Latest / Becker’s Healthcare Digital Health + Health IT / Linda Stevenson, Chief Information Officer at Fisher-Titus
Transcript
- 0:00- This is Laura Dedo with the Becker's Healthcare Podcast.
- 0:03I'm thrilled today to be joined by Linda Stevenson,
- 0:05chief Information Officer at Fisher Titus.
- 0:07Linda, it's a pleasure to have you on the podcast today.
- 0:10- Thank you for having me. It's great to be here.
- 0:13- Now I'm looking forward to our conversation
- 0:15and just really diving into more of
- 0:16what you're doing at Fisher Titus and some of the big trends
- 0:19and themes in health it right now.
- 0:21Before we dive into that discussion,
- 0:22can you tell us a little bit more
- 0:23about yourself and your background?
- 0:26- Sure. I have, uh, had the pleasure
- 0:29of being the CIO here at Fisher Titus, which is located,
- 0:32by the way, in Norwalk, Ohio.
- 0:33It's a rural healthcare organization.
- 0:35I've been here for five years
- 0:37and, uh, been in my entire career in healthcare in the
- 0:41Cleveland area at various large and small organizations.
- 0:45Really my passion lies in,
- 0:46in being in the community hospitals
- 0:48and connecting to the patients in the community.
- 0:50So, um, pretty excited
- 0:52that I get to do that here in Norwalk.
- 0:55- Absolutely. And, you know, where does
- 0:56that passion come from for community health and,
- 0:59and really being in a smaller town or providing care
- 1:02and access to the more rural communities?
- 1:06- Well, I think it's too, it's a couple things actually.
- 1:09Um, when you're at a community organization,
- 1:11you have a deeper connection
- 1:13to what's going on with the patients.
- 1:15You're there, you're on site, you see everything.
- 1:18Uh, you get involved with the community in terms
- 1:20of community events and the health of the community.
- 1:22Um, it's also the ability to make change.
- 1:25I think when you're at a smaller organization like the
- 1:28community hospitals, um, we have the ability to,
- 1:32to turn things around pretty quickly and make decisions
- 1:34and make changes as opposed to a larger organization
- 1:38where there's a lot of layers.
- 1:39And while there's sometimes more resources, it's,
- 1:42it's exciting to see how quickly we can do what we need
- 1:45to do to improve things for the patient.
- 1:49- That's such a good point,
- 1:50and definitely seems like, you know, you're able
- 1:52to do a lot there fist titis.
- 1:54So from your perspective, what are the biggest issues
- 1:57that you're following right now, um, in healthcare for 2024?
- 2:02- Oh, gosh, so many of them,
- 2:03but I would say top of mind, uh, we start
- 2:06with the challenges financially.
- 2:08It's a continued challenge for us to survive
- 2:12as a standalone,
- 2:13and we're one of the few in this area,
- 2:15standalone community hospital supporting, um, this area in
- 2:20that our reimbursements are low, the costs are high.
- 2:23Uh, it's a continued effort with every,
- 2:26or every area of the organization to try
- 2:28and find opportunities to improve that.
- 2:30It's also, um, the need
- 2:33and the challenge of finding the right roadmap
- 2:35for technology that helps our patients,
- 2:37helps our caregivers.
- 2:39Um, there's never an end to a need for more technology to do
- 2:43that, whether it's AI or other,
- 2:47and just finding the amount of resources we need to do that.
- 2:52- Absolutely. I can imagine, you know,
- 2:53as you were mentioning, sometimes the bigger health systems
- 2:56and academic centers have the resources to do, you know,
- 3:00more, um, big projects.
- 3:01But being at a a rural
- 3:02and community hospital, you know,
- 3:04it definitely takes a little bit more in order to, um,
- 3:07bring in some of the sophisticated technology.
- 3:10When you're looking at AI
- 3:12and some of the other digital transformation efforts,
- 3:14how do you prioritize
- 3:16and think through, you know, what's going
- 3:17to be most essential for me,
- 3:19especially on a potentially limited budget, um,
- 3:23from the hospital system?
- 3:25- Yeah, I work really closely
- 3:27with the leaders in the other departments.
