Perspectives on Health and Tech

Oracle Health
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Perspectives on Health and Tech is a podcast by Oracle, where we have conversations on creating a seamless and connected healthcare world where everyone thrives.

  1. OCT 6

    Global Perspectives on AI and Next Generation Healthcare

    Leading organizations share how data-driven innovation transforms care delivery and patient outcomes. In this Oracle Health and Life Sciences Summit 2025 keynote, Alaa "AJ" Adel, Senior Vice President of Oracle Health International, joins distinguished leaders from West Suffolk NHS Foundation Trust in the United Kingdom, Bajaj Group in India, King Faisal Specialist Hospital & Research Centre in Saudi Arabia, and Western Health in Australia. Together, they reveal how hospitals and health systems are designing the future of care through artificial intelligence, advanced data strategies, and radically human-centered solutions built on Oracle technology. Hear real-world stories from West Suffolk NHS Foundation Trust, Bajaj Group, King Faisal Specialist Hospital & Research Centre, and Western Health as they share how Oracle Health is helping each organization reimagine hospital infrastructure, improve patient engagement, and drive operational excellence. Understand how this global perspective unlocks new, scalable healthcare models for a connected, healthier world. ---------------------------------------------- Episode Transcript: 00:00:00:00 - 00:00:37:14 Welcome to Perspectives on Health and Tech Podcasts, brought to you by Oracle Health, where we dive deep into the world of innovation and transformation in healthcare.    00:00:37:16 - 00:01:18:11 Shanna Adamic I'm your host Shanna Adamic, Director of Oracle Health Executive Content and Video. In this episode of Perspectives on Health and Tech we feature a panel discussion recorded at The Oracle Health and Life Sciences Summit held in Orlando on September 10th, 2025. In this discussion distinguished leaders from West Suffolk NHS Foundation Trust in the United Kingdom, Bajaj Group in India, King Faisal Specialist Hospital & Research Centre in Saudi Arabia, and Western Health in Australia reveal how hospitals and health systems are designing the future of care through artificial intelligence, advanced data strategies, and radically human-centered solutions built on Oracle technology.    00:01:18:17 - 00:01:47:18 The discussion is led by AJ Adel, Senior Vice President of Oracle Health International.    AJ Adel Good afternoon. Today I get the pleasure of presenting four leaders from four different continents with six time zones. Don't ask me about the math. That's what we came out with. The topic of discussion is AI on a global scale. As we are traveling around the globe and we're visiting our clients, we get to see the cool things they all do, and they all work on.   00:01:47:20 - 00:02:09:17 So today, I have the pleasure of presenting those leaders who are thinking about things differently, whether they're building a hospital or delivering care or just engaging with their patients. They have a different view on things. So, I'm super excited to introduce them all on stage. I already told them we're going to change the questions. But what I didn't tell them is, we're all friends before anything else.   00:02:09:19 - 00:02:33:16 And we all decided this is going to be the most fun session ever. Let me start with you, Kathy. You. You come from King Faisal Hospital, a huge organization in Saudi Arabia, doing amazing things, serving 20% of the population of Saudi.   00:02:33:18 - 00:02:53:17 And you're keeping the patients and the people at the center of everything you do. When you put the patient at the center of your design, it's not always easy. Can you share? And what are some of the challenges you're facing when you're actually just focusing on the patient?    00:02:53:18 - 00:03:28:15 Kathy Sienko Delighted to be here from King Faisal Specialist Hospital. The one thing we know is that, even though we are largely an Islamic society, not all of our patients are homogenous. And as we think about how we design around patients, the first thing is really understanding what do the patients actually want and how do we use the data that we have around our patient's experience to tell us what's working and not what's not working for them, and how do we factor that into the design of services.   00:03:28:16 - 00:03:57:17 Kathy Sienko The other bigger problem, I think, is really moving from the rhetoric to the practicality. We all say that we want a better patient experience. We want to build our services around patients, but the provider workflows need to change in order to make that happen, to facilitate that. And that's not always so easy to change when people have been doing something the same way for many, many years.   00:03:57:18 - 00:04:19:14 Kathy Sienko So, we are 50 years old this year, believe it or not, and some of our people might even have been there for nearly all of that time. And so, getting those changes into practice, moving from the rhetoric of what we'd like to do to actually making the physical changes to the way that we work from a provider centric model to a patient centric model, is one of the challenges we have.   00:04:19:14 - 00:04:47:07 Kathy Sienko And then there is the question about the technology that supports that patient journey and the integration between solutions, that actually makes that patient's experience very, very different. But we also think about it in terms of design. How do we design facilities to be healing and healthy environments as well. So, we think about fine details like color and artwork and all of those sorts of things.   00:04:47:07 - 00:05:11:15 Kathy Sienko But perhaps important to know about King Feisal is that we are a specialist tertiary organization, quaternary even. And so, we see people who are really at, the most serious stage of their disease. And that actually drives for us as we think about our patient innovation, because we really want to do a great job for those patients. For many of them, we are their last port of call.   00:05:11:17 - 00:05:32:14 Kathy Sienko And so, it really drives a lot of innovation. It features in things like clinical trials. And we actually are running about 48% of all of the clinical trials in Saudi Arabia at King Faisal Hospital. So, it drives a culture of innovation and wanting to do more and better but of course, there is the cultural change that needs to happen.   00:05:32:16 - 00:05:57:17 Kathy Sienko And then there is also the technological workflows that actually support the kind of work that we want to do. So, as you say, it's not easy work. It's culture change and technology change. It's change that really focuses on why we are here. And we really are there for the patients. And so, we follow through on that as a philosophy into practice.   00:05:57:19 - 00:06:16:03 AJ Adel I've been visiting King Feisal for the last 15 out of the 50 you mentioned, and I've always looked at how all the leaders have one thing in common. Every vision has the patient at the center of it. So that's amazing. Russell, every time I open my LinkedIn, I see you building a hospital.   00:06:16:05 - 00:06:34:05 Russell Harrison Not me personally.    AJ Adel No. Not you. Well, I do see you with the hoodie and the vest and everything, but you're also, down in Australia. You're changing healthcare, and you're going to places where healthcare hasn't been before. But you're also doing it while keeping the patient at the center of this. Can you share your vision?   00:06:34:05 - 00:06:50:22 Russell Harrison Yeah. I just say we're quite fortunate, you know, why build one new hospital? One. You can do two at the same time and two little ones. So, four in total. But that's just for that. Population is growing so quickly. And for me, I don't disagree with what Kathy said, but I'm going to come out from a different angle.   00:06:50:22 - 00:07:11:16 Russell Harrison And as part of that build, we've seen the opportunity to put our patients and our staff at the center of how you design a new facility. And that's been quite challenging because a lot of the guidance is written for ten years ago, and our staff and our patients are imagining a new world, about what they want and how they want the workflows to work.   00:07:11:18 - 00:07:38:10 Russell Harrison And that's been quite challenging, going against the sort of the building regulations, they're not true regulations, but they're sort of guidance notes to actually put our staff in fabulous facilities with light and our patients in rooms with light, not the old hospitals we've got. So, it's been great to be able to do that. And through the process, the technology has changed because, you know, no offense to many clinicians, myself included, you cannot read a plan and imagine what a room will be.   00:07:38:12 - 00:07:53:21 Russell Harrison But with AI and modelling, you can kind of get a sense of how that will look. We are in a room this sort of size and it was all on the floor, and you can move walls around. So, using technology in the design really allows us to put our staff and our patients at the center and actually then feel what that facility will look like.   00:07:53:21 - 00:08:19:07 Russell Harrison So, our aim is that we get a much better facility that our staff want to work in, can work in, and our patients can be cared for in a very different environment that's healing and light, and hopefully they go home. They don't want to stay forever, but, it will be a much better experience. And I think, you know, that's the important bit about how we can design new facilities and use technology to help do that, rather than just kind of go off a plan and go, "Well, that's what you get."    00:08:19:07 - 00:08:52:22 Russell Harrison Let's challenge that and let's get the clinicians and patients pushing for the same thing.    AJ Adel Yeah. You also had a couple of go lives recently. And I remember you; you're calling up and saying, "We need this, this and this because the patient needs it. That's what I want. And I want that for them, not fo

