Perspectives on Health and Tech

Four women health care leaders discuss the value of connected health data, clinical studies at the point of care, neurodiversity considerations in data collection, and the importance of community care. This second episode on women’s health continues the conversation on how health systems need to change to eliminate barriers and address the needs of women patients to provide whole-person care.  Featuring: Moderator: Nasim Afsar M.D., MBA, chief health officer, Oracle Health Christy Dueck, Ph.D., global head of the Learning Health Network and Health System Activation, Oracle Health Esther Gathogo, M. Pharm., Ph.D., senior performance improvement leader, Oracle Health Sarah Matt, M.D., MBA, vice president, physician and healthcare technology executive, Oracle Health Listen as they discuss: Many women prioritize others’ care above their own needs. What are ways technology can partner with providers to ease this burden? (2:49) Clinical trials Patient engagement and automation When patients feel like they aren’t being listened to, they might seek alternate options. How can patients and clinicians work better together to make sure they're bringing all of the data and modes of health and wellness together to really treat the whole person? (8:53) Providers need to re-educate on other modalities Patient education  Social determinants of health data in the EHR  How can we bring data together to proactively help communities that are exposed to higher risks? (12:43) Using data to identify populations preventatively Digital therapeutics What are some other ways you’ve seen health organizations share info with their communities? (19:56) “I think that it's really about how can we make these super busy people utilize the tools that work for them best … Because every data element I don't fill out as a patient is a data element a medical assistant, a nurse, a doctor is going to have to do instead, which means less time treating me like a patient.” – Dr. Sarah Matt  “Where you live has a tremendous impact on your health and well-being, not just at a country or state level, but down to the neighborhood level. And so when we can get that information in the EHR, then we're able to proactively engage based on transportation barriers, food insecurities.” – Christy Dueck, Ph.D. “How do we pull that data together to be able to proactively reach into those communities? When I think about women and historically vulnerable populations, I think those are some of the same type of thinking and methodology that we have to leverage in connecting the data together, using data from a variety of sources to proactively identify populations, and then reach out to them.” – Dr. Nasim Afsar “There are a lot of [technology] platforms I feel that have come on board, which just makes it more accessible for people. And then just thinking about different groups of people who may perhaps were not considered before, like neurodiverse, and are we thinking about them when we are designing the [technology] systems or thinking about their data and how to connect their data … How do they communicate with their healthcare provider? Do we have a lot of information about that? Neurodiversity covers quite a lot and there will be a lot of changes [to technological solutions] in terms of how we capture the information in a standardized way.” – Esther Gathogo, M.Pharm., Ph.D.  --------------------------------------------------------   Episode Transcript:   00:00:00 You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone.  In the second episode on Women's Health Equity, we'll be talking about how the role many women play as caregivers can present a challenge for patient engagement. We'll talk about technology and patient data and how we can effectively unify our knowledge together to treat the whole person. 00:00:37 Hi, I'm Dr. Nasim Afsar, chief health officer at Oracle Health. And joining me today on the podcast are three of my colleagues from around the world. I'll ask them to introduce themselves and give a brief overview of what they do. 00:00:53 Sarah Matt Thanks, Nasim. I'm Dr. Sarah Matt. I'm a surgeon by training my fellowships and burns, but I've been in product development all over the world for my entire career. That's building our electronic medical records, new mobile applications, patient engagement solutions, you name it. First, I came in to drive our OCI, the cloud side of our business for health care and life sciences. And now, after our acquisition of Cerner, I focus on new product development.  Nasim Afsar Thank you. Esther?  00:01:20 Esther Gathogo  Hi, I'm Dr. Esther Gathogo, and I'm a pharmacist with 18 years’ experience working across different sectors: community, hospital, academia and clinical research. And I currently work as a senior performance improvement leader in international based in UK. And I also focus on health equity and AI. 00:01:40 Nasim Christy? Christy Dueck Hi, everyone, I’m Dr. Christy Dueck. I'm the vice president and global head of our Learning Health Network and really have responsibilities around creating health system partnerships with life sciences industries to bring clinical research as an integrated component of clinical care.  00:02:02 Nasim Thank you, Christy. And my background is in internal medicine. I practiced as a hospitalist for over a decade in tertiary, quarternary academic medical centers. I've been in health care administration on the health care delivery side for over sixteen years in roles, in quality roles, in health management, contracting and health care operations. My team is focused on how do we ensure that across the globe we have healthy people, healthy workforce and healthy businesses. Driving the best of products and services to ensure that we're improving the health of the world. So thrilled to be here and thank you all for joining me today as we talk about women and health equity.  00:02:49 Nasim Afsar Many women prioritize the care of other people, their loved ones or family members above their own, and oftentimes may feel like they don't have time to take care of themselves or be able to do the extra research that's required or seek a second opinion. Some of the ways that technology can help partner with providers to ease that burden. Christy, what do you think about this? 00;03;17 Christy Dueck Well, I'm going to hit it from that clinical trial perspective again, as we look at ped's trials. We know the number one driver of not enrolling enough kids onto those trials is because the appointments happen when parents are working. And really when moms are working. And so it's, again, something as simple as we're changing that behavior so that we can bring that clinical trial out of a clinical research organization or at a specialty clinic that's 4 hours away from where that kid lives, and actually make it available at the point of care within their community on a Saturday morning so that a mom can take her kid to be part of that trial. 00:04:00 And instead of trying to create processes where we're enabling health systems and caregivers to work at optimum times, we've got to also create processes that actually allow our community members to engage in the care that they need on the time systems that work for them.  And so I think, Nasim, you know, exactly what you were saying is that if we're going to have moms engage in their own health and in the health of their kids, we've got to make it available for them at a time that works for them. And it can be something as simple as changing those appointment times, or the availability for them, that completely changes the outcome of a clinical trial.  00:04:42 Nasim Sarah, wondering about your thoughts on this.  Sarah Matt So for me it's really about options. So I'm here at my desk and on my desk I have this letter. They actually send me a letter from the doctor's office and it was about an upcoming appointment. First of all, I'm in a generation that a letter is just not going to work. It's not going to cut it. But I was never given the opportunity to tell them how I communicate best. So if they would give me an option to use some other patient engagement tool, a portal email, a text message, literally anything else for me would be a better option. 