Latest / Becker’s Healthcare - Clinical Leadership Podcast / Turning Clinical Data Into Action: Building Better Workflows Through Collaboration with Connexall
Transcript
- 0:00Hi, everyone. This is Lucas Voss with Becker's
- 0:02Healthcare. Thanks so much for tuning in to
- 0:03the Becker's Healthcare podcast series. It's fantastic to
- 0:06have you all on. Today, we're going to
- 0:08talk about turning clinical data into everyday
- 0:12action, and I'm very excited to be joined
- 0:14by two guests today for today's discussion.
- 0:17Ashley Hunsucker, senior clinical informatics specialist at Conexol,
- 0:21and Jan Capps, director of clinical services and
- 0:23outcomes also with Conexol. Ashley and Jan, thanks
- 0:26so much for being here today. It's great
- 0:27to have you both.
- 0:29Hi, Louise. Having us. Yeah. Absolutely. We'll start
- 0:32with introductions for our audience here. Ashley, why
- 0:34don't we start off with you? If you
- 0:35wanna introduce ourselves to our audience and share
- 0:38a little bit about your work in health
- 0:39care.
- 0:40Sure.
- 0:41My name is Ashley Hunsucker. I'm a registered
- 0:44nurse, been been in a registered nurse for
- 0:46over twenty plus years.
- 0:47I hold a master's degree in clinical nursing
- 0:50informatics with a clinical background in NICU and
- 0:53pediatric care.
- 0:55Those
- 0:56strong foundational
- 0:57settings of acute patient centered care
- 0:59transitioned me over to education for, eight years.
- 1:03So clinical instructor, teaching didactyl,
- 1:06on-site clinical rotation simulations,
- 1:08and informatics,
- 1:10and shaping that next generation of nurses is
- 1:13very important to me. Rolled over and transitioned
- 1:16into informatics back in 2020
- 1:18where natural evolution of the bedside and education
- 1:22spun into informatics
- 1:23and has helped build,
- 1:25and center foundation for me inside of that
- 1:27patient, centered care to support our nurses into
- 1:30health care technology.
- 1:32So excited to hear all of your perspectives
- 1:34on this. Very excited. Jan, I'll hand it
- 1:36over to you for introductions as well.
- 1:39Sure. Thanks, Lucas.
- 1:41My name is Jan Capps. As I said,
- 1:43I get to, be the pleasure of leading
- 1:45our clinical team here at Connexal.
- 1:47I'm a registered nurse by background. I've been
- 1:50a nurse for twenty seven years. I've been
- 1:52in the health care space for
- 1:54a little over thirty,
- 1:56traditional bedside nursing, emergency department, cath lab, interventional
- 2:00radiology,
- 2:01really was, quite interested in operations and hospital
- 2:06operations specifically. So
- 2:08several leadership opportunities within that space,
- 2:11also in the ambulatory
- 2:13space, and then crossed over to the dark
- 2:16side of IT Mhmm. And spent the second
- 2:18half of my career,
- 2:20leading
- 2:22EMR implementations,
- 2:23ancillary systems implementations,
- 2:26and really love that space
- 2:28between,
- 2:30technology and the bedside caregiver. So informatics
- 2:33was just a natural fit
- 2:36and,
- 2:37moved over into that space. So, again, you
- 2:39get the opportunity to
- 2:41leverage what you know at the bedside, what
- 2:43you've learned through operations,
- 2:45blend that with IT, and that's the recipe
- 2:48for informatics. So that's why we're here.
- 2:51Absolutely. I think it's so great too because
- 2:53you know what insights really count from your
- 2:56own experience at the bedside, which is very,
- 2:58very important, and that's sort of what I
- 3:00wanna start off with here too. When it
- 3:02comes to improving care delivery,
- 3:04those actionable insights are so important
- 3:07at the bedside. Having them at the bedside,
- 3:10having them available is is so important.
