Perspectives on Health and Tech Oracle Health

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

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 
What is the threat intelligence in the platform? (1:27) 
The need to continuously monitor and detect threats (1:50) 
How to allow the business to continue and provide care in the event of an attack (2:35) 
Ransomware resiliency and ransomware recovery (2:53) 
How to deliver a cyber-recovery (3:17) 
A recap of the three prongs that Oracle is focused on to deliver cybersecurity (3:47) 
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 how Oracle 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

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 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. 

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 7

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

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) Learn more about Oracle Inpatient and Outpatient Behavioral Health solutions
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Episode Transcript:
00;00;00;00 - 00;00;30;09
Danny Gladden:
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. Hi there. I'm Danny Gladden, clinical social worker, director of behavioral health and social care here for Oracle. Dr. Matt, so glad you are here.
Dr. Sarah Matt:
Thank you, Danny. I'm so excited. You know, when it comes to suicide prevention, I think there's so many problems that we could talk about, but I think there's also solutions and things we can do next.
 
00;00;30;16 - 00;01;06;28
Danny:
So I'm excited that we're talking about this topic today. Yeah. And, you know, I think we've made some great progress. And I say we as the collective, we myself, I'm a clinical social worker that practices in mental health services. I've actually ran one of the National Suicide prevention lifelines, but suicide prevention takes all of us. And so, you know, I'm actually just curious, you know, you're a physician—think about your preparation into sort of medical school and residency.
 
00;01;06;28 - 00;01;26;15
And you know what does what did your preparation look like as a physician assessing for and treating suicide risk?
Sarah:
So I went to med school a long time ago, I will say, But when it comes to training, it was very traditional. So four years of med school. And then I did my residency in general surgery and my fellowship in Burns.
 
00;01;26;17 - 00;01;56;05
So I'd say that when you think about structured learning for mental illness, it was pretty scared. Most of it was around inpatient mental health services. So that's the rotations that we did in medical school. Now there was the small bits and pieces you may have gotten on your primary care rotation, but it really wasn't a focus. Now today are unclear how the clinical rotations are going and how the medical schools have changed their training.
 
00;01;56;12 - 00;02;19;17
But I would say that for the generations of doctors that are in my age category, it definitely

As part of the No Surprises Act, healthcare systems must now provide comprehensive good-faith estimates for the cost of care—both from their own organization (relatively easy) and from outside providers (much harder). Listen to industry leaders Seth Katz, University Health, and Josh Mast, Oracle Health, discuss with Jodi Busch, Oracle Health, the impacts of good-faith estimates on health organizations and how to use this phase as an opportunity to streamline workflows and better prepare your teams for the next iteration of the No Surprises Act.

Featuring: 

Seth Katz, Vice President of HIM and Revenue Cycle, Finance, University Health  
Josh Mast, Director and Product Regulatory Strategist, Oracle Health  
Jodi Busch, Senior Director of Financial Alignment Organization, Oracle Health  


Hear them discuss: 

An overview of this year’s iteration of the No Surprises Act (1:16) 
How have these changes impacted safety net hospitals/organizations? (3:36) 
How are schedulers at hospitals/organizations handling the increased duties of working good-faith estimates? (5:05) 
Was it difficult to gain internal buy-in from your staff for these changes? (6:57) 


Have you had any issues sending the good-faith estimates back to patients in the allotted time? (9:39) 
Are there penalties for non-compliance? (10:59) 
How does the enforcement discretion potentially impact the overall process? (13:29) 
Where are you at in terms of combining providers inside and outside of the organization? (15:06) 
What has been the response back from patients regarding good-faith estimates? (16:10) 


What's coming next? (17:29) 

Notable quotes: 

“We have to remember that we work in healthcare to help take care of people and make them better and that the No Surprises Act, price transparency, information blocking are good things for the patients.” – Seth Katz 
“At the end of the day, this is about trying to get patients and consumers information prior to receiving care so that they are better informed.” – Josh Mast