Latest / Becker’s Healthcare Podcast / Driving AI Adoption Through Change Management and Workflow Integration with Marola Kraczek

Transcript

Driving AI Adoption Through Change Management and Workflow Integration with Marola Kraczek · Becker’s Healthcare Podcast

• 0:00
  - What we wanna do with AI is help
• 0:01
  - clinicians go from being reactive
• 0:04
  - to proactive.
• 0:05
  - At Philips, we can recognize patterns in monitoring
• 0:08
  - data across populations
• 0:10
  - and apply those insights to specific patients.
• 0:14
  - Safe and responsible AI can support sharper insights,
• 0:18
  - pave the way for faster diagnosis,
• 0:21
  - and help streamline care.
• 0:23
  - That can benefit clinicians,
• 0:25
  - it can benefit health systems. And most importantly,
• 0:28
  - it can benefit patients and their families.
• 0:33
  - Phillips.
• 0:34
  - Hi, everyone. This is Gracelyn Keller with Becker's
• 0:36
  - Health Care. Thank you so much for tuning
• 0:38
  - in to the Becker's Health Care podcast series.
• 0:40
  - We are recording live at the eleventh annual
• 0:42
  - IT and revenue cycle conference, the future of
• 0:44
  - AI and digital health.
• 0:46
  - I'm joined today by Marola Krawczyk, who is
• 0:50
  - the senior change enablement specialist at HCA Healthcare.
• 0:54
  - Simarola, thank you for being here today. Thank
• 0:56
  - you for having me. And I'd like to
• 0:59
  - just jump into our conversation now. Health systems
• 1:02
  - are receiving a growing stream of patient data
• 1:04
  - from bedside monitoring, ambulatory devices,
• 1:07
  - and care delivered at home. Where is that
• 1:09
  - data creating actionable insights for clinicians, and where
• 1:12
  - does it still create more work than insight?
• 1:14
  - Awesome. So as as part of my,
• 1:17
  - career and professional, I'm gonna keep this very
• 1:20
  - focused into change management because that's what I
• 1:22
  - do. So I really want to lean into
• 1:24
  - that answer,
• 1:26
  - aligning from that perspective. So actionable insights happens
• 1:29
  - when the data supports a decision that a
• 1:31
  - clinician is ready or it's already trying to
• 1:33
  - make. We don't always have to see it
• 1:36
  - as more data creates better care. Actually, better
• 1:39
  - decisions create better care.
• 1:41
  - So
• 1:42
  - let's start with where data becomes a burden
• 1:44
  - is when the organization simply add another dashboard,
• 1:47
  - another alert, another,
• 1:49
  - monitoring feed without redesigning the work flow. So
• 1:53
  - clinicians don't need more places to look. They
• 1:55
  - need information presented in a way that supports
• 1:57
  - their decision making process. Yeah. So, yeah, I...
• 2:01
  - I'll close that with the opportunity. It's not
• 2:03
  - really having more data. It's actually...
• 2:06
  - With the data we already have, how do
• 2:08
  - we guide or how do we support our
• 2:10
  - providers
• 2:11
  - in a sim... Simple and,
• 2:14
  - very scalable way where they can be guided
• 2:16
  - through action.
• 2:18
  - And when clinicians are trying to reach a
• 2:20
  - diagnosis, they often must piece together information from
• 2:23
  - radiology, cardiology,
• 2:24
  - pathology, all of these other systems.
• 2:27
  - So where does that information fragmentation create the
• 2:29
  - most friction in your organization, and how do
• 2:31
  - you bring together data sources and address this
• 2:33
  - fragmentation or close the gaps?
• 2:35
  - Awesome. So I would say that fragmentation
• 2:38
  - creates most friction when clinicians have to become
• 2:41
  - themselves the system integrators. So
• 2:43
  - they're not our IT guys. They're not their
• 2:46
  - physicians. And then, currently, we're having them open
• 2:49
  - different type of,
• 2:51
  - systems to continue the process. So when information
• 2:54
  - leaps across different areas, like you mentioned, radiology,
• 2:57
  - pathology, and so on, we often spend valuable
• 3:00
  - time searching, validating, and reconciliating all this information
• 3:04
  - instead of caring for our patients directly.
• 3:06
  - From a change management standpoint, the real issue
• 3:08
  - is not just the system integration itself. It's
• 3:11
  - the workflow integration and adoption.
• 3:13
  - Even when technical connection exists, clinicians might still
• 3:16
  - have to navigate multiple screens or processes.
• 3:20
  - So to me, technology integration is important, but
• 3:23
  - clinician adoption
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  - ultimately
• 3:25
  - depends on how simple and usable
• 3:28
  - the system is. So the cost of fragmentation
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  - isn't technical. It's time and attention that clinicians
• 3:33
  - lose every day navigating it.
• 3:36
  - And patients increasingly move among the hospital, outpatient
• 3:39
  - settings, and the home. So where does clinical
• 3:42
  - contacts most often get lost during these transitions,
• 3:45
  - and what would it take to give care
• 3:46
  - teams more continuous view of the patient?
• 3:49
  - No. That's a challenging one. I've been I've
• 3:50
  - been walking around, the vendors, and I noticed
• 3:53
  - some really cool ideas about devices that you
• 3:56
  - can have your patients wear after they've been
• 3:59