- 3:29So being a CIO is no longer just managing a bunch
- 3:32of technology behind the scenes.
- 3:33It's, it's much more
- 3:35of a business partnership than it's ever been.
- 3:37We meet on a regular basis to say,
- 3:39what are the challenges you're having
- 3:40and what are the opportunities that I can bring a solution
- 3:44to improve for you?
- 3:47Uh, so we do a lot of that
- 3:48and then bring it all together on the roadmap to say, okay,
- 3:51across the organization, here's the resources I have
- 3:55from a people perspective, and here's how we can
- 3:58and put that roadmap together to get the,
- 4:00the biggest rocks first.
- 4:01Right? We need to solve the biggest problems first so
- 4:04that we can continue to fund other things
- 4:08and continue to improve quality.
- 4:10Uh, and you just have to wait each of those
- 4:12with the leaders coming together at the table.
- 4:14And I think that's been the beautiful thing about Fisher
- 4:16Titus is our senior leadership team works so closely
- 4:19together to align priorities across the
- 4:22board, not just for one area
- 4:27- That makes sense.
- 4:28And it, you know, it is really helpful
- 4:29and encouraging to hear.
- 4:31Um, when you look into the next year,
- 4:32what are you most excited about and what makes you nervous?
- 4:37- Well, the finances make me nervous.
- 4:38Um, but the bottom line is just trying to get, um,
- 4:42as many things automated as possible
- 4:44to reduce the burden on all of the staff is going
- 4:47to be helpful, uh, given that, uh, concern of course.
- 4:52And the next thing is the amount
- 4:54of people I have to do all those things.
- 4:56So, so that's the biggest concern.
- 4:59The biggest opportunities, I think are our ability
- 5:02to make a difference in that automation.
- 5:04Um, helping both nurses
- 5:07and our revenue cycle ease their
- 5:10burden and the work that can be done.
- 5:11And then also, uh,
- 5:13the digital transformation with our patients.
- 5:15Putting the patient at the center,
- 5:17allowing our digital changes to impact the patient,
- 5:20get them more engaged in their care,
- 5:22streamline their ability to come here,
- 5:25give them great access.
- 5:27Um, I'm really excited about that.
- 5:31- Absolutely. That's great to hear.
- 5:32And certainly, you know, a lot
- 5:34to be excited about when you think through, um,
- 5:36the opportunities and how a technology can be leveraged in
- 5:39different ways and, and really automation can
- 5:41support so many different efforts.
- 5:43Um, one of the things you mentioned kind of stood out to me,
- 5:46um, in terms of looking at, you know,
- 5:48having the team in place to do what you need to do, um,
- 5:52how do you think about growing
- 5:53and developing the IT team and capabilities?
- 5:56What do you do in-house?
- 5:58Is there anything that you are outsourcing
- 6:00or partnering with others to, um, try to get done?
- 6:02Um, what's your strategy there?
- 6:06- Yeah, I think that there's a couple of things that we do.
- 6:09I'm, we have, uh, a team of only 40 people,
- 6:12and I, I, they're fabulous.
- 6:16I, you know, I encourage education.
- 6:17I encourage them to do research
- 6:20and we very rarely rely on outside resources
- 6:23because I think that my goal for them is dig in,
- 6:28do the research, figure it out,
- 6:30and then they learn by doing that.
- 6:32Actually there's some of the best resources around in terms
- 6:35of the knowledge of the system, even at the point where some
- 6:38of the vendors look to them to say, how did you do that?
- 6:40Which is awesome. Um, you have to encourage them to say,
- 6:43you know this, you can do this.
- 6:45Give them the education, give them the support.
- 6:47There are times when we need to reach out
- 6:49and do out, uh, use outside resources.
- 6:51I try not to, but we have to occasionally.
- 6:55Um, and then the other thing is, um, looking at
- 7:00training them in areas to support to,
- 7:02for cross training in areas
- 7:04that they don't normally support,
- 7:05which would makes them a more well-rounded resource.
- 7:09- Got it. That makes a lot of sense.
- 7:11And, you know, are most of them local in the community
- 7:13or have you expanded it
- 7:15and just have a more hybrid virtual team?
- 7:19- Well, yes and no.
