Latest / The Advancing Healthcare Innovation Show / E194 | Jen Hopper | Why Is Healthcare Still Using Clipboards?
Transcript
- 0:01[music]
- 0:10>> Hello and welcome back to the Advancing
- 0:13Healthcare Innovation Show. I am your
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- 1:13Okay. So, I've been doing a lot of
- 1:14thinking lately, and you know what's
- 1:16interesting to me?
- 1:18Um we've been talking about digital
- 1:20transformation in healthcare for a long
- 1:21time.
- 1:23And I and I mean a long time.
- 1:25And yet, when you go into a doctor's
- 1:27office,
- 1:28there's in many instances, there's
- 1:30there's actually still a clipboard there
- 1:32waiting for you.
- 1:33>> Sure. Yeah.
- 1:34>> I mean, it's it's 2026. How does this
- 1:36happen? And here's what I think.
- 1:39>> Yeah.
- 1:40>> I believe that this is something that um
- 1:44we've been saying for a while now, but
- 1:46there's a big difference between things
- 1:48that are happening inside of a health
- 1:49system, folks that are buying
- 1:51technology, and what a health system
- 1:54does to configure that technology for it
- 1:58to be ready to be used to deployed at
- 2:02scale.
- 2:03So, those are two totally different
- 2:04things. And today's guest, Jen Hopper,
- 2:08who is a digital transformation leader
- 2:09at Beacon Health System, one of the
- 2:12largest
- 2:13uh locally owned non-profit health
- 2:15systems in the Midwest. They are serving
- 2:18thousands of patients every single day
- 2:21across Indiana and Michigan. And I think
- 2:23what I find compelling
- 2:25about what Jen
- 2:27uh thinks and how she approaches this
- 2:28type of work is she she doesn't call
- 2:31them users or encounters and she calls
- 2:34them stakeholders. I I I find that
- 2:36really fascinating. I think this is a
- 2:37different mindset and I want to really
- 2:39kind of explore that today. So, outside
- 2:42of Beacon, she's been widely recognized
- 2:44and um you obviously only get that when
- 2:46you show up and you're consistent and
- 2:48you're diligent about the work that
- 2:49you're doing every single day. So, I'm
- 2:51really excited to jump into this one.
- 2:53Jen, awesome to see you. Welcome to the
- 2:56show.
- 2:58>> Thanks, Michael. I'm delighted to be
- 2:59here. I love your program.
- 3:02>> Thank you. Thank you. Thank you. All
- 3:03right. So, before
- 3:05before we dig into Beacon and all the
- 3:07work that you and your team are doing, I
- 3:08I I always want to sort of
- 3:11I don't know. It'd be nice to kind of
- 3:12know the person
- 3:13um in terms of how you how you how you
- 3:16got here. So, maybe maybe take me back.
- 3:18Was there like a specific moment, an
- 3:21experience where you looked at how see
- 3:26how patients were being treated and
- 3:27thought, "You know, this is
- 3:28this is not great um
- 3:31and somebody needs to improve it." Like,
- 3:33what was there a moment like that for
- 3:34you that kind of brought you to this
- 3:36type of work?
- 3:38>> You know, I started my career my early
- 3:41career in in customer service. So, I had
- 3:43that really drilled into my head. I
- 3:45worked retail for a long time
- 3:47uh and contracts and I was like dealing
- 3:49with with patients who were part or
- 3:52sorry, clients that were part of an
- 3:53acquisition
- 3:54>> Yeah.
- 3:54>> that um had to resign contracts and so I
- 3:57I had this like these lots of
- 3:59conversations with really frustrated
- 4:01people. So, my early career was really
- 4:03framed by how how we talk about common
- 4:07goals and make sure that we're meeting
- 4:08common goals.
- 4:10And as I got older
- 4:12one of uh
- 4:13the first jobs I had out out of college
- 4:16was in marketing and I came in as a
- 4:17marketing strategist at actually one of
- 4:20our other local health systems.
- 4:22And got a good education from some
- 4:25wonderful professionals there about how
- 4:27marketing is different in healthcare
- 4:29versus um you know, the other worlds I'd
- 4:32been a part of.
- 4:33And at the same time my dad um had a
- 4:36major health event and not at that at
- 4:39our health system, but I was able to to
- 4:42join him as just support um at that
- 4:45healthcare system and to see how they
- 4:47operated and
- 4:50um that was a real like seeing it with
- 4:52that lens on was very different.
- 4:54>> Yeah.
- 4:55>> Interesting.
- 4:56>> So
- 4:57um he had a wonderful experience at that
- 4:59location and you know, he he had uh he
- 5:02had cancer so he had several other
- 5:04hospital visits over that time and I was
- 5:06able to see how those experiences
- 5:08differed from different organizations
- 5:10and the pressures that um as caregivers
- 5:14we felt like we were under in some cases
- 5:17to keep an eye on him to make sure that
- 5:19he was being fed, to make sure that um
- 5:22his physician was informed about uh
- 5:25things that we were informed about
- 5:26things. So, um
- 5:29that all of that happened at a really
- 5:31formative time for me.
- 5:33>> Um that's super interesting.
- 5:35You know, I mentioned it earlier but you
- 5:37know, you you you write about patients
- 5:39as stakeholders. Um
- 5:42like where did that come from? Cuz
- 5:43that's like you don't usually hear that
- 5:45framing in the industry.
- 5:47Um was there like a person behind that
- 5:49idea? I'm just very curious.
- 5:52>> talking.
- 5:53>> [laughter]
- 5:54>> Yeah, I mean everybody's a stakeholder,
- 5:56right? It when
- 5:57>> Okay.
- 5:58>> any initiative that we do, we uh it's
- 6:01it's my MBA talking. It's the process
- 6:03improvement training I've had. Uh you
- 6:05have to look at everybody that's
- 6:06involved in a business decision or a
- 6:08workflow that you're changing.
- 6:10>> Right.
- 6:11>> Um and I think in healthcare, to your to
- 6:14your earlier point,
- 6:18our
- 6:20our history in healthcare is looking out
- 6:22for ourselves because patients did not
- 6:24have a choice, right? You You went to
- 6:26the doctor. You went to the doctor that
- 6:28your insurance company told you to go to
- 6:30because you didn't have a choice. And
- 6:33you
- 6:34you just dealt with it.