- 3:13Ashley, I wanna start with you here. Can
- 3:14you walk us through why that's so important
- 3:17and how clinical teams can operationalize
- 3:19those insights
- 3:21in a way that aligns with their existing
- 3:23workflows?
- 3:25Yeah. Sure.
- 3:26So actual insight is extremely important when you're
- 3:29building workflows for those end users. So making
- 3:32the right decisions
- 3:34and leading into that design of workflow, we
- 3:36use real data and on-site assessments here at
- 3:39Connexal,
- 3:40and that helps provide
- 3:42us the clinical informatics, the insight using that
- 3:45qualitative and quantitative
- 3:46data
- 3:47so that we can look and assess and
- 3:50identify those actual gaps
- 3:52that might be contributing to breaking down
- 3:55the adoption for the end user. So
- 3:58we look at how the end user is
- 4:00being effective. Right? So when we start there,
- 4:02it allows for that more organic
- 4:04approach rather than pushing
- 4:06some sort of software or technology out and
- 4:09then it's gonna abruptly disrupt things. We look
- 4:12at how can we soft launch this into
- 4:14their day and,
- 4:16deploy it to fit within their day and
- 4:19create,
- 4:20not so much impact of their normal natural
- 4:23organic workflow for the end user.
- 4:26Yeah. The least disruption possible, I think. Correct.
- 4:30Correct. One of the keys there.
- 4:32Jen, just a follow-up to this.
- 4:34How do you ensure then those insights remain
- 4:37relevant across organizations?
- 4:40Well, it's it's not really a set it
- 4:41and forget it mentality. You have to go
- 4:43back. You have to monitor. You have to
- 4:45refine.
- 4:47You know, technology is is is a good
- 4:49thing. It it can be a tremendous asset
- 4:51when it's properly leveraged.
- 4:54But with that, you have to be mindful
- 4:56that with all these advances in tech, there's
- 4:59just an overwhelming amount of information
- 5:01that the bedside caregiver is just being bombarded
- 5:05with. And a lot of that's not
- 5:07actionable, meaning it's not gonna drive a meaningful
- 5:11interaction between the patient and the caregiver.
- 5:14And with all of these changes, I mean,
- 5:16things change in practice.
- 5:18You may introduce a new piece of technology.
- 5:22It just really
- 5:23highlights the fact that this has to be
- 5:26an ongoing journey.
- 5:28You have to be nimble enough to change.
- 5:31You as Ashley said, you've gotta lean into
- 5:34your data. You've got to do observations,
- 5:37and you have to be willing to ask
- 5:38yourself the hard question, which is,
- 5:42do I need to change the way I'm
- 5:44doing my day to day work? And if
- 5:46so,
- 5:48what parts of that workflow can be be
- 5:50influenced
- 5:51and when?
- 5:52And so, again, it just really sets you
- 5:54up for that ongoing process improvement journey, and
- 5:57data is such a a key point of
- 5:59that.
- 6:00Looking at how your system's operating,
- 6:03you know, surveying and interviewing your teams, getting
- 6:06their feedback,
- 6:08and just really taking all of those inputs
- 6:10for that continuous process improvement. It's very important.
- 6:14Yeah. And and, Jen, you you touched on
- 6:15a very important point. I think this can
- 6:17get overwhelming.
- 6:19Right? It's one of those things that there's
- 6:21so much, there there's potential to for it
- 6:25to be overwhelming.
- 6:27What role does collaboration
- 6:29between clinical and technical teams play during implementation
- 6:33and optimization
- 6:34phases,
- 6:35and what should what conversations should teams have
- 6:39early on to maybe
- 6:41avoid some of that overwhelming
- 6:43feeling and being able to really operationalize this?
- 6:47Well, I mean, collaboration is just huge. And
- 6:49if you spend any time with me at
- 6:51all, you'll find out that I say repeatedly
- 6:54clinically
- 6:55and operationally
- 6:57led projects and IT enabled.
