Designing for Health

Nordic Chief Medical Officer Craig Joseph, MD, talks with Founder of Health Collaboratory and Executive Director at Cancer 101, Sarah Krüg. They discuss Sarah’s work on things such as The Magic Wand Project, designing in the healthcare space to improve trust, and doing the “Patient-Doctor Tango.”Show Notes:[00:00] Intros[01:15] Sarah Krüg’s background in healthcare[02:08] The Magic Wand Project[13:07] The patient shark tank[20:56] Performing the Patient-Doctor Tango[22:27] Design fails[28:47] Developing Healthcare ConfessionsFor more information, including a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, chats with Bon Secours Mercy Health Executive in Residence Mark Townsend, MD. They discuss Dr. Townsend’s path from internal medicine and cardiology to his current role as a health system administrator, as well as his work with emerging healthcare startups, balancing cybersecurity and customization within the electronic health record, and what it means to “fail forward.”Show Notes:[00:00] Intros[00:53] Dr. Townsend’s background[06:29] Working on Mobilizing a Million Hearts[13:32] Challenging assumptions in product development[16:29] Offering constructive feedback[24:36] Innovating while respecting governance[37:59] Things so well designed, they bring Dr. Townsend joyFor more information, including a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, chats with Gary Kaplan, MD, CEO emeritus of Virginia Mason Franciscan Health. They discuss how Dr. Kaplan spearheaded a revolution in the patient experience at Virginia Mason, how a car company headquartered on the other side of the world inspired transformational change, and how his organization gained from openness and honesty in the face of adversity. Show Notes:[00:00] Intros[01:40] Dr. Kaplan’s early years as CEO of Virginia Mason[07:18] Pivoting from a physician-centered organization to a patient-centered organization[13:30] Learning from the Toyota Production System[27:29] Overcoming and growing from tragedy[33:38] Implementing the Virginia Mason Production System[40:25] Continued partnership with Toyota[45:08] Dr. Kaplan’s favorite well-designed thingsFor a full transcript and more information, click here.To learn more about Dr. Kaplan and Virginia Mason's journey, check out the book Transforming Health Care - Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience by Charles Kenney. Click here to find out more

Nordic Chief Medical Officer Craig Joseph, MD, chats with David K Butler, MD, interim CMIO at KeyCare and founder of Calyx Partners. They discuss the history of early electronic health record (EHR) implementations, Dr. Butler’s journey from physician to clinical informaticist, and how to win over skeptical clinicians during implementations. They also talk about taking inspiration from other industries for future transformation, striking the balance between customization and control, and building trust within digital solutions. Show Notes:[00:00] Intros[02:11] Dr. Butler’s background[03:42] Internal medicine vs pediatrics[05:36] Going from paper to pixels[10:20] Dr. Butler’s “aha” moment[15:38] Gamification of the EHR[19:20] Balancing standardization and customization [31:05] What it means to be a virtualist[36:50] Handling change within the EHR[39:55] Dr. Butler’s favorite well-designed thingsFor more details, including a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, chats with two doctors from Cincinnati Children’s Hospital, neonatologist and biomedical informaticist Kevin Dufendach, MD, and CMIO Andy Spooner, MD. Their discussion centers around their early days in the NICU, why so many pediatricians end up also working as informaticists, and the role of AI in reducing documentation.Show Notes:[00:00] Intros[05:30] The early days of clinical informatics[09:02] The exhaustion discount[16:20] The future of progress notes[21:32] The promise and perils of AI in healthcare[32:36] The differences between informatics specialists and generalists[39:14] Why pediatricians think like informaticians[40:48] Well-designed things that bring Dr. Dufendach and Dr. Spooner joyFor a full transcript and more info, click here.

Nordic Chief Medical Officer Craig Joseph, MD, chats with Lalita Abhyankar, MD, family physician and clinic medical director at Carbon Health. They discuss her medical background, the evolving mission of Carbon Health, and her journey in understanding change management. They also discuss the emotions behind clinical care, the similarities and differences between primary care and urgent care, and how doctors can think more like engineers while still maintaining and growing relationships with their patients. Show Notes:[00:00] Intros[01:25] Dr. Abhyankar’s background[07:05] The mission of Carbon Health[08:45] The overlaps between primary and urgent care[14:05] Working with software developers and engineers in healthcare[21:20] Learning about change management[24:18] Drinking from the firehose of data and technology[28:06] Relationship building[33:10] Things that are so well designed, they bring Dr. Abhyankar joyFor the full transcript and more info, click here.

Nordic Chief Medical Officer Craig Joseph, MD, chats with Billy Nicolich, healthcare product manager at Press Ganey. They discuss Billy’s background in healthcare and experience design, the legacy and impact of nudge units, and why he sees history as being divided into “pre-manifesto” and “post-manifesto.” They also discuss the scientific study of “stupidity,” how bad decisions create real pain points for users, and in what ways human-centered design can remediate some of that pain and stupidity.Show Notes:[00:00] Intros[01:02] Billy Nicolich’s background[06:45] The history and impact of nudge units[15:22] A manifesto for applying behavioral science[22:02] Studying “stupidity”[28:11] Dealing with pain pointsFor a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, chats with Margaret Lozovatsky, MD, chief health informatics officer for Novant Health. They discuss Dr. Lozovatsky’s background as a pediatrician, how that led her to becoming a CHIO, and what’s she’s learned working on either side of the EHR. They also discuss structuring governance to drive best practices, having a continuous improvement mindset after implementation, and the dangers of being too clever in the design process.Show Notes:[00:00] Intros[03:59] Leading a GROSS program[09:38] Having a continuous improvement mindset[15:29] Structuring governance to drive best practices in the EHR[18:28] When designs become too clever[25:25] Reducing clicks with We Matter[28:41] Things so well designed, they bring Dr. Lozovatsky joyFor a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, and Head of Thought Leadership Jerome Pagani, PhD, are joined by Deepti Pandita, MD, chief medical informatics officer and associate professor of medicine at UCI Health. They discuss her background as both an internist and clinical informaticist, and the principles of design that lead to successful implementations. Additionally, they talk about the importance of including the voice of the patient when making technological advancements, how to avoid decision paralysis, and how health equity and design go hand in hand. Show Notes:[00:00] Intros[01:13] Dr. Pandita’s background[07:27] The inherent challenges of EHR go-lives[10:11] Design principles in implementations[13:04] Balancing needs of different stakeholders[15:55] Preventing health inequities in new designs[19:55] Designing with patient populations in mind[22:21] Best practices for soliciting patient feedback[24:08] The value of simply walking around and observing[25:36] Patient feedback at different stages of design[27:33] Real-world applications of human-centered design[28:51] Things that are so well designed they bring Dr. Pandita joyFor a full transcript, click here.

Nordic Head of Thought Leadership Jerome Pagani, PhD, sits down with three leaders at Nordic: Kevin Erdal, Andy Splitz, and Michelle Wiginton. They discuss LIS, how data coming from labs are different from other health related data types, and the similarities and differences between EHR and LIS upgrades. They also discuss the factors one should consider in implementing or upgrading LIS, utilizing it for personalizing individual care, and what the immediate future of lab technology means for clinical teams and workflows.Show Notes:[00:00] Intros[01:50] How data coming in from labs are different from other health related data types[06:11] The similarities and differences between LIS and EHR evolution[07:48] Factors to consider in implementing or upgrading LIS[20:44] Personalizing the individual care journey through LIS[28:52] Immediate next steps for the LIS[33:01] How these next steps will impact clinical teams and workflowsFor a full transcript, click here.