Latest / Becker’s Healthcare Digital Health + Health IT / Dr. Mark Mabus, Chief Medical Informatics Officer and VP of EHR at Parkview Health

Transcript

Dr. Mark Mabus, Chief Medical Informatics Officer and VP of EHR at Parkview Health · Becker’s Healthcare Digital Health + Health IT

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  Philips is a health tech leader focused on
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  innovation that improves the health and well-being of
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  people. Our health care technology and informatics solutions
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  help care teams diagnose, treat, and manage more
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  patients with greater precision, speed, and confidence across
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  the care journey. With Philips, clinicians are empowered
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  with streamlined insights in the moments that matter
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  for every patient. Better care for more people.
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  Philips.
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  This is Gracelyn Keller with the Becker's Healthcare
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  Podcast,
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  and I am excited today to be joined
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  by doctor Mark Mavis, who is the chief
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  medical informatics officer and the VP of EHR
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  at Parkview Health. Mark, thanks for joining me.
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  We'd love to have you start off by
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  introducing yourself and sharing a bit more about
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  your background and your role.
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  Thanks for having me.
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  Yep.
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  As mentioned, I'm, doctor Mark Vebas. I am,
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  family medicine and clinical informatics,
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  board certified. I've been a been a doc
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  for over, 15 years at Parkview Health.
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  And I am the chief medical informatics officer,
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  which means that I help with,
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  provider efficiencies
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  and some tech projects, you know, clinical decision
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  support,
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  reducing
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  note bloat or documentation burden reduction, we're gonna
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  call it now,
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  and also,
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  lead our extensive epic. Everything clinical and revenue
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  cycle,
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  for our, Epic EHR,
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  reports up through me. So,
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  working with our,
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  with our clinicians
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  and our staff to, make Epic the best
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  it can be at Parkview Health.
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  Wonderful. Well, thank you for joining me. And
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  let's start by talking about
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  AI adoption. This is exploding in health care.
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  So in your view, what is the most
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  significant or promising application of AI technology right
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  now, and how is that informing your organization's
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  innovation strategy?
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  Sure. AI is, being,
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  tested out in so many different areas of
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  health care. Mine from a,
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  a provider
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  standpoint and an efficiency standpoint.
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  My big, area that I focused on that
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  helps providers right now is ambient
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  technology. You know, the technology
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  where you can pull out your cell phone,
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  start the app,
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  and,
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  have it listen to your patient encounter and
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  transcribe all of that into a,
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  cohesive bit of documentation.
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  You know, the Ambient vendors have been around
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  for the last couple years, and the functionality
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  within Ambient keeps growing as well. It's not
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  just for progress notes. It writes some of
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  the best progress notes out there. I know
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  my nurse herself says your progress notes look
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  better when you do the ambient.
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  But then also, you know, being able to,
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  you know, improve efficiencies in other ways, like
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  queuing up diagnoses
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  or orders,
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  just making that whole
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  documentation
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  experience that a provider has had to do
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  as a data entry specialist for the last
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  20 years, taking that out of their hands
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  and getting providers back to where they're more
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  comfortable
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  in treating that patient, that one
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  person that's right in front of them, connecting
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  with them.
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  I think it's such a great use of
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  the technology to,
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  empower providers to do what they wanna do
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  and help people, not be a data entry,
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  person. Yes. Of course, there's other areas that
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  AI can, you know, help out. But, you
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  know, that one is is is key for
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  for me and my providers,
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  getting them efficient and getting those,
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  people connection, you know, that, that really,
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  fills our tank. You know?
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  Absolutely.
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  And kinda going off of that, on a
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  daily basis, health care leaders are managing greater
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  volumes of data
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  and more devices across a growing number of
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  care settings and populations.
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  So this is a complex environment,
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  and I'd love to know what clinical data
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  integration tools or practices
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  you're seeing drive improvements in patient outcomes and
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  operations.
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  And can you share an example of this?
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  Data is is key to managing
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  your health care organization on a on a
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  on a individual patient level, but then also
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  on that population health level and then, you
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  know, as as a system, you know, and
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  how you interact with all the different areas
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  in the health care, sector. So,
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  one of the one of the key kind
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  of focuses that we've done at Parkview more
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  more recently is is trying to get more
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  discrete data, you know, in some type of,
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  you know, clinical repository
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  that we can, you know, run multiple different,
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  clinical intelligence and business intelligence metrics off of.
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  You know, everybody's trying to
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  be properly
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  compensated
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  for
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  the level of
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  different coding and, insurance and regulatory,
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  factors that go into that complex system that
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  is payment in the health care system. You
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  know, can we get more data to accurately
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  reference, you know, how,
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  a patient actually looks, you know, comparing it
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  to real life in in the computer and
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  all that data? You know, we've had some,
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  initiatives
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  at Parkview that look at,