00:05:20 But I think that's the trick, is that technology can allow for more options. So maybe Christy is a text person. Maybe Esther actually will listen to her phone messages. If someone calls me, they're never going to get a hold of me. But, you know, I think that it's really about how can we make these super busy people utilize the tools that work for them best. And every health care organization uses patient engagement tools, whether they're using a third party for a kiosk in their office or a patient portal or other outreach mechanisms for population health. There's so many ways they can do this, and some populations are going to love that letter. Other populations, like me: please text me, please send me an email, because anything I can do by multitasking, anything I can do where I don't have to stay on hold and talk to an actual person is going to be better for me. 00:06:11 I think the second piece is really about the information in your medical record. Nothing is more frustrating than showing up to a doctor's office or for me with this letter, they sent me a whole packet of papers to fill out to bring with me to my appointment on paper. I know they're going to scan that. I know none of it will be discreet, structured information, which pains me because I know I'm going to have to fill it out again. But if we can find ways to take a patient's record, to use it well, to send it to the next provider, to use HIEs, to use other mechanisms of interoperability well, then those patients don't have to get to the appointment or they don't have to worry about the information being

In recognition of World Suicide Prevention Day (September 10), Oracle Health brings together leading voices in clinical care, behavioral health, and technology to explore how data-driven innovation can help prevent suicide and improve mental health outcomes. Join Oracle Health’s Danny Gladden, LCSW, MBA, Director, Behavioral Health and Social Care and Dr. Keita Franklin, Chief Behavioral Health Officer at Leidos, a nationally recognized expert in suicide prevention, as they discuss how ethical, person-centered use of data can detect risk earlier, connect people to care faster, and support clinicians on the frontlines. From integrated screening tools like the PHQ-9 and C-SSRS to risk alerts, we’ll examine how technology, with quality care—when paired with compassion—can close critical gaps in behavioral health. This conversation is a call to action for health systems, providers, and technology partners to change the narrative on suicide, together. If you or someone you know is in crisis, please reach out to your local helpline or call/text 988 in the U.S. and Canada. ----------------------------------------------------------- Episode Transcript:   Intro  00:00 - 00:29 Welcome to Perspectives on Health and Tech podcast. Brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected health care world where everyone thrives. Let's get started.  Danny Gladden 00:30 - 02:26 Welcome to Perspectives on Health and Tech. Thank you for joining us. I'm Danny Gladden, general manager of behavioral health and social care at Oracle Health. I'm also a licensed clinical social worker, and I've spent my career working in suicide prevention from crisis lines to community mental health to supporting national efforts with the Department of Defense and the VA. For me, the work is personal and lifelong. At Oracle Health, we believe technology has a role to play in ending suicide with one of the largest global electronic health record footprints and long standing partnerships with the VA and the DoD. We see the impact that suicide has across every community we serve. This isn't an issue that only affects certain families or certain health system. It impacts all of us. That's why we're speaking out as a technology company. Because suicide prevention is not only about crisis intervention, it's about building systems that connect people to help earlier equip clinicians with the right tools and make sure that no one falls to the cracks. Our responsibility is to use data design and technology in ways that honor the human side of care, while supporting providers who are on the frontlines every day. And today, I'm honored to be joined by Doctor Keita Franklin, chief of behavioral health at Leidos, one of the nation's foremost experts in suicide prevention, who's led this work at the highest levels of government and continues to advance the field through research, policy and practice. And so, Keita, it's so good to be with you today. I'm so glad you've joined us. You and I have had a chance to do some pretty incredible work together. You have, spent much of your career leading national suicide prevention efforts with the VA, the DoD, the Columbia Lighthouse project. How has that experience shaped your perspective on the urgency of this issue? Keita Franklin 02:26 - 03:44 Thank you so much for having me, Danny. And I always love our work together and our connection as social workers in the field over the years, so I truly appreciate the chance to talk to you this morning. You know, one of the first things that comes to mind for me is just a basic, sort of lesson is just the complexities around suicide. Now, I don't think people know, you know, when somebody dies by suicide, there is a lot of variables and factors at play. And it's never it's never one reason. But like you'll hear about people that struggle with a host of reasons, some of which are medically oriented and pain management oriented and complexities around TBI, and some of them are mental health related, and some of them are things that you and I always talk about related to social determinants of health. So just the complexities, that's probably one of my biggest sort of things to think about. And sure, in terms of shaping my perspective. And then I appreciate the upstream. I'm definitely an upstream sort of thinker in terms of like, how do we get, you know, the military used to call this left of boom, but like, how do we get, away from just intervening at the time at the single point in time of crisis? I don't know if you saw the CDC and the National Action Alliance just pushed out this new upstream toolkit or guide this week. I have that on my list of things to look at.  Danny Gladden 03:45- 04:15 Yeah, it's really great, isn't it, to have, more folks in across health care and beyond talking about suicide, suicide prevention now. So Oracle, we're a technology company. We believe we have a part to play in the bigger ecosystem of suicide prevention. If you think about a company like Oracle and Oracle Health, you know, why is it important for a company like ours to be part of this conversation?  Keita Franklin 04:15 - 05:34 Well, for a couple different reasons. And I'm in the same boat. You know, Leidos is also a technology company, and we're so thrilled for our partnership with you all around some of these issues. But really, a couple of things that we know about suicide is at the center of a public health approach is just the importance of data. Like data drives the entire public health approach. And whether you're like a brand new suicide prevention coordinator on the ground in a local county, or whether you're tackling suicide at the National level, you have to have your hands on a good set of data. And I know that you are all about data, as is Oracle at large. But then also what do we do with the data and how do we bring more technology tools to the fight when it comes to preventing suicide. By using good data, not only in mental health care systems as flags and as you know, part of predictive analytics. But also, I think we're seeing on the horizon more AI tools and advanced ways to bring self-help tools with clinician oversight. Maybe we'll talk about that more in the podcast. But definitely there is a role for technology. And I've always over the years I've put it in the pilot bucket. When you're doing good public health programing, you always have four or 5 or 6 pilots going where you're testing new interventions, trying to advance the needle with new and innovative treatments and the like. And I think technology fits in there.  