- 6:35Um the climate that we're in now,
- 6:37patients have a choice. They absolutely
- 6:39have competing health systems. They have
- 6:40competing retail providers around us.
- 6:43Um and some of those retail providers
- 6:46uh have really great customer service
- 6:48experiences. So, we're going from a
- 6:51world where we may deliver excellent
- 6:53care, but we're not giving you the
- 6:55patient tools that you get from a Amazon
- 6:58or a CVS or
- 7:00a Walgreens or some of these other
- 7:02retail folks that have a customer
- 7:03experience solid. Um
- 7:06we have to figure out how to navigate
- 7:08that now and and deal with the the
- 7:10competition from unexpected directions.
- 7:13>> You know, also that that point, the
- 7:15consumer is getting way more educated.
- 7:18You know, we're talking about folks that
- 7:19aren't just tech-savvy now. They're
- 7:21They're tech-dependent. You know, they
- 7:23grew up with a smartphone.
- 7:25Information's easily accessible.
- 7:27It It It takes literally less than 10
- 7:30seconds for someone to Google a doctor
- 7:34or clinic to make a very
- 7:37quick assumption as to whether or not
- 7:40if going to be good for them to actually
- 7:42go there or not. And if it's not,
- 7:45>> [clears throat]
- 7:45>> like we're just in an instantaneous
- 7:47society where people want information at
- 7:50the snap of a finger, and then they make
- 7:51choices.
- 7:53And those choices, obviously, lead to
- 7:56either people walking into your clinic
- 7:57or not walking into your clinic, which
- 7:59are which are huge.
- 8:00For sure.
- 8:01>> And
- 8:01so, you know, Beacon is pretty pretty
- 8:03vast. I mean, this is like nearly 150
- 8:05care sites. You guys are serving
- 8:07thousands of patients
- 8:08>> Yeah.
- 8:09>> every single day.
- 8:10Um
- 8:11it
- 8:13I'm just thinking, like
- 8:15what does If you try to change how an
- 8:18organization
- 8:20of your size actually
- 8:22delivers
- 8:24on that digital experience, that that
- 8:26digital promise, what does
- 8:29that look like on the ground?
- 8:31Like, what is a what is a Tuesday
- 8:33morning, or whatever? What is a
- 8:34Wednesday morning feel like when you're
- 8:36in the middle of like a rollout of a
- 8:38project of some sort?
- 8:40>> There's so many things that go into it
- 8:42that I think folks from outside might
- 8:44not see. There's a lot of
- 8:45standardization that we have especially
- 8:48had to tackle.
- 8:49Uh I'm trying to think back. So, Beacon
- 8:52Health System,
- 8:53my husband's been working for Beacon for
- 8:55like 15 years. And when he started, he
- 8:57worked for one of our community
- 8:59hospitals before it was acquired by the
- 9:01other hospital. And when that hospital
- 9:03acquired it, it became Beacon.
- 9:06And at that time, we had
- 9:08non-standardization between those two
- 9:10hospitals. Well, since then, we've
- 9:11acquired three other hospitals and
- 9:14health system and a two physician
- 9:17networks and so on. So, all of these
- 9:19docs had processes of their own. They
- 9:21had new patient forms. They had digital
- 9:24intake, or you know, registration forms,
- 9:27and so on. Any form you can think of,
- 9:28and there's a million of them, right?
- 9:30>> Yeah.
- 9:30>> That that we've had to process. They
- 9:32were all unique. So, the first thing we
- 9:34have to do is standardize that. Because
- 9:36if we're going to digitize anything,
- 9:38make anything a digital experience, it
- 9:40has to be standard. And that continues
- 9:42to be a challenge. We haven't stopped uh
- 9:44staying
- 9:45>> Do you feel like clinicians don't like
- 9:47the word standardization? I mean, I I
- 9:49don't think I've ever
- 9:51I don't think I've ever met a clinician
- 9:52that's like, "Yes, standardize this,
- 9:53please." Like, they don't They don't
- 9:55like the word. It's a dangerous word.
- 9:57It's a dirty word.
- 9:57>> No, it's a dirty word because they want
- 10:00to They don't want anything to come
- 10:02between them and the care that they
- 10:03provide, and they believe that they need
- 10:06their process to deliver that care. So,
- 10:09obviously we have physician dyads, we
- 10:11have groups that meet, that work with
- 10:13physicians to try to Everybody agrees on
- 10:15the thing that they need.
- 10:16But, it is a process.
- 10:18Yeah.
- 10:20>> When you have disruptive innovators
- 10:22Sorry, finish your thought. I thought
- 10:23you were going to say something else.
- 10:25>> Uh I was going to go through the rest of
- 10:27the process that it takes to to
- 10:28digitize, but okay.
- 10:30>> I go Yeah, I want I want I want to know
- 10:31more. Yes.
- 10:33>> Sure. Yeah, so so once we've got our
- 10:35information standardized that we need,
- 10:37then we we have to look at what happens
- 10:39on the back end to it. And so we've got
- 10:41to standardize the workflows. And uh
- 10:44again, from office to office, you might
- 10:46have um
- 10:48front desk staff that're doing
- 10:49everything, or there might be a back
- 10:50office process that does part of it.
- 10:52Then we we have to standardize all of
- 10:53that.
- 10:54Uh we
- 10:56sit down and talk about the patient
- 10:58experience. So, uh one of the things
- 11:00that we have done is the Google design
- 11:02sessions. So, think about what's the
- 11:05ideal way for the process to work? How
- 11:08do we get there? How might we? Right?
- 11:10That's the question that Google asks is
- 11:11how might we? How might we do that?
- 11:13>> a powerful question. How might we?
- 11:16Because that encapsulates everyone
- 11:18working all together. There's probably a
- 11:20lot of NLP baked into that one.
- 11:23>> Absolutely. And And it's great when we
- 11:26get into these sessions, if you can
- 11:27really step step out of all the reasons
- 11:30that you can't, right? That's the hard
- 11:31part is stepping away from we can't do
- 11:33that because or this is the way we've
- 11:35always done it. Step back and we talk
- 11:38about how might we. How might and and
- 11:40and think big picture. How might we get
- 11:43the patient
- 11:44uh get the patient's registration before
- 11:46they get to the office. What's the best
- 11:48way to do that? Is that through the
- 11:50mail? Is that through a digital
- 11:51registration? How might we deliver it in
- 11:53more than one way, right? So,
- 11:55>> Right.