    35 min

  2. OCT 2

    Trailblazers in healthcare: Experiencing Oracle Health EHR in real-time

    In this episode, we dive deep into the transformative journey of two beta customers who are among the first to experience the Oracle Health EHR system and Clinical AI Agent's in an ambulatory setting. They share their firsthand experiences while working with the design and testing of this cutting-edge technology. Joining the conversation is an Oracle Health clinical executive, Ashleigh George, who provides insights into the design, vision, and potential impact of this EHR solution on improving patient care. Together, they explore how this innovative system is reshaping the landscape of healthcare delivery and what it means for the future of ambulatory care. --------------------------------------- Episode Transcript: Welcome to Perspectives on Health and Tech Podcasts, brought to you by Oracle Health, where we dive deep into the world of innovation and transformation in health care. My name is Matt Patterson, your host and moderator for today's discussion. Today, we're thrilled to welcome three renowned experts who are pioneering change in the health care industry.    00;00;59;03 - 00;01;28;18  Unknown  Joining us today, we have Ashley George, a visionary in health care technology and leader with an Oracle health product development. Dr. Ryan McFarland, a family medicine physician based out of Hudson, Wisconsin. And Dr. Randy Thompson, an emergency physician by training who now serves as the chief health analytics officer at Billings Clinic. In today's episode, we're going to explore challenges facing health care systems and how groundbreaking innovation is paving the way for a brighter, healthier future.    00;01;28;20 - 00;01;48;22  Unknown  So grab a seat and prepare to be inspired as we embark on this insightful journey. First off, I'd like to allow the opportunity for each of you to introduce yourselves. We'll start with Ashley and then Dr. McFarland and Dr. Thompson. Ashley Yeah, Thanks, Matt. Well, I think you actually might have a new calling in as a podcast broadcaster.    00;01;48;23 - 00;02;24;09  Unknown  That was an impressive intro. You've got a radio voice almost, but that's great. Well, anyway, thanks to Matt for having me on today. I'm Ashley George. I'm a clinician, actually, by background started my career 25 years ago in a neuro ICU unit and from there have had the opportunity to work in health care I.T. for the last 20 years and have really been at the forefront of the changes that have occurred over the last several decades and and excited for the work that I hand at Oracle Health, where we're doing today within our products and serving our clinicians around the world.    00;02;24;12 - 00;02;48;16  Unknown  Thanks, Ashley. And Dr. McFarlane, why don't you tell us a little bit about your yourresponsibilities in the organization and patients that you serve? Yeah, my name's Ryan McFarland. I'm a family medicine physician in Hudson, Wisconsin, part of a large private practice group. We've got about 60 providers. I'm one of the owners in the practice on our medical board, kind of help direct our practice into the future.    00;02;48;16 - 00;03;14;05  Unknown  And one of the big parts of my job has been working with our I.T. tech and things like that. And that's how we got involved with Oracle and fortunate enough to help be in the early beta testing and help build these products and everything. Thanks. And Dr. Thompson? Yeah. Good morning. My name's Randy Thompson. I'm the chief health Analytics officer for Billings Clinic Emergency Physician by training but work full time.    00;03;14;05 - 00;03;46;09  Unknown  And it now in our system is the largest independent health care system in Montana, where those clinic at Logan Health merge in 2023, we have over 1200 providers representing 80 medical specialties. My job is to try to make their lives better. And I, I could say I'vebeen in health care for 41 years now and there has never been a more exciting time to be in health care in terms of the positive solutions coming to our providers and nurses.    00;03;46;11 - 00;04;11;16  Unknown  Wonderful. Yeah, Thanks, Dr. Thompson. And I think that's a good segway into to get right into the meat of the conversation here. So today's podcast is obviously really about exactly what you just mentioned. Randy, The opportunities that exist within health care really to raise the bar in the industry with some of the Gen AI technologies that we're entering intothis new era of beyond.    00;04;11;16 - 00;04;33;11  Unknown  So within the current landscape, I want a level set where we're at today. Ashley Can you tell us a little bit about the biggest challenges that health care systems are seeing today? Really, how is technology currently influencing health care delivery today? Yeah, I mean, I'll say as I think about this, my my response isn't just US based centric.    00;04;33;11 - 00;04;51;12  Unknown  It is also thinking about internationally as I meet with customers around the world. And hands down top of mind is how are we supporting our clinicians so that they can better take care of the patients? Right. And I think you could I could be as dramatic to say as like we're at a moment of reckoning in terms of people are tired, they're exhausted.    00;04;51;12 - 00;05;11;17  Unknown  We don't have enough clinicians around the world to serve, you know, the patients that we need to take care of. Everyone is on razor thin margins. They're trying to do more with less. And yet it doesn't stop the regulations that continue to come in. It doesn't stop almost theinability for clinicians to be able to access care appropriately.    00;05;11;17 - 00;05;43;01  Unknown  And I think that's where for us, it's not an option. We have to transform and rethink how we're delivering health care and how technology can play a pivotal role in that. It's not the only answer, but it is a big answer in terms of how we're going to approach this. And I think, you know, I feel that here at Oracle Health, we we feel that urgency is to be able to help our clinicians, like the ones that are joining today's podcast, like how can we do better for them so that they themselves can do better and help take care of their patients.    00;05;43;01 - 00;06;23;08  Unknown  And that's really what we wake up every single day, striving to deliver. Wonderful. And Dr. McFarland, Dr. Thompson, you're from your purview. Well, what trends are you seeing that that opens up opportunity to really reshape health care? You know, I think the biggest trends are, you know, trying to get more, I would say, you know, clinician and patient focused and centered resources and technology for the first time versus it's previously been just purely a data gathering billing tool that didn't serve anyone other than the insurers and certain researchers.    00;06;23;10 - 00;06;40;17  Unknown  So that's I think the biggest trend is that we're actually seeing patient forward and physician forward products for the first time, which is part of why I think it's so exciting to see what's coming. So that's what I think is really the trend that we're seeing. That'sgoing to be a huge impact to our careers and patient care.    00;06;40;20 - 00;07;22;08  Unknown  And I would just add to that, having the system work for the providers and the nurses and the schedulers and the reps cycle people rather than us working for that solution. And I'll just give an example with the new H.R., the system is working on behalf of the clinician and going out and searching the record, finding out relevant information, bringing that back, collating it and presenting it to the clinicians in a manner that makes sense to them so that so that they can make decisions and, you know, have a better chart and so now it's the opposite way.    00;07;22;09 - 00;07;42;21  Unknown  We have to go out and we have to find relevant notes and find relevant studies and try to tweak the details and gather those details so we can consider that what their interaction with the patient and then document that all in the chart afterwards. And it's just almost impossible to do with a clinicians busy schedule the amount of time that takes.    00;07;42;23 - 00;08;03;17  Unknown  So that's what I'm excited about. Yeah, I mean that's I mean, it's huge. I mean, that's what I spend the bulk of my time doing is before I see a patient. Even when I'm in with the patients, it's digging through this slog of just repetitive data, good data, bad data, what'srelevant, where is the relevant information? And it falls on me to just sift through this huge backlog of data.    00;08;03;19 - 00;08;32;03  Unknown  And this is the first time where it's being brought forward to us. It's going to help us make better decisions, not miss things. You know, just give an example. And, you know, I was looking at one patient's note and the summary, the problem based summary had gone out and looked at 11 different notes and brought that information forward and presented it in a really succinct manner that was understandable and complete.    00;08;32;06 - 00;09;00;17  Unknown  So that so that, you know, that was really actionable information that it would be almost impossible for a clinician to do in the limited amount of time they have to review the record and then bring that forward. So I mean, it's just really exciting. Well said. You know, Ashley and I were actually talking yesterday in preparation for this podcast about the acceptance that exists in the industry around training requirements when you go to a new EMR.    00;09;00;19 - 00;09;20;15  Unknown  And I think it'

