99 episodes

healthsystemCIO.com Podcasts feature interviews and panel discussions with health system IT leaders.

healthsystemCIO.com Anthony Guerra

    • Technology
    • 5.0 • 3 Ratings

healthsystemCIO.com Podcasts feature interviews and panel discussions with health system IT leaders.

    Q&A with AltaMed Health Services CIO Raymond Lowe: “Everybody Talks about Patient-centered Care, But We Live It.”

    Q&A with AltaMed Health Services CIO Raymond Lowe: “Everybody Talks about Patient-centered Care, But We Live It.”

    There isn’t a single healthcare organization that doesn’t consider patient-centered care to be a top priority. But at AltaMed Health Services – an FQHC serving more than 300,000 people in underserved communities – it’s more than that.

    “Everybody talks about patient-centered care, but we really live it,” said Ray Lowe. Through its network of 40 clinics in Southern California, AltaMed seeks to provide “convenient, culturally sensitive care” for often-overlooked populations by “taking value-based care principles and applying them in care settings.”

    Recently, Lowe spoke with Kate Gamble, Managing Editor and Director of Social Media, about how his team is leveraging data to more effectively care for patients throughout the continuum; the non-traditional methods being used to communicate with patients about cancer screenings; how they achieved Epic Gold Stars Level 9 – and what it means going forward; and why sometimes AltaMed has to be “a little more scrappy.”



    Bold Statements

    We also think about what’s happening in social determinants of health with food scarcity, home housing and security, and behavioral health issues, which affect many of our patients that we serve. And so, we’ve actually tripled down in terms of how we’re providing value-based care for these patient populations.

    If we can identify the right cohort and if we’re 80 percent right on that cohort, we can impact the patient population — which we did, versus some other areas where we got to be exactly perfect.

    We’ve developed some very effective programs using text campaigns and photo novellas, which are like comic strips, to help educate patients. This way, they get it. They understand it and they’re actually able to act on it.

    The power of any type of EHR is how it’s being utilized — not only by clinicians, but also by your patient population. Are they getting it, understanding it, and fully leveraging it?

    We’re able to implement all of the patient engagement tools that the patient expects; whether you’re at AltaMed or Cedars-Sinai, we have the same level of engagement, so there’s no differentiation, which really closes down the health equity gap. That’s a big win.

    Q&A with Raymond Lowe, CIO, AltaMed Health Services

    Gamble:  Hi Ray, thank you so much for your time! I’m really glad we have the chance to catch up. The last time we spoke was in April of 2020, so obviously quite a bit has changed since then. But I’d like to talk about your core objectives at AltaMed and some of the accomplishments you’ve had in the last year. Can you start by giving a high-level overview of the organization?

    Lowe:  Thank you, it’s great to be back and be doing a podcast with you. You and I met during the pandemic; a lot of growth and changes have happened within AltaMed since then. I would describe AltaMed Health Services as a large delivery network. At our core, we’re a federally qualified healthcare center. We treat more than 500,000 lives in the Medicaid space. We’re probably one of the largest FQHCs in the country.

    We also have PACE, which stands for Programs for All-Inclusive Care of the Elderly. It has 5,000 participants, making us the second largest PACE organization. We developed a Medicaid full-risk program in our AltaMed Health Network where we’re actually serving about a quarter million lives.  We also have a managed services organization which performs claims and processing for AltaMed, as well as some other clinical entities.


    Addressing social determinants

    Gamble:  So now,

    • 26 min
    Live @ ViVE Q&A with Guillaume de Zwirek, CEO, Artera 

    Live @ ViVE Q&A with Guillaume de Zwirek, CEO, Artera 

    In an effort to better engage with patients, many health systems have gotten themselves into a pickle by going overboard. Today, with almost every department running its own patient engagement efforts, those at the end of all that attention are feeling overwhelmed. But there’s a better way, and it starts with governance, according to Guillaume de Zwirek, CEO, Artera. In this Live @ ViVE interview with healthsystemCIO Founder & Editor-in-Chief Anthony Guerra, de Zwirek makes the prediction that, in order to get their arms around the problem, most health systems will have patient engagement committees in the near future. He adds that, when it comes to apps seeking to consolidate and streamline patient outreach, success is all about getting the operations right. Finally, de Zwirek talks about Epic’s introduction of texting, and why there’s still plenty of room for organizations like his to continue innovating around it.

    Bold Statements

    … (hospitals have) adopted so many different technology tools over the last decade and many of them are engaging with patients, and we’ve got a massive problem. We’ve got patients that are getting over-communication. They are getting the wrong communication.