- 11:56>> can we can we collect it on the phone
- 11:58for patients that um maybe don't have
- 12:01access to either of those methods
- 12:02methods.
- 12:03>> Right.
- 12:04>> So, those are really powerful sessions
- 12:07and it often because they are
- 12:09multi-disciplinary sessions often get
- 12:12people that are working outside of those
- 12:14groups get their wheels really turning
- 12:16because it helps them to see how the
- 12:17work that everybody else does affects
- 12:20their work and vice versa.
- 12:22>> Are those sessions are they timed? Are
- 12:24they facilitated? Like how do you not go
- 12:26down a rabbit hole?
- 12:28>> Yeah, that they they do tend to be
- 12:30timed. Um we often have to break them
- 12:32into multiple sessions to you know,
- 12:34everybody's got a busy calendar, but if
- 12:36you can get a couple of hours in
- 12:37straight on that work, the ideas really
- 12:40get flowing.
- 12:41>> Mhm. So, let's just say you have
- 12:44a host of ideas and I would imagine that
- 12:47you don't have a shortage of good ideas.
- 12:50Like a lot of people have good ideas,
- 12:52but how what makes a
- 12:53>> Yeah.
- 12:54>> What makes a good idea
- 12:56get on the priority list to actually get
- 12:58executed? Like what has to happen?
- 13:03>> That's a that's a great question,
- 13:04Michael. I There's
- 13:06there's a process of what are good ideas
- 13:09that can happen now and what are good
- 13:10ideas that we are going to work toward,
- 13:12right? So, that I think is honestly the
- 13:15bigger question is how do you you can
- 13:18get to some great ideas that you can
- 13:19execute on now and some of that even is
- 13:21a bit of a process, but not losing sight
- 13:24of the great ideas that you had
- 13:27um at the beginning that maybe we
- 13:28couldn't execute on. Maybe the vendor
- 13:30technology isn't there or we don't have
- 13:33the staff to support that
- 13:36that complete change in workflow.
- 13:39That's the hard part I think cuz we come
- 13:41up with some great ideas that just kind
- 13:42of get lost because we get in stuck in
- 13:45the day-to-day. And then in 3 years we
- 13:46go to re-redue these design sessions and
- 13:49somebody goes, "I think we had some
- 13:51notes. Yeah, I got to dig that up."
- 13:53>> [laughter]
- 13:54>> Well, is it Is it more along the lines
- 13:56of, "Hey, really good solution,
- 13:59low friction to deploy it,
- 14:02high return." And if it's low friction,
- 14:06high return, like
- 14:07let's rank it.
- 14:09>> Yes.
- 14:09>> Is it Is it one of the It's kind of one
- 14:11of those. Okay.
- 14:12>> We definitely put that on a scale.
- 14:14>> Okay.
- 14:15Okay.
- 14:16And then you mentioned something around
- 14:18vendors. And I I really don't like the V
- 14:21word
- 14:22because it seems so super
- 14:25transactional
- 14:26and non-committal and non-relationship
- 14:29oriented. But I guess what's like the
- 14:31biggest mistake that
- 14:34vendors make when they walk into Beacon
- 14:37and
- 14:38they're trying to tell you a story and
- 14:40pitch you on transformation. Why What do
- 14:43they
- 14:44maybe almost always get wrong?
- 14:49>> I think when they're doing these
- 14:51conversations, they spend a lot of time
- 14:53because because they're writing the
- 14:54checks, right? They're talking to
- 14:55leadership. And And that's great cuz
- 14:58they've got to sell them on the vision.
- 15:01But getting some of the folks that are a
- 15:03little bit closer to the ground involved
- 15:05helps you to ask the right questions and
- 15:07understand
- 15:09uh how far are we from really getting to
- 15:12this solution?
- 15:13And how do we get buy-in? Cuz if you
- 15:15can't get the leaders involved that are
- 15:18a little bit further down
- 15:20and get them engaged and get them
- 15:22excited, and get them believing that you
- 15:24can execute on it, it's going to be a
- 15:26hard row.
- 15:28>> Mhm.
- 15:28>> [clears throat]
- 15:29>> Mhm.
- 15:31So, let's just say they get through
- 15:34they get through all the
- 15:36the gauntlet.
- 15:38Mhm. They have
- 15:39executive buy-in.
- 15:41They have buy-in amongst um sort of
- 15:45mid-level, front line. They get all of
- 15:47that.
- 15:48I would love to hear a story about maybe
- 15:50a specific implementation that
- 15:53that really humbled you.
- 15:55You know, maybe something that you're
- 15:56super confident about. Um
- 16:00and obviously you you're always kind of
- 16:02all in, but like what happened
- 16:04>> Right.
- 16:04>> from that, and you know, what did you
- 16:07what did you kind of learn from it?
- 16:10>> Gosh, I could tell you Oh, gosh, how to
- 16:12pick a story.
- 16:13>> I mean, just just just
- 16:15pick one. Pick one where you feel good
- 16:18about sharing it.
- 16:20>> Sure. I will say the first time I
- 16:23implemented digital registration,
- 16:26I had come from an HRIS vendor. It was a
- 16:28startup. It was a small organization,
- 16:30and I was used to meetings that had
- 16:33six or eight people in them.
- 16:35>> Yeah.
- 16:36>> And coming into health care,
- 16:39these meetings, and these were
- 16:41operational meetings week after week
- 16:43after week, had easily had 30 to 50
- 16:46people in them. Everybody had to be a
- 16:48part of designing this experience.
- 16:51>> Wow.
- 16:51>> I'm not going to say that everybody on
- 16:52those calls was engaged, but
- 16:54>> Right.
- 16:55>> that was really overwhelming for me at
- 16:57the beginning to be like, "Golly, I we
- 17:01we got to get all of these folks bought
- 17:03in, and
- 17:05and engaged, and organized, and the
- 17:08scope of really what we had undertaken
- 17:12uh kind of hit me. Since then, um we
- 17:15have implemented digital registration a
- 17:17second time and
- 17:20I coming from the vendor side now have a
- 17:24lot of expectations of I'll stop using
- 17:26that word, partner side.
- 17:29>> Yeah, yeah, I like that. But this is
- 17:30your episode. You can do whatever you
- 17:31want.