    29 min

  3. SEP 16

    Changing the Narrative: How Data and Technology Can Save Lives

    In recognition of World Suicide Prevention Day (September 10), Oracle Health brings together leading voices in clinical care, behavioral health, and technology to explore how data-driven innovation can help prevent suicide and improve mental health outcomes. Join Oracle Health's Danny Gladden, LCSW, MBA, Director, Behavioral Health and Social Care and Dr. Keita Franklin, Chief Behavioral Health Officer at Leidos, a nationally recognized expert in suicide prevention, as they discuss how ethical, person-centered use of data can detect risk earlier, connect people to care faster, and support clinicians on the frontlines. From integrated screening tools like the PHQ-9 and C-SSRS to risk alerts, we'll examine how technology, with quality care—when paired with compassion—can close critical gaps in behavioral health. This conversation is a call to action for health systems, providers, and technology partners to change the narrative on suicide, together. If you or someone you know is in crisis, please reach out to your local helpline or call/text 988 in the U.S. and Canada. ----------------------------------------------------------- Episode Transcript:   Intro  00:00 - 00:29 Welcome to Perspectives on Health and Tech podcast. Brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected health care world where everyone thrives. Let's get started.  Danny Gladden 00:30 - 02:26 Welcome to Perspectives on Health and Tech. Thank you for joining us. I'm Danny Gladden, general manager of behavioral health and social care at Oracle Health. I'm also a licensed clinical social worker, and I've spent my career working in suicide prevention from crisis lines to community mental health to supporting national efforts with the Department of Defense and the VA. For me, the work is personal and lifelong. At Oracle Health, we believe technology has a role to play in ending suicide with one of the largest global electronic health record footprints and long standing partnerships with the VA and the DoD. We see the impact that suicide has across every community we serve. This isn't an issue that only affects certain families or certain health system. It impacts all of us. That's why we're speaking out as a technology company. Because suicide prevention is not only about crisis intervention, it's about building systems that connect people to help earlier equip clinicians with the right tools and make sure that no one falls to the cracks. Our responsibility is to use data design and technology in ways that honor the human side of care, while supporting providers who are on the frontlines every day. And today, I'm honored to be joined by Doctor Keita Franklin, chief of behavioral health at Leidos, one of the nation's foremost experts in suicide prevention, who's led this work at the highest levels of government and continues to advance the field through research, policy and practice. And so, Keita, it's so good to be with you today. I'm so glad you've joined us. You and I have had a chance to do some pretty incredible work together. You have, spent much of your career leading national suicide prevention efforts with the VA, the DoD, the Columbia Lighthouse project. How has that experience shaped your perspective on the urgency of this issue? Keita Franklin 02:26 - 03:44 Thank you so much for having me, Danny. And I always love our work together and our connection as social workers in the field over the years, so I truly appreciate the chance to talk to you this morning. You know, one of the first things that comes to mind for me is just a basic, sort of lesson is just the complexities around suicide. Now, I don't think people know, you know, when somebody dies by suicide, there is a lot of variables and factors at play. And it's never it's never one reason. But like you'll hear about people that struggle with a host of reasons, some of which are medically oriented and pain management oriented and complexities around TBI, and some of them are mental health related, and some of them are things that you and I always talk about related to social determinants of health. So just the complexities, that's probably one of my biggest sort of things to think about. And sure, in terms of shaping my perspective. And then I appreciate the upstream. I'm definitely an upstream sort of thinker in terms of like, how do we get, you know, the military used to call this left of boom, but like, how do we get, away from just intervening at the time at the single point in time of crisis? I don't know if you saw the CDC and the National Action Alliance just pushed out this new upstream toolkit or guide this week. I have that on my list of things to look at.  Danny Gladden 03:45- 04:15 Yeah, it's really great, isn't it, to have, more folks in across health care and beyond talking about suicide, suicide prevention now. So Oracle, we're a technology company. We believe we have a part to play in the bigger ecosystem of suicide prevention. If you think about a company like Oracle and Oracle Health, you know, why is it important for a company like ours to be part of this conversation?  Keita Franklin 04:15 - 05:34 Well, for a couple different reasons. And I'm in the same boat. You know, Leidos is also a technology company, and we're so thrilled for our partnership with you all around some of these issues. But really, a couple of things that we know about suicide is at the center of a public health approach is just the importance of data. Like data drives the entire public health approach. And whether you're like a brand new suicide prevention coordinator on the ground in a local county, or whether you're tackling suicide at the National level, you have to have your hands on a good set of data. And I know that you are all about data, as is Oracle at large. But then also what do we do with the data and how do we bring more technology tools to the fight when it comes to preventing suicide. By using good data, not only in mental health care systems as flags and as you know, part of predictive analytics. But also, I think we're seeing on the horizon more AI tools and advanced ways to bring self-help tools with clinician oversight. Maybe we'll talk about that more in the podcast. But definitely there is a role for technology. And I've always over the years I've put it in the pilot bucket. When you're doing good public health programing, you always have four or 5 or 6 pilots going where you're testing new interventions, trying to advance the needle with new and innovative treatments and the like. And I think technology fits in there.  Danny Gladden 05:35 - 07:22 Well, I feel a burden, a healthy burden. If we think about, say, behavioral health technology companies, of course, they're the users of their tech,  kind of have a responsibility to ensure they account for suicide prevention and screening and whatnot. As an enterprise health care EHR, that service primary care, chronic conditions and an emergency department in med surge and oncology, we have to be really diligent about where we can also infuse best practices for screening across health care delivery system. And I feel sort of, a burden there to make sure we get that right, have the right questions and the right workflows in the right place so that we can, help a doctor who's treating someone with heart disease also be able to talk about the stresses of heart disease and, risk suicide risk that comes from living with a chronic illness. And so that takes me kind of, you know, this year's World Suicide Prevention theme is changing the narrative on suicide. I'm just curious, what does that mean to you? Changing the narrative. It really struck me. I want to hear your perspective and also talk about. I think you've got some really interesting things happening in your career. So, like changing the narrative on suicide. What about small acts of kindness and community engagement and connection? How can that make a difference?  Keita Franklin 07:23 - 10:22 No. I so appreciate your question. And also the work that you're doing to embed suicide prevention into like a whole of health care system. So first and foremost, like the, early on in my career, I learned the importance of, like, if we just screen or if we just wait for mental health care alone. You know, we will have missed about many. You know, I learned this at the VA front and center where they, the veterans would go in for headaches and backaches and all of these other types of physical care issues. And when they're doing that, if we don't screen them and we don't engage around suicide prevention, it's a missed opportunity. And it's awful when we see it in the fatality reports after the fact that perhaps they've been to one of our primary care clinics in the days leading up to their death. It's just incredibly tragic for our system to, like, miss any single opportunity to say, disable that. So I'm so pleased that you're doing that. And it is hard work. Right. Because the docs will tell you, I'm busy with this, I'm busy with this, and I have a lot of things to balance. And, you know, they're here for their podiatry appointment. What do you mean? I have to screen, but you just don't know what's going on for people. So that's one thing. And then, I, I think you and I both love the theme, like changing the narrative on suicide. Right? I mean, part of the narrative is that it's upstream. The other small piece that resonates with me about changing the narrative. I'm curious what you think about this as well. Is the focus on lived experience like, I absolutely love for us as a field to never forget the voice of those that have this lived experience, whether you know it's a mom or dad that have lost a loved one, a child to suicide, and you know, of course, in the most tragic of ways, but for us to hear from them and to think about how their experiences can inform our policies and to jus

