Designing for Health

Nordic Chief Medical Officer Craig Joseph, MD, and Head of Thought Leadership Jerome Pagani, PhD, are joined by Bre Loughlin, CEO and founder of Nurse Disrupted, Inc. They discuss how technology and new workflows can enable health systems to do more with fewer resources while retaining experienced staff and providing flexibility that helps to combat burnout. They also talk about Bre’s background as an EHR executive, how she discovered a passion for product design, and the importance of simplicity when it comes to new innovations. Show Notes:[00:00] Intros[01:10] Bre’s background[08:24] Value of real-world observations in design work[09:28] The origins of Nurse Disrupted[14:24] The principle of simplification[16:00] Scaling up Nurse Disrupted[18:39] Balancing software configurations with hardware[20:37] The factors behind the ongoing nursing shortage[25:22] The role of virtual care in alleviating nurse turnover[30:46] Understanding the problem before designing[31:52] Adding versus subtracting complexity[34:35] The human should be at the center of design[36:28] Balancing functionality and simplicity[37:41] Well-designed things that bring Bre joyFor a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, and Head of Thought Leadership, Jerome Pagani, PhD, chat with Evan Heigert, creative director at Wolters Kluwer Health. They discuss his work on Emmi, an interactive patient engagement tool, and how it was developed to reach real humans in their actual context. They also discuss the lessons Evan has learned from his experience in journalism and advertising and how he is using them to fill gaps in healthcare using thoughtful, human-centered design.Show Notes:[00:00] Intros[01:11] Evan’s background[04:21] Wolters Kluwer’s mission and strategy[09:44] How Emmi reaches patients in their context[21:47] Team decision making at Emmi[25:07] Deciding what content to make interactive[31:08] Keeping data adequate and up to date[35:26] Creating accessible content and building human connection[38:20] Things so well designed, they bring Evan joyFor a full transcript, click here.

Nordic Head of Thought Leadership Jerome Pagani, PhD, sits down with Digital Health Practice Leader Kevin Erdal and Head of EHR Implementation Services Andy Splitz. They discuss the hard work of EHR implementation, the global landscape where organizations are only starting to move to digitization, and how imperative it is that data management is done well and with real end-users in mind.Show Notes:[00:00] Intros[01:39] EHR implementation and data management[08:10] EHR implementation globally versus in the U.S.[15:43] The vision for how data will be used both inside and outside the EHR[24:02] Managing data infrastructure and BI modernization in tandem[29:02] Designing data management systems with the end user in mindFor a full transcript, click here.

Vice President of Care Coordination at Corewell Health West, Tricia Baird, MD, sits down with Nordic Head of Thought Leadership Jerome Pagani, PhD, and Chief Medical Officer Craig Joseph, MD, to share her perspective and ethos on whole-person design. They also discuss the importance of incorporating empathy into hiring practices and how creating a better health experience is a moral imperative. Show Notes:[00:00] Intros[01:35] Dr. Baird’s Background[06:37] Whole-person design[10:18] LACE+ Scores and reducing hospital readmissions[14:52] Keeping the work timely, targeted, and actionable[19:19] Hiring for empathy and training for clinical skills[28:02] Adapting value-based care models to fee-for-service[29:50] Pairing clinical care with behavioral health[34:08] Designing a better health experience as a matter of morality[40:49] Things so well designed, they bring Dr. Baird joyFor a full transcript, click here.

