The health information and technology landscape is vast and ever-changing. With endless innovations, new regulations, and other accompanying challenges along the way, we look to our leadership to keep us afloat—to help us find an answer to the question: where do we go from here?
Stanley Shaw, MD, PhD, associate dean for Executive Education at Harvard Medical School, has dedicated himself to designing educational programs for companies and industry leaders across every domain of healthcare, in order to empower executives with the insights needed to move ahead.
“In healthcare, more than any other industry, what’s critical is to marry expertise in the technology with an understanding of the unique cultural and real-world context,” said Shaw. “Patient-focused is not just an industry buzzword for us—it’s at the heart of every interaction, each time a patient communicates or sits down with their physician,” Shaw explained. “So we live that—it’s not just a buzzword.” This is, of course, a sentiment that HIMSS shares whole-heartedly with Harvard Medical School.
Without deep understanding of real-world workflows combined with perspectives from both patients, providers, healthcare organizations and beyond, even the best innovations won’t find their way into day to day practice, Shaw explained. “There’s the conventional wisdom that in order to be a true innovation, something has to be novel and useful. So all of the technology pieces, the latest state-of-the-art in information and technology and analytics, those are powerful and novel. What sets the Harvard Medical School program apart—and provides the real-world strategic benefit—is that understanding the healthcare and patient context will help leaders and companies understand what’s truly useful.”
“Health information and technologies and the unique perspectives of patients and providers are all interconnected, and together permeate every aspect of the patient experience and care delivery,” Shaw explained. “In many cases, the real-world experiences run counter to the expectations or the conventional wisdom. It’s critical to move beyond anecdotes and reality check the emerging evidence.”
Shaw emphasized that the journey of data making its way through an organization must be coordinated with the patient experience. Both should be synchronized every step of the way, with providers leading the charge. “Patient focus doesn’t just exist in and of itself; it ripples out into all aspects of how technology is used and how health systems function at the business level,” he said.
Dr. Shaw and HIMSS’s Chief Operating Officer and Strategy Officer Sebastian Krolop, MD, PhD, MSc, discuss the value of investing in advanced executive education and the characteristics of this unique and innovative program.
Shaw agrees that caregiver burnout is a critical issue, but he places it in the context of the barriers to health IT systems adoption as a whole.
“Every physician, nurse practitioner, or other provider wants to do the best they can for the person in front of them during that interaction, full-stop,” Shaw said. “It’s why people go into medicine in the first place. Barriers to this relate to the complexity of the issues that a provider needs to manage and then the inevitable pressures of time—both in the patient visit and in the post-visit documentation, routing of care, and care coordination.
“And so providers are pulled in so many different directions now. But providers know that going into medicine means they’re signing up for a lifetime of learning. So I actually don’t think constant change per se is the issue, but that they’re already running flat-out just to keep up. So any new wrinkle or 'innovation' must fit in seamlessly with their workflow and has to offer a clear added value right up front.”
Shaw emphasized the value of incorporating physician leaders of organizations into the introduction of workflow changes and adoptions. “In general, they are more likely to understand the motivations and pain points of front-line providers.”
The views and opinions expressed in this blog or by commenters are those of the author and do not necessarily reflect the official policy or position of HIMSS or its affiliates.
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Originally published February 4, 2019; updated November 17, 2019