    27 min

  4. JUL 14

    From Bench to Bedside: Bringing Therapeutic Innovation Closer to Patients

    While science and technology have driven remarkable breakthroughs, they've also created unintended barriers between clinical research and care. The complexity and cost of research limit trials to only the most well-resourced hospitals. As a result, just 3% of patients and providers participate, and doctors often lack access to or the ability to act on life-changing therapies at the point of care. Oracle is closing this gap—embedding clinical trials, evidence-based insights, and innovative therapies directly into electronic health records. The vision: every hospital research-ready, every patient encounter fueling discovery, and therapeutic innovation reaching patients where and when it matters most. Featuring: ·       Moderator: Raj Modi, Senior Director, Global Customer Centre of Excellence, Life Sciences, Oracle ·       Panelist: Maria Clark, Market Development Associate Greenphire-Suvoda, Patient Advocate for Cystic Fibrosis Foundation ·       Panelist: Christopher P. Boone, Ph. D., Group Vice President, Research Services, Health & Life Sciences, Oracle Listen as they discuss: o   Why therapeutic innovation often stops short of the point of care—and what it takes to close that gap o   How aggregating genomic, clinical, and real-world data at scale — safely and securely — is key to unlocking this future and driving personalized medicine o   How embedding trials, insights, and therapies into the EHR will reshape access to cutting-edge treatments, lowering cost, and improving outcomes o   How the industry is approaching this shift—and what progress is already underway Notable quotes: "Because of these CFTR modulators, patients like myself are living longer than ever before. I am only 23 years old and when I was born my life expectancy was early 20's." – Maria Clark "We have to reimagine our own business processes and really put the needs and preferences of the patients at the center of everything we do." – Christopher P. Boone, Ph. D. CTA: Harness real-world evidence and data-driven insights to inform critical decisions. Our expertise spans commercialization, market access, regulatory and safety protocols, oncology, and rare diseases. Bolster your strategies with data-driven solutions tailored to the life sciences and healthcare industries: Learn More ----------------------------------------------------------------- Episode Transcript:  Raj Modi:  Hello and welcome to from bench to bedside bringing therapeutic innovation closer to patients. I'm Raj Modi and I'll be your host today. This conversation speaks directly to Oracle's vision for health and life sciences. Despite all the advances we've seen in medical research over the last few decades, there's still a significant gap between scientific discovery and care delivery. And today we're going to explore how we close that gap by embedding research directly into care utilizing unified data. Connected systems and AI. I'm joined today by two fantastic guests who bring both deep expertise and lived experience. First, we have Dr. Chris Boone, who's the group vice president for Oracle Research Services. Chris is a recognized leader in real world evidence and health data innovation. And also joining me is Maria Clarke:, who is a passionate patient advocate who lives with cystic fibrosis and also works tirelessly in our industry helping organizations better understand and support research participants. Chris and Maria, welcome. Thank you both for being here.    Chris Boone:  Thank you, Raj. It's great to be here.    Maria Clarke:  Thank you. So happy to be here.    Raj Modi:  Let's dive into the discussion. Maria, let me start with you. You've written very powerfully about your experience living with cystic fibrosis. When people talk about patient centered research, what does that really mean to you, and how far off are we as an industry from making that real?    Maria Clarke:  Well, I believe this collaborative model, you know, ensures that studies are designed, conducted and interpreted with direct input from patients reflecting on their real-world experiences, their needs and priorities. This ensures you know, patients are full collaborators, not just subject ID numbers you know, in a database. Real humans with real stories and you know, research that better reflects real needs, helps promote trust, and leads to more effective personalized care.    Raj Modi:  That's really powerful, Maria. Thank you for sharing. You've read some raised some really pertinent points here. As a follow up to you, when it comes to access, whether that's clinical trials or the latest treatments, what barriers have you personally faced in your journey and what needs to change?    Maria Clarke:  So accessing care even you know when I'm fortunate enough to have, you know, insurance and advanced medications, it still comes with its own set of hurdles. For instance, you know ordering medications can be complicated, and you know, once appointments are coordinated, the burden of traveling to the clinic and missing work or school for you know, 5 plus hours can be extremely overwhelming. I mean, for instance, yesterday I was at the clinic for five plus hours participating in a research study. It's a long term study. It's like a five year study. I've been involved in with the Children's Hospital of Philadelphia and I was working remotely the whole day while getting tests done and blood drawn. And after all that, you know, had to drive home very weak, especially on the school for those who are from the Philadelphia area. It's pretty brutal after a long day in the clinic so.    Raj Modi:  Maria, that's a, that's a, that's a significant burden on, you know, on your participation into research. Chris, let me bring you in here. You've spent your career at the intersection of policy evidence and strategy from the industry side - how should we be thinking about patient centered research? How do we move from theory to something that actually involves patients in the study design, in access decisions, and in outcomes.    Chris Boone:  That's a phenomenal question and I will say this, Maria, I was in Philadelphia last week and got to experience the traffic that you guys have there first hand. So I, I empathize, in fact, you were driving home after such a pretty intense treatment and and all of that. So it's tough, but I think it's a it's a perfect example that I think embodies all the things that we need to consider as industry as we're becoming you know as as we take it to your point Raj from theory to actual practice, we've been talking about this whole notion of patient centered approaches for a very long time. But I think in my in my mind what it means is that we align the business strategies and the entire, sort of drug development process around the needs and the preferences and outcomes of of patients that are most afflicted with these particular. You know we've we've we've talked that nauseam about, you know, you'll hear a lot about patient driven or patient centric R&D or clinical trials and all these things. But you know just hearing stories like Maria is very Maria is is very powerful because it reminds us that there are real people on the other side of that who have priorities who are, who are prioritizing, you know, sort of the the side effects of these therapies or the inability to drive home after a 5 hour procedure and and just improving the overall quality of life. So I think that we have to start really pivoting our thinking to - how do we design trials in light of all the the advancements we've made in, in digital technologies to the advancements we made even in in sort of scientific outcomes research? You know, I think about, you know there was a big wave of of interest over the last several years of this idea of decentralized trials was sort of was born, out of the was born out of the pandemic and and you know the idea of doing these things virtually was it was definitely embraced, I think about the the notion of utilizing to your point, Raj, real-world evidence and and patient reported outcomes more so in in in trial design and trial data collection more so than we ever did. One of the interesting things about the trial itself that people often forget is that I think randomized special trials are are still the gold standard for for for evidence generation, but they're very limited too, right? And I think that there's a lot that happens outside the walls of these sort of controlled trials that you know it's data that's reflecting the everyday lives of patients that we need to capture that's typically captured through, whether it be their health records or whether it be in this case, wearables or or any other sort of patient generated health data. So I think as the world we start to really pivot to you know, to this, this idea of patient centric, you know sort of drug development or therapy development, I think that we have to sort of reimagine our own business processes and and we and and really put the the needs and the preferences of patients at the center of everything that we do.    Raj Modi:  Thanks, Chris. And you know to follow up on that, there's a huge buzz right now about AI. What's your perspective on AI? I mean, how does AI help with things like identifying eligible patients, surfacing biomarkers, enabling more personalized treatments?    Chris Boone:  Oh, hey, you know what, man? I I know there's a significant amount of fear and and skepticism about the sheer ability of AI, you know? But but I I'm I'm a believer. I'm a fan. I thought it was something that the industry needed for a very long time and it and it is and and honestly, I think the expanded use of AI is is a patient centered approach. Because what we're effectively trying to do is personalize and get closer to precision medicine by utilizing all the available data that's

