Latest / Identity at the Center / #366 - The Digital Transformation of Healthcare IAM with Shawna Hofer
Transcript
- 0:04This is identity at the center. Welcome to the Identity at the
- 0:11Center podcast. I'm Jeff, and that's Jim.
- 0:12Hey, Jim. Hey, Jeff, how are you?
- 0:15Oh, not so bad yourself. You're great.
- 0:17Hey, did you know that we are at the official podcast of ID Pro?
- 0:22Yeah, I did know that that was news we made back in WOW May,
- 0:26which feels like 7 years ago. But yes, very cool.
- 0:29ID pro.org, you know, you and I have been fans of the
- 0:32organization, members of the organization for several years.
- 0:34And yeah, could be happier about that.
- 0:36Yeah, two things I wanted to point out.
- 0:38One is for, I'm sure we have a lot of listeners who are new to
- 0:43the identity space, maybe not ID Pro members yet.
- 0:47I'm not here to like push membership or anything, But one
- 0:51thing that they have out there for free for the entire world to
- 0:54enjoy is the body of knowledge. I think the easiest way to get
- 0:58there is just go to Google, type in ID Pro one word and be OK for
- 1:03body of knowledge. It'll be the first thing that
- 1:06gets linked out to you. Click on that and my goodness,
- 1:10it's just a a bunch of educational material that you
- 1:14can kind of dive into for absolutely free now if you are a
- 1:18member. The second thing that I wanted
- 1:20to talk about is the Slack channel, right?
- 1:23I mean, we, we talk about the Slack channel all the time, but
- 1:26it's just such a great resource where you can just go out there
- 1:30and there's a gig section so you can put in if you have a job and
- 1:34you're looking for somebody and you want some help kind of
- 1:37recruiting people or vice versa if you're looking for a job,
- 1:41kind of putting the putting that out there on the Slack channel.
- 1:44But there's all kinds of obviously identity content as
- 1:48well where you can post questions or just be a lurker
- 1:52and read what's being written about topic, what kind of issues
- 1:56people are running into, and you know, the people are happy to
- 2:00give on the ID Pro Slack channel.
- 2:04So I agree with almost everything you just said.
- 2:06The only thing I'll disagree with is heck yeah, we want
- 2:08people to go over there and register and become members.
- 2:10So yes, please, you know, consider it.
- 2:13I think it's a relative bargain. I think it's like 150 bucks a
- 2:16year for like an individual membership and the Slack channel
- 2:191 is worth it. You can ask any question you
- 2:21want. There's tons of really smart,
- 2:23helpful people and people really to help.
- 2:25So everything you said, absolutely true.
- 2:27ID pro.org, you know, there's links on our homepage.
- 2:29I think I even set up like a little fly out banner that says,
- 2:32you know, official spot, official podcast for them.
- 2:34But yeah, super cool. We've done we've done some, some
- 2:36episodes with folks we had like Joni on recently and we we try
- 2:39to do like a quarterly update as well.
- 2:41Kind of what's going on with ID Pro at large.
- 2:44Yeah, there's always a lot going on.
- 2:46And you know, in addition, the additional benefit of having
- 2:50people on from IT Pro to give the update is they're great
- 2:53guests overall. So there are people who are deep
- 2:56in the identity space, usually with a lot of experience, and
- 3:00they make great guests for the podcast.
- 3:03Yeah, they're actually real people doing real IM things, not
- 3:06just like, you know. A podcast?
- 3:08Yeah. Exactly.
- 3:10So it's you know, you know, like Heather is like, you know, the
- 3:13is the director of it. And so she's doing identity
- 3:15stuff and she's doing a whole bunch of writing and she's got
- 3:17her own podcast saying, which is very cool.
- 3:19You should go check out as well. But it's actually like real
- 3:21world identity people. It's not just like vendors
- 3:24pushing product, which I don't think there's actually any of
- 3:26that that I've ever seen. I think it's probably kind of a
- 3:28hard and fast rule is like, don't promote product just into
- 3:31the heart of matters. Kind of like this podcast,
- 3:33actually. It's just kind of cool.
- 3:35So, yeah, I mean, we see almost all the ID Pro leadership, all
- 3:40the conferences and we're doing a bunch of conferences.
- 3:43Yeah, been a busy boy. I thought it was going to be
- 3:46over when I got back from Vegas after I'd done a verse.
- 3:49But I've been doing some more Cyber Risk Alliance events.
- 3:53I was in Raleigh a few weeks ago, did a cyber security summit
- 3:57there, moderating a panel on incident response.
- 4:00I'm going to be doing the same panel moderation in Chicago and
- 4:03in Philadelphia in September. So I've got free tickets for
- 4:05that if people are interested in coming out and seeing me.
- 4:07Hopefully I'll be able to get a good crew from Chicago, which is
- 4:10where I'm front to kind of come out and support.
- 4:11But they'll be on our our website, idcpodcast.com.
- 4:14Just Scroll down a little bit. All of our discount codes are
- 4:16there, so that's cool. The relationship with Cyber Risk
- 4:20Alliance continues into Ideniverse in DC in November, so
- 4:25that'll be fun as well. So, you know, shout out to
- 4:27Shirley who's helping make all that possible.
- 4:29And then I think maybe we'll be done at the end of the year with
- 4:33Gartner in Grapevine, TX in December.
- 4:36So we'll have a new identity game show that we'll be, you
- 4:39know, debuting later this year, you know, probably as part of
- 4:42that. So looking forward to figuring
- 4:44out the, the details of how we want to run that.
- 4:46So if you're familiar with that, Dennis Globble and the stuff
- 4:48that we did with, you know, the authenticate conference few
- 4:52years back on identify feud, stuff like that.
- 4:55That's, that's the kind of stuff that, you know, we're looking to
- 4:58bring a conference, have a little more fun, you know, and,
- 5:00and we'll be a little more entertaining.
- 5:01Not that knowledge isn't good, but look, we like to have fun
- 5:05and we think this is an interesting way to approach it
- 5:06too. Yeah, Both CRA and Gartner being
- 5:10great partners for us, they've graciously involved us in their
- 5:14conferences. Obviously, what you said about
- 5:17CRA gives us more opportunity to get out to these regional
- 5:21events. I'm not going to be able to make
- 5:23all of them. It's just been a challenging
- 5:25year in terms of travel, but I'll be kind of more back in the
- 5:28game towards the end of the year.
- 5:31But it's just in great partnership, great opportunity
- 5:34to get out there and meet people.
- 5:36I think we're always, you know, people spot us at any of these
- 5:39conferences, just come up, shake our hands, do a fist bump,
- 5:43whatever you're comfortable with.
- 5:45And we'd love to get to meet you and, and just have a
- 5:48conversation. Yeah.
- 5:50I mean, that's that's it. We put on our golden podcast
- 5:53pants just like every other person, you know, So that's how
- 5:56we. Roll one leg at a time.
- 5:58Exactly. But then we make podcasts.
- 6:00That's. Right, we make hit podcasts,
- 6:02global podcasts. All right, let's let's pivot
- 6:05here to our main star, our main attraction.
- 6:09Speaking of real people doing real identity and real security
- 6:13things in the real world, I want to welcome to the show Shawna
- 6:15Hofer. She's the chief information
- 6:17security officer at Saint Luke's Health System in Idaho.
- 6:21Welcome, Shawna. Thank you.
- 6:24Thank you, Jim and Jeff. Appreciate you inviting me to be
- 6:28here with you today. Well, this is a conversation.