    … there’s this whole universe outside of Epic that the vast majority of health systems also need to manage. They might have other EHRs. They might have a call center. They might have a CRM vendor. They probably send out regulatory surveys. They probably send out patient education. For as formidable of a company as Epic is, they don’t solve 100% of healthcare problems yet, and I don’t believe they ever will, not because Judy and her team can’t, I think they can. I just think the FTC will come in at some point and say, ‘hey, you have too much market share.’

    I think the key is being really honest with yourself about where you have the right to win and where there might already be somebody that’s a good option for them, and then focusing your time on everything that’s differentiated.

    Anthony: Welcome to healthsystemCIO’s Live @ ViVE Interview with Guillaume Zwirek, CEO with Artera. I’m Anthony Guerra, Founder and Editor-in-Chief. Gui, thanks for joining me.

    Guillaume: Thank you, Anthony.

    Anthony: Very good. Let’s start off with a little bit about your organization and your role there.

    Guillaume: We founded Artera nine years ago, and we help hospitals have great relationships with their patients. We solved the legacy reality that the vast majority of communications in healthcare happen on the phone. The world has evolved and most folks want asynchronous communication, on their time, and on their terms, and we have the infrastructure that connects all of the different pieces of software, departments, people at a hospital, and allows them to deliver a seamless experience to their patients when they’re not using their app.

    So everything outside of the app, your doctor saved as a contact on your phonebook, you can text them about anything you want, get an answer very, very quickly, most of it is automated and we do this for organizations in all 50 states, in Canada and for about 100 million patients every year.

    Anthony: Very good. We did a webinar together a little while back. It was very interesting, covered a lot of areas here. How would you describe the core difficulty that health systems face that you address?

    Guillaume: Let me start with an analogy and I’ll give you the answer. I know people aren’t going to see this on camera but I’m a skinny guy and I guess I’m built that way and when I go to the doctor, the nurses always tell me that folks like me are the dangerous ones because we don’t know if something is wrong with us, right? We don’t know we have diabetes. We don’t know that we have cardiac issues because you don’t see those signs in an outward fashion.

    The same thing is going on, I would argue, with every single practice physician,

    • 17 min
    Live @ Vive Q&A with Greg Garcia, Executive Director, Cyber Security, Health Sector Coordinating Council

    Live @ Vive Q&A with Greg Garcia, Executive Director, Cyber Security, Health Sector Coordinating Council

    Healthcare is complicated. So it’s not surprising that healthcare cybersecurity is just as complex. But what shouldn’t be complicated is the guidance health systems are given to deal with threats. In the past, a number of well-meaning entitles – from government to private to hybrids of the two – have put out roadmaps, frameworks and other tip sheets that left all but the most sophisticated shops shaking their heads, wondering where true north lay. But things are changing, according to Greg Garcia, Executive Director, Cyber Security, Health Sector Coordinating Council, who says that his organization (which just released its Health Industry Cybersecurity Strategic Plan – 2024-29) is focused on helping to bring a signal through the noise, starting with deep coordination between HCIP, the nascent HPH-CPG’s and foundational cyber framework’s like those from NIST. In this Live @ Vive interview with healthsystemCIO Founder & Editor-in-Chief Anthony Guerra, Garcia covers these issues and much more.


    Bold Statements

    Cybersecurity has to be a habit. It has to be a habit among the users, the clinicians, the people who are sitting in front of their computer and their IT systems, and has to be a habit for the product security people, for the manufacturers of medical technology who know that we need to simplify this, because security by obscurity doesn’t work.

    We all have the same objective, but if we have competing ways to reach that objective, we’re not moving the ball forward. This is going to be a challenge long after I leave the workforce.

     … this is one of the major goals in the cybersecurity strategic plan, that basically technology being used in the clinical environment must be secure by design and secure by default, and that must be demanded by the customers, and it must be provided by the manufacturers and third-party service providers

    Anthony: Welcome to healthsystemCIO’s Live at ViVE Interview with Greg Garcia, Executive Director for Cybersecurity with the Health Sector Coordinating Council. Greg thanks for joining me.

    Greg: Thanks, Anthony. Glad to be with you.

    Anthony: Very good. Big news for you guys at that the show. You’re releasing your strategic plan. Why don’t you just tell me briefly about the Health Sector Coordinating Council.