    24 min

  5. MAY 28

    How CAMH is Advancing Mental Health Through Innovation and Social Justice

    Perspectives on Health and Tech  How CAMH is Advancing Mental Health Through Innovation and Social Justice Listen in for a timely conversation in recognition of Mental Health Awareness Month and National Nursing Week. In this episode, Dr. Gillian Strudwick from The Centre for Addiction and Mental Health (CAMH) and Danny Gladden from Oracle Health discuss how mental health care is evolving, and how CAMH is advancing care through the dual lenses of technology and social justice. Learn how AI tools like Oracle Health Clinical AI Agent are easing clinician workloads, how CAMH is using data to drive impact, and why framing mental health as a social justice issue is key to helping the CAMH team deliver more equitable and compassionate care. Featuring: Dr. Gillian Strudwick, Chief Clinical Informatics Officer, The Centre for Addition and Mental Health Danny Gladden, LCSW, MBA, Director, Behavioral Health and Social Care, Oracle Health Listen as they discuss: o   The Centre for Addiction and Mental Health (CAMH) background – 2:45 o   Mental health care viewed as social justice work at CAMH and examples – 5:00 o   Technology innovations at CAMH with a human-centered approach – 9:30 Wearable devices and the impact they have on research Repetitive Transcranial Magnetic Stimulation (RTMS) treatment Evidence-based apps and the integration of these into clinical care processes Optimizing EHR use and exploring the opportunity to share mental health notes in Canada o   CAMH's perspective on AI technology and its potential impact on clinicians – 18:25 Notable quotes: "Mental health is social justice work." – Dr. Gillian Strudwick "To be able to deliver compassionate care in this day and age, we have to be innovative in our use of technology." – Dr. Gillian Strudwick CTA: Learn how Oracle behavioral health solutions combine real-time, clinical data from across each patient's unique healthcare journey and how Oracle is working to reduce the documentation burden on physicians and elevate the patient experience with the Oracle Health Clinical AI Agent. ----------------------------------------------------------------- Episode Transcript: Intro  0:00  - 0:29 Welcome to perspectives on health and tech podcast brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected healthcare world where everyone thrives. Let's get started.   Danny 0:30 – 01:44 Welcome to perspectives, Oracle Health and Life Sciences podcast. I'm your host today. Danny Gladden, I'm a licensed clinical social worker and general manager of behavioral health and social care here at Oracle Health. As we step into the month of May, we recognize Mental Health Awareness Month, a time to raise awareness reduce stigma and highlight progress in mental health care. I'd also like to give a special shout out to our nurses across Canada and the US as we celebrate National Nursing week. Thank you for your unwavering dedication and compassion. Social workers and nurses make great teams. Today, we're honored to be joined by a leader in mental health care innovation. Please welcome Dr. Gillian Strudwick from CAMH, the Centre for Addiction and Mental Health, Canada's largest mental health and addiction teaching hospital and one of the world's leading research centers in its field. So, Gillian, welcome. Before we dive into big topics here, can you introduce yourself and tell us a little bit about the great work happening at CAMH.   Gillian 1:45 – 03:47 Thank you, Danny, and thank you for the opportunity to be a part of this great podcast. I might break this into two sections. First, I'll introduce myself, and then I'll tell you a little bit about the organization that I'm fortunate to work for. I'm Dr Gillian Strudwick. I'm a registered nurse, and I've worked primarily in mental health clinical settings here in Toronto, Canada, and also in other parts of Canada and internationally. Currently, I am the inaugural Chief Clinical Informatics Officer at CAMH, representing our nurses and all of our non-physician health disciplines, like social work. And I have a couple of other hats as well. So one is that I'm the head scientist of the digital mental health lab, and I'm also the scientific director of our Digital Innovation Hub, which is about really accelerating our work in this digital sphere and research practice, education and beyond. So that's about me, but I'll move on to talking about CAMH. So CAMH is C, A, M, H, the Centre for Addiction and Mental Health, and it's Canada's largest mental health and addictions teaching hospital. We think, and I think there's lots to suggest that we're true in saying this, that we're a world leading Research and Education Center on mental health, and we're located right in the heart of downtown Toronto, but we serve people across our province, Ontario and across the country as well. In terms of a few numbers that I'll share with you, we've had just over 16,000 emergency department visits in the last year, over 40,000 patients that were treated, over 80,000 virtual care appointments. And I'll provide a few more numbers here as well, almost 8000 RTMS visits, 60 million in a new research funds more than 1000 articles published. I think you get the point that there's a lot going on at CAMH, and it's a great place to be.   Danny 03:48 – 04:50 You know, I have been on your campus a number of times. I always appreciate that your campus is right in the heart of Toronto, in a bustling area, and I think there's, there's no greater way to reduce stigma than, you know, placing such a well-respected mental health and addiction treatment organization right in the heart of the city. Whereas if you go to many other communities, you'll kind of see the mental health hospitals and treatment providers kind of on the outskirts of town. Really appreciate CAMH's role right there in the heart of Toronto. And I think this goes into something Gillian that you speak about passionately, which is the idea that mental health treatment is social justice. For our audience, tell us what you mean by that. Why is it an important lens - social justice, which you view your work?   Gillian 4:51 – 07:43 I think it's quite an important point that you bring up, Danny, and it's something we're really proud of talking about, that mental health work is social justice work. Part of doing social justice work is to be informed in this space. And part of being informed is understanding that mental illness disproportionately affects marginalized communities who are also often facing barriers to things like accessing care, and this could be due to racism, poverty, stigma, geography, and I could continue so on and so forth. At CAMH, we see mental health is deeply rooted in social justice, because access to care, dignity and treatment and prevention are not actively distributed. CAMH advocates for policies and systems change that ensure mental health care is not a privilege but a right. And so that's really our social justice lens, framing and shaping the last few statements that I made. We have done some work more recently in the last couple of years on dismantling anti-black racism, which has become a more formalized organizational commitment. I'll just read a section from one of our documents around dismantling anti-black racism. And excuse me for it sounds like I'm reading here because I'm reading from a document, but systemic anti-black racism, is a barrier to high quality health care for black patients at CAMH and across the health care system, the data lay bare with those in black communities have signaled for decades. Discrimination and oppression based on race delays care and harms individuals on their way to recovery. Racism also has a negative impact on the quality of work life for black staff, beyond the damaging emotional and psychological consequences, it limits their career trajectory, and it goes on from there. I bring this out as one of the many initiatives that the organization is committed to. And as a result of this commitment, this public commitment, you can read what I just read on our website, camh.ca, that there's a number of activities that the organization is doing everywhere, from doing offering more culturally appropriate therapies to education for staff, staff support groups, creations of processes that support equity, lots of advocacy work with the government. A lot of this work is ongoing, but this gives you sort of a more grounded, more concrete example of some of the ways in which we look at social justice as being so related to mental health.   Danny 7:44 – 09:31 My goodness, you know the social worker in me is just grinning from ear to ear, as you describe, you know, the foundation in which CAMH is caring for folks. You know, I'm still a licensed clinician in Missouri and Alaska. You know, particularly, I think about a state like Alaska, with a disproportional number of folks who are Alaska Native. And we see, you know, in those communities, so much generational trauma, and the impact you know, and the impact that oppression you know has on sort of repeating traumatic occurrences across the generations and so, so very important, I think, an important perspective to look at the the experience of mental health and the treatment of mental health through a social justice lens. Gillian, I just appreciate that, that that is a focus of CAMH, and I'm sure the indigenous populations your organization works with, you see a similar, you know, a similar experience than the those in the in Alaska here. Now, as we pivot here, thinking about, you know, you're, I think the work you're describing, from a social justice perspective, is innovative. It seems like CAMH is always at the cutting edge of innovation. We're a technology company, and so, you know, from a technology innovation perspective, what are you seeing? What's CAMH doing?   G

    24 min

  6. MAR 25

    Succeeding in Value-Based Care and Population Health Businesses in the Age of Hyper-scalers and GenAI