- 6:30It's been a long time coming. We first met up, I think I feel
- 6:32like it was probably a couple months ago and we was like, all
- 6:34right, let's get this on the books and we can get things
- 6:35going. So I want to give a shout out to
- 6:37Matt Franco, who is the person who made the introduction, you
- 6:39know, one of my Co workers here at RSM, but definitely,
- 6:43definitely want to get in this conversation because I don't
- 6:46think Healthcare is a topic that we've really kind of hit too
- 6:50hard in our 360 plus episodes that we've done so far.
- 6:54We've had a couple conversations in there, but this is an
- 6:56opportunity for us to have, you know, real conversation with
- 6:59you. Before we get into that though,
- 7:01I kind of want to understand your journey, right?
- 7:03What's your origin story? How did you, you know, get where
- 7:07you are today as a healthcare see?
- 7:08So kind of take us through your steps to get there because I
- 7:10think a lot of people see, so see, see so as a destination of
- 7:15where they would like to take their information security
- 7:17career and maybe there's some advice that you can can share
- 7:19with that. Sure.
- 7:21Yeah, I, I think like many Cesars today, most of us say we
- 7:26have a unique journey and becoming Cesar.
- 7:28So I would say I'm probably one of those as well.
- 7:33I, my undergraduate degree is in accounting.
- 7:37I had no idea I would end up in cybersecurity after my
- 7:42undergrad. I I got an accounting
- 7:46information systems focus for my masters and that is where I
- 7:51started to pull in more of the IT space.
- 7:55I started my career at Deloitte as a enterprise risk consultant
- 8:01at the time really nice name for basically being an IT auditor.
- 8:07While I was doing that work for them St.
- 8:11Lukes with one of my clients and I got a call from my clients
- 8:17here at Saint Luke's asking me to apply for the Identity and
- 8:21Access Management Manager role and I kindly said no thank you
- 8:27and I my husband pushed me to interview anyway.
- 8:32I did. I fell in love with the company.
- 8:34My boss is also very persuasive, who is still my boss all these
- 8:38years later. So I came in to Saint Luke's
- 8:41leading that. I didn't access management team.
- 8:43I would say at the time, it was probably more really an access
- 8:47management team if you think about kind of how we think about
- 8:50identity and access Management Today.
- 8:52And I'm kind of more broadly scoped focus.
- 8:56I did that for a couple of years and then I ended up taking on
- 9:00all of cybersecurity a couple of years later.
- 9:03So I've been leading cybersecurity at Saint Luke's
- 9:06for about 9 years now. That is such a cool story.
- 9:11So I think a lot of people in this space kind of look at like,
- 9:14all right, I'm in IM, how do I bridge that gap and go from like
- 9:17an IM manager? I was an IM manager as well,
- 9:19sort of, you know, working for companies and stuff like that
- 9:21before I got into consulting. But I, I, I think this is a
- 9:26turning point maybe for the IM industry, is it used to be that
- 9:30Seeso's were like firewall and network security type people,
- 9:35right? And I am was kind of just kind
- 9:37of an afterthought. But I'm kind of hoping and
- 9:39maybe, and hopefully you'll agree is like I am can also lead
- 9:42to a seeso type role within an organization.
- 9:44Obviously, case in point, have you noticed any difference when
- 9:48it comes to like people with identity backgrounds and kind of
- 9:51their aspirations that maybe you know have a have a broader
- 9:54cybersecurity impact maybe as a seeso or other parts of of a
- 9:57cybersecurity organization? Yeah, I think, I think people,
- 10:00but even just the industry in general, I think the perception
- 10:06around identity and access management and I know for me,
- 10:10but I think for others too, it's very different than what it used
- 10:14to be. You know, and when I think about
- 10:18the role that I led and I and I referenced it being very much an
- 10:21access management focus, that's just not the only focus for
- 10:28identity anymore. And it's, and, and while yes, it
- 10:32was still a concept within cybersecurity, the risk
- 10:37associated with it is so much higher now.
- 10:40So I think when you, when you think about a cybersecurity
- 10:43program and how to lead that, you can't do it today without
- 10:46having a strong knowledge and understanding of identity and
- 10:50access management as a whole. So yeah, I think it, I think
- 10:53it's changing significantly. So now that you're the CSO here
- 10:57at Saint Luke's, tell me about where you see identity security
- 11:01and why is it so important for healthcare?
- 11:04And maybe you can give me something that's kind of like
- 11:06beyond the obvious, right, Of course, patient data, health
- 11:09data, stuff like that. But maybe you can talk to me
- 11:11about the conversations that have evolved over time, you
- 11:14know, as, as you've had this role and where did identity
- 11:17start and where does it one of the conversations you're now
- 11:19having with your your your peers and counterparts there?
- 11:23Yeah, I think, you know, part of that and and and maybe it is
- 11:28part of the obvious, but we're highlighting in my opinion is
- 11:33the why. The why is different now.
- 11:36The why used to be very much patient data cost of a data
- 11:42breach, cost of, you know, medical records example, you
- 11:48know, we used to we used to provide education to individuals
- 11:51around hey, we really need you to be careful of that phishing
- 11:54e-mail because you know, we can get fined by HIPAA if we had a
- 11:58breach or what have you. And the conversation today is
- 12:05patient lives are at stake and any one of us could, could have
- 12:12an impact on our ability to provide safe, efficient and
- 12:17effective care to the people in our communities, by the way,
- 12:19which is us and our families and, and the people who live
- 12:22here. And so it's so much more
- 12:25meaningful to people today when you're having a conversation
- 12:28around the role that they play and helping keep a health system
- 12:34safe. And really what you'll hear
- 12:35people say is cyber safety is patient safety.
- 12:38Now you're hearing that in the healthcare industry more and
- 12:41more. And when you help them
- 12:44understand that from an identity perspective, it's that them as
- 12:49individuals and the things that they do day in and day out
- 12:53certainly have a role to play in that shared responsibility.
- 13:00So the conversation's different. It's, it's, it's far more
- 13:03interesting. They're more engaged, they feel
- 13:06responsible and it makes that conversation and doing the right
- 13:11things or making the decisions about risk balance truly a a
- 13:16more balanced conversation rather than, you know, security
- 13:20trying to push security for security purposes.
- 13:25Yeah, Sean, I think that that whole point of view really puts
- 13:31a finer point on the importance of what you do.
- 13:34And what I thought was really cool about that was, you know,
- 13:39it really puts the context around how how impactful it is
- 13:46when you make security decisions.
- 13:49So it kind of the, the direction I was thinking of asking this
- 13:54question was around, you know, traditional.
- 13:56I think regardless of the industry, it's the kind of the
- 14:00balance has always been user experience versus security.
- 14:05There's a trade off, right? You give up 1 to get the other.
- 14:08And I think across the board, people are, you know, tired,
- 14:14sick and tired of that trade off.
- 14:16But there is some truth to it still.
- 14:19I think the user experience in healthcare might have a lot to
- 14:22do around speed, the speed of transactions.
- 14:26So thinking of the the patient room and the ability to go in
- 14:32and use computing resources and not be slowed down by security.
- 14:38At the same time, you have the bouncing factor of that if
- 14:40things aren't secure, problems can happen.
- 14:43So you have this balance, but the patient's life is, is at
- 14:49stake. So how does that impact what you
- 14:52guys do significantly? It's constantly a conversation.