- 7:21So we, most of our staff is remote.
- 7:25Uh, they are, well, it's a hybrid.
- 7:26They're on site about one one day a week,
- 7:28sometimes two days a week,
- 7:29depending on the type of role they have.
- 7:32They all, however, are local, not maybe local to Norwalk,
- 7:35but local to northeast Ohio.
- 7:38So they do have the ability to come on site as needed.
- 7:40But I, you know, I think it's important to give them
- 7:42that flexibility for work-life balance of, of being able
- 7:46to work in whatever environment suit them best.
- 7:49We have explored having people outside of the state and,
- 7:53and, and would, are still open to that.
- 7:55We've been blessed in that most of the,
- 7:57the opportunities have been filled with local talent.
- 7:59So it's been great. And working in a rural hospital,
- 8:03the culture is here that it's nice.
- 8:05People like to see people.
- 8:06And so having people local whenever possible is our goal.
- 8:11- I a hundred percent agree.
- 8:13I, I think that's amazing, you know, feat
- 8:15that you've been able to accomplish in terms
- 8:16of building the team that you have to really support, um,
- 8:19the hospital locally and, and, um, people by
- 8:23and large being, as you mentioned in the Ohio area, so that,
- 8:25you know, um, they're really connected it seems like,
- 8:28to the hospital and to the mission.
- 8:29Um, when you look ahead, you know, are, are there,
- 8:32what skills do you see needing your team to expand or grow
- 8:36and continue to develop, um,
- 8:37to make sure you're supporting the things like artificial
- 8:39intelligence and other, um,
- 8:41potential technologies coming into the system?
- 8:45- Yeah, I think there's a couple of areas we're working on.
- 8:47Obviously some dependency on data
- 8:49and analytics is, uh, we're really pushing for a few
- 8:52of the team to be more involved in learning data, you know,
- 8:55app applications of data scientists, um, different types
- 8:59of cloud enhanced application, things like that.
- 9:02Uh, pushing some people in that regard,
- 9:04but also some of the others.
- 9:06I think the goal is to really educate them on what it's like
- 9:08to be more of a business partner than just an analyst.
- 9:11I don't want team to be the people
- 9:14who just take tickets and requests.
- 9:16I want them to be business partners
- 9:18with the departments they support,
- 9:19where they're gonna be more proactive in reaching out
- 9:22and proposing solutions.
- 9:24So that's a little bit of work
- 9:25'cause it's a change in how they've been thinking all
- 9:28of the, all of the years they've been here, um,
- 9:30working a lot on that.
- 9:31And it's not a technical training,
- 9:34but more of a shift in thinking.
- 9:38- That makes a lot of sense.
- 9:39You know, and it's such a helpful way to think about
- 9:42that sea change of kind
- 9:43of the cultural transformation within the IT department
- 9:46and integrating that into the broader system.
- 9:49When you're looking again, um, you know,
- 9:51over the next couple years we've talked a lot about some
- 9:54of the changes that are happening in the healthcare space
- 9:56as well as what technology can bring.
- 9:58Um, what do you will most effective healthcare leaders need
- 10:01in order to be successful over the next two to three years,
- 10:03especially given some of these changes
- 10:05and capabilities that are becoming available?
- 10:09- Um, if I had to pick one thing I have,
- 10:10I'd have to say it's data.
- 10:12They need data. They need analytics
- 10:13because there is such a need to really manage
- 10:17so closely your budgets
- 10:18and your work that if they don't have the right information,
- 10:21how can they effectively do that
- 10:23and make suggestions on changes.
- 10:25So I think that is the number one thing we're spending time
- 10:27and resources on.
- 10:28And then beyond that, it's getting those same leaders,
- 10:31the education on data literacy so they can,
- 10:34they understand what they're doing.
- 10:38- Absolutely. And I can imagine
- 10:39that can't come quick enough.
- 10:43- Absolutely. - Linda, thank you so much
- 10:46for joining us on the podcast today.
- 10:47This has been such a fun and informative conversation
- 10:49and I look forward to connecting with you again soon.
- 10:52- Thank you so much for having me,
- 10:54and I look forward to future conversations.
- 10:57- It's so important for leaders at the top of organizations
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