    Greg: You bet. So the Sector Coordinating Council, the Cybersecurity Working Group, is an advisory council to the government and to ourselves in the industry, working together to identify and mitigate cybersecurity threats to the healthcare system. We’ve got about 425 organizational members, including government from across the spectrum. We’ve got the health providers, the medical tech companies, pharmaceuticals, plans and payers, health IT. So we’re looking at all of those crosscutting cybersecurity issues that affect the sector and, in particular, patient safety.

    The Health Industry Cybersecurity Strategic Plan that we released on February 27 is intended to first look over the next 5 years and see what are the major healthcare industry trends, not cybersecurity, just what are the industry trends in technology and operations and regulation, business developments, and then what are the cybersecurity challenges that those trends present and then what do we need to do as an industry to get better, to get well.

    It is a wellness plan for cybersecurity and, back in 2017, there was an HHS task force that diagnosed healthcare cybersecurity to be in critical condition because of all the connectivity and all of the evolving threats. We want to use this Health Industry Cybersecurity Strategic Plan to get us to upgrade to stable condition by 2029. It is a 5-year strategic plan. That is what this is about. It is a scalable, up and down, regarding the size and financial capabilities in the health sector and it applies to any and all of the major sub sectors.

    Anthony: Very good.

    • 27 min
    Live @ Vive Q&A with Ryan Witt, VP, Industry Solutions, Healthcare, Proofpoint

    Live @ Vive Q&A with Ryan Witt, VP, Industry Solutions, Healthcare, Proofpoint

    Healthcare is abuzz with talk of artificial intelligence. And when it comes to cybersecurity, that buzz both has to do with how the bad guys are going to use it, and how the good guys can apply it to defense. But Ryan Witt, VP, Industry Solutions, Healthcare, Proofpoint, warns that today, the time of small- to mid-sized health systems is better spent on basic blocking and tackling, especially around the major threat vector of email. Amazingly, he adds, some of the foundational steps for email security are still not in place. In this Live @ Vive interview with healthsystemCIO Founder & Editor-in-Chief Anthony Guerra, Witt covers these issues, the Health Sector Coordinating Council’s efforts to consolidate and simplify guidance, and whether mandatory cyber guidance should eventually become a reality.

    Bold Statements

    If I had to guide anybody in terms of, where would you focus your time and effort, we’re really blessed in healthcare with the 405D program and the document they produced that’s called HICP. They also put out very strong, very worthwhile, guidance all around cybersecurity preparedness.

    It feels like we still haven’t shaken away from the Meaningful Use era when we were all focused on the patient record. We were all focused on the things that gave us funding for the patient record, and not those conditions that were security related, which were actually much more regulatory-related, compliance-related, and so we made investments in that direction. We did not make enough investments in security, and I don’t think healthcare has ever really caught up.

    … there’s now a strong understanding that cyber events are related to patient outcomes. We’re no longer just doing these things because it makes good sense financially, or because there’s some compliance measure we’re trying to meet, or because we care about our reputation or whatever.

    Anthony: Welcome to healthsystemCIO’s Live @ ViVE Interview with Ryan Witt, VP of Industry Solutions at Healthcare, Proofpoint. Ryan, thanks for joining me.

    Ryan: It’s great to be here, Anthony. Live at ViVE. I mean, it feels like I’m live at HIMSS, my goodness.

    Anthony: Well, we’ll be there in two weeks.

    Ryan: Right, right.

    Anthony: Let’s start off with a little bit of a background on Proofpoint, a little bit about your organization and role.

    Ryan: Proofpoint is all about human-centric security. There’s this acknowledgment now that the bad actors are really focusing their efforts on attacking humans and how they work. Proofpoint tries to help organizations mitigate against that; so protecting humans and then ultimately defending what’s often the ultimate target – data. So we defend data, defend people how they work, and try to prevent data exfiltration.

    Then, from my standpoint, I focus on creating that aperture really around healthcare, so that we are building out solutions and strategies to go make sure that healthcare industry customers have a great experience working with Proofpoint.

    Anthony: Very good. We’re here at the show, and every year there seems to be a different buzzword; blockchain was one that was huge a few years ago. Obviously, the pandemic stuff in the middle and now we have AI everywhere, in every conversation, what’s going on with AI, what are people doing with AI, and they want to know what their vendors are doing with AI, what the bad guys are doing with AI, all kinds of stuff. I’m sure you get asked all the time by customers and prospects about what you’re doing with AI. Your thoughts?