- 14:57I'm trying to balance experience and risk.
- 15:02But the balance I would say over time has also shifted.
- 15:05I recall when we started conversations many years ago
- 15:09around, hey, we need to implement multi factor
- 15:12authentication. And at the time the, the message
- 15:15you would hear from the physicians, regardless of
- 15:18whether it was cyber or IT, right?
- 15:21You know, around then was the time that we were implementing
- 15:23electronic health records and many of them were having to move
- 15:27to a more electronic workflow. And so the message that you
- 15:31always heard from them were the number of clicks they had in
- 15:33their day, right? But the number of clicks was a
- 15:36was a measure for them. And so it was a mindset of we
- 15:41can't just add clicks. And that that tone and that
- 15:46concern has changed to the point now where I think I almost have
- 15:51an ingrained assumption that we can't add clicks.
- 15:54And yet I have physician leaders who will say to me, we don't
- 15:58care. Like if it's more secure, we're
- 16:00going to do that, right? And so it's really helped have
- 16:04those champions to say the risk tolerance of a few extra clicks
- 16:09or one extra click or a few extra seconds is worth it for us
- 16:13and, and the rest will follow. And that's, that's really been
- 16:17part of it. And I've found I have in my
- 16:20identity and access management team just ingrained in them and,
- 16:25and I didn't need to do it. They already had it there that
- 16:28customer service centric design, right?
- 16:32And so they're already very concerned about delivering that
- 16:37to the point where sometimes I think we're more risk averse
- 16:42from a, from a security perspective even than our
- 16:44physician leaders would be. So for us, it's, I think having
- 16:49the right leadership, non cybersecurity leadership, our
- 16:53physician representatives, our nursing representatives at the
- 16:56table to help us lean into that kind of risk tolerance and, and
- 17:00risk decision decision making to make sure we're, we're making
- 17:05the right call overall. No, and I'm glad you used the
- 17:07term risk averse because that was the term I was going to use.
- 17:12But I guess traditionally I've been wired to think more
- 17:16security equals more risk aversion or vice versa.
- 17:20However you want to look at it, they're equal sides of the
- 17:23equation. You know, if I make you login
- 17:27choice or I make you reset your password every 30 days, that is
- 17:32more risk averse. But could you imagine a scenario
- 17:35where you're providing patient care and you're in a critical
- 17:39situation? You need to see what medications
- 17:42this person's on and they're saying your password is expired.
- 17:46You've got to go through a password reset.
- 17:49And it kind of seems like a ridiculous example, but I've got
- 17:53to imagine that like if you're in a change of setting that is
- 17:57going to potentially make that impact, you really have to do it
- 18:01consciously. You can't just say, all right,
- 18:03well, we're just going to push out updates every 14 days and
- 18:07not care like what the impact is going to be to our care
- 18:13providers. Absolutely.
- 18:16And we have to ingrain that and every decision that we make from
- 18:22a patching timing to responding to a cybersecurity incident and
- 18:28we have this computer, we think it needs to be quarantined right
- 18:31away. Pause.
- 18:32Let's make sure that that computer isn't tied to someone
- 18:35having surgery right now and before we make those kinds of
- 18:40decisions. So we have to embed that
- 18:42everywhere. And what's really the trade off
- 18:48in that is there's risk to both sides.
- 18:50As you're, as you pointed out, Jim, there are cyber, there are
- 18:53patient safety risks on the other side potentially of the
- 18:57cyber risk decisions. And so it it really truly has to
- 19:00be an intentional balance. And that's not something that
- 19:04just the cyber team alone can make those decisions in a
- 19:07vacuum. You know, one thing topic that's
- 19:11real hot in identity today is this non human identity machine
- 19:16identity concept. And it's really a lot of it ties
- 19:20back to the identity of things. It seems like things are
- 19:25becoming more connected all the time.
- 19:27I know in your space things are ever presently becoming more and
- 19:32more connected, which The Avengers are obvious, but the
- 19:39security challenges are now multiplied, right?
- 19:43Because now you have attackers have more ways to attack those
- 19:48systems. And I mean, I'd like to hear
- 19:51your input on that. But I, I would think a lot of
- 19:54those attacks are based on identity or and credentials
- 19:59getting stolen. And that's something that
- 20:02constantly you're thinking about.
- 20:05Absolutely. The the Internet of Things topic
- 20:10is a significant challenge for all of us.
- 20:13But in healthcare in particular, we have a lot of legacy
- 20:19technical debt and that includes a lot of those IoT devices.
- 20:24We have things connected today that already blown my mind.
- 20:28I can't imagine the things that are going to be connected five
- 20:31years from now. Like we joke about like pretty
- 20:34soon we'll have band aids that are connected to the Internet,
- 20:37right? Today it's things like
- 20:39treadmills and it's, you know, refrigerators that manage the
- 20:43temperature. It's camera.
- 20:45I mean, all the things already that you can imagine weren't
- 20:50necessarily built with security in mind, right?
- 20:53These are things that at the time we bought them, they came
- 20:57with a default password and a user manual that lives on the
- 21:01Internet somewhere and wasn't top of mind to whoever brought
- 21:06it in to think about changing that password.
- 21:08And so those are things that security teams across the
- 21:12healthcare industry are having to grapple with now.
- 21:16And not to mention some of the medical devices that we bring
- 21:20in, these are $1,000,000 devices and they were built years ago,
- 21:26again, not with security in mind.
- 21:29And the manufacturers aren't really quick to get them up to
- 21:33date because the FDA process takes so long.
- 21:36And so we, we can't just replace them.
- 21:41So a lot of times you're not dealing with the opportunity to
- 21:45secure the device you have. It's how do you mitigate the
- 21:47risk associated with that device because you're keeping it for
- 21:50the next 10 years, right? So figure out a different way to
- 21:54come around those identity challenges because this is just
- 21:57the reality that you're going to have to live with.
- 22:01So let me bring up a question here as a customer of those
- 22:05types of solutions, what kind of, I guess, rigor or imposition
- 22:11or request can you make to your vendors to say, look, this just
- 22:16isn't secure enough, You know, have something that's stronger
- 22:20than a four digit password on your thing, right?
- 22:23Like what are some of the things that you can do as a SISO,
- 22:26right? And this is made for other
- 22:26people listening as well out there is what kind of request
- 22:30can you make to your vendors and how do you help them understand?
- 22:33Like look, this is a great tool, but it doesn't meet our security
- 22:35requirements. Yeah, I think that healthcare
- 22:38industry has really rallied to come around that so that each
- 22:43seaso isn't having to do it though they do as well.
- 22:45So, right, just like every any other industry, we've got our
- 22:49our third party intake where we're asking questions, setting
- 22:53expectations on design elements that are a lot better now than
- 22:56they used to be, right. So there's kind of a, A at least
- 23:00plug the whole concept here. But what's great about the
- 23:04healthcare industry, we, we have created a collaboration group
- 23:11called the Healthcare Sector Coordinating Council.
- 23:13It is a, it is a group made-up of both public private industry
- 23:18volunteers, which includes health systems like myself,
- 23:23pharmaceutical companies, medical device manufacturers and
- 23:28and representatives from the government to collaborate on how
- 23:32do we collectively raise the bar for healthcare cybersecurity.
- 23:37And it's through those relationships and that dialogue
- 23:40where medical device manufacturers and C so's are
- 23:43having conversations about what are some other reasonable kind
- 23:47of guidelines that we're expecting in the design
- 23:50contractual requirements that we can collectively hold each other
- 23:53to. I mean, these are conversations
- 23:55that as an industry we're having.
