Services (AWS). Read the show notes: https://www.cerner.com/perspectives/leveraging-interoperability-and-open-platforms-for-better-care

In this episode, we hear from Cory Costley, senior vice president of devices at Amwell, a leading telehealth platform. Read show notes here: https://www.cerner.com/perspectives/simplifying-telehealth-with-seamless-electronic-health-record-integration

In this episode, we hear from Aaron Sheedy, chief operating officer and co-founder of the Xealth digital health prescribing platform. Read show notes here: https://www.cerner.com/perspectives/developing-a-high-quality-health-care-app-through-an-efficient-detailed-validation-process

In this episode, recorded during Hispanic Heritage Month, we’re joined by Oliver Trejo and Luci DeLoach, co-chairs of the Hispanic/Latinx Descent Associate Business Resource Group at Cerner.

In this episode, Cerner global leaders Matthew Pickett and Colin Fincham, MD, are joined by Mohamed AI Rayyes, MD, senior physician executive, Cerner Middle East & Africa.

In this episode, Cerner leaders discuss how electronic health records and other dynamic innovations can support and further bolster public health efforts. Read show notes here: https://www.cerner.com/perspectives/managing-public-health-with-technology-and-data

In this episode, global leaders at Cerner provide insights into Sweden's strategy for tackling the COVID-19 pandemic. Read the show notes: https://www.cerner.com/perspectives/exploring-the-sweden-relaxed-approach-to-covid-19

In this episode, we discuss Cerner Health Conference 2020 with senior vice president and chief marketing officer Darrell Johnson. Read the show notes here: https://www.cerner.com/perspectives/why-you-do-not-want-to-miss-cerner-health-conference-2020

In this episode, John Rekart, Ph.D., of Cerner leads a conversation about how technology and data can help identify those who may be high-risk for suicidal behavior. He is joined by Brian Kay of Rogers Behavioral Health and David Leidner, Ph.D., of the California Department of Corrections and Rehabilitation. Read the show notes: https://www.cerner.com/perspectives/technology-as-a-lifeline-for-suicide-prevention