- 6:59Mhmm. And you've really gotta lean into the
- 7:01expertise of both groups.
- 7:04They need to be at the table early,
- 7:06and this really even goes back before you
- 7:09implement.
- 7:10Yeah. You need to have,
- 7:12clinical and IT
- 7:14alignment at that c suite all the way
- 7:16down,
- 7:17and be involved in those decisions around system
- 7:20selection. I mean, that's huge for buy in,
- 7:23throughout the project prior to even just getting
- 7:26into the implementation
- 7:27phases.
- 7:28But, obviously, once you get to implementation,
- 7:31it's, again, it's taking that time
- 7:34to,
- 7:35for the clinical
- 7:36team to understand
- 7:38how the tech
- 7:39should work or potentially
- 7:41could work and then vice versa.
- 7:44You need to understand what the day to
- 7:46day life is of the person that's gonna
- 7:48be using the tech. That's how you guide
- 7:51thoughtful design sessions and and decisions. And and,
- 7:55again, with Connexal, that's that's one of the
- 7:57things that our informaticists do. We're we're that
- 8:00liaison and that bridge during the implementation
- 8:04and and through optimization
- 8:06on helping guide those conversations and bringing those
- 8:09various stakeholders together.
- 8:11Yeah. And only then can something happen that
- 8:13Ashley mentioned earlier in the conversation, right, the
- 8:16least amount of disruption for everybody and and
- 8:19being able to support those workflows. I think
- 8:21that's that's very important.
- 8:22Ashley, I wanna come back to you here.
- 8:24You talked about, you know, the importance of
- 8:26feedback loops and and continuous
- 8:28improvement quite a bit.
- 8:30Can you talk about what methods of feedback
- 8:33have worked well,
- 8:34and what's been most effective in driving engagement
- 8:37and sustaining improvements over time?
- 8:40Sure. Sure. So first off, it's for us,
- 8:43it's not just about launching a system. It's
- 8:45about setting it up to truly work for
- 8:48the people that are using it. So back
- 8:51to Jan mentioning that engaging and collaboration
- 8:54early and often,
- 8:56One of the key some of the key
- 8:58things that we do I don't wanna say
- 8:59there's just one because they're all really independent
- 9:02on each other.
- 9:03So we survey
- 9:05very early on in engagement. We survey the
- 9:07frontline staff. So we wanna hear from them.
- 9:10We wanna hear all the pains, all the
- 9:13the frustrations,
- 9:15all the things. We wanna hear it. And
- 9:16we also ask questions that are more culture
- 9:19related and adopt as far as how things
- 9:22are being used,
- 9:23not just on their alarms, but maybe with
- 9:25their devices and things of that nature, policies,
- 9:28procedures. We wanna take a look at everything.
- 9:30From that information, then we start internally
- 9:34dissecting it out, looking at still the data,
- 9:36looking at the responses from staff, trying to
- 9:39see where there are those gaps. But we
- 9:41we discuss potential pitfalls and things of that
- 9:44with leadership, which is a great way to
- 9:46help open the communication but identify it so
- 9:48we can close those gaps. We additionally,
- 9:51going through the go live post go live,
- 9:54we opt do optimization with the staff,
- 9:56follow-up with them on-site, continue to have,
- 10:00face to face interviews and feedback,
- 10:03getting information from them, watching them how this
- 10:06deployment is engaging in their day to day,
- 10:08what can we do better to take it
- 10:10back to the team of our, customer to
- 10:13give them
- 10:14our our suggestions of this is what we
- 10:16saw, this is what may could help. It
- 10:18could be there's an education gap that we
- 10:20need to revisit.