- 23:58And I think the more people who lean into the healthcare sector
- 24:02coordinating council will help continue to raise the bar,
- 24:06continue to push on maybe even some federal requirements that
- 24:10that fall across all of those. And it has to be, I think in my
- 24:15mind at a level like that rather than 1222C.
- 24:18So is trying to move the needle. We need to do it together.
- 24:23I usually have like a coalition of of folks to try and move
- 24:26things forward. I want to talk a little bit
- 24:29about AI because I don't think we can escape any conversation
- 24:32about security at this point or even an episode of this podcast
- 24:34without getting into AI at some point here.
- 24:37So let's get there. I guess with all of the AI
- 24:40things that have already arrived, what is the single
- 24:44biggest concern with how you can see that being exploited in in a
- 24:49healthcare type of environment? And you know, please don't scare
- 24:52me too much 'cause I am, I am frail and feeble and prone to,
- 24:56you know, frightened easily. But like one of the things that
- 24:59you're already thinking about is like, Oh my gosh, we got to get
- 25:01ahead of that. Or conversely, it's like, Oh my
- 25:04gosh, that's going to help us out quite a bit 'cause there's
- 25:06also a positive side of this as well, too, right?
- 25:08There's so much positive opportunity in healthcare.
- 25:12I mean, the healthcare industry, we are significantly challenged
- 25:17with having the, the right amount of caregivers for our
- 25:24communities. There's not enough capacity to
- 25:27meet the needs. And so when you think about that
- 25:30funnel of caregivers is not also increasing to meet the need.
- 25:35The idea of AI is really exciting.
- 25:38And our, our health system along with most health systems is, is
- 25:42they're ready to rock, right? They're like, hey, AI is going
- 25:45to solve our, our availability, our access problems.
- 25:48We need to lean into that. And I think when I turn that
- 25:53around and ask, OK, knowing that we need to help them meet that
- 25:58challenge. We need to enable the growth
- 26:01because it's the right thing for the organization and it's the
- 26:04right thing for our communities and the people who need access
- 26:06to care. It's my concern is, are we
- 26:10moving so fast that we don't know the risk that we're
- 26:13bringing in? Is my cyber team kind of
- 26:17upskilled to the level that they're asking the right
- 26:19questions? And then of course, right, like
- 26:22that's just the enablement side of AI.
- 26:25How are we also still preparing ourselves to combat the threats
- 26:30of AI and not to mention all of that in the healthcare industry,
- 26:35one with very small margins, which means not significantly
- 26:39increasing budget on the cyber side to meet the needs for all
- 26:44of those, but having to figure out how to come around that.
- 26:47Anyway, I'll give you some examples.
- 26:49So Saint Luke's is we, we have built an emerging tech lab here
- 26:54at Saint Luke's with a, a partnership with CDW.
- 26:57And so we're bringing in kind of what is the art of the possible
- 27:00when it comes to future technologies.
- 27:03And some of the examples that we have, you know, and, and the way
- 27:08that people can think about that is, you know, how can we remove
- 27:14having a computer in the patient clinic room?
- 27:18Like let's just take it out because it gives space, it
- 27:21allows for a better dialogue. There's not a computer in
- 27:26between the provider and their patient, which means you need to
- 27:30have more listening devices. We call them ambient listening
- 27:35devices. And or we looked at things like
- 27:40a digital whiteboard, for example.
- 27:43Well, bringing identity into that, how do you authenticate
- 27:47those devices with the person in the room or the person
- 27:53interacting with the whiteboard? Because I can't imagine them
- 27:57like typing a username and password.
- 28:00They need to be able to authenticate some other way.
- 28:03So trying to to imagine how do we enable AI and also imagine
- 28:12how we change the way that we've done some traditional
- 28:15authentication pieces to be able to, to meet really bad
- 28:20experience that we're trying to deliver in the future.
- 28:23And this could probably give rise to new form factors for
- 28:26identity. You talked there about like the,
- 28:28the the whiteboard, right? And I was like, well, how the
- 28:31heck do I know who's writing on the whiteboard?
- 28:33And I was like, well, what if every doctor or nurse had their
- 28:36own pen that was assigned to them?
- 28:38And it's tracking what pen wrote on what device, right?
- 28:42Or whatever it may be. I don't know if such a thing
- 28:44exists, but neither did tablets. Star Trek willed that into
- 28:47existence. Yeah.
- 28:50But in healthcare, here's here's one of the challenges we also
- 28:53face from an identity perspective and that it used to
- 28:57be things like we would deal with doctors giving away their
- 29:03username and password to their nurses so that they can put in
- 29:06their orders for them. Today, we use things like
- 29:10badges, right where in the morning you type in your
- 29:13username and password and then you can use your badge
- 29:17throughout the rest of the day. And now then we're dealing with
- 29:19badges floating. And Jeff, I love the idea of a
- 29:22pen. I can only imagine where those
- 29:24pens. And so, I mean, you're right, we
- 29:28do have to imagine differently and also recognize the
- 29:32complexities of the environment in which they're in that are
- 29:35going to make some of that imagining a little bit
- 29:38challenging. Shawna, I'm trying, I'm trying
- 29:41to make it better. But.
- 29:42Like, these are the conversations like we have to
- 29:44have, like, all right, well, yeah, of course it's gonna be
- 29:45bad sharing. I mean, I used to work in the
- 29:47logistics part of IEM, shipping out those stupid RSA tokens, and
- 29:50that was a real nightmare. So, you know, anything where a
- 29:53person has to have possession of something involves logistics.
- 29:56And that is just a real operational headache if you're
- 30:00not prepared for it. I want to go back to something
- 30:02you said earlier, and this was about upskilling around AI.
- 30:07And I think this is a question that I would like to get in more
- 30:10with you here is, look, everyone's talked about AI and I
- 30:14think there's a, a genuine concern of AI is going to take
- 30:17people's jobs. How do people, especially in the
- 30:21security space, identity space that we're talking to here,
- 30:24right? How?
- 30:25What are the types of skills that they should be learning to
- 30:28try and stay ahead of that? I think and in my opinion, you
- 30:33know, I, I hope what people can take away from that concern of
- 30:40I'm going to lose my job is I'm not going to lose having a job.
- 30:47I might lose what I do today, right?
- 30:49Like, maybe I don't do those manual monotonous tasks that
- 30:54I've been doing day-to-day. Maybe I get to offload that and
- 30:59I really can do higher level work that I didn't ever have
- 31:04time to get to before. And I think if people can
- 31:08embrace that change, which can be very challenging, but if they
- 31:16can, I think the opportunity is there for people to grow in ways
- 31:20they probably couldn't imagine before.
- 31:23You know, I think in the identity space, there's so much
- 31:27opportunity to dig into risky behaviors and things that are
- 31:32happening in the organization and people asking questions and
- 31:36doing things about that. But maybe that wasn't their role
- 31:38before. But if they had the capacity to
- 31:40do it and maybe the interest, I think there, there could be a
- 31:46lot more that we can accomplish if people will take that on.
- 31:51I don't see it as any different as other kind of shifting
- 31:53technologies, right? The Internet, you know, everyone
- 31:56carrying a phone now has like all the information in the
- 31:58world. I mean, heck, YouTube has all
- 32:00the instruction manuals you could ever possibly want for
- 32:02anything and more being built all the time.