    In recent years, there's been a significant rise of AI technology and hyper-scalers entering the healthcare market. Listen in as two experts from Oracle Health discuss improving healthcare delivery through the integration of these technologies, particularly focusing on the role of AI and comprehensive data platforms on value-based care. Learn about improving care coordination and delivery, the shift to scalable platforms, and incorporating AI and cloud technology to continuously evolve with the needs of healthcare systems. Featuring: Bharat Sutariya, MD, Senior Vice President and Chief Health Officer, Oracle Health Scott Wiesner, Go-to-Market Strategy and Operations, Oracle Health Listen as they discuss: - Dr. Sutariya's perspective on the current healthcare landscape (2:50) - AI in service of improving value-based care (4:15) o Growth of hyper-scalers in the healthcare industry and what is lacking with this technology specific to healthcare The need for a comprehensive data platform that aggregates across multiple sources with terminology mapped to data and ontology applied for meaningful data - Going forward with industry-based data platforms (7:25) o Applying AI and genAI o Applications with pre-formatted workflows running on a comprehensive platform - Facing challenges in value-based care and technology choices (14:16) o The option of platform as a service (PaaS) helping to meet the needs for value-based care contracts - The Oracle strategy with cloud and genAI-based advancements (15:54) o EHR agnostic capabilities Notable quotes: "We now have a unique opportunity, particularly leveraging the might of Oracle, to layer advanced AI, including generative AI, on top of our existing healthcare technology – taking us far beyond where we were before." - Bharat Sutariya, MD, Senior Vice President and Chief Health Officer, Oracle Health "At the end of the day, with value-based care, it's really about the insights you get from the data – how do we make better use of that data in service of improving healthcare outcomes?" - Scott Wiesner, Go-to-Market Strategy and Operations, Oracle Health CTA: Want to enhance a connected healthcare ecosystem and accelerate value-based care efforts while improving clinician decision-making and the patient experience? See how Oracle Health can help with our suite of population health management solutions here: https://www.oracle.com/health/population-health/  ---------------------------------------------------------------- Episode Transcript: Introduction  0:00  Music.   Introduction 0:13 – 0:28 Welcome to perspectives on health and tech podcast brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected healthcare world where everyone thrives. Let's get started.   Scott 0:29 – 0:58 You're listening to perspectives on health and tech. I'm Scott Wiesner, Senior Director go to market strategy in Oracle Health. With me today is Doctor Bharat Sutariya, Senior Vice President and Chief Health Officer in Oracle Health. Dr. Sutariya has over 20 years-experience in care delivery transformation, value-based care, and healthcare technology. He's also board certified in emergency medicine and has practiced medicine for over 25 years. Welcome Bharat.   Bharat 0:59 – 1:00 Scott, it's great to be with you.   Scott 1:00 – 1:08 Great to have you. Very fortunate to have you here at Oracle as well. Let's get into it. Why don't you tell us a little bit about what's driving you these days?   Bharat 1:08 – 2:30 Scott, in many ways, it's the same thing that has driven me for the last 25 years, and that is to significantly improving the healthcare ecosystem of providers, payers, and the life sciences, and to achieve the best outcome and experience for the patient. I've spent the last couple of decades developing and deploying healthcare technology products and solution and I've been fortunate to partner with leading health systems that think forward and solve complex problems that others mimic in healthcare then. I'm excited that I have this potential to make a significant progress, because I believe that the technology is more aligned to the problem now, and our ability to solve the problem now is better than ever before. So that's what excites me. Last thing I would say is it's great to be back now at Oracle Health, because Oracle is a full stack company having the most modern and efficient database, cloud infrastructure application development and proven, you know, technology over decades, and it's really taking that advantage of that capability and applying to health care, it likely excites me the most.   Scott 2:31 – 2:52 Well, it's great when passion and experience come together. Let's sort of take the next step here. This This podcast is about perspectives, and particularly your perspective, and you've got a very extensive and a lot of experience as a practitioner, educator, implementer, and, of course, executive leader quite some time. Let's talk a little bit about, you know, what you're seeing in healthcare at this moment.   Bharat 2:53 – 3:36 Interesting question. You know, I feel like we are at a unique juncture in healthcare where multiple forces are coming together. The cost of healthcare is rising. The outcomes are not necessarily keeping up. All of us are paying more out of our pocket, and overall, you know, that's not a sustainable system. But what's exciting is that we now that technology, you know, particularly with novel technology coming that has such an amazing promise to solve complex healthcare that it, you know, it, it gives me so much passion to look forward at solving these problems that we haven't been able to solve in the last 27 years.   Scott 3:37 – 4:17 So, you know, technology is both a promise and a solution. And what we're hearing from customers today really true of any industry. How do I reduce that cost? But then take those cost savings and power innovation. That's kind of the two levers there that you that you want to pull to drive efficiency and better outcomes. And one of these things we can't talk about in this day and age, whether, you know, without spelling it out, of course, is artificial intelligence. And really, how do we look at artificial intelligence and generative AI in service of, you know, improving value-based care? Can you elaborate a little bit on those two areas?   Bharat 4:18 – 6:50 As you know, my healthcare is very broad, and the movement toward value-based care, of course, many models, ranging from shared savings to full risk arrangement, both in commercial and government space, continues to grow, so I think it's an important topic. Now. I've spent a decade on value-based care strategy, technology development and partnering with health systems to really enable success in value-based care model. And there, you know, I've learned quite a bit, right? You know, I see going forward, the hyper-scalers have already made a significant progress with the penetration into healthcare, but I'm not sure that that hyper-scaler presence in healthcare has particularly been uplifting for value-based care, because in order to achieve value-based care in a programmatically and sustainable way, you have to solve some core challenges. And in the hyper-scalers, they'll provide robust technology platform, they've not necessarily solved these challenges. And the challenges that I'm talking about is, first and foremost, you have to have a very comprehensive data platform that aggregates data across multiple data sources, and that data sources need to have a high degree of terminology mapped to it, and then ontology needs to be applied to make meaning out of it, because what happens in healthcare, in particularly value-based care, is that an average value based care provider is likely providing 50 to 60% of care in their own network, meaning they have the data, but the rest of it is provided outside of their network, into the community for which they don't have clinical data, and they can only get the insight by using the claims data. So, what's happening is that the forward looking, advanced value-based care organizations have a desire to aggregate this data from multiple EHRs, where patients get their care, multiple payers, where they have taken payer contracts. They want to get data across VBM, social determinants of health, and basically anywhere patient is touching healthcare institution. They want to understand that data, because it is that aggregated data that can give them the full insight so that they can then provide a comprehensive care.   Scott 6:51 – 7:27 Yeah, it's a great point. You know, whether you're a hyper-scaler or otherwise, you know, everybody can provide a data platform where you're aggregating data. You know, some version of that. What we're describing here actually is, how do we make that better use of that data in service of value-based care, and all the contracts and regulations and things that you pointed out once before is, you know, always changing. And you can't just solve that like, you know, everybody can do that, but it's really the next thing. So maybe you can elaborate on that a little bit more, and where we're going with industry-based data platforms.   Bharat 7:28 – 9:27 I see many in the industry are starting such a platform today. While we've had a decade head start, we've had Healthe Intent for more than a decade now that has been recognized as a highly scalable world class data aggregation platform that reconciles large swath of data, you know, maps it and creates a medical grade longitudinal record. And we've been able to use this platform to help our customers achieve initial success in value-based care model. On top of that platform, you apply intelligence, you create gaps in care insight, you also empower the risk adjustment capability as well as care coordination capability an