- 10:22So starting to look for ways to close
- 10:24those gaps
- 10:26helps close the loop and keeps those continuous
- 10:28measures. We're always looking at the data, so
- 10:31I run, data
- 10:33reports from prior to go live, during go
- 10:36live. Go live is always, you know, shaky
- 10:38ground, so we we try not to get
- 10:40too hung up on. We want the dust
- 10:41to settle a little bit for staff to
- 10:43really kinda settle in so we can look
- 10:46at that repetitive behavior
- 10:48to see why things may not be working
- 10:50to the optimization piece. So that's how we
- 10:52try to close those loops. And it's been
- 10:54pretty well received.
- 10:56Having those executive summaries available for leadership to
- 10:59take to the levels they need to for
- 11:01support is is helpful as well.
- 11:03Yeah. And I just wanted to follow-up on
- 11:05this too. Has there anything you have these
- 11:07conversations, and you have these, on implementation all
- 11:10the time.
- 11:11From that feedback that you've gotten, is there
- 11:13are there any learnings or insights that have
- 11:15surprised you, Ashley, in this process?
- 11:19Nothing surprises me, Lucas.
- 11:21I I would too so. Yes.
- 11:23Nothing surprises me. You have to be you
- 11:26have to be ready to pivot all the
- 11:28time. Yeah.
- 11:30Nothing surprises me at this point. I'm surprised
- 11:33when things go as planned. That's probably the
- 11:36surprise.
- 11:36You have the data. Right? There shouldn't be
- 11:38any surprises.
- 11:40Right. And it's interesting because the data,
- 11:42you look at it and you're like, well,
- 11:44this is what I'm seeing. And so when
- 11:46you when you're able to con confirm that
- 11:48that's truly what's happening on the floors and
- 11:50the units,
- 11:51so then we have to peel the layer
- 11:53back. Why is this happening?
- 11:55Yeah. How can we change this behavior? How
- 11:58can we reduce this?
- 12:00How can we get this, rate higher? Those
- 12:03kind of things. So the data supports it,
- 12:05but it's only one half of the picture
- 12:07really going and seeing how it is
- 12:10yes. We can we can look to see,
- 12:12okay, these are the big things I'm looking
- 12:13at in your data. Now let's get on-site
- 12:15and really dig down into into the weeds
- 12:18with this.
- 12:19Yeah. Jan, same for you. I I'd love
- 12:21to hear from you as well from sort
- 12:22of the feedback that you're hearing, the conversations
- 12:24that you're having.
- 12:26Are there any learnings or insights that that
- 12:28surprise you, or is it the same thing?
- 12:30Nothing surprises
- 12:32you. I mean, I had to laugh when
- 12:34Ashley said that because she stole my answer,
- 12:36quite frankly. I mean There you go.
- 12:38This
- 12:39just when you think you've seen it all.
- 12:41But, no. Nothing really surprises me. What what
- 12:44I do like about, you know, the space
- 12:46that we work in is
- 12:49you always go into it with the best
- 12:51intentions,
- 12:51and there's always an opportunity
- 12:54to learn and grow with each implementation.
- 12:57And so being able to pick up those
- 12:59lessons learned and share them with other people
- 13:02within our community, whether it's a customer, whether
- 13:05it's just networking with our peers,
- 13:08that's how we grow as a profession,
- 13:10and that's how we're able to continue to
- 13:12make a a positive impact
- 13:15with these health care implementations,
- 13:17with workflow optimization.
- 13:19And so
- 13:20any of those surprises
- 13:22really turn into nuggets of lessons learned.
- 13:26Absolutely. And I think that's a great way
- 13:28to end our podcast episode today with these
- 13:30nuggets learned. Jen and Ashley, thank you so
- 13:32much for your time and insights today. This
- 13:34was a fantastic conversation. Thanks for being here.
- 13:37Yeah. Thank you, Lucas.
- 13:39Yeah. Thanks. We appreciate the opportunity and and
- 13:42being a guest.
- 13:43Absolutely. We also want to thank our podcast
- 13:45sponsor, ConnexAll. You can tune in to more
- 13:47podcasts from Becker's Healthcare by visiting our podcast
- 13:49page at beckershospitalreview.com.