- 32:05The the idea of there will I I certainly think that there will
- 32:09be some disposition of kind of work.
- 32:12But when I've gone through this process, IGA, identity,
- 32:15governors, administration, I remember deploying that, you
- 32:18know, several years ago, decades ago now, I guess at this point,
- 32:21and there was a real fear, oh, that's going to take my job,
- 32:23right? Because I'm used to creating
- 32:25Lotus Notes IDs and RACF accounts and Active Directory,
- 32:28right? And all this other stuff.
- 32:29But that's not what actually happened.
- 32:31What happened was exactly what you just said.
- 32:34My team went from being administrators to being
- 32:38analysts. And it was a different mindset,
- 32:41a different shift in how we approach the job.
- 32:43You know, the people who were more interested in just kind of
- 32:45stamping up the next widget, you know, definitely struggle with
- 32:48it more. But the people who are actually
- 32:49interested in learning more about security and the things
- 32:52that we're doing that I am actually now had time instead of
- 32:55having to create the 80th Florida's notes account that
- 32:57they had to do that day or ticket that came in.
- 33:00So I definitely agree with that sentiment of like, OK, stay on
- 33:03top of it and just think about how much more efficient all of
- 33:05us are with even just the basic tools that are out now.
- 33:07And this is the worst it will ever be.
- 33:09It is continually getting better, scarily good.
- 33:12Almost every day there's some, you know, some sort of
- 33:15improvement. It's like, Oh my gosh, OK, now I
- 33:17can do that. OK, let's figure it out.
- 33:21That's right. And but I think it really is a
- 33:22mindset, right It, I think there are plenty of people today who
- 33:28have and are embracing that mindset.
- 33:30And then I think there's an A subset who have to, who have to
- 33:34and will turn that corner. And then there might be some
- 33:38people who don't. And you know, of course, that's,
- 33:40that's the group that I worry about the most.
- 33:42But the reality is, if you can, you can embrace it.
- 33:47And I think really it's better for you as well as the
- 33:51organization and really kind of all of us at a whole.
- 33:56I do think there's some caveats to that, though.
- 33:58I think that, you know, we, one of my concerns from a sea soap
- 34:03perspective is, you know, we have to continue to be resilient
- 34:08and then healthcare that that means we always assume as we're
- 34:12bringing in new technology and even just within our own
- 34:15network, we have to assume the worst will happen and we need to
- 34:19be prepared for when that happens.
- 34:24And so we spend a lot of time talking about resiliency and
- 34:27investing in things like, well, what happens if we do have a
- 34:30major cyber attack and what's our downtime for that?
- 34:34And I want people to think about AI with the same resiliency
- 34:38mindset of how do we operate when it's not there, right?
- 34:43Making sure that people are maintaining that level of
- 34:47understanding and cognitive thinking capabilities so that in
- 34:51the event it isn't there for them at the moment, they need
- 34:54it. Like we can still get through
- 34:56the things that we need to do, albeit differently, slower, you
- 35:01name it. But the skills to to do that are
- 35:05still important. OK, so I don't want to be the
- 35:09rain on the parade guy, but I think the positive message to
- 35:14people ought to be, well, you're right, AI could take your job.
- 35:19You better learn AI because there's some people who are
- 35:23going to still be needed. Here's the reality.
- 35:26It's like, Jeff, I know you are one of the biggest AI bulls.
- 35:30I know you just compared AI to IGA.
- 35:35When we get to super intelligent AII mean it's all bets are off.
- 35:41I mean, it's going to be able to do things that we can't even
- 35:44comprehend right now. So 5-10 years down the road,
- 35:47like you better really adopt AI and know how to get the job done
- 35:53with AI as it is today and keep up with it.
- 35:56We're, we're entering a new phase of this kind of work that
- 36:00we do. People are still going to be
- 36:02required for some time to come. But I think like any kind of
- 36:07manual tasks or implementing software, writing software, I
- 36:13don't think that that's going to be a job 510 years from now.
- 36:17I think it's going to implement itself.
- 36:20There's lots of jobs that'll change, right?
- 36:21I think we see like, you know, development.
- 36:23We've been teaching and telling people for the last decade, hey,
- 36:26go to school and learn to code and you'll always have a job.
- 36:28Well, guess what? Now code is developing stuff.
- 36:31And I'm building Python apps in my spare time on the weekends
- 36:33just to try out AII don't know the first thing about Python,
- 36:36but I've got functioning applications.
- 36:38So, you know, there's, there's that there's, there's just so
- 36:42when I talked about the IGA shift, I just thought of it as
- 36:45that same mindset of, OK, it's automation AI the other day is a
- 36:49lot of it is automation. It's a repetitive task.
- 36:51It's searching the Internet, it's surfacing information, all
- 36:54stuff that a human can do. And I think Shawn out to your
- 36:57point, what we can't have happen, and this is kind of over
- 36:59the Idiocracy moment, it's like, well, it has ultra lights.
- 37:01It's OK. Well, you know, we still have to
- 37:03know our content. We have to know our subjects.
- 37:06We have to be able to still operate in the absence of AI
- 37:08because I can't imagine an acceptable answer would be, hey,
- 37:12I'm here in the, you know, the emergency room and well, we were
- 37:16going to operate and save your life, but we can't because the
- 37:18computer's down, you know, or the A is isn't working.
- 37:21Like that's not going to be acceptable.
- 37:22So translate that to any number of, you know, business
- 37:25applications, even just outside of healthcare, and there is
- 37:28still, you know, room for humans to be part of this.
- 37:31But I think it does challenge us to stay on top of it because you
- 37:35always need to Fact Check it and, and things like that.
- 37:37I think that leads me to my, my hopefully.
- 37:40I think my final question for now on AI for you, Shawna, is at
- 37:45what point do you as a CSO trust AI to make decisions about your
- 37:52security infrastructure? Because I think this is an area
- 37:55that a lot of security vendors are going is they're saying,
- 37:57hey, guess what? Our, our firewall, our access
- 38:00management platform is now 100%, you know, more AI and it's zero
- 38:04trust and blah, blah, blah, right, all the buzz terms.
- 38:06But one of the things we're trying to do is really set it up
- 38:09in a way where the AI is making the decisions on the
- 38:12configurations of your security tools.
- 38:14So I'm going to ask you as a Siso, when do you start to
- 38:20accept that that is a reality and establish that trust that
- 38:24you are OK with that kind of thing?
- 38:27Well, we don't trust our technology today and we don't
- 38:33even trust today. We have incredible partners and
- 38:40we're very limited in what we'll let them do, mostly because we
- 38:46are in healthcare and lives are tied to those decisions.
- 38:49And so I think for us to get there, we would first of all
- 38:54have to have incredible data, Like the data needs to be spot
- 38:58on that would tell the AI agent whatever is making decisions,
- 39:08the risk associated with those decisions.
- 39:11I don't think that I know for a fact we don't have that data
- 39:16readily available today. It takes a human going and doing
- 39:19that digging in order for us to get there.
- 39:21So the when answer is, I can't give you a timeline, but I can
- 39:26tell you that I would have to put significant effort and
- 39:30investment into making sure that the data quality was good enough
- 39:36to even start the dialogue. So that that for us would be a,
- 39:40a big part of that. And not to mention, you know, I,
- 39:43I, I talk about the data, but it's, it's the, the people.