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  the,
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  MCCs, HCCs,
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  risk adjustment factors,
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  the those clinical
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  indicators of the patient.
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  Different initiatives for better documentation on the provider
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  side,
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  help on the coding query side, you know,
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  through clinical documentation,
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  even throwing in some AI in this air
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  arena too. You know, looking at the, professional
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  billing claims and and hospital coding, you know,
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  are we capturing all of those, discrete little
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  nuggets of data that can help,
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  like I said,
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  accurately represent the complexity of a patient that
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  can therefore be translated
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  into all those different initiatives,
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  whether it's
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  for for reimbursement or for for population health
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  care gap closure,
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  all those things that make health care so
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  complex.
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  You know, work on it from a provider
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  standpoint in their day to day workflows, but
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  then also
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  encourage and empower your, your teams that work
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  in the background to make this work as
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  well.
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  A 100%.
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  And
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  how can health care organizations
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  better support both IT and clinical teams as
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  they carry out innovation efforts, and what are
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  some common pitfalls you've seen here?
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  Definitely, this is an area that everybody always
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  needs, you know, help with, I think.
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  There
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  are ideas
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  that come in from all different sites,
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  but you have to have great communication
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  between IT and the clinical,
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  teams. That's where informatics
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  certainly can help out, can help bridge that
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  gap between true clinical and true IT.
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  You know, look at those workflows.
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  Look to see what,
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  can be improved,
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  and brainstorm
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  on those,
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  ideas. You know, that's where that innovation,
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  comes in. You know, common pit pitfalls
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  are things like, implementing
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  without properly testing,
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  you know,
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  in in making someone do a completely
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  different workflow
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  just to achieve,
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  you know, someone else's goal. You know, if
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  I have to do something completely different to,
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  code a certain way, I'm gonna be more
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  resistant as a clinician to do that. It's
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  gonna take more effort, and they'll be more
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  resistant. So,
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  can can informatics bridge that gap,
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  and kind of meet the 2 in the
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  middle and figure out, you know, what is
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  that best workflow to achieve things? And and,
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  yeah, it could be innovation in workflow design.
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  It could be innovation in software design,
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  or could be some brand new, you know,
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  element of technology that we haven't, thought about.
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  I'm really thankful for
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  informatics
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  kind of filling that role,
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  and,
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  being so engaging
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  and, willing to,
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  know, help make
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  everything
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  all those different parts connect and work to
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  the best of, the,
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  needs for for each side, IT and clinical.
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  Wonderful. And then as we wrap our conversation,
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  I would love to know your top piece
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  of advice for health care leaders as they
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  prepare
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  for further advancements in technology and greater demands
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  for care.
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  Definitely be open minded,
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  to all those new different possibilities.
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  Don't fall behind
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  either. There's
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  you know, the
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  the the rate of technology explosion
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  just seems to get faster and faster. AI,
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  you you've seen it.
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  What was just briefly talked about, you know,
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  chat gpt a few years ago is so
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  integrated into all these new gen AI tools,
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  and it's becoming faster and faster
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  on, those improvements there too. There's a new
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  model right around the corner. So,
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  being able to keep up with,
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  what those trends are in technologies, what your
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  EHR vendors are
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  providing for you. You know,
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  there there are
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  so many different,
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  avenues of new things. Be willing to try
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  them out.
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  See what works for your health system. You
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  know, don't just do it to to to
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  do it, but do you have a use
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  case for it? You know, it it's not
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  something that IT, like I mentioned,
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  can implement, and the clinician would have to
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  completely change something around. Well, what fits into
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  that clinician needs, or what fits into that
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  IT needs?
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  Is there some area of technology
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  or a new module,
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  that would be helpful for your system? Don't
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  be afraid to
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  to reach out and get things going sooner
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  than later,
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  so you're not, you know, left, cleaning up
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  in in the background. I know
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  there are some things that, you know, we
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  we've been used to doing some things a
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  a certain way, and maybe you just need
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  to be a little bit more open minded
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  as to trying, something a little bit different.
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  Not completely disruptive, you know, but, maybe just
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  a a little bit different can help you
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  and your team achieve their goals
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  a little bit,
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  quicker and more efficiently.
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  Wonderful. Well, Mark, thank you so much for
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  taking the time to join me today on
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  the Becker's Healthcare Podcast and share these thoughts
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  and insights.
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  Thank you for the opportunity. Have a great
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  day.