Leadership from the Edge | 2019 CHIME Fall CIO Forum
Precision Medicine: Better Care Through HIT
Precision medicine is just another buzzword … until it’s real. Rady Children’s has made it real for critically ill children in intensive care. At a time when speed and accuracy are of the essence, the Rady Children’s Institute for Genomic Medicine has made it possible to deliver better care for critically ill children with rapid whole genome sequencing. Having sequenced over 750 children, some patterns are emerging. In about a third of the cases, sequencing led to diagnosis for children who were previously undiagnosed/misdiagnosed. In approximately 25% of those children sequenced, a diagnosis resulted in change in medical management. In about 20% of the children, there was an improvement in outcomes. Altogether, #bettercarethroughHIT.
Albert Oriol, CIO, Rady Children’s Hospital and Health Center
The Woman and The Stroke – One Patient, Two Stories
Healthcare is a business and requires documentation of service in order to get paid. Medicine is a science and requires explanations of the diagnosis of diseases and how each is to be treated. But caring for people is a team effort and requires a shared understanding of the individual person who needs care. Learn how much words and stories matter as one woman’s tale is told twice: first through the data points and codes entered into the EHR, the second through the trajectory of the her life, her values, how she lived, and the choices she made along the way, including when to die.
R. Hal Baker, MD, Senior Vice President and Clinical Improvement/CIO, WellSpan Health
CIOs Win Playing Offense, Lose Playing Defense
An EHR survey of over 30,000 physicians from 180 organizations in nine states found dramatic difference in the physician experiences between organizations using the same EHR. What separates the successful from the unsuccessful? Leadership that plays offense. Successful organizations have leaders who are aggressively solving the problems that their clinicians face. These leaders ensure that clinicians are not just given software but are prepared to use it. They build strong relationships with department leaders to deeply understand and quickly meet departmental needs. They help clinicians take control of their own success. What’s more, these leaders do not spend more on their EHR for this success.
Taylor Davis, Vice President of innovation, KLAS Research; Christopher Longhurst, MD, CIO, UC San Diego Health