Danny Gladden 05:35 - 07:22 Well, I feel a burden, a healthy burden. If we think about, say, behavioral health technology companies, of course, they're the users of their tech,  kind of have a responsibility to ensure they account for suicide prevention and screening and whatnot. As an enterprise health care EHR, that service primary care, chronic conditions and an emergency department in med surge and oncology, we have to be really diligent about where we can also infuse best practices for screening across health care delivery system. And I feel sort of, a burden there to make sure we get that right, have the right questions and the right workflows in the right place so that we can, help a doctor who's treating someone with heart disease also be able to talk about the stresses of heart disease and, risk suicide risk that comes from living with a chronic illness. And so that takes me kind of, you know, this year's World Suicide Prevention theme is changing the narrative on suicide. I'm just curious, what does that mean to you? Changing the narrative. It really struck me. I want to hear your perspective and also talk about. I think you've got some really interesting things happening in your career. So, like changing the narrative on suicide. What about small acts of kindness and community engagement and connection? How can that make a difference?  Keita Franklin 07:23 - 10:22 No. I so appreciate your question. And also the work that you're doing to embed suicide prevention into like a whole of health care system. So first and foremost, like the, early on in my career, I learned the importance of, like, if we just screen or if we just wait for mental health care alone. You know, we will have missed about many. You know, I learned this at the VA front and center where they, the veterans would go in for headaches and backaches and all of these other types of physical care issues. And when they're doing that, if we don't screen them and we don't engage around suicide prevention, it's a missed opportunity. And it's awful when we see it in the fatality reports after the fact that perhaps they've been to one of our primary care clinics in the days leading up to their death. It's just incredibly tragic for our system to, like, miss any single opportunity to say, disable that. So I'm so pleased that you're doing that. And it is hard work. Right. Because the docs will tell you, I'm busy with this, I'm busy with this, and I have a lot of things to balance. And, you know, they're here for their podiatry appointment. What do you mean? I have to screen, but you just don't know what's going on for people. So that's one thing. And then, I, I think you and I both love the theme, like changing the narrative on suicide. Right? I mean, part of the narrative is that it's upstream. The other small piece that resonates with me about changing the narrative. I'm curious what you think about this as well. Is the focus on lived experience like, I absolutely love for us as a field to never forget the voice of those that have this lived experience, whether you know it's a mom or dad that have lost a loved one, a child to suicide, and you know, of course, in the most tragic of ways, but for us to hear from them and to think about how their experiences can inform our policies and to just keep their voices in our mind at all tha

While science and technology have driven remarkable breakthroughs, they’ve also created unintended barriers between clinical research and care. The complexity and cost of research limit trials to only the most well-resourced hospitals. As a result, just 3% of patients and providers participate, and doctors often lack access to or the ability to act on life-changing therapies at the point of care. Oracle is closing this gap—embedding clinical trials, evidence-based insights, and innovative therapies directly into electronic health records. The vision: every hospital research-ready, every patient encounter fueling discovery, and therapeutic innovation reaching patients where and when it matters most. Featuring: ·       Moderator: Raj Modi, Senior Director, Global Customer Centre of Excellence, Life Sciences, Oracle ·       Panelist: Maria Clark, Market Development Associate Greenphire-Suvoda, Patient Advocate for Cystic Fibrosis Foundation ·       Panelist: Christopher P. Boone, Ph. D., Group Vice President, Research Services, Health & Life Sciences, Oracle Listen as they discuss: o   Why therapeutic innovation often stops short of the point of care—and what it takes to close that gap o   How aggregating genomic, clinical, and real-world data at scale — safely and securely — is key to unlocking this future and driving personalized medicine o   How embedding trials, insights, and therapies into the EHR will reshape access to cutting-edge treatments, lowering cost, and improving outcomes o   How the industry is approaching this shift—and what progress is already underway Notable quotes: “Because of these CFTR modulators, patients like myself are living longer than ever before. I am only 23 years old and when I was born my life expectancy was early 20’s.” – Maria Clark “We have to reimagine our own business processes and really put the needs and preferences of the patients at the center of everything we do.” – Christopher P. Boone, Ph. D. CTA: Harness real-world evidence and data-driven insights to inform critical decisions. Our expertise spans commercialization, market access, regulatory and safety protocols, oncology, and rare diseases. Bolster your strategies with data-driven solutions tailored to the life sciences and healthcare industries: Learn More ----------------------------------------------------------------- Episode Transcript:  Raj Modi:  Hello and welcome to from bench to bedside bringing therapeutic innovation closer to patients. I'm Raj Modi and I'll be your host today. This conversation speaks directly to Oracle's vision for health and life sciences. Despite all the advances we've seen in medical research over the last few decades, there's still a significant gap between scientific discovery and care delivery. And today we're going to explore how we close that gap by embedding research directly into care utilizing unified data. Connected systems and AI. I'm joined today by two fantastic guests who bring both deep expertise and lived experience. First, we have Dr. Chris Boone, who's the group vice president for Oracle Research Services. Chris is a recognized leader in real world evidence and health data innovation. And also joining me is Maria Clarke:, who is a passionate patient advocate who lives with cystic fibrosis and also works tirelessly in our industry helping organizations better understand and support research participants. Chris and Maria, welcome. Thank you both for being here.    Chris Boone:  Thank you, Raj. It's great to be here.    Maria Clarke:  Thank you. So happy to be here.    Raj Modi:  Let's dive into the discussion. Maria, let me start with you. You've written very powerfully about your experience living with cystic fibrosis. When people talk about patient centered research, what does that really mean to you, and how far off are we as an industry from making that real?    Maria Clarke:  Well, I believe this collaborative model, you know, ensures that studies are designed, conducted and interpreted with direct input from patients reflecting on their real-world experiences, their needs and priorities. This ensures you know, patients are full collaborators, not just subject ID numbers you know, in a database. Real humans with real stories and you know, research that better reflects real needs, helps promote trust, and leads to more effective personalized care.    Raj Modi:  That's really powerful, Maria. Thank you for sharing. You've read some raised some really pertinent points here. As a follow up to you, when it comes to access, whether that's clinical trials or the latest treatments, what barriers have you personally faced in your journey and what needs to change?    Maria Clarke:  So accessing care even you know when I'm fortunate enough to have, you know, insurance and advanced medications, it still comes with its own set of hurdles. For instance, you know ordering medications can be complicated, and you know, once appointments are coordinated, the burden of traveling to the clinic and missing work or school for you know, 5 plus hours can be extremely overwhelming. I mean, for instance, yesterday I was at the clinic for five plus hours participating in a research study. It's a long term study. It's like a five year study. I've been involved in with the Children's Hospital of Philadelphia and I was working remotely the whole day while getting tests done and blood drawn. And after all that, you know, had to drive home very weak, especially on the school for those who are from the Philadelphia area. It's pretty brutal after a long day in the clinic so.    