- 17:32>> [laughter]
- 17:33>> Um, coming from that side and and having
- 17:36seen the back end and and I know what I
- 17:39expected of my team when I managed an
- 17:41integrations team
- 17:43the the
- 17:44quality of work that I expected, um,
- 17:48what I would and would not deliver to a
- 17:50a client.
- 17:51Uh, I I keep my standards pretty high
- 17:54and some of the vendors, and I will say
- 17:58more recently than uh, when I first
- 18:01started at this health system 5 years
- 18:04ago
- 18:05really surprised me in what they're
- 18:06willing to let walk out the door.
- 18:09>> Really?
- 18:10>> Mhm.
- 18:11>> Just not high enough standards.
- 18:13>> Mhm.
- 18:13>> Do you let them know that? Do you let
- 18:14them Do you Do you let them know that?
- 18:16>> I do, but I'll tell you, Michael, I
- 18:19think I think it's AI and and you know
- 18:22me, I write about AI, I love some AI, I
- 18:25am excited about the future that AI can
- 18:27bring to health care cuz there's so much
- 18:28opportunity, but I also think it's
- 18:30really easy to push stuff out and have
- 18:34false confidence in it because it came
- 18:37from AI and I think that happens a lot.
- 18:40>> You can't outsource your thinking.
- 18:42You just can't.
- 18:43>> And you can't It can help It can
- 18:45Yeah, I was going to say, you got to
- 18:46have a human
- 18:47in many instances. You know, we were
- 18:49just kind of talking about this
- 18:51uh, off camera and
- 18:53you know, at what point
- 18:56is the trade-off worth it?
- 18:58>> Yeah.
- 18:59>> To to remove the human
- 19:00to fully go AI and I've I have this
- 19:03>> Yeah.
- 19:03>> I have this theory
- 19:05and it's just I kind of call it the AI
- 19:07treadmill.
- 19:08And people are super excited to get on
- 19:10the treadmill. And they're like, "Look,
- 19:12we're moving. We're doing all these
- 19:14things."
- 19:16But what they don't realize is that
- 19:18they're actually on a treadmill. They're
- 19:20not actually advancing and going ahead.
- 19:23They're just on a treadmill.
- 19:25What do you say to leaders
- 19:28that
- 19:29think they're moving, but they're on a
- 19:30treadmill?
- 19:32How do you let them know that they're
- 19:33actually on a treadmill and not actually
- 19:35moving ahead?
- 19:37>> I think it's hard. You have to prove it.
- 19:38And and executive leadership is that
- 19:40way, right? They're going off the data.
- 19:42So, you have to prove that yeah, we
- 19:44saved time here, but we're not saving it
- 19:47here. You got to break it down to
- 19:48numbers. That's the language that they
- 19:49understand. Break it down to numbers and
- 19:51dollars.
- 19:52>> [clears throat]
- 19:53>> What is this What is sort of the metric
- 19:57Let's just say that intake and
- 19:58registration project that
- 20:02didn't go as planned the first time. It
- 20:04sounded like there were too many chefs
- 20:06in the kitchen.
- 20:07>> Yeah.
- 20:07>> There's probably a mismanagement of
- 20:08expectations. And you try to please
- 20:11everyone, which in the end means you
- 20:13please no one.
- 20:14Um
- 20:15>> No, I get
- 20:15>> You deploy it for the second time
- 20:18and
- 20:19you nail it. You tighten things up. Talk
- 20:21about what you tightened up, and then
- 20:24what were the metrics that you and the
- 20:26team landed on
- 20:28that everyone was like, "Yeah, we feel
- 20:29good about these numbers. And if we hit
- 20:30these numbers, like
- 20:32we're doing great." What was that like?
- 20:35>> Sure. Yeah, so the There's a couple of
- 20:38things that we learned. The first time
- 20:39we implemented a digital registration
- 20:41was the first time. We didn't know
- 20:42anything about it. We didn't really know
- 20:44what the goal was, and we were expecting
- 20:46that vendor to be our guide, right? Help
- 20:49us understand
- 20:51um
- 20:53that maybe a shorter interview or a
- 20:55shorter registration form is better.
- 20:57They let us
- 20:58put together the you know, the Bible of
- 21:01registration forms. And then when
- 21:02patients didn't complete it, you know,
- 21:04it took a few weeks for them
- 21:06>> So, you frankenstein you frankenstein
- 21:09>> Very much because everybody said we have
- 21:11to have this question. We have to ask
- 21:13this every time. And
- 21:16patients got frustrated cuz nobody wants
- 21:17to answer where they work every time
- 21:19they come to the doctor because you do
- 21:22change jobs more than once a year
- 21:23probably not. So there are just
- 21:25questions like that that they patients
- 21:27rightfully get frustrated with being
- 21:29asked every time. So we paired that down
- 21:32and we got it down to a list of
- 21:34questions that that really
- 21:36um
- 21:37felt like the right number and and our
- 21:39number showed it because we saw really
- 21:41good engagement from patients.
- 21:43They once they start the form they
- 21:44complete the form.
- 21:46So we had that base to start with with
- 21:49the new vendor.
- 21:50And
- 21:51we're still learning the new vendor
- 21:54works a little bit differently. So
- 21:57the way that we get analytics from this
- 22:00new platform is different from the last
- 22:02one. So we're trying to you know
- 22:04solidify that. What we're hoping to be
- 22:06able to tell the story that we'd like to
- 22:08be able to tell with some time because
- 22:11what we did is consolidate several
- 22:12vendors into one
- 22:14is to look at the the
- 22:16the whole patient journey. So patients
- 22:19that schedule online
- 22:21and to complete registration tend to
- 22:24show up to their appointment early, tend
- 22:26to self-arrive. We want to be able to
- 22:28prove these theories out cuz we believe
- 22:30them to be true but nobody knows without
- 22:32the data. And then how do we serve these
- 22:35digital patient segments better
- 22:38um and cater to patients that may need a
- 22:41little bit more
- 22:43holding.
- 22:45>> That's that's interesting cuz I think
- 22:46along the same lines
- 22:48um
- 22:49you've you've talked about um patient
- 22:52acquisition like there's a there's a
- 22:54difference between patient acquisition
- 22:56and um operational readiness. So we kind
- 22:58of talk we talked a little bit about
- 23:00this off camera but I think uh there are
- 23:02a lot of health systems that that might
- 23:04be guilty of this where they they build
- 23:07the front door and um,
- 23:10the house isn't
- 23:12necessarily ready yet.