    26 min

  7. 11/08/2024

    The Value of AI Within Healthcare

    Discover the Value of AI in Healthcare Are you interested in using AI tools to drive operational efficiencies within your organization, but not sure where to start? Listen in as two industry experts from HIMSS and Oracle discuss how AI is helping to transform healthcare operations and how to consider implementing AI technology in a healthcare organization. Hear about how AI is being used in healthcare today, risk factors to consider before implementing AI tools, and how AI can be used to boost clinician satisfaction while helping to reduce operational waste. Featuring: Mary Ann Borer, Senior Copywriter, Strategic Marketing Services, HIMSS Matt Patterson, Executive Director of Oracle Health AI, Oracle Listen as they discuss: -        How AI is being used in healthcare IT today and the impact it is having on the industry (1:00) -        Key factors that are important to consider before implementing AI technology in healthcare systems (6:45) -        Clinical and healthcare business workflows that may be best suited today for AI applications (8:20) o   Automation vs augmentation -        Key risk factors to consider when adopting AI in clinical practices (12:20) -        Which aspects of AI may add the most value to help improve the efficiency of current processes (15:22) -        What's to come for healthcare AI in the future (21:35) Notable quotes: "My number one area of opportunity in healthcare, that's best suited right now, today, for artificial intelligence is addressing physician and clinician burnout." – Matt Patterson (9:47) CTA: Learn how Oracle is working to reduce the documentation burden on physicians and elevate the patient experience with the Oracle Health Clinical AI Agent. --------------------------------------------------------- Episode Transcript: 00:00:00:00 - 00:00:38:08 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. In this episode, you'll hear a conversation recorded by HIMSSCast where the host and guest speaker delve into unlocking the value of AI within healthcare. Your host for this session is Mary Ann Borer and the guest speaker is Matt Patterson.   00:00:38:10 - 00:01:05:11 Mary Ann Hi, I'm Mary Ann Borer with HIMSS. Today I'm joined by Matt Patterson, executive Director of Oracle Health AI at Oracle, and we'll be talking about unlocking the value of AI within health care. Matt, thanks for joining us today. Matt Thanks for having me, Mariana. I'm excited to be here. Mary Ann Wonderful, Matt. Can you start off by telling us a little bit about how artificial intelligence is being used in healthcare IT today, and what impact does it have on the industry?   00:01:05:13 - 00:01:31:21 Matt Yeah, absolutely. And I'll start just kind of a brief introduction of my, my experience here leading into, what's been one of the most exciting chapters in my career. But I've spent about 15 years in health care, serving in a variety of different health care entities across the globe to extract value from technology investments. So have had the opportunity to really work with some large scale players across the globe.   00:01:31:23 - 00:01:56:14 Matt And that's enabled me to learn some from some of the most innovative, forward thinking leaders across the industry on a variety of use cases. So I really started, in the heat of the adoption of core EMR technology during the meaningful use era. And throughout that journey, you know, 15 years ago till today, standing up care management programs to support value based care, you know, revenue cycle optimization initiatives.   00:01:56:14 - 00:02:22:03 Matt Most recently, I led a venture around, a lab is strategy to advance diagnostic capabilities, which is another topic, but one that I believe, you know, diagnostics has so much room for, for growth in the future. But that's often back of mind for health care organizations today. But again, as I noted, this AI initiative is really the most fun that I've had in my career.   00:02:22:05 - 00:02:54:01 Matt Of really just the value that it's bringing to healthcare professionals. To start off, just, you know, backing up a little bit around AI and healthcare, it's obviously the buzz of the last, you know, 12 plus months. But AI has been in health care for nearly half a century, and I refer to it as classic AI. It's used to carry out a specific task that a human typically performs, recognizing patterns and data to predict and drive what might happen next, or summarize what's already happened.   00:02:54:03 - 00:03:28:13 Matt Or making suggestions. What's really happened in the last 12 plus months is within healthcare is leveraging generative AI. That's the newest development in healthcare that leverages massive amounts of data and computing power to look at things in a much broader context and generate something completely new. So GenAI generate documents that can summarize existing information. It can translate a document and extract information and classify text based on a specific request.   00:03:28:15 - 00:04:07:01 Matt ChatGPT is obviously if anybody has actually tested that, it's a really good example of ask a question and it will give you a very succinct, summarized answer that's structured better than a lot of what humans can do. And so that's really where we're seeing this substantial shift in the healthcare industry is this shift from classic AI, which is if this happens, then I can drive this result to generative AI that truly can create something completely new around automation of administrative tasks, looking at precision medicine, etc..   00:04:07:03 - 00:04:29:06 Matt And as you think about just the impact on what generative AI can really bring to healthcare AI, I go back to what Bill gates, an article he wrote in 2023 after he really he had a meeting with OpenAI and it started to click for him around what AI is really going to mean foundationally for a variety of industries.   00:04:29:06 - 00:04:55:15 Matt But, you know, in his article, he was kind of focusing on health care. And, and he said this "AI will become as fundamental as the creation of the personal computer. It's going to change the way people operate to face some of healthcare's most significant challenges and rising costs, lack of equitable access and aging populations, doctor, nurse burnouts and global pandemics."   00:04:55:17 - 00:05:37:22 Matt We're already seeing a lot of those impacts at different levels, leveraging GenAI so, you know, rising he mentioned rising costs. Today we're, we're driving operational efficiencies across health care around more efficient scheduling, claims processing, supply chain management and eliminating waste of supplies through real time forecasting, timely interventions of care that can eliminate readmissions and higher acuity costs.   00:05:37:22 - 00:06:06:16 Matt So we're impacting the cost curve already through AI, lack of equitable access to care. Social determinants of health is a big thing that we're embedding into a EMR today to provide an Uber access so somebody doesn't miss their appointment. And doctor nurse burnout. So I'm going to get into more of that today because that's where I'm spending a lot of my time within Oracle is addressing administrative tasks through leveraging AI.   00:06:06:18 - 00:06:32:07 Matt In short, the integration of AI and healthcare. It truly is transforming the industry by improving accuracy and diagnostics and treatment, reducing costs, and ultimately leading to better patient outcomes. But we'll get into some of this today. It also raises important considerations regarding data privacy, like the ethical use of AI, how to put controls around it, and the need for regulatory oversight.   00:06:32:07 - 00:06:48:00 Matt So overall, it's playing a crucial role around the evolution of health care. It's making it smarter, more patient, more efficient and more patient centered. But important to put controls in policy as organizations look to bring AI into your organizations, 00:06:48:03- 00:06:55:12 Mary Ann What are some key factors that you consider important before implementing AI technology in health care systems? 00:06:55:14 - 00:07:28:12 Matt It's one that I receive often. Where do we start? So the possibilities when you really dig into the technology of cloud hyper-scalers, the capabilities are endless, which is exciting. Yet it's also overwhelming when you really kind of dig in to what the possibilities are. So where to start is hard. And so a lot of clients and folks that I'm working with week in, week out, I give them this simple advice : start small and start now.   00:07:28:14 - 00:07:59:09 Matt You can go address low risk use cases. Now to learn the technology, understand how to wrap your arms around it, and put controls and protocol around it before you get to those larger scale, higher risk use cases such as do I drive a diagnosis directly to a physician into their physician workflow, you're going to want to put a higher level of protocol controls and risk management around that type of larger AI.   00:07:59:11 - 00:08:15:00 Matt We'll call it recommendation. In comparison to something like, how do I go create a draft note for a physician to have to review? So in short, my recommendation is always start small, but get going now. 00:08:15:02 – 00:08:25:09 Mary Ann  Now that's an excellent point. And let me add to that a little bit and ask you which clinical and health care business operations do you feel are best suited for AI today?   00:08:25:11 - 00:08:52:24 Matt So as I mentioned on the front end, I've been fortunate, to have a variety of experiences across, the healthcare entities I've worked with throughout my career. And, I'll tell you, from my experience,