Raj Modi:  Maria, that's a, that's a, that's a significant burden on, you know, on your participation into research. Chris, let me bring you in here. You've spent your career at the intersection of policy evidence and strategy from the industry side - how should we be thinking about patient centered research? How do we move from theory to something that actually involves patients in the study design, in access decisions, and in outcomes.    Chris Boone:  That's a phenomenal question and I will say this, Maria, I was in Philadelphia last week and got to experience the traffic that you guys have there first hand. So I, I empathize, in fact, you were driving home after such a pretty intense treatment and and all of that. So it's tough, but I think it's a it's a perfect example that I think embodies all the things that we need to consider as industry as we're becoming you know as as we take it to your point Raj from theory to actual practice, we've been talking about this whole notion of patient centered approaches for a very long time. But I think in my in my mind what it means is that we align the business strategies and the entire, sort of drug development process around the needs and the preferences and outcomes of of patients that are most afflicted with these particular. You know we've we've we've talked that nauseam about, you know, you'll hear a lot about patient driven or patient centric R&D or clinical trials and all these things. But you know just hearing stories like Maria is very Maria is is very powerful because it reminds us that there are real people on the other side of that who have priorities who are, who are prioritizing, you know, sort of the the side effects of these therapies or the inability to drive home after a 5 hour procedure and and just improving the overall quality of life. So I think that we have to start really pivoting our thinking to - how do we design trials in light of all the the advancements we've made in, in digital technologies to the advancements we made even in in sort of scientific outcomes research? You know, I think about, you know there was a big wave of of interest over the last several years of this idea of decentralized trials was sort of was born, out of the was born out of the pandemic and and you know the idea of doing these things virtually was it was definitely embraced, I think about the the notion of utilizing to your point, Raj, real-world evidence and and patient reported outcomes more so in in in trial design and trial data collection more so than we ever did. One of the interesting things about the trial itself that people often forget is that I think randomized special trials are are still the gold standard for for for evidence generation, but they're very limited too, right? And I think that there's a lot that happens outside the walls of these sort of controlled trials that you know it's data that's reflecting the everyday lives of patients that we need to capture that's typically captured through, whether it be their health records or whether it be in this case, wearables or or any other sort of patient generated health data. So I think as the world we start to really pivot to you know, to this, this idea of patient centric, you know sort of drug development or therapy development, I think that we have to sort of reimagine our own business processes and and we and and really put the the needs and the preferences of patients at the center of everything that we do.    Raj Modi:  Thanks, Chris. And you know to follow up on that, there's a huge buzz right now about AI. What's your perspective on AI? I mean, how does AI help with things like identifying eligible patients, surfacing biomarkers, enabling more personalized treatments?    Chris Boone:  Oh, hey, you know what, man? I I know there's a significant amount of fear and and skepticism about the sheer ability of AI, you know? But but I I'm I'm a believer. I'm a fan. I thought it was something that the industry needed for a very long time and it and it is and and honestly, I think the expanded use of AI is is a patient centered approach. Because what we're effectively trying to do is personalize and get closer to precision medicine by utilizing all the available data that's out there utilizing many of the you know whether it's generative AI and natural language processing or other AI approaches to r

Perspectives on Health and Tech  How CAMH is Advancing Mental Health Through Innovation and Social Justice Listen in for a timely conversation in recognition of Mental Health Awareness Month and National Nursing Week. In this episode, Dr. Gillian Strudwick from The Centre for Addiction and Mental Health (CAMH) and Danny Gladden from Oracle Health discuss how mental health care is evolving, and how CAMH is advancing care through the dual lenses of technology and social justice. Learn how AI tools like Oracle Health Clinical AI Agent are easing clinician workloads, how CAMH is using data to drive impact, and why framing mental health as a social justice issue is key to helping the CAMH team deliver more equitable and compassionate care. Featuring: Dr. Gillian Strudwick, Chief Clinical Informatics Officer, The Centre for Addition and Mental Health Danny Gladden, LCSW, MBA, Director, Behavioral Health and Social Care, Oracle Health Listen as they discuss: o   The Centre for Addiction and Mental Health (CAMH) background – 2:45 o   Mental health care viewed as social justice work at CAMH and examples – 5:00 o   Technology innovations at CAMH with a human-centered approach – 9:30 Wearable devices and the impact they have on research Repetitive Transcranial Magnetic Stimulation (RTMS) treatment Evidence-based apps and the integration of these into clinical care processes Optimizing EHR use and exploring the opportunity to share mental health notes in Canada o   CAMH’s perspective on AI technology and its potential impact on clinicians – 18:25 Notable quotes: “Mental health is social justice work.” – Dr. Gillian Strudwick “To be able to deliver compassionate care in this day and age, we have to be innovative in our use of technology.” – Dr. Gillian Strudwick CTA: Learn how Oracle behavioral health solutions combine real-time, clinical data from across each patient’s unique healthcare journey and how Oracle is working to reduce the documentation burden on physicians and elevate the patient experience with the Oracle Health Clinical AI Agent. ----------------------------------------------------------------- Episode Transcript: Intro  0:00  - 0:29 Welcome to perspectives on health and tech podcast brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected healthcare world where everyone thrives. Let's get started.   Danny 0:30 – 01:44 Welcome to perspectives, Oracle Health and Life Sciences podcast. I'm your host today. Danny Gladden, I'm a licensed clinical social worker and general manager of behavioral health and social care here at Oracle Health. As we step into the month of May, we recognize Mental Health Awareness Month, a time to raise awareness reduce stigma and highlight progress in mental health care. I'd also like to give a special shout out to our nurses across Canada and the US as we celebrate National Nursing week. Thank you for your unwavering dedication and compassion. Social workers and nurses make great teams. Today, we're honored to be joined by a leader in mental health care innovation. Please welcome Dr. Gillian Strudwick from CAMH, the Centre for Addiction and Mental Health, Canada's largest mental health and addiction teaching hospital and one of the world's leading research centers in its field. So, Gillian, welcome. Before we dive into big topics here, can you introduce yourself and tell us a little bit about the great work happening at CAMH.   