- 23:14How did How did you learn that lesson?
- 23:16And how do you
- 23:18protect, you know, against that
- 23:20happening at at Beacon?
- 23:23>> Yeah, that's a great question. Uh, we we
- 23:25learn every time every every time we put
- 23:27together a a new product and roll it out
- 23:30to patients, we're asking for patient
- 23:32feedback, and that's critical. I think
- 23:35the earlier implementation of digital
- 23:37registration, patients had one
- 23:38opportunity to give feedback, and that
- 23:40was after their appointment. Well, by
- 23:43then they have already done online
- 23:45scheduling of digital registration,
- 23:47self-arrival, had their appointment, and
- 23:49so the thing that's clearest in their
- 23:51mind is their appointment. And of
- 23:52course, they had a great experience,
- 23:53right? So, that's what they're going to
- 23:54tell us.
- 23:55We didn't hear about all of the earlier
- 23:57parts of that patient journey. Now,
- 24:00we're asking them throughout the way.
- 24:02And I think [clears throat] that's been
- 24:03the most critical thing because that
- 24:05recency has been helpful to let us know
- 24:07that maybe part of that online
- 24:09scheduling platform wasn't working
- 24:11right. We had a bug that didn't get
- 24:13caught, and it only happens to this
- 24:14specific segment of patients, so we get
- 24:17the opportunity to hear that.
- 24:19That's probably been the biggest lesson.
- 24:21Uh, we were worried that patients might
- 24:23get tired of providing feedback, but I
- 24:27think what we've learned is everybody
- 24:28likes to be asked their opinion, so
- 24:30we're getting it.
- 24:31>> [laughter]
- 24:32>> Yeah, listen, you get you get feedback,
- 24:33you get it in real time, and then you
- 24:35have the opportunity to course correct.
- 24:37If you choose not to course correct, do
- 24:39you feel like the consequences are much
- 24:40greater now knowing what you know in
- 24:42terms of getting that feedback?
- 24:44>> Yeah, absolutely. Yeah, because
- 24:47they're going to tell us about it in the
- 24:48feedback, and that feedback goes
- 24:50multiple levels, right? There's all
- 24:52kinds of levels of leadership that are
- 24:53seeing it. They're going to tell the
- 24:55office about it. I told you guys the
- 24:56last time I came in that this wasn't
- 24:58working. So, the staff [clears throat]
- 25:00will tell us about it. And they've got
- 25:02online forums, right? And
- 25:04we see I just saw last week a a post in
- 25:07a local forum, somebody asking for where
- 25:09they should have their baby. And there
- 25:11were lots of opinions about it in that
- 25:13forum. So, we know patients are going to
- 25:15they're going to talk about it if it's a
- 25:17good or a bad experience, and
- 25:18unfortunately, they're going to scream a
- 25:20lot louder when it's bad.
- 25:21>> Yeah. Is there anything that's, you
- 25:24know, I was just saying a figurative
- 25:26like a conversation that nobody's having
- 25:28inside of health systems right now that
- 25:31they absolutely ought to be having?
- 25:32Like, what is it? There's certain things
- 25:35that just aren't talked about that need
- 25:36to be talked about. What are those
- 25:37things?
- 25:39>> Oh, all those things. I have so many
- 25:41things.
- 25:42I have, okay, so I I think there's a
- 25:46healthy balance between
- 25:49automation and people.
- 25:52So,
- 25:53I am a very digitally savvy consumer. I
- 25:56am a zenial, so I'm on the border of a
- 26:00Gen X and um
- 26:03millennials, [clears throat]
- 26:04and
- 26:05I sometimes don't want to talk to a
- 26:07human, and that's okay, right? I like
- 26:09having the [clears throat] option to
- 26:10fill out the form and not speak to a
- 26:12person.
- 26:13But I also recognize that there are
- 26:15patients that need that.
- 26:17There are we get lots of feedback from
- 26:19patients that
- 26:21that's the one time they're going to
- 26:22talk to somebody this week. It you know,
- 26:24maybe they take a bus or um
- 26:27they have a caregiver that brings them
- 26:29to their appointment. They look forward
- 26:30to seeing
- 26:32um Sally at the front desk every week
- 26:35cuz she smiles at her and she asked her
- 26:37about her kids, and
- 26:39she really looks forward to that
- 26:41personal interaction.
- 26:43Maybe her daughter fills out her digital
- 26:44registration for her because she doesn't
- 26:46know how, and that's okay.
- 26:48Um but I think there's going to be
- 26:50patients that
- 26:52uh that need one or the other and we're
- 26:54in a time where we have to be able to
- 26:58cater to everybody. We just we just do.
- 27:01We have to be able to provide
- 27:04um all the experiences because people's
- 27:07digital savvy is is such a broad range.
- 27:11>> Yeah. I mean, you might
- 27:13you might get
- 27:151,000%. You know, you might get someone,
- 27:17like you said, who doesn't want to talk
- 27:18to a human being and maybe that's
- 27:20because they they grew up with
- 27:23you know, this uh this weapon of mass
- 27:25distraction here and that's what they
- 27:26want to do. And then you have someone
- 27:28else, you know, who who lives in a
- 27:30assisted living facility, you know,
- 27:32might not necessarily get the type of
- 27:34socialization that they would that they
- 27:36want, but you know what? Maybe that the
- 27:37person at the front desk
- 27:39maybe he or she makes them feel seen.
- 27:42And if there's one thing that you can
- 27:44give someone is like you can give them
- 27:45dignity. The maybe the the smile or the
- 27:48comment or the compliment.
- 27:50>> Yeah.
- 27:51>> They they do go along.
- 27:53I want to make a note of something
- 27:54because because um
- 27:57just in prepping for this conversation,
- 27:59I've just noticed something. I've read
- 28:01uh read some of your writing on
- 28:02LinkedIn.
- 28:03And I just want to ask you, like I
- 28:05really enjoy how you write. I feel like
- 28:08you write like it's like a scene. Even
- 28:10the way you just described it, like it
- 28:12played out like a scene in my mind.
- 28:15Um you know, you kind of put yourself in
- 28:17the waiting room. Like were you always a
- 28:19writer
- 28:20or did you like learn to see things in
- 28:23that observational way?