    Ryan: You’re absolutely right. I think, unlike blockchain where that might have been a moment in time – I don’t want to diminish blockchain, but it might have been a moment-in-time topic – I think AI is not going away. I don’t think it’s a moment in time, it’s going to ultimately revolutionize how we all interact with technology going forward.

    But I think it’s also important to temper it a l...

    • 18 min
    “This Is Real Innovation”: Q&A with Michael Hasselberg, CDHO, University of Rochester Medical Center

    “This Is Real Innovation”: Q&A with Michael Hasselberg, CDHO, University of Rochester Medical Center

    When Generative AI was first introduced in the fall of 2022, there was a lot of excitement and a lot of expectations among the healthcare community – including Michael Hasselberg. “When I first played with this technology, I thought, ‘this is amazing. This is really going to be transformative,’” he said. And although his organization (University of Rochester Medical Center) is still in the “experimentation and piloting” stage, he’s already seen a tremendous impact – but not necessarily with the technology itself.

    “I think the biggest transformation is that it has everybody talking about data and the importance of data,” noted Hasselberg, who serves as Chief Digital Health Officer as well as Co-Director of the UR Medicine Health Lab. As a result, stakeholders are having critical discussions around the key pieces that need to be in place, such as privacy, governance, and data warehousing. “That, to me, has been the biggest win.”

    During a recent interview with Kate Gamble, Managing Editor at HealthsystemCIO, Hasselberg talked about how his team hopes to leverage AI to improve efficiency and care quality, while enabling nurses to operate at the top of their license. He also discussed URMC’s groundbreaking initiative to expand patient care into the community; how they’re working to build buy-in among users; and why he believes it’s so critical to focus on nursing innovation.


    Bold Statements

    That’s real innovation and it’s really been an ‘a-ha’ moment. We’ve already had several health systems reach out to us. They want to replicate this in their communities because it makes sense.

    What I’m most excited about is where we are right now with generative AI and the large language models. We’ve done a lot of testing with these new AI models through our innovation team at the University of Rochester, and we’re really blown away with the potential of what this technology can do, especially on the administrative burden side.

    It’s probably the first time in my career thus far that I’m hopeful that technology will actually make the lives of our clinicians better.

    We also have to think about introducing this into workflows. This is one of those situations where technology is, in many ways, the easy part. The hard part is how do I fit it into our current operational workflows? How do I get cultural buy-in so that people trust this ‘AI co-pilot’ that’s eager to help out?

    Now, everyone is talking about AI, and that’s allowing us to have discussions around what does our enterprise data warehouse look like? What about privacy and security and risks? How do we set up the appropriate governance structure? We’re now making investments on the data side, and that’s going to be key.

    Q&A with Michael Hasselberg, CDHO, URMC

    Gamble: Hi Michael, thank you for putting aside some time to speak, I appreciate it. I know things are really busy.

    Hasselberg: We had a big announcement that came out recently. We have a novel, innovative project where we’ve put virtual care stations in banks in rural communities. We’re doing it in partnership with two startup companies, a global telecommunications company, and a bank. We’re the first health system in the country to offer primary care in a bank. There’s a rationale behind it. We’re really excited.


    Gamble: That’s very cool. Can you tell me a bit more about that and how it came about?

    Hasselberg: Sure. During the pandemic, like every health system in the country, we had to turn on telehealth overnight. And as discussions started around the public health eme...

    • 21 min
    Unleash the Power of Provider Data: Gain Operational Efficiencies and Improve Care Access with a Single Source of Truth

    Unleash the Power of Provider Data: Gain Operational Efficiencies and Improve Care Access with a Single Source of Truth

    It’s the foundation of any care access experience offered by a health system or hospital. Provider data powers a myriad of experiences that impact patients, providers, and staff members enterprise-wide. Unfortunately, the many back-end systems that house this data are often out of date and inconsistent, leading to a disjointed experience as people seek to access this information across an organization. Leading IT executives have found that investing in a provider data management strategy can help solve many of the data-oriented challenges they face today, enabling them to create a better experience for patients looking to schedule care and free-up time for employees tasked with keeping this often-changing information up to date. In this webinar we’ll hear from leaders who are focused on improving this critical area of patient engagement and, with it, how they’re driving innovation and operational efficiency.


    * Craig Richardville, CIO, Intermountain Health

    * Chris Paravate, CIO, Northeast Georgia Health System

    * Stuart James, VP, Chief Operations Officer & Deputy CIO, CHRISTUS Health

    * Scott Andrews, Chief Delivery & Operations Officer, Kyruus

    • 57 min

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