Nordic Head of Thought Leadership Jerome Pagani, PhD, sits down with cloud solution experts from both Nordic and Amazon Web Services (AWS). From Nordic, Digital Health Cloud Practice Lead Saran Sonaisamy and Principal Architect Brijeet Akula; from AWS, EHR Leader Mike Hegyi and Global Epic Leader Matt Dinger. They chat about cloud infrastructure, the benefits of moving the EHR to the cloud, and the key points any healthcare system should consider when transitioning its IT infrastructure to a cloud-based platform. Show notes: [00:00] Intros[01:35] Benefits of moving the EHR to the cloud[05:43] Current advancements in cloud-based EHR capabilities[11:30] Integration of data from different sources[15:35] Matt’s personal healthcare journey[17:55] Real-world use cases for cloud-based EHRs[25:02] Financial opportunities with the cloud[28:46] The rapid uptake of cloud adoption [31:38] Concrete first steps in a cloud journey[35:01] Outros For a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, and Head of Thought Leadership Jerome Pagani, PhD, chat with UCHealth CMIO CT Lin, MD, Director of Communications and Patient Initiatives at OpenNotes Liz Salmi, and postdoctoral research fellow at the Vanderbilt Clinical Informatics Center Bryan Steitz, PhD. They discuss their recent study regarding patient attitudes and perspectives related to immediate viewing of test results via the online patient portal. Stay tuned for a special musical performance from one of our guests. This conversation was recorded live at the 2023 Nordic Summer Social in Madison, WI. Show Notes:[00:00] Intros[07:54] The effect of the 21st Century Cures Act on medical transparency [12:47] If patients want to see their results earlier[14:36] The importance of speed of test result delivery [16:20] How the open notes process is changing care [20:10] If pre-counseling and patient anxiety are linked [24:20] Patients and progress notes [24:54] Liz’s personal journey in patient advocacy[31:16] A special musical performance[34:31] What well-designed things bring Liz, Bryan, and CT joyFor a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, and Head of Thought Leadership, Jerome Pagani, PhD, chat with Matt Sakumoto, MD, a virtual primary care physician and a chief medical information officer at Sutter Health. They discuss advances in virtual and telehealth, and what the future of primary care looks like five to 10 years from now. They also touch on the growing prevalence of team-based care, the power of digital empathy, and building understanding between physicians and patients. Show Notes:[00:00] Intros[01:06] Dr. Sakumoto’s background [06:45] Digital empathy in healthcare[08:01] The role of AI in the future of medicine[13:21] Primary care informatics and the science behind implementation[16:05] What primary care will look like in five to 10 years[18:13] The importance of team-based care [27:37] Embracing the inbox [35:58] How health systems can compete with new micro-efficient services [38:03] Things so well designed, they bring Dr. Sakumoto joy For a full transcript, click here.

Nordic Chief Medical Officer Craig Joseph, MD, and Head of Thought Leadership Jerome Pagani, PhD, chat with Karim Jessa, MD, chief medical information officer at SickKids, The Hospital for Sick Children. Dr. Jessa shares his perspective on the Canadian healthcare landscape, including how the healthcare industry differs from that of the U.S., the state of its IT, and how its physicians interact with the EHR. He also discusses clinician burnout in Canada, EHR adoption incentives, and his work collaborating with the Creative Destruction Lab.Show Notes:[00:00] Intros[02:03] Dr. Jessa’s background[04:42] How Canadian healthcare differs from U.S. healthcare[09:03] The state of Canadian IT[16:19] How Canadian physicians interact with the EHR[25:58] Clinician burnout[32:26] Working with the Creative Destruction Lab[40:44] Things that are so well designed, they bring Dr. Jessa joyFor a full transcript, click here.

Dr. A Jay Holmgren, assistant professor in the Department of Medicine at UC San Francisco, and the Center for Clinical Informatics and Improvement Research, joins Nordic Chief Medical Officer Dr. Craig Joseph and Head of Thought Leadership. Dr. Holmgren has spent his career studying real-world use of EHR applications, trying to shorten the ‘digital use divide.’ In this podcast, Dr. Holmgren discusses how he gained access to a treasure trove of EHR activity log data and how he used those data to gain valuable insights into how clinicians use their software. Those insights help him narrow the productivity paradox and reclaim clinicians’ focus on patient care.Show notes:[00:00] Intros[01:12] Dr. Holmgren’s background[06:26] Dr. Holmgren’s business-minded approach to healthcare and policy[09:50] U.S. versus non-U.S. use of EHRs[17:34] How non-U.S. healthcare providers can think about maximizing the use of the EHR[21:30] Barriers to surveillance reporting[25:47] Researching mass data in EHRs[31:19] Adversarial billing structures in U.S. healthcare[38:38] Things so well designed they bring Dr. Holmgen joyFor a full transcript, click here.

Nordic’s Head of Thought Leadership Dr. Jerome Pagani sits down with Digital Health Practice Leader Kevin Erdal and Chief Medical Officer Dr. Craig Joseph. They discuss the recent strides in generative AI technology, the promises of it, and if the hype around it is warranted. They also discuss what it will mean for the future of healthcare, especially in light of the Big Squeeze, and next steps for health systems looking to leverage AI.Show Notes:[00:00] Intros[01:27] Clinical thoughts on AI and current use cases[07:44] Hopes and skepticisms around AI[11:09] AI and the Big Squeeze[17:15] Next steps for health systems leveraging AI[22:25] The promise and potential of AIFor a full transcript, click here.