- 28:26>> No, but I have learned as I've gotten
- 28:29further in my professional career I can
- 28:31talk about process all day long, but it
- 28:34doesn't connect until I tell you a
- 28:35story. And it's it's like a user story,
- 28:38right? Back when we were in tech, you
- 28:40write user stories. This is the same
- 28:42it's the same thing. And in health care,
- 28:44we are we live by our patient stories.
- 28:47So if I tell you a patient story and
- 28:49that comes to life for people.
- 28:54>> So, maybe speaking of stories, is there
- 28:55anyone that you've sort of encountered
- 28:57throughout your career, maybe as a maybe
- 29:00a patient or a colleague, I don't know
- 29:01how much patient exposure you get in in
- 29:03your role. I would imagine you do. Or
- 29:06somebody you've encountered that kind of
- 29:08changed how you
- 29:10how you think about what you're doing?
- 29:12Like maybe maybe that story that you
- 29:14still can kind of go back to when you're
- 29:15like all right, having a hard week, like
- 29:19we're not we're not making a lot of
- 29:20progress, like we're we're we're not
- 29:22getting the little wins.
- 29:23Is there a well of stories that you go
- 29:26back to?
- 29:27That you kind of replay in your mind and
- 29:29if so, like what are what's one or two
- 29:31of those stories?
- 29:33>> I I don't get full patient stories,
- 29:35unfortunately, where I am. I hear them
- 29:37from their marketing team the same way
- 29:39that the rest of the organization does,
- 29:41but
- 29:42some [clears throat] of the things that
- 29:42stand by me cuz we see the data.
- 29:46So, with [clears throat] our previous
- 29:47online scheduling vendor, we're not
- 29:49there yet with the current one, but we
- 29:51used to be able to see throughput of
- 29:54this many patients scheduled online
- 29:57mammograms.
- 29:58Of the patients that scheduled online
- 30:00mammograms, these this group came in.
- 30:02These are the ones that had a result
- 30:05that required follow-up. And that's the
- 30:07number that means something to me
- 30:09because that tells me that we might have
- 30:11caught
- 30:1245 people's cancer this first quarter.
- 30:15>> Yeah. Yeah.
- 30:16>> That tells me we're we make an impact on
- 30:18the work that we do. It's critical.
- 30:22>> You know, I just remember one of the
- 30:23things that we would do
- 30:25during my time at Hanger Clinic is we
- 30:27would open up
- 30:28all of our meetings with a patient
- 30:29story.
- 30:31And it just humanized the work cuz we
- 30:33were talking about, you know, all the
- 30:35metrics that we needed to hit, but we
- 30:36were like, wait a second. Time out.
- 30:39Let's let's talk about Dave and this
- 30:41patient X, Y, and Z.
- 30:43And it and it made a difference. So, I'm
- 30:45just thinking in terms of your
- 30:47>> Yeah.
- 30:47>> looking into the future.
- 30:49Maybe maybe a handful of you Go ahead.
- 30:52>> Well, I I do go out into the field uh
- 30:55especially to work with the staff on on
- 30:57digital registration, and a lot of times
- 30:59I'm trying to gauge patient engagement.
- 31:01So, I do sit in the waiting rooms and
- 31:03talk to patients. It's usually specific
- 31:05to that. But yeah, I'm seeing
- 31:08I'm seeing the mom out there with her
- 31:09kids. I'm seeing them bounce off the
- 31:11walls, and because she has a a
- 31:14developmental screener that she can
- 31:16complete at home on the couch, uh
- 31:21she doesn't have to do that on a
- 31:23clipboard. It's 30 questions long while
- 31:25her kid is ping-ponging off the chair
- 31:26because he doesn't know what to do with
- 31:28himself.
- 31:28>> Exactly.
- 31:29>> Or uh the solemn patient that came in
- 31:34who is there for a follow-up for maybe
- 31:36uh a diagnosis that they're not happy
- 31:38about. And these are the patients that I
- 31:40I see come in the waiting room that
- 31:43maybe she'll walk up to the the front
- 31:45desk, that solemn patient, and maybe
- 31:47she's not going to be super friendly,
- 31:49but she's glad that that front desk
- 31:51person smiled at her and greeted her,
- 31:53and you know, that's that's going to
- 31:55lighten her experience a little bit
- 31:57more.
- 31:58>> Mhm.
- 31:59>> I I think that that is important. I will
- 32:01also say one other thing about that.
- 32:04When we were putting together our
- 32:06digital registration strategy, one of
- 32:08the reference sites that we talked to
- 32:10had said,
- 32:12"Yeah, we implemented self-arrival,
- 32:15which is you get a text on your phone
- 32:17that says, 'Let us know you're here,'
- 32:19and then you just have a seat. And you
- 32:20don't have to go to the front desk. You
- 32:21can bypass that altogether."
- 32:23>> Yeah.
- 32:23>> Um they said they implemented that,
- 32:26and they got a new CEO, and they took an
- 32:28entirely different strategy. And from
- 32:30there, now they
- 32:33instruct the staff that they have to
- 32:35make eye contact with the patient within
- 32:36a certain amount of seconds of them
- 32:38walking through the door. And within a
- 32:40certain amount of seconds they should be
- 32:41greeted.
- 32:43Yeah. That was a whole that's a whole
- 32:45different strategy. That goes against
- 32:47efficiency. It goes against all of the
- 32:50the numbers say you know the the
- 32:53financial savings. That's really
- 32:55prioritizing that human connection. I
- 32:58thought that was really
- 33:00um brave
- 33:02in this climate the financial climate
- 33:05that health care is facing
- 33:07and an admirable. I I really think we
- 33:09need to find a way to work toward that.
- 33:12>> Um I think I know where you're going to
- 33:14go with this but I'm going to ask you
- 33:15anyway because I just my gut is telling
- 33:17me to ask you this. You know we're
- 33:21is there a mistake and if so what is the
- 33:23mistake that health care is
- 33:25seemingly going to make with
- 33:27with AI and digital transformation over
- 33:30the next few years. Meaning
- 33:34a thing that we're going to look back on
- 33:36and
- 33:37wish that someone said hey
- 33:40pump pump the brakes here a little bit
- 33:41like be be mindful about this.