    25 min

  8. 08/30/2024

    Reimagine Care Delivery with GenAI

    Generative AI is a known disruptor in healthcare today. Will this transformational technology be embraced by clinicians, patients, and healthcare organizations? Listen in as two experts from Accenture Healthcare and Oracle discuss the difference between traditional AI and GenAI, the opportunities that GenAI is presenting to the industry, and the need to lean in to utilize technology as an enabler and a change agent. Hear how care delivery can be reimagined with GenAI and how this technology has the potential to be applied to help reduce clinician burnout, augment the clinician-patient relationship, bridge workforce shortage gaps, reduce margin pressure, and more. -------------------------------------------------------- Episode Transcript 00:00:00:17 - 00:00:22:10 Michelle You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to improve health for everyone. Hi, I'm Michelle Flemings. I'm the industry executive director for Health Care for North America Cloud Infrastructure at Oracle. Glad that you're here. We're in the age of artificial intelligence. 00:00:22:12 - 00:00:41:29 Michelle The opportunities that we're presented with using A.I. as an industry are truly groundbreaking. And to be honest, I think we're just getting started. I want to focus today on a subset of traditional AI and want to talk a little bit about generative AI, some of the ramifications, some of the risks, benefits and what does it mean to health care. 00:00:42:01 - 00:00:47:29 Michelle I am delighted to sit across today from Tej Shah and I'll have him introduce himself. 00:00:48:01 - 00:01:08:00 Tej Thanks, Michelle Tej Shah I'm an emergency medicine doctor, a managing director, and Accenture's global health care practice. I've got a ton of experience working across different parts of health care as a consultant, obviously, but also as a venture capitalist, investing in companies and most recently starting a company in the health tech space. 00:01:08:00 - 00:01:16:07 Michelle We're talking about AI and we always have to start with what is the comparison between traditional versus generative AI? 00:01:16:09 - 00:01:17:21 Michelle How would you put that? 00:01:17:23 - 00:01:41:11 Tej We've been talking about AI for 50 plus years. This is not a new thing. We've been talking about how we can leverage data to get insights going from analytics to AI to  GenAI. Really the difference is, you know, before with AI we were able to extract data and insights from data so we could figure out what the next obvious data point was going to be. 00:01:41:13 - 00:02:19:03 Tej And in 2017 there was an article that was published by Googlers around attention is all that matters, right? And what happened with that papers is we came up with a completely new framework where we're now able through  GenAI to not just predict what's the next data point, but understand what's the next word that we can generate. And it's taking into consideration the context of the sentence to be able to make that prediction so that it's actually appropriate and it's opened up a whole bunch of opportunities that we're going to talk about today that is really transformative. 00:02:19:05 - 00:02:30:03 Michelle Let's get into some of those opportunities. I think it's fascinating that it's been as  long ago that A.I. came about and the general public really doesn't know. 00:02:30:03 - 00:02:35:14 Michelle let's talk about some of the opportunities in patient care that exists because of where we are now. 00:02:35:14 - 00:02:40:28 Michelle With A.I.. We do a lot around documentation. Where else should we be going? 00:02:41:00 - 00:03:08:03 Tej Back in 1996, you know, we started using search engines and it wasn't really until early 2000 when Google came around and the search bot search box became our librarian and around that time there was an article that was published by Will Carr in The Atlantic called Is Google Making Us Stupid and what he really meant. 00:03:08:03 - 00:03:33:29 Tej when you read the article was, are we thinking differently? Are we using our brains in the same way or reading as deeply as we did before? And obviously the answer is no. I think we continued to use our brains and we continue to, but we were using this tool as a librarian. We were using it to identify information quickly and be able to access it, you know, more readily. 00:03:34:01 - 00:04:04:19 Tej And what GenAI has done for us is start to be an advisor. It's enabling this transformation from technology, being a librarian to an advisor and that's what we're using AI for now. And GenAI today, right? So this idea of documentation and this is all relevant because the next sort of wave of what we're going to do with GenAI is it's going to start to act as an agent. 00:04:04:21 - 00:04:30:28 Tej It's going to start to enable us to take these tasks away from the from our day-to-day workflows and enable us to operate more efficiently. There is no reason, for instance, that a doctor like you or I should have to, you know, once we've submitted that a patient needs to do a specialist appointment, continue to follow up, make sure that that appointment was scheduled and have a bunch of people that are in that workflow follow up on it. 00:04:31:01 - 00:04:49:27 Tej It should just happen. And I think that generative AI is going to create these agents and these agents are going to be linked to one another. We're going to chain them together and it's going to do that follow up. It's going to make that experience more seamless, really enabling clinicians to do the work that gives us joy. 00:04:49:29 - 00:05:07:07 Michelle Let's drill down on that now, because you said something fascinating there being an agent. How I see it as being is now, I don't have that extra chaos and clutter to remember. As an ER doc, we're in the midst of the chaos we are in and we're trying our best to multitask. And there are fewer of us now. 00:05:07:10 - 00:05:25:16 Michelle There are others that are doing an exit now and then. We also don't have as much of a pipeline because, as you know, some of our residency programs didn't fill out. So three years from now, we're talking a massive deficit. And across the board in health care, there has been an exodus and a shift out of health care to other careers. 00:05:25:19 - 00:05:45:23 Michelle How do you see then us utilizing Gen AI to augment and maybe bridge some of those gaps with our shortages? The agent is great, but can we maybe think about a couple of other things that maybe might be even more magnificent? Like it's maybe front office, back office? Is there opportunity there, you think? Because we don't think about them a lot. 00:05:45:23 - 00:05:47:04 Michelle I do believe, absolutely. 00:05:47:04 - 00:06:10:27 Tej So let me just start. The clinician shortage is durable and it's secular. This is something that I say over and over again. You know, we have projected forward what we anticipate the workforce in health care is going to look like. We know there's going to be a shortage. But if you look at some of the research that's being published now, just at the end of last year, there was a study that published that looked at nurses and doctors that are in school today. 00:06:10:27 - 00:06:43:15 Tej And, you know, you might know that of those surveyed students, between 20 and 30% of them said they're going to drop out. They don't see the future of health care as a promising career that they want to pursue. That's going to be fulfilling in the way that maybe when we were going to school, we saw. And I think that's really disheartening because truly I think that, you know, when the way I thought about health care and the way the reason I pursued a degree is because I wanted to take care of people. 00:06:43:18 - 00:07:05:18 Tej And what's happened along the way is so many things get in the way of that, Right. That joy that we were talking about that I mentioned, that's gone because we've got so much administrative burden, so many distractions that sort of pull us away from that day to day care. It's actually started to deteriorate or continue to deteriorate. 00:07:05:18 - 00:07:28:18 Tej That relationship between the doctor and the patient that I think is so sacrosanct. It's so important. And I think patients want it. Physicians want it that nurses want it back. And so when I think of front office and back office, it's not just agents that are going to be doing this work. What it's going to do is it's going to take those tasks away, but it's also going to start to transform. 00:07:28:25 - 00:07:55:11 Tej What role, as a clinician, I play in the delivery of care, right, where maybe 30, 40% of my time I was it was taken up by doing that administrative work. Now I'm going to have it back to refocus on the patient. And it doesn't just drive productivity improvement, it drives greater engagement, it drives better experience for us as clinicians and for patients. 00:07:55:13 - 00:08:19:10 Michelle So back on Joy, I would love to be back there as well, cause I remember that feeling my first, but the patients and I could do anything and everything and this was going to be magnificent. And then you're right. Little by little, the administrative stuff started to become a burden. With GenAI,, how do you see us being able then, in this world of technology, having unfortunately had that adverse effect? 00:08:19:10 - 00:08:45:15 Michelle And I think it was an unexpected consequence of all of the information coming into the EHR and all of the information coming at us, period, whether it's on our phones, on our on our laptops and still faxes and message centers and inboxes. How do you see Gen AI as being able to be the thing that we can get providers to say, I trust this, I'm going to buy in, I will do this. 00:08:45:17 - 00:08:51:16 Michelle B

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Perspectives on Health and Tech is a podcast by Oracle, where we have conversations on creating a seamless and connected healthcare world where everyone thrives.

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