- 39:49I mean, we, we are people who everyone who works in
- 39:53healthcare, at least here at Saint Luke's, we care, we care
- 39:57about the mission, we care about the people, which sometimes
- 40:01translates to, yeah, we don't trust you and we don't trust you
- 40:05because, you know, that's, that's our lives on the line.
- 40:10And so I think there's a mindset shit too that would need to
- 40:14happen also with time gaining trust.
- 40:17And just using AI, right, even before we allow it to make
- 40:21decisions. But hopefully, you know, there's
- 40:23some progression to that. And are there some lower risk
- 40:25things we can start practicing with, start really kind of
- 40:30understanding where, where can we start piloting it, accepting
- 40:35the outcomes, right? Where can we get to a point
- 40:38where humans maybe aren't always in the loop?
- 40:41Not on the healthcare side, of course, but really more on the
- 40:45cybersecurity side. I have to to work on what those
- 40:49use cases might be. But in terms of those bigger
- 40:53decisions, the data just isn't there yet.
- 40:57So Shawna, one of the things that Jeff kicked off the whole
- 41:01conversation with was you starting out or you being a
- 41:06manager of budget and access management.
- 41:08Now you're the CSO. One thing that I can tell in
- 41:12this dialogue that we've had over the past half hour was you,
- 41:17like other Citos, talk about risk.
- 41:19You learn the language of risk, which I think translates what
- 41:23you do into business speak that the senior people understand,
- 41:28like here's the risk, cybersecurity risk and how it
- 41:32affects the organization. It's gonna be a tough question.
- 41:36How did you learn that? What is your recommendation for,
- 41:40you know, upwardly mobile people in the identity access
- 41:44management arena to learn to speak the language of risk?
- 41:48I learned the language of risk and accounting.
- 41:51You know, I think when I joined the cybersecurity team and
- 41:56certainly when I started leading the cybersecurity team, I looked
- 41:59at my background, my lack of technical background to be
- 42:04specific, as a complete downside to what I had to offer.
- 42:09And it took me years to realize it was actually my strength.
- 42:13It took me a long time to realize that that ability I had
- 42:17to speak the business language was exactly what I needed to
- 42:22lead this team. And for those who don't have the
- 42:26opportunity right to, to start an accounting, because most
- 42:29today, they start right in cyber, right?
- 42:31That's, I think the difference in what we see in Cisos today
- 42:34versus maybe what we'll see in Cisos in the future is that many
- 42:38of them will start their careers in cyber.
- 42:41They knew it's where they wanted to be.
- 42:42It's where they'll grow up. I think there's so much benefit
- 42:45not always having a career in cyber.
- 42:48I think having experience in other places in the organization
- 42:52and the other industries is significantly helpful to be able
- 42:57to speak business, like not only living in cyber, living outside
- 43:01of cyber #1 like advice of learning to speak business.
- 43:06But then beyond that, I think it has to be really an intentional
- 43:09effort. And for us and healthcare, it's,
- 43:13it's going and experiencing what our caregivers are experiencing,
- 43:20right? It's putting ourselves in those
- 43:21shoes to make sure that you understand the challenges that
- 43:26they face, the decision that we potentially are making that
- 43:30impact their workflows. You can't do that without being
- 43:33in their shoes. And it means going and being
- 43:35physically present with them to get that.
- 43:38So those would be some of the recommendations I would make,
- 43:42but they they have to be intentional.
- 43:44So I want to take that and kind of turn it into making the
- 43:49business case for identity. So a lot of folks who are
- 43:53listening, identity practitioners are needing to
- 43:56make the business case. I always learned there are three
- 43:58ways to speak the language of business making a business case.
- 44:02It was increased revenues, reduced cost or managed or
- 44:07reduced risk. Usually cybersecurity leaves you
- 44:11only with that third option. Is that, does that ring true to
- 44:14you or or how what are the major factors when you're making a
- 44:18business case? I think it depends on the
- 44:22industry. Like here in here in healthcare,
- 44:26the language that we speak in terms of risk often like our
- 44:30number one always is patient safety, right?
- 44:34So to have a conversation and to speak business in a way that
- 44:39physicians, nurses understand, it's you need to communicate in
- 44:45the way in which matters to them.
- 44:47And for them it's patient safety.
- 44:49If I'm talking to the CFO, certainly the CFO will talk in
- 44:52terms of revenue and cost. But at that CFO has the same
- 44:56language mindset I do. But at the end of the day, we're
- 44:59a health system and we're here to keep people safe and keep
- 45:02them healthy. So it's it's that that is a
- 45:04universal language to us. It's not just dollars, it's it's
- 45:08what matters to our core mission, which is taking care of
- 45:12people. So I think you have to
- 45:13understand that, right? You have to understand what is
- 45:15your industry, what matters. Dollars are universal across all
- 45:19of them and certainly is helpful.
- 45:21I don't know that risk is, I'll be honest with you, I think that
- 45:24there's a level of maturity that organizations have to have to be
- 45:28able to have conversations about risk and what that means in an
- 45:32enterprise level. You can try, but it doesn't
- 45:36always resonate. And so I think part of that is
- 45:40just having that understanding of your organization and the
- 45:44industry that you're in in order to be able to facilitate those
- 45:49conversations. So you're probably prioritizing
- 45:52different budgets and asks, right, for different security
- 45:56paraphernalia, we'll call it. Take me to the mind of your sort
- 46:00of internal throughout process because everyone's fighting for
- 46:02money. And so how do you say, OK, well,
- 46:05here's the projects we're going to fund this year based on this
- 46:07budget we're expected to have. And of course, as soon as you
- 46:10put it down, right, things will change in the real world and you
- 46:11have to adjust. But that initial thought process
- 46:13of, OK, is this the year of MFA? We're going to get it done.
- 46:17Is this the year of Pam? Is this the year of Nope, We've
- 46:19got to shift some identity spends for projects to some
- 46:23other part of security. Talk to you about how you go
- 46:26through that sort of that that mental gymnastic routine to try
- 46:28and juggle all that. Yeah.
- 46:31I, I, I think for us, certainly we would, we would take into
- 46:36account everything that we're aware of.
- 46:40To your point, Jack, in this moment in time, knowing that
- 46:43will change, right. What are the, what are the
- 46:45findings we have, What are the threats that we're facing?
- 46:50And then really compare that with what's the value of the
- 46:56investment. I think is is really important
- 46:59because we can go buy a bunch of tools or one, do I have the
- 47:04staff to fully implement and take advantage of that
- 47:07technology? And two, is it even going to
- 47:11move the needle as much as some of the work that might not
- 47:16require investment in new technology, but really just
- 47:19clean up of existing technology, really like the non sexy work,
- 47:23but maybe that moves the needle further.
- 47:24And in order to do that assessment, I think a big part
- 47:27of that is what are the risks that we're facing?
- 47:30What are the attack vectors that we're seeing?
- 47:33And then what's our what's our vulnerability to those within
- 47:37Saint Luke's? And as you guys know, like
- 47:40social engineering is one of the biggest threats overall.
- 47:44You know, you that is not Healthcare is certainly
- 47:48certainly a big, a big part of that.
- 47:50And so it's asking ourselves the question if, if one of the
- 47:52things we're going to continue to focus on is social
- 47:55engineering is the biggest bang for our buck.
- 47:58Bringing in, I mean, MFA is already there.