  - discharged from the hospitals. And then they track
• 4:01
  - their, patient history back to the HR for
• 4:04
  - a follow-up. But transitions are really moments of
• 4:07
  - increased risk because that's where the context disappears.
• 4:10
  - From a change management aspect, creating continuity requires
• 4:14
  - more than connecting the systems themselves. It requires
• 4:17
  - shared understanding across teams. So I think that's
• 4:20
  - a big challenge. We have to be able
• 4:22
  - to have enough information from all the different
• 4:24
  - providers that the patient is being seen by.
• 4:26
  - Organizations need to standardize processes,
• 4:29
  - clear ownership of the information and technology that
• 4:32
  - they're being provided with and that they're adding,
• 4:34
  - all this patient information to.
• 4:37
  - And when teams see the same patient story,
• 4:40
  - they just don't wanna see patient data. They
• 4:42
  - wanna see improved...
• 4:44
  - Significant improvement on the patient care. So health
• 4:47
  - care doesn't really lose their data during transition.
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  - It often loses the context.
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  - And with so many AI use cases competing
• 4:55
  - for attention, how do you distinguish a compelling
• 4:57
  - pilot from something ready to become part of
• 4:59
  - everyday care, and what must be in place
• 5:01
  - for that to scale responsibly?
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  - I'll tell you, we're supporting pilot go lives
• 5:06
  - and, scaling these pilots on my daily basis
• 5:10
  - as a change management professional. I look beyond
• 5:12
  - the technical performance of it. I ask the
• 5:14
  - question says, do users cross the outputs? Do
• 5:18
  - workflow support adoption?
• 5:19
  - Is governance in place? Are leaders reinforcing these
• 5:22
  - changes?
• 5:23
  - So I would say that one of the
• 5:24
  - biggest mistakes in organization
• 5:26
  - is treating successful pilot as a proof of
• 5:29
  - enterprise readiness. That's not really what a pilot
• 5:32
  - is, aims for.
• 5:34
  - Compelling pilot demonstrate that the technology functions, so
• 5:37
  - the technology can work, and scaling it demonstrates
• 5:40
  - that the people are willing to use it,
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  - constantly.
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  - So a pilot proves technology works, like I'm
• 5:46
  - saying, but adoption proves that it matter.
• 5:50
  - And as technology relationships move beyond one time
• 5:52
  - purchases, what should a partner remain accountable for
• 5:55
  - after go live to make the relationship genuinely
• 5:58
  - valuable over time?
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  - I think that I can answer that question
• 6:01
  - with one,
• 6:02
  - sentence since go live should be viewed as...
• 6:05
  - Should should be viewed as the beginning of
• 6:06
  - the relationship, not the end. So in health
• 6:09
  - care technology, long term values comes from adoption,
• 6:12
  - optimization, and realization of the business and clinical
• 6:14
  - outcomes.
• 6:15
  - The best partners stay engaged beyond implementation
• 6:19
  - so that they help the organization
• 6:21
  - understand, adopt metrics, identify work... Workflow barriers,
• 6:24
  - support the training needs, and improve how the
• 6:27
  - solution is being used. Change doesn't really happen
• 6:30
  - on the launch day, on the go live
• 6:31
  - date. It happens over months and sometimes even
• 6:33
  - years depending on the size of your change.
• 6:35
  - So most,
• 6:37
  - valuable technology partners aren't just the vendor selling
• 6:40
  - you something. They're partners in the transformation of
• 6:42
  - the organization.
• 6:44
  - So implementation delivers the system, but adoption delivers
• 6:47
  - the value.
• 6:49
  - And finally,
• 6:50
  - as care increasingly moves beyond hospital walls, how
• 6:53
  - are you using connected technologies and AI to
• 6:56
  - identify patients who need earlier follow ups, support
• 6:59
  - care coordination teams, and close the gaps in
• 7:01
  - post discharge care?
• 7:03
  - So health care is not a short of
• 7:05
  - of an event... Patient, and and there are
• 7:07
  - always gonna be gaps that we can
• 7:10
  - control. But I think when we have
• 7:12
  - a strong ethical, strong,
• 7:15
  - commitment between
• 7:16
  - cross teams on our patient care, and while
• 7:19
  - we are all working on the same goals...
• 7:22
  - For the same goals, I think it makes
• 7:24
  - it easier to navigate
• 7:26
  - the hardness of this industry.
• 7:28
  - I will say, again, that change management helped
• 7:30
  - bridge these gaps by focusing on communication, leadership
• 7:33
  - alignment, workflow integration.
• 7:35
  - And, ultimately,
• 7:36
  - technology creates potential, but people create the outcomes.
• 7:40
  - So I think that's very valuable.
• 7:43
  - Wonderful. Well, Marla, thanks so much for joining
• 7:45
  - me and sharing your time and insights today.
• 7:48
  - And I also wanna thank our podcast sponsor,
• 7:50
  - Philips. You can tune in to more podcasts
• 7:52
  - from Becker's Healthcare by visiting our podcast page
• 7:54
  - at beckershospitalreview.com.
• 7:56
  - Thank you for having me.