Gillian 1:45 – 03:47 Thank you, Danny, and thank you for the opportunity to be a part of this great podcast. I might break this into two sections. First, I'll introduce myself, and then I'll tell you a little bit about the organization that I'm fortunate to work for. I'm Dr Gillian Strudwick. I'm a registered nurse, and I've worked primarily in mental health clinical settings here in Toronto, Canada, and also in other parts of Canada and internationally. Currently, I am the inaugural Chief Clinical Informatics Officer at CAMH, representing our nurses and all of our non-physician health disciplines, like social work. And I have a couple of other hats as well. So one is that I'm the head scientist of the digital mental health lab, and I'm also the scientific director of our Digital Innovation Hub, which is about really accelerating our work in this digital sphere and research practice, education and beyond. So that's about me, but I'll move on to talking about CAMH. So CAMH is C, A, M, H, the Centre for Addiction and Mental Health, and it's Canada's largest mental health and addictions teaching hospital. We think, and I think there's lots to suggest that we're true in saying this, that we're a world leading Research and Education Center on mental health, and we're located right in the heart of downtown Toronto, but we serve people across our province, Ontario and across the country as well. In terms of a few numbers that I'll share with you, we've had just over 16,000 emergency department visits in the last year, over 40,000 patients that were treated, over 80,000 virtual care appointments. And I'll provide a few more numbers here as well, almost 8000 RTMS visits, 60 million in a new research funds more than 1000 articles published. I think you get the point that there's a lot going on at CAMH, and it's a great place to be.   Danny 03:48 – 04:50 You know, I have been on your campus a number of times. I always appreciate that your campus is right in the heart of Toronto, in a bustling area, and I think there's, there's no greater way to reduce stigma than, you know, placing such a well-respected mental health and addiction treatment organization right in the heart of the city. Whereas if you go to many other communities, you'll kind of see the mental health hospitals and treatment providers kind of on the outskirts of town. Really appreciate CAMH’s role right there in the heart of Toronto. And I think this goes into something Gillian that you speak about passionately, which is the idea that mental health treatment is social justice. For our audience, tell us what you mean by that. Why is it an important lens - social justice, which you view your work?   Gillian 4:51 – 07:43 I think it's quite an important point that you bring up, Danny, and it's something we're really proud of talking about, that mental health work is social justice work. Part of doing social justice work is to be informed in this space. And part of being informed is understanding that mental illness disproportionately affects marginalized communities who are also often facing barriers to things like accessing care, and this could be due to racism, poverty, stigma, geography, and I could continue so on and so forth. At CAMH, we see mental health is deeply rooted in social justice, because access to care, dignity and treatment and prevention are not actively distributed. CAMH advocates for policies and systems change that ensure mental health care is not a privilege but a right. And so that's really our social justice lens, framing and shaping the last few statements that I made. We have done some work more recently in the last couple of years on dismantling anti-black racism, which has become a more formalized organizational commitment. I'll just read a section from one of our documents around dismantling anti-black racism. And excuse me for it sounds like I'm reading here because I'm reading from a document, but systemic anti-black racism, is a barrier to high quality health care for black patients at CAMH and across the health care system, the data lay bare with those in black communities have signaled for decades. Discrimination and oppression based on race delays care and harms individuals on their way to recovery. Racism also has a negative impact on the quality of work life for black staff, beyond the damaging emotional and psychological consequences, it limits their career trajectory, and it goes on from there. I bring this out as one of the many initiatives that the organization is committed to. And as a result of this commitment, this public commitment, you can read what I just read on our website, camh.ca, that there's a number of activities that the organization is doing everywhere, from doing offering more culturally appropriate therapies to education for staff, staff support groups, creations of processes that support equity, lots of advocacy work with the government. A lot of this work is ongoing, but this gives you sort of a more grounded, more concrete example of some of the ways in which we look at social justice as being so related to mental health.   Danny 7:44 – 09:31 My goodness, you know the social worker in me is just grinning from ear to ear, as you describe, you know, the foundation in which CAMH is caring for folks. You know, I'm still a licensed clinician in Missouri and Alaska. You know, particularly, I think about a state like Alaska, with a disproportional number of folks who are Alaska Native. And we see, you know, in those communities, so much generational trauma, and the impact you know, and the impact that oppression you know has on sort of repeating traumatic occurrences across the generations and so, so very important, I think, an important perspective to look at the the experience of mental health and the treatment of mental health through a social justice lens. Gillian, I just appreciate that, that that is a focus of CAMH, and I'm sure the indigenous populations your organization works with, you see a similar, you know, a similar experience than the those in the in Alaska here. Now, as we pivot here, thinking about, you know, you're, I think the work you're describing, from a social justice perspective, is innovative. It seems like CAMH is always at the cutting edge of innovation. We're a technology company, and so, you know, from a technology innovation perspective, what are you seeing? What's CAMH doing?   Gillian 9:32 – 15:53 Great question. Danny, and because of my various roles at the

In recent years, there’s been a significant rise of AI technology and hyper-scalers entering the healthcare market. Listen in as two experts from Oracle Health discuss improving healthcare delivery through the integration of these technologies, particularly focusing on the role of AI and comprehensive data platforms on value-based care. Learn about improving care coordination and delivery, the shift to scalable platforms, and incorporating AI and cloud technology to continuously evolve with the needs of healthcare systems. Featuring: Bharat Sutariya, MD, Senior Vice President and Chief Health Officer, Oracle Health Scott Wiesner, Go-to-Market Strategy and Operations, Oracle Health Listen as they discuss: - Dr. Sutariya’s perspective on the current healthcare landscape (2:50) - AI in service of improving value-based care (4:15) o Growth of hyper-scalers in the healthcare industry and what is lacking with this technology specific to healthcare The need for a comprehensive data platform that aggregates across multiple sources with terminology mapped to data and ontology applied for meaningful data - Going forward with industry-based data platforms (7:25) o Applying AI and genAI o Applications with pre-formatted workflows running on a comprehensive platform - Facing challenges in value-based care and technology choices (14:16) o The option of platform as a service (PaaS) helping to meet the needs for value-based care contracts - The Oracle strategy with cloud and genAI-based advancements (15:54) o EHR agnostic capabilities Notable quotes: “We now have a unique opportunity, particularly leveraging the might of Oracle, to layer advanced AI, including generative AI, on top of our existing healthcare technology – taking us far beyond where we were before.” - Bharat Sutariya, MD, Senior Vice President and Chief Health Officer, Oracle Health “At the end of the day, with value-based care, it’s really about the insights you get from the data – how do we make better use of that data in service of improving healthcare outcomes?” - Scott Wiesner, Go-to-Market Strategy and Operations, Oracle Health CTA: Want to enhance a connected healthcare ecosystem and accelerate value-based care efforts while improving clinician decision-making and the patient experience? See how Oracle Health can help with our suite of population health management solutions here: https://www.oracle.com/health/population-health/  ---------------------------------------------------------------- Episode Transcript: Introduction  0:00  Music.   Introduction 0:13 – 0:28 Welcome to perspectives on health and tech podcast brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected healthcare world where everyone thrives. Let's get started.   