- 48:01It's, it's a non negotiable, you know, but bringing in better
- 48:05identity verification technology or can we do better identity
- 48:10verification processes, right for lower dollars or can we rely
- 48:16on education and awareness? So it's, it's really being
- 48:20intentional about bringing the risk to an acceptable level for
- 48:25the investment and knowing that that decision might be good
- 48:32enough for now and maybe you revisit in another quarter
- 48:35because the threat vector has changed or maybe you need to
- 48:38make another decision around that.
- 48:39But for us, we have to we have to balance all of those things.
- 48:45And here in healthcare, one of our strengths is that we have
- 48:51really caring people who, who find their way into the
- 48:54healthcare industry, which also means they're very vulnerable to
- 48:58things like, hey, can you help me?
- 49:00I'm a student and I would really love you to look at my resume.
- 49:04Or hey, like those typical fishing type of things that just
- 49:08like tug on people's heartstrings.
- 49:10Like healthcare people really, you know, wanna help and are,
- 49:16are hugely vulnerable. And so understanding what is the
- 49:23best way to combat that and taking a taking a look at it's a
- 49:28technology, is it process or is it really just training the
- 49:33people, for example? I love that answer and I I
- 49:37really like that you talked about non-technical things too,
- 49:39because you got things like, you know, hygiene is what I'll call
- 49:42it, cleaning up your Active Directory, cleaning up things
- 49:44like that. And I'll disagree.
- 49:46I think anything to do with I am a sexy, maybe not sexier than
- 49:50other things, but still sexy. Keeping a nice tight, tidy
- 49:55Active Directory or you know, universal directory, or you
- 49:59know, name your product, right? Whatever it is.
- 50:01That is all stuff that pays you, pays you back over time because
- 50:05it reduces license counts, it reduces risk for accounts right?
- 50:08Being compromised if you ever decide to shift to some other
- 50:12product now you've actually got a clean environment or cleaner
- 50:15environment than if you hadn't done that clean up.
- 50:17So I think that is an often overlooked part of running an
- 50:20IAM program is hygiene. And so I I'm really happy that
- 50:24you mentioned that. So kudos.
- 50:26Yeah, but but Jeff, keeping out of a tight act of character is
- 50:30not sexy. I'm sorry.
- 50:33We just. Disagree.
- 50:34Disagreement is great, but what we found we, we brought in one
- 50:40of our interns recently to help us with some of this Active
- 50:43Directory hygiene, Jeff, that you would enjoy.
- 50:47But what we found, we assumed right.
- 50:50Oh, this is just really like not fun work.
- 50:54He's out there trying to find owners for groups and whatever
- 50:57he came in with the lens of this is like investigation work and
- 51:00this is really cool. Like he's having a great time
- 51:02with it. So you're right.
- 51:04I think it, it can be really interesting and really cool.
- 51:10At the end of the day, it it moves the needle a ton right in,
- 51:14in that, that, that clean hygiene.
- 51:17It's a lot of work. But for us, it's been a really
- 51:20good source of investment of time and resources because we're
- 51:25not having to necessarily buy new technology and yet we are
- 51:29significantly reducing risk. Hey, what better way to meet the
- 51:33business and form relationships than try to find out?
- 51:37Hey, Jim, do you know who this account belongs to?
- 51:38Is this yours right now? You're out there, you're meeting
- 51:41people and you know you're you're the face of I am who
- 51:44knows you become the mayor of I am town, whatever that looks
- 51:46like for your organization. I want to ask you one final
- 51:49question here and this is kind of to close things out is let's
- 51:52put on our prognosticator hat and say, OK, so what's coming up
- 51:56in the next three to five years? Is there an emergency emerging
- 51:59challenge on some sort of technology or some sort of, you
- 52:03know, business reality especially and want to hear
- 52:06about the healthcare side, is that you think is going to be
- 52:08very impactful? Is it AI or is it something else
- 52:11or is it a combination of things that that you're kind of
- 52:13thinking about? Oh, we got to.
- 52:15We got to prepare for that. Yeah, I think AI will be a big
- 52:19part of whatever that looks like.
- 52:21I think for us it's a combination of how do you
- 52:26imagine delivering healthcare in ways we didn't before?
- 52:30For example, you know, one of the things that we're looking at
- 52:33today is how do you deliver an inpatient or hospital like level
- 52:40of care in somebody's home, right?
- 52:42And, and that helps us reduce the number of people in beds in
- 52:48our hospital. It helps reduce the cost of
- 52:50care. And ultimately there's better
- 52:52outcomes for patients in the data if they're at home rather
- 52:56than if they're in the hospital. And so, but today that's still
- 53:00pretty resource intensive and nurses or MAS or others having
- 53:07to go to the patient's home. So imagine kind of really the
- 53:11future of that if you can in bed the right type of technology
- 53:15into the patient's home and have kind of the virtual care options
- 53:21monitoring that patient more closely or or really helping
- 53:24kind of deliver that care. I think our ability to expand
- 53:29the capacity of care really is going to completely be limited
- 53:35on what we can imagine from a technology augmentation
- 53:38standpoint. AI will be a huge part of that.
- 53:41The, the devices of course will be a huge part of that.
- 53:44And then as we mentioned earlier, the identity components
- 53:48and being able to enable that in a secure way of course is going
- 53:51to be huge as well. So for us, it's, it'll always
- 53:55come back to how do we expand safely our capacity for care and
- 54:03provide a better physician experience, nurse experience and
- 54:09and ultimately patient experience.
- 54:11I think all of that is, is to come.
- 54:15I think it's really exciting to imagine and I just want to make
- 54:19sure from a security perspective, we're there to
- 54:21enable it. That sounds like a whole lot of
- 54:24identity management coming down with devices in the field and
- 54:28you know, non human identities, machine identities, whatever you
- 54:30want to call those, plus the actual people part of it.
- 54:33I really appreciate appreciate you taking the time with us
- 54:35here. I do want to ask you one final
- 54:38super relevant question as we end here on a lighter note.
- 54:41If you are a potato, how would you be prepared?
- 54:44I love this question and you, you mentioned Jeff in your
- 54:48intro. I'm in Idaho, right?
- 54:50I and everyone knows Idaho is known for Idaho potatoes.
- 54:54So I think this is a particularly relevant question
- 54:56for me. What I didn't share in my
- 54:59background is that I grew up my my grandparents have owned a
- 55:06family traditional diner for 50 years now.
- 55:12I grew up working in a diner and the the things that I think
- 55:18about in working there and craving the food from there are
- 55:22homemade French fries. My like fresh homemade with fry
- 55:27sauce. I don't know if you guys do fry
- 55:29sauce, but fry sauce is a big thing here.
- 55:32So if I were a potato and I would want to be prepared in the
- 55:37form of homemade French fries because I think about the
- 55:40feeling I have in wanting, you know, just good, like soul food
- 55:46or food that makes me feel connected with people and
- 55:51memories is homemade French fries.
- 55:53See now, Shawna, I knew I liked you.
- 55:55I knew we had a connection here because you mentioned, you know,
- 55:58the food service background. I spent 10 years in food
- 56:01service. So everything's listening to
- 56:03serving, bartending, managing even before actually a little
- 56:06bit parallel before I moved into IT.
- 56:07But so I knew and I think everybody should have to be a
- 56:11server at some point and and and learn, you know, how to interact
- 56:16with people. But that is such an interesting
- 56:18answer. So describe to me the home
- 56:20French fry. Is it a thick cut?
- 56:22Are we talking like tater tots? Like help me understand here.