- 33:43What is a mistake that you feel um
- 33:47could happen as a result of this
- 33:50I'll just say this I mean this is a
- 33:51renaissance with everything going on
- 33:53with AI.
- 33:54Um
- 33:55curious what your thoughts are on that.
- 33:57>> Sure. Yeah, I definitely have some
- 33:59thoughts on that. I I think
- 34:02AI is really exciting for all of the
- 34:04opportunities that it can bring and for
- 34:06health care being an industry where we
- 34:08have historically been technologically
- 34:10at least from a patient facing
- 34:12technology standpoint well behind the
- 34:14mark. Um
- 34:16our providers get the latest technology,
- 34:19right? We're we're using that for
- 34:21diagnoses and delivering care but we
- 34:23don't think about it for the patient.
- 34:25And so our patient portals are are kind
- 34:27of sad in a lot of times and uh
- 34:30so AI gets everybody very excited that
- 34:33we can fix all that.
- 34:35But, we also know my husband's assistant
- 34:37administrator assistant administrator at
- 34:39the hospital system I work at. I know
- 34:41that we have like 200 plus programs that
- 34:44are running across our hospital system.
- 34:46And
- 34:47some of [clears throat] them use the EMR
- 34:49as a source of truth and some of them
- 34:50are feeding it. It just depends on how
- 34:52they work.
- 34:53>> Yeah. Yeah.
- 34:53>> Um but whenever you have all of these
- 34:57different systems, you're going to have
- 34:59errors in data.
- 35:01So, my first [clears throat]
- 35:02my first thing is make sure your data is
- 35:05clean.
- 35:06Because garbage in, garbage out, right?
- 35:08And whether that's your website and
- 35:10you're you've got a decade of of old
- 35:13data on your website, you need a
- 35:16uh
- 35:18you you need to have
- 35:20a clean
- 35:22uh knowledge base to start from.
- 35:25And then
- 35:27you have to ask your AI vendors
- 35:31is it first of all, is it AI or is it
- 35:33automation? Because
- 35:35there's a lot of automation being sold
- 35:38as AI that is not.
- 35:41And
- 35:42does your
- 35:43what are your software development
- 35:45processes through AI, right? We were
- 35:48talking about earlier that sometimes
- 35:49it's easy to just put out garbage. You
- 35:51can't just have one person build
- 35:53something and call it prod, right? We're
- 35:55just going to throw it into prod because
- 35:56it's fine. The AI said it was fine.
- 35:59You need layers. So, we've got our data
- 36:02layer and then above our data layer is
- 36:04our information layer. So, what does
- 36:05that mean?
- 36:07What does it mean uh
- 36:11what do we do with that data? So, that
- 36:14that database where we're basically
- 36:16giving some context to that data layer.
- 36:19And then the intent layer on top of that
- 36:22is a concept that um Nate Jones started
- 36:25talking about and I love Nate Jones. He
- 36:28is a writer that uh
- 36:29he comes at it from the
- 36:32text side, from the product ownership
- 36:34side and I've been able to get a lot of
- 36:36insights from him. So, that intent layer
- 36:39helps explain to the AI
- 36:43Yeah, patient wants to come in for a
- 36:46mammogram. So, let's say patient shows
- 36:48up at our website. This is best way I
- 36:49can explain it. Let's give you another
- 36:50story. [clears throat]
- 36:51>> Yeah, please.
- 36:51>> visits the website wants to schedule a
- 36:53mammogram, but we can see on the back
- 36:56end that she scheduled a mammogram 100
- 36:58days ago.
- 36:59And we know that insurance only pays for
- 37:02one mammogram every 365 days.
- 37:05So, should the AI say, "Nope. Too soon.
- 37:09Can't schedule it."
- 37:10and then just drop her?
- 37:12>> Mhm.
- 37:13>> That's what the rule says. That's what
- 37:14we coded the AI to do. The intent layer
- 37:17says we need to find out what is in the
- 37:21best interest of the patient. What's she
- 37:23trying to do? What's in the best
- 37:24interest of us, right? So,
- 37:27it drills in a little bit deeper
- 37:30understands why she's trying to schedule
- 37:32that in 100 days. Is it because she has
- 37:34breast symptoms? Is it because she just
- 37:35forgot that she did it and she's trying
- 37:37to do it? So, we're going to dig a
- 37:38little deeper.
- 37:39And then the layer that sits at the end
- 37:41is the judge layer and the judge says,
- 37:44"Did the intent layer do what it was
- 37:45supposed to do?" So, if the intent layer
- 37:48said "Nope. She's not going to get to
- 37:51schedule. We're going to tell her to
- 37:52call the call center because it's been
- 37:54less than 100 days."
- 37:56Uh was that the right thing to do? And
- 37:58if not, then we learn from it and um
- 38:01maybe we we do some outreach to the
- 38:02patient. We flag that as an account to
- 38:04follow up on. But but you have to have
- 38:06layers of checks at least until the AI
- 38:09gets better. But where we sit now,
- 38:12there's way too much trust being put
- 38:14into AI.
- 38:15Uh we're not there yet, guys. It's going
- 38:17to take a while to get there. AI is
- 38:19super smart about a lot of things, but
- 38:22when it comes to patient care, we can't
- 38:24be hasty. We have to own it. We have to
- 38:27be the ones
- 38:29owning those decisions because
- 38:31ultimately the patient's care
- 38:33responsibility lies with us.
- 38:35>> That's right. Before I forget,
- 38:38talk about maybe where people can follow
- 38:41you, your work, the work of your team,
- 38:43and Beacon. Like, give us a little
- 38:45commercial and shout out, and then we'll
- 38:46do just some
- 38:48I'll do some quick fire questions with
- 38:49you just to make it fun.
- 38:51>> Sure. Yeah, you can find me on LinkedIn,
- 38:53Jen Hopper. I know it's kind of a common
- 38:55name, but you can find me. I'm a digital
- 38:56transformation leader.
- 38:58jenhopper.com. You can learn a little
- 39:00bit more about me, and I'm hoping to
- 39:03have some courses in the next couple of
- 39:06months for those that are new to digital
- 39:08transformation in healthcare. So, more
- 39:10more to come on that. I'm sure you'll
- 39:11see it on those platforms.
- 39:13>> Awesome. Awesome. All right, so before
- 39:14we wrap up, I just want to throw some
- 39:17fun things because you mentioned a few
- 39:19just pieces, authors, and folks that you
- 39:21that you that you follow. Maybe what's a
- 39:23book that you have given to more people
- 39:26than any other?
