{"id":1982,"date":"2016-10-19T07:00:15","date_gmt":"2016-10-19T14:00:15","guid":{"rendered":"https:\/\/www.microsoft.com\/industry\/blog\/uncategorized\/technology-should-empower-teams\/"},"modified":"2023-07-17T12:25:26","modified_gmt":"2023-07-17T19:25:26","slug":"technology-should-empower-teams","status":"publish","type":"post","link":"https:\/\/www.microsoft.com\/en-us\/industry\/blog\/healthcare\/2016\/10\/19\/technology-should-empower-teams\/","title":{"rendered":"Technology should empower teams, not burden them"},"content":{"rendered":"

Unless you\u2019ve been living under a rock, you\u2019ve come to accept the reality that we’re now operating in a consumer-centric, outcome economy.\u00a0 To add value in this new outcome economy, clinicians are being called to show how their practice is achieving the triple aim \u2013 improving the health and experience of care of the populations they serve and doing both at a lower cost per capita.\u00a0\u00a0 Improving quality, safety, or reducing resource use alone are no longer enough.\u00a0 Achieving the triple aim is the prerequisite to bending the cost curve.<\/p>\n

But achieving the triple aim will require a new generation of digital transformation technologies that empower clinicians to improve the safety, speed, outcomes and coordination of care\u2014without burdening them.\u00a0 Here\u2019s what I mean when I say, \u201cwithout burdening them.\u201d\u00a0 The only technologies that most clinicians have experienced in the past decade are the EHRs they\u2019ve bet their futures on.\u00a0 These EHRs get the job done, but do so by exacting an immense burden on users’ productivity and time in the process of getting the job done.\u00a0 Most clinicians tell me that many or most of the touted benefits of their EHRs are effectively erased by the additional burden imposed on them in terms of additional data entry and retrieval time.\u00a0\u00a0 I\u2019m convinced that it\u2019s this low benefit to burden ratio that\u2019s behind the EHR backlash that\u2019s compelled creative clinicians like Dr. Zubin Damania to create EHR parody protest videos like EHR State of Mind<\/a>.\u00a0\u00a0 Unlike EHRs, the benefit to burden ratio of these new transformational technologies must be high enough to empower clinicians, along with their teams, to get the right things done and coordinate getting the right things done anywhere, in less time, and with less effort.<\/p>\n

In the last post<\/a>\u00a0I sat down with Boise-based St Luke\u2019s<\/a> Medical Director of Care Management, Alejandro Necochea MD to hear his story of how St Luke\u2019s was empowering clinicians to be more productive at work, home, and on the go.\u00a0 In this blog post, I asked Alejandro to offer a few examples of how Skype for Business <\/a>was empowering clinical teams to get the right things done anywhere—without burdening them–in less time, and with less effort than the usual phone, fax, in-person meetings and clinical messaging.\u00a0 Here\u2019s the transcript of that conversation.<\/p>\n

Schmuland. At the heart of every great team is great communication.\u00a0 Yet every Chief Medical Informatics Officer I talk with admits to struggling with care team communication and performance because they over rely on traditional modalities– phone, fax, in-person meetings and clinical messaging.\u00a0 How are your teams at St Luke\u2019s using Skype for Business to improve the communication, coordination, and performance of your care teams?<\/p>\n

Necochea:<\/strong> We’ve made major gains in the area of care team communication and collaboration, yet there’s so much further to go.\u00a0\u00a0 For example, our hospitalist MDs use Skype for Business for content-sharing meetings–which allows them to attend those meetings from home or on the go.\u00a0 Our hospitalists work hard when they are in the hospital, so when they are off, the last thing they want to do is go back\u00a0to the hospital for a meeting.\u00a0 We also now use Skype for Business for all of our staff meetings where we share screens and presentations.\u00a0 This works out well because we all cover two hospitals that are about 10 miles apart, so those at the other hospital or at home can easily webconference in to the meeting from wherever they are.\u00a0 Sometimes we have 10 people in the room, and twice that number webconferencing in.\u00a0 For some of our administrative meetings, we use the video option, which is much more engaging than the phone.<\/p>\n

I’ve found that Skype for Business works particularly well for curbside consults with my care team colleagues.\u00a0 At any given time, I’m usually able to find several of my colleagues online\u2014so rather than interrupting them by paging or calling them, I can instant message them and when they see the toast pop up on their screen, they can see the level of urgency and decide when and how to respond in a way that\u2019s minimally disruptive for them.\u00a0 If it’s urgent, I can always call or page them, but if it isn’t urgent, the message will stay on their screen until they are ready to respond at a more convenient time.\u00a0 If it\u2019s an urgent matter, I’ll just send a message like “Please call me right away\u201d or \u201cI\u2019ll be in my office, please call me when you get a chance.\u201d\u00a0\u00a0 With paging, it\u2019s usually one response: “must call ASAP.”\u00a0 So Skype for Business is giving our doctors more control of their workday back to them, which means patient care time and “thinking time” is better protected from interruptions, right?<\/p>\n

Schmuland:<\/strong> What technology innovations would you say are still needed to empower your patient-centered care teams to improve the quality, safety, speed and or outcomes of care?<\/p>\n

Necochea:<\/strong> I think the inter-disciplinary team is still too rigid.\u00a0 It\u2019s a great concept, but it’s just not dynamic enough for the value based care model of today.\u00a0 The current model is based on the old school “rounds” routine where everyone on the same shift makes the rounds in unison, moving en masse from room to room, each time taking their place around the bed of the patient and providing their updates, concerns, and care plans.\u00a0 But outside that hour of rounds each day, things come up that require the team to collaborate and make decisions, collectively as a team, in real time.\u00a0 For example, a patient may be reaching medical stability, but the team is still not sure of their needs at home because they may be weak or deconditioned–so the discharge plan really depends on the result of a physical therapy assessment.\u00a0 But what often happens is the results of the PT assessment are entered in the chart early in the day but not discovered until much later, and so as a result, the discharge time is needlessly delayed and length of stay is extended.\u00a0 If the team would instead use Skype for Business to virtually huddle and act on the PT assessment the instant it was filed, disposition planning, discharge time, and patient throughput could all be accelerated.<\/p>\n

If every one of our team members had Skype for Business on their mobile device we could conduct team huddles ad hoc, whenever patients\u2019 needs change, rather than waiting until the next scheduled rounds.\u00a0 This dynamic model would make the inter-disciplinary team more efficient, effective, and patient centered, in contrast to the current approach which is more time-boxed.\u00a0\u00a0 I\u2019m looking forward to that day.<\/p>\n","protected":false},"excerpt":{"rendered":"

Unless you\u2019ve been living under a rock, you\u2019ve come to accept the reality that we’re now operating in a consumer-centric, outcome economy.<\/p>\n","protected":false},"author":843,"featured_media":9992,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ms_queue_id":[],"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","footnotes":""},"categories":[1507],"post_tag":[],"content-type":[1490,1483],"coauthors":[4314],"class_list":["post-1982","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare","content-type-customer-stories","content-type-thought-leadership","review-flag-alway-1593580311-297","review-flag-anywh-1593580319-363","review-flag-new-1593580249-279"],"yoast_head":"\nTechnology should empower teams, not burden them - Microsoft Industry Blogs<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.microsoft.com\/en-us\/industry\/blog\/healthcare\/2016\/10\/19\/technology-should-empower-teams\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Technology should empower teams, not burden them - 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