- 56:26You know, the French fry experience that you're
- 56:28describing. Yeah, I think it's, it's not so
- 56:32thick that it's considered a steak fry, but it's not your
- 56:36like really thin fast food French fries.
- 56:41It's greasy, right. Like they're literally they're
- 56:45they're chopping them. They store them in buckets all
- 56:48day in water so that when you grab them, you drop them in the
- 56:51fryer. They come out like just covered
- 56:53in grease and so. What's a health food?
- 56:58It's so healthy, which is why it tastes so good and can't have it
- 57:03all the time. But but it it, it's just, it's
- 57:07what the food I think brings back in terms of how it makes
- 57:12you feel in the memories for me is that's where I would where
- 57:16I'd land. So I've, we've asked this
- 57:19question a few different times and my answer in the past has
- 57:22been potatoes au gratin. And I tip.
- 57:24I'll stay with that. Look, I, I don't discriminate.
- 57:25I'll eat pretty much any potato as long as there's no sour cream
- 57:28on it. That's not my jam.
- 57:29But potatoes at large are good. Jim, how would you like to be
- 57:34prepared as a potato? OK, let me first start by saying
- 57:38I love mashed potatoes. I love baked potatoes.
- 57:41I love twice baked potatoes. I love fries.
- 57:46I would not want to be have my skin peeled off and thrown in
- 57:50boiling water. I would not want to be shoved in
- 57:53an oven for an hour, and I would not want to be thrown in boiling
- 57:57grease. So I wouldn't like to be
- 57:59prepared in any of those ways. But I'd like to be as forgotten
- 58:03about in a dark closet. And I like to have those little
- 58:06green things growing out of me. And someone would look at me
- 58:09like, oh, that's gross. I throw me in the compost pile
- 58:12and let me just sprout other potatoes.
- 58:17Can I ask you a question, Jen? Yes.
- 58:21I have a theory. When you were growing up.
- 58:25So, Jeff, you already confessed you were you you served in
- 58:28restaurants. You've already answered my
- 58:30question. Jeff, when you were growing up
- 58:32or Jen, when you were growing up, did you work in restaurants,
- 58:36customer service, or did you mow lawns?
- 58:40No. I worked at a my first job was
- 58:42at a gas station, gas station. So customer service facing
- 58:46that's all right. Maybe you've had enough of that
- 58:48customer service. I had this theory than IT.
- 58:52Most of us either worked in the customer service industry and
- 58:56those tend to be our more external or outgoing kind of
- 59:01folks. And all of the introverts did
- 59:03something like mowing lawns and that it's how you tell the
- 59:07difference. What did you do as a kid growing
- 59:09up at what was the job? I think we might have to add
- 59:12that question into our repertoire.
- 59:14We always start all of our episodes with our first time
- 59:16guests as like, how did you get into the space?
- 59:18And time to time we'll ask the potato question.
- 59:20So the potato question is interesting to me and I and I
- 59:22promised you I would share this when I, when I asked it, we're
- 59:24kind of prepping and I didn't give you a whole lot of preface
- 59:26other than here's what I'm going to ask you.
- 59:28Just, you know, be prepared. I've seen a bunch of different
- 59:32answers around this. The most common answer is the
- 59:35how I would like to be prepared is what I enjoy the most from a
- 59:40a deliciousness standpoint, right?
- 59:41It's it's the story behind it is what I think tastes good.
- 59:44Or, you know, the memories that you've got right you that you
- 59:46kind of shared. The other part of that is the
- 59:50people who think of the pain associated with how that
- 59:55prepare, you know, for preparation is done.
- 59:56So Jim talked about, yeah, like, you know, doesn't want to be cut
- 59:59up, doesn't want to go into an oven, right, dropped into a deep
- 1:00:02fryer. And so he's not even thinking
- 1:00:04about the positive aspects or the joy that he could bring to
- 1:00:07somebody as a well prepared potato.
- 1:00:09He's thinking about it. And he's not the only one,
- 1:00:11right? And that's, I've asked this
- 1:00:13question so many times. We actually, this came up at
- 1:00:16Gartner last year as part of one of our sessions.
- 1:00:18You know, Rebecca asked us that question.
- 1:00:20I was like, this is a question we asked and so kind of caught.
- 1:00:23Thinking what I've heard also is a little bit of a spin on Jim's
- 1:00:27answer, which he added the sprouting thing and throwing it
- 1:00:31into like a compost pile and making other potatoes.
- 1:00:33I asked my wife this and she came up with a well, I'd want to
- 1:00:36be planted so I could be more potatoes.
- 1:00:39And so now there's like a third thing like, OK, well, I look
- 1:00:42like an idiot. Like, of course, you know, you
- 1:00:43want to like be helpful for other people.
- 1:00:45But so there was the, yeah, the answer of what do you like the
- 1:00:50answer of, well, I don't want to be, you know, killed essentially
- 1:00:54in this brutal fashion. And then a third answer, which
- 1:00:56is the I'll call the nurturing, life giving life, you know,
- 1:01:00caregiving type of answer where it's like, OK, yes, plant me and
- 1:01:04make me more potatoes. And I noticed Jim snuck that
- 1:01:06last part in there that was not there originally.
- 1:01:08Jim, when you, when I first asked you this like maybe I
- 1:01:10don't know, a year and a half or two years or however long it was
- 1:01:12three years ago? Yeah, I didn't realize I was on
- 1:01:15the psychology chair. I just Yeah, you're right.
- 1:01:19My, my, my main goal is not to be thrown in boiling oil or in a
- 1:01:25500° oven. You're right.
- 1:01:28That is my main goal. And.
- 1:01:31And people feel so good, right? Like there's just not my role on
- 1:01:35the show, Sean. My, my role on the show is to
- 1:01:39bring a dose of reality. At least that's what I see
- 1:01:42today. All right, well.
- 1:01:45Shawna, I hope to meet up in person at some point.
- 1:01:48And you know, we can. I, I, we didn't even get to the
- 1:01:51fry sauce. The only fry sauce that I'm
- 1:01:52aware of would be like ketchup. And you know, Mayo is big in
- 1:01:56Europe. I definitely don't subscribe to
- 1:01:57that idea, but I would like to understand more about the whole
- 1:02:01fry sauce fry sauce concept. At some point those things
- 1:02:03brought together fry sauce and mayonnaise mixed together mixed
- 1:02:07fry sauce. I'll try anything once.
- 1:02:10That's about as far as I'll. Go ahead.
- 1:02:11I want to hear. I want to hear what you think.
- 1:02:14All right, we'll go ahead and wrap it up this week for
- 1:02:16everyone here. I'll have a link to your
- 1:02:18LinkedIn profile in our show notes.
- 1:02:19So if people have, you know, questions about healthcare, I am
- 1:02:22security fry. Soft suggestions.
- 1:02:25I would say please don't send her resumes to review because
- 1:02:27she probably won't click on that link, which as she shouldn't,
- 1:02:31but I'll have that in our show notes.
- 1:02:32And then yeah, so with for us, you know, make sure that's you,
- 1:02:36you like subscribe, we're on the web, IDC, podcast.com.
- 1:02:38Don't forget all of our discount codes are on that home page.
- 1:02:41There won't make it real easy for people.
- 1:02:43And appreciate everyone watching and or listening.
- 1:02:46And we'll talk with you all in the next one.
- 1:02:50You've been listening to Identity at the Center.
- 1:02:54We hope you've enjoyed the show. Make sure to like, rate and
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- 1:03:06See you next time on Identity at the Center.