- 39:29>> Gosh.
- 39:32That's probably not a good question. I
- 39:34don't give a lot of books.
- 39:35>> [laughter]
- 39:36>> I tend to like send a lot more
- 39:38recommendations out.
- 39:40>> All right, Rex articles. Maybe we'll use
- 39:42that.
- 39:43>> Sure.
- 39:44I recommend I
- 39:46Honestly, I send Nate to everybody. I
- 39:48send Nate to everybody. He He
- 39:50>> You haven't You haven't sent me
- 39:51anything, so I guess you got to send me
- 39:53something.
- 39:54>> Okay, I will send you Nate Jones.
- 39:55[laughter] He's wonderful. A lot of his
- 39:57stuff is higher tech, but
- 40:00I can take just about whatever he puts
- 40:02out there in most cases and translate it
- 40:04to what that means to healthcare. And I
- 40:05do. There's You'll see him mentioned in
- 40:07several of my posts. So, he's probably
- 40:09my biggest wreck right now. He seems to
- 40:11be on the pulse. And if you're
- 40:12interested less in that side of the
- 40:14tech, Um, Matt Wolfe on YouTube does
- 40:18some great overviews on what happened in
- 40:21AI this week and it he does that from
- 40:23like a lens of um, image generation,
- 40:26music generation, um, you know, the the
- 40:28those other uh, corners of AI.
- 40:31And he does it in a pretty entertaining
- 40:33way.
- 40:34>> That's awesome. All right. Um, what
- 40:36about best piece of advice that you've
- 40:39ever gotten, you know, about leading
- 40:41change inside of an organization? Maybe
- 40:44boil it down to like one sentence.
- 40:57>> Everybody's opinion is valid. It's not
- 40:59bad, it's just different. Right? So,
- 41:02everybody's coming at change from their
- 41:05own perspective. You just have to
- 41:06understand what their perspective is.
- 41:08It's not their opinion isn't bad, it
- 41:11makes sense in their world. So, you have
- 41:13to put yourself in their shoes,
- 41:14understand why, you know, understanding
- 41:17motivation is everything in all kinds of
- 41:19relationships. You understand their
- 41:21motivations, then you can understand how
- 41:23to help um, move move change along.
- 41:27>> Okay. So, if you have uh, I mean, this
- 41:30is the last question. This is
- 41:31Look, you've got a community of people
- 41:34and action takers, doers.
- 41:37What is maybe one golden nugget that you
- 41:39can give them to say, "Hey, if you're
- 41:40going to do if you're going to listen to
- 41:42anything you've listened today and take
- 41:43action on one thing, like
- 41:45what is that one thing?"
- 41:50>> There is so much opportunity in the
- 41:53healthcare space
- 41:55for improvement. And I think we all we
- 41:57all know that. And healthcare operates
- 41:59under some pretty tight uh, budgets and
- 42:02some tight constraints and regulations.
- 42:05And so, we're all just doing our best
- 42:07out there. And I I absolutely understand
- 42:08that. And and
- 42:10uh, God bless all of our our caregivers
- 42:12out there. It's a hard It's hard hard
- 42:14work that they do.
- 42:15>> Yeah. Yeah.
- 42:16>> From a patient perspective,
- 42:18um,
- 42:19there's so much opportunity and they're
- 42:21seeing it in grocery pickup, in Amazon
- 42:25orders,
- 42:27uh, in their Fitbit app, right? There's
- 42:29so many different ways to have
- 42:33what you need catered to you,
- 42:35>> Yeah.
- 42:36>> and healthcare's doing a terrible job of
- 42:38that right now. We really have to step
- 42:41up our game. Our patients deserve it and
- 42:44we've got more data than any other
- 42:46industry. I bet Palantir would love to
- 42:49get their hands on it because of all of
- 42:51the things that we can do with that data
- 42:54uh, that we could use use When we raised
- 42:57our daughter, we told her, "Use your
- 42:58powers for good. Everybody's got
- 43:00powers."
- 43:01>> Yeah.
- 43:01>> we need to use our powers for good to
- 43:03really champion the patient experience,
- 43:06to make it personal, to make healthcare
- 43:08personal because if we can do that, we
- 43:10can empower our patients to take better
- 43:12care of themselves, they will be
- 43:13partners for life.
- 43:16>> You know, I got to tell you something,
- 43:17Jen. Um, I've had a lot of guests that
- 43:18have come on the show and I think the
- 43:20thing that always gets me is
- 43:23the passion behind the guests, the
- 43:26conviction.
- 43:27Like,
- 43:28the work that you're doing might not
- 43:30necessarily be perceived as glamorous
- 43:32work. It is really important work
- 43:35and, um, maybe it's not going to be in a
- 43:38TechCrunch or
- 43:39maybe it's going to be in maybe maybe
- 43:41it'll be in Beckers, but I just think
- 43:42that every single patient that is coming
- 43:46through the doors of Beacon
- 43:48is going to be getting a little bit of a
- 43:50better experience because of the work
- 43:52that you and your team are doing and
- 43:54that is really cool, um, to see
- 43:58and to have someone in the trenches that
- 43:59actually gives a Um, you know,
- 44:01there's folks that are in certain seats
- 44:03that I know don't, so it's nice to to
- 44:05see that. So, for those of you
- 44:07>> Yeah. if you've been listening to this
- 44:09and if you find this conversation to be
- 44:12compelling, to be enlightening, to be
- 44:14entertaining, please
- 44:16share if you don't mind.
- 44:18You know, share it, comment on it, let
- 44:19us know what you found to be really
- 44:21useful, really helpful. And if there is
- 44:23a topic that you want us to explore or
- 44:26maybe there's a guest that you want to
- 44:27have come on the show, let us know about
- 44:29that. We obviously are always trying to
- 44:31do a great job of getting great people
- 44:33to come on to the show. And just
- 44:35remember, this is a platform that is not
- 44:37just content. This is a community, it's
- 44:40a living breathing thing.
- 44:42What you put in is what you can take out
- 44:44of it. So,
- 44:45thank you for listening.
- 44:47I'm your host Michael Smerconish and
- 44:49keep building with purpose.
- 44:50And we'll see you next time on the
- 44:52Advancing Healthcare Innovation Show.