Scott 0:29 – 0:58 You’re listening to perspectives on health and tech. I'm Scott Wiesner, Senior Director go to market strategy in Oracle Health. With me today is Doctor Bharat Sutariya, Senior Vice President and Chief Health Officer in Oracle Health. Dr. Sutariya has over 20 years-experience in care delivery transformation, value-based care, and healthcare technology. He's also board certified in emergency medicine and has practiced medicine for over 25 years. Welcome Bharat.   Bharat 0:59 – 1:00 Scott, it's great to be with you.   Scott 1:00 – 1:08 Great to have you. Very fortunate to have you here at Oracle as well. Let's get into it. Why don't you tell us a little bit about what's driving you these days?   Bharat 1:08 – 2:30 Scott, in many ways, it's the same thing that has driven me for the last 25 years, and that is to significantly improving the healthcare ecosystem of providers, payers, and the life sciences, and to achieve the best outcome and experience for the patient. I've spent the last couple of decades developing and deploying healthcare technology products and solution and I've been fortunate to partner with leading health systems that think forward and solve complex problems that others mimic in healthcare then. I'm excited that I have this potential to make a significant progress, because I believe that the technology is more aligned to the problem now, and our ability to solve the problem now is better than ever before. So that's what excites me. Last thing I would say is it's great to be back now at Oracle Health, because Oracle is a full stack company having the most modern and efficient database, cloud infrastructure application development and proven, you know, technology over decades, and it's really taking that advantage of that capability and applying to health care, it likely excites me the most.   Scott 2:31 – 2:52 Well, it's great when passion and experience come together. Let's sort of take the next step here. This This podcast is about perspectives, and particularly your perspective, and you've got a very extensive and a lot of experience as a practitioner, educator, implementer, and, of course, executive leader quite some time. Let's talk a little bit about, you know, what you're seeing in healthcare at this moment.   Bharat 2:53 – 3:36 Interesting question. You know, I feel like we are at a unique juncture in healthcare where multiple forces are coming together. The cost of healthcare is rising. The outcomes are not necessarily keeping up. All of us are paying more out of our pocket, and overall, you know, that's not a sustainable system. But what's exciting is that we now that technology, you know, particularly with novel technology coming that has such an amazing promise to solve complex healthcare that it, you know, it, it gives me so much passion to look forward at solving these problems that we haven't been able to solve in the last 27 years.   Scott 3:37 – 4:17 So, you know, technology is both a promise and a solution. And what we're hearing from customers today really true of any industry. How do I reduce that cost? But then take those cost savings and power innovation. That's kind of the two levers there that you that you want to pull to drive efficiency and better outcomes. And one of these things we can't talk about in this day and age, whether, you know, without spelling it out, of course, is artificial intelligence. And really, how do we look at artificial intelligence and generative AI in service of, you know, improving value-based care? Can you elaborate a little bit on those two areas?   Bharat 4:18 – 6:50 As you know, my healthcare is very broad, and the movement toward value-based care, of course, many models, ranging from shared savings to full risk arrangement, both in commercial and government space, continues to grow, so I think it's an important topic. Now. I've spent a decade on value-based care strategy, technology development and partnering with health systems to really enable success in value-based care model. And there, you know, I've learned quite a bit, right? You know, I see going forward, the hyper-scalers have already made a significant progress with the penetration into healthcare, but I'm not sure that that hyper-scaler presence in healthcare has particularly been uplifting for value-based care, because in order to achieve value-based care in a programmatically and sustainable way, you have to solve some core challenges. And in the hyper-scalers, they'll provide robust technology platform, they've not necessarily solved these challenges. And the challenges that I'm talking about is, first and foremost, you have to have a very comprehensive data platform that aggregates data across multiple data sources, and that data sources need to have a high degree of terminology mapped to it, and then ontology needs to be applied to make meaning out of it, because what happens in healthcare, in particularly value-based care, is that an average value based care provider is likely providing 50 to 60% of care in their own network, meaning they have the data, but the rest of it is provided outside of their network, into the community for which they don't have clinical data, and they can only get the insight by using the claims data. So, what's happening is that the forward looking, advanced value-based care organizations have a desire to aggregate this data from multiple EHRs, where patients get their care, multiple payers, where they have taken payer contracts. They want to get data across VBM, social determinants of health, and basically anywhere patient is touching healthcare institution. They want to understand that data, because it is that aggregated data that can give them the full insight so that they can then provide a comprehensive care.   Scott 6:51 – 7:27 Yeah, it's a great point. You know, whether you're a hyper-scaler or otherwise, you know, everybody can provide a data platform where you're aggregating data. You know, some version of that. What we're describing here actually is, how do we make that better use of that data in service of value-based care, and all the contracts and regulations and things that you pointed out once before is, you know, always changing. And you can't just solve that like, you know, everybody can do that, but it's really the next thing. So maybe you can elaborate on that a little bit more, and where we're going with industry-based data platforms.   Bharat 7:28 – 9:27 I see many in the industry are starting such a platform today. While we've had a decade head start, we've had Healthe Intent for more than a decade now that has been recognized as a highly scalable world class data aggregation platform that reconciles large swath of data, you know, maps it and creates a medical grade longitudinal record. And we've been able to use this platform to help our customers achieve initial success in value-based care model. On top of that platform, you apply intelligence, you create gaps in care insight, you also empower the risk adjustment capability as well as care coordination capability and all of that together then operate, you know, provides operational capability for the value-based

Discover the Value of AI in Healthcare Are you interested in using AI tools to drive operational efficiencies within your organization, but not sure where to start? Listen in as two industry experts from HIMSS and Oracle discuss how AI is helping to transform healthcare operations and how to consider implementing AI technology in a healthcare organization. Hear about how AI is being used in healthcare today, risk factors to consider before implementing AI tools, and how AI can be used to boost clinician satisfaction while helping to reduce operational waste. Featuring: Mary Ann Borer, Senior Copywriter, Strategic Marketing Services, HIMSS Matt Patterson, Executive Director of Oracle Health AI, Oracle Listen as they discuss: -        How AI is being used in healthcare IT today and the impact it is having on the industry (1:00) -        Key factors that are important to consider before implementing AI technology in healthcare systems (6:45) -        Clinical and healthcare business workflows that may be best suited today for AI applications (8:20) o   Automation vs augmentation -        Key risk factors to consider when adopting AI in clinical practices (12:20) -        Which aspects of AI may add the most value to help improve the efficiency of current processes (15:22) -        What’s to come for healthcare AI in the future (21:35) Notable quotes: “My number one area of opportunity in healthcare, that’s best suited right now, today, for artificial intelligence is addressing physician and clinician burnout.” – Matt Patterson (9:47) CTA: Learn how Oracle is working to reduce the documentation burden on physicians and elevate the patient experience with the Oracle Health Clinical AI Agent. --------------------------------------------------------- Episode Transcript: 00:00:00:00 - 00:00:38:08 You're listening to Perspectives on Health and Tech. A podcast by Oracle with conversations about connecting people, data, and technology to help improve health for everyone. In this episode, you'll hear a conversation recorded by HIMSSCast where the host and guest speaker delve into unlocking the value of AI within healthcare. Your host for this session is Mary Ann Borer and the guest speaker is Matt Patterson.   00:00:38:10 - 00:01:05:11 Mary Ann Hi, I’m Mary Ann Borer with HIMSS. Today I'm joined by Matt Patterson, executive Director of Oracle Health AI at Oracle, and we'll be talking about unlocking the value of AI within health care. Matt, thanks for joining us today. Matt Thanks for having me, Mariana. I'm excited to be here. Mary Ann Wonderful, Matt. Can you start off by telling us a little bit about how artificial intelligence is being used in healthcare IT today, and what impact does it have on the industry?   00:01:05:13 - 00:01:31:21 Matt Yeah, absolutely. And I'll start just kind of a brief introduction of my, my experience here leading into, what's been one of the most exciting chapters in my career. But I've spent about 15 years in health care, serving in a variety of different health care entities across the globe to extract value from technology investments. So have had the opportunity to really work with some large scale players across the globe.   00:01:31:23 - 00:01:56:14 Matt And that's enabled me to learn some from some of the most innovative, forward thinking leaders across the industry on a variety of use cases. So I really started, in the heat of the adoption of core EMR technology during the meaningful use era. And throughout that journey, you know, 15 years ago till today, standing up care management programs to support value based care, you know, revenue cycle optimization initiatives.   00:01:56:14 - 00:02:22:03 Matt Most recently, I led a venture around, a lab is strategy to advance diagnostic capabilities, which is another topic, but one that I believe, you know, diagnostics has so much room for, for growth in the future. But that's often back of mind for health care organizations today. But again, as I noted, this AI initiative is really the most fun that I've had in my career.   00:02:22:05 - 00:02:54:01 Matt Of really just the value that it's bringing to healthcare professionals. To start off, just, you know, backing up a little bit around AI and healthcare, it's obviously the buzz of the last, you know, 12 plus months. But AI has been in health care for nearly half a century, and I refer to it as classic AI. It's used to carry out a specific task that a human typically performs, recognizing patterns and data to predict and drive what might happen next, or summarize what's already happened.   00:02:54:03 - 00:03:28:13 Matt Or making suggestions. What's really happened in the last 12 plus months is within healthcare is leveraging generative AI. That's the newest development in healthcare that leverages massive amounts of data and computing power to look at things in a much broader context and generate something completely new. So GenAI generate documents that can summarize existing information. It can translate a document and extract information and classify text based on a specific request.   00:03:28:15 - 00:04:07:01 Matt ChatGPT is obviously if anybody has actually tested that, it's a really good example of ask a question and it will give you a very succinct, summarized answer that's structured better than a lot of what humans can do. And so that's really where we're seeing this substantial shift in the healthcare industry is this shift from classic AI, which is if this happens, then I can drive this result to generative AI that truly can create something completely new around automation of administrative tasks, looking at precision medicine, etc..   00:04:07:03 - 00:04:29:06 Matt And as you think about just the impact on what generative AI can really bring to healthcare AI, I go back to what Bill gates, an article he wrote in 2023 after he really he had a meeting with OpenAI and it started to click for him around what AI is really going to mean foundationally for a variety of industries.   00:04:29:06 - 00:04:55:15 Matt But, you know, in his article, he was kind of focusing on health care. And, and he said this “AI will become as fundamental as the creation of the personal computer. It's going to change the way people operate to face some of healthcare's most significant challenges and rising costs, lack of equitable access and aging populations, doctor, nurse burnouts and global pandemics.”   00:04:55:17 - 00:05:37:22 Matt We're already seeing a lot of those impacts at different levels, leveraging GenAI so, you know, rising he mentioned rising costs. Today we're, we're driving operational efficiencies across health care around more efficient scheduling, claims processing, supply chain management and eliminating waste of supplies through real time forecasting, timely interventions of care that can eliminate readmissions and higher acuity costs.   00:05:37:22 - 00:06:06:16 Matt So we're impacting the cost curve already through AI, lack of equitable access to care. Social determinants of health is a big thing that we're embedding into a EMR today to provide an Uber access so somebody doesn't miss their appointment. And doctor nurse burnout. So I'm going to get into more of that today because that's where I'm spending a lot of my time within Oracle is addressing administrative tasks through leveraging AI.   00:06:06:18 - 00:06:32:07 Matt In short, the integration of AI and healthcare. It truly is transforming the industry by improving accuracy and diagnostics and treatment, reducing costs, and ultimately leading to better patient outcomes. But we'll get into some of this today. It also raises important considerations regarding data privacy, like the ethical use of AI, how to put controls around it, and the need for regulatory oversight.   00:06:32:07 - 00:06:48:00 Matt So overall, it's playing a crucial role around the evolution of health care. It's making it smarter, more patient, more efficient and more patient centered. But important to put controls in policy as organizations look to bring AI into your organizations, 00:06:48:03- 00:06:55:12 Mary Ann What are some key factors that you consider important before implementing AI technology in health care systems? 00:06:55:14 - 00:07:28:12 Matt It's one that I receive often. Where do we start? So the possibilities when you really dig into the technology of cloud hyper-scalers, the capabilities are endless, which is exciting. Yet it's also overwhelming when you really kind of dig in to what the possibilities are. So where to start is hard. And so a lot of clients and folks that I'm working with week in, week out, I give them this simple advice : start small and start now.   00:07:28:14 - 00:07:59:09 Matt You can go address low risk use cases. Now to learn the technology, understand how to wrap your arms around it, and put controls and protocol around it before you get to those larger scale, higher risk use cases such as do I drive a diagnosis directly to a physician into their physician workflow, you're going to want to put a higher level of protocol controls and risk management around that type of larger AI.   00:07:59:11 - 00:08:15:00 Matt We'll call it recommendation. In comparison to something like, how do I go create a draft note for a physician to have to review? So in short, my recommendation is always start small, but get going now. 00:08:15:02 – 00:08:25:09 Mary Ann  Now that's an excellent point. And let me add to that a little bit and ask you which clinical and health care business operations do you feel are best suited for AI today?   00:08:25:11 - 00:08:52:24 Matt So as I mentioned on the front end, I've been fortunate, to have a variety of experiences across, the healthcare entities I've worked with throughout my career. And, I'll tell you, from my experience, it's all of the functions of the healthcare system that need automation and really need to have the opportunity to eliminate manual process and waste, supply chain.

Generative AI is a known disruptor in healthcare today. Will this transformational technology be embraced by clinicians, patients, and healthcare organizations? Listen in as two experts from Accenture Healthcare and Oracle discuss the difference between traditional AI and GenAI, the opportunities that GenAI is presenting to the industry, and the need to lean in to utilize technology as an enabler and a change agent. Hear how care delivery can be reimagined with GenAI and how this technology has the potential to be applied to help reduce clinician burnout, augment the clinician-patient relationship, bridge workforce shortage gaps, reduce margin pressure, and more. -------------------------------------------------------- Episode Transcript 00:00:00:17 - 00:00:22:10 Michelle You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to improve health for everyone. Hi, I'm Michelle Flemings. I'm the industry executive director for Health Care for North America Cloud Infrastructure at Oracle. Glad that you're here. We're in the age of artificial intelligence. 00:00:22:12 - 00:00:41:29 Michelle The opportunities that we're presented with using A.I. as an industry are truly groundbreaking. And to be honest, I think we're just getting started. I want to focus today on a subset of traditional AI and want to talk a little bit about generative AI, some of the ramifications, some of the risks, benefits and what does it mean to health care. 00:00:42:01 - 00:00:47:29 Michelle I am delighted to sit across today from Tej Shah and I'll have him introduce himself. 00:00:48:01 - 00:01:08:00 Tej Thanks, Michelle Tej Shah I'm an emergency medicine doctor, a managing director, and Accenture's global health care practice. I've got a ton of experience working across different parts of health care as a consultant, obviously, but also as a venture capitalist, investing in companies and most recently starting a company in the health tech space. 00:01:08:00 - 00:01:16:07 Michelle We're talking about AI and we always have to start with what is the comparison between traditional versus generative AI? 00:01:16:09 - 00:01:17:21 Michelle How would you put that? 00:01:17:23 - 00:01:41:11 Tej We've been talking about AI for 50 plus years. This is not a new thing. We've been talking about how we can leverage data to get insights going from analytics to AI to  GenAI. Really the difference is, you know, before with AI we were able to extract data and insights from data so we could figure out what the next obvious data point was going to be. 00:01:41:13 - 00:02:19:03 Tej And in 2017 there was an article that was published by Googlers around attention is all that matters, right? And what happened with that papers is we came up with a completely new framework where we're now able through  GenAI to not just predict what's the next data point, but understand what's the next word that we can generate. And it's taking into consideration the context of the sentence to be able to make that prediction so that it's actually appropriate and it's opened up a whole bunch of opportunities that we're going to talk about today that is really transformative. 00:02:19:05 - 00:02:30:03 Michelle Let's get into some of those opportunities. I think it's fascinating that it's been as  long ago that A.I. came about and the general public really doesn't know. 00:02:30:03 - 00:02:35:14 Michelle let's talk about some of the opportunities in patient care that exists because of where we are now. 00:02:35:14 - 00:02:40:28 Michelle With A.I.. We do a lot around documentation. Where else should we be going? 00:02:41:00 - 00:03:08:03 Tej Back in 1996, you know, we started using search engines and it wasn't really until early 2000 when Google came around and the search bot search box became our librarian and around that time there was an article that was published by Will Carr in The Atlantic called Is Google Making Us Stupid and what he really meant. 00:03:08:03 - 00:03:33:29 Tej when you read the article was, are we thinking differently? Are we using our brains in the same way or reading as deeply as we did before? And obviously the answer is no. I think we continued to use our brains and we continue to, but we were using this tool as a librarian. We were using it to identify information quickly and be able to access it, you know, more readily. 00:03:34:01 - 00:04:04:19 Tej And what GenAI has done for us is start to be an advisor. It's enabling this transformation from technology, being a librarian to an advisor and that's what we're using AI for now. And GenAI today, right? So this idea of documentation and this is all relevant because the next sort of wave of what we're going to do with GenAI is it's going to start to act as an agent. 00:04:04:21 - 00:04:30:28 Tej It's going to start to enable us to take these tasks away from the from our day-to-day workflows and enable us to operate more efficiently. There is no reason, for instance, that a doctor like you or I should have to, you know, once we've submitted that a patient needs to do a specialist appointment, continue to follow up, make sure that that appointment was scheduled and have a bunch of people that are in that workflow follow up on it. 00:04:31:01 - 00:04:49:27 Tej It should just happen. And I think that generative AI is going to create these agents and these agents are going to be linked to one another. We're going to chain them together and it's going to do that follow up. It's going to make that experience more seamless, really enabling clinicians to do the work that gives us joy. 00:04:49:29 - 00:05:07:07 Michelle Let's drill down on that now, because you said something fascinating there being an agent. How I see it as being is now, I don't have that extra chaos and clutter to remember. As an ER doc, we're in the midst of the chaos we are in and we're trying our best to multitask. And there are fewer of us now. 00:05:07:10 - 00:05:25:16 Michelle There are others that are doing an exit now and then. We also don't have as much of a pipeline because, as you know, some of our residency programs didn't fill out. So three years from now, we're talking a massive deficit. And across the board in health care, there has been an exodus and a shift out of health care to other careers. 00:05:25:19 - 00:05:45:23 Michelle How do you see then us utilizing Gen AI to augment and maybe bridge some of those gaps with our shortages? The agent is great, but can we maybe think about a couple of other things that maybe might be even more magnificent? Like it's maybe front office, back office? Is there opportunity there, you think? Because we don't think about them a lot. 00:05:45:23 - 00:05:47:04 Michelle I do believe, absolutely. 00:05:47:04 - 00:06:10:27 Tej So let me just start. The clinician shortage is durable and it's secular. This is something that I say over and over again. You know, we have projected forward what we anticipate the workforce in health care is going to look like. We know there's going to be a shortage. But if you look at some of the research that's being published now, just at the end of last year, there was a study that published that looked at nurses and doctors that are in school today. 00:06:10:27 - 00:06:43:15 Tej And, you know, you might know that of those surveyed students, between 20 and 30% of them said they're going to drop out. They don't see the future of health care as a promising career that they want to pursue. That's going to be fulfilling in the way that maybe when we were going to school, we saw. And I think that's really disheartening because truly I think that, you know, when the way I thought about health care and the way the reason I pursued a degree is because I wanted to take care of people. 00:06:43:18 - 00:07:05:18 Tej And what's happened along the way is so many things get in the way of that, Right. That joy that we were talking about that I mentioned, that's gone because we've got so much administrative burden, so many distractions that sort of pull us away from that day to day care. It's actually started to deteriorate or continue to deteriorate. 00:07:05:18 - 00:07:28:18 Tej That relationship between the doctor and the patient that I think is so sacrosanct. It's so important. And I think patients want it. Physicians want it that nurses want it back. And so when I think of front office and back office, it's not just agents that are going to be doing this work. What it's going to do is it's going to take those tasks away, but it's also going to start to transform. 00:07:28:25 - 00:07:55:11 Tej What role, as a clinician, I play in the delivery of care, right, where maybe 30, 40% of my time I was it was taken up by doing that administrative work. Now I'm going to have it back to refocus on the patient. And it doesn't just drive productivity improvement, it drives greater engagement, it drives better experience for us as clinicians and for patients. 00:07:55:13 - 00:08:19:10 Michelle So back on Joy, I would love to be back there as well, cause I remember that feeling my first, but the patients and I could do anything and everything and this was going to be magnificent. And then you're right. Little by little, the administrative stuff started to become a burden. With GenAI,, how do you see us being able then, in this world of technology, having unfortunately had that adverse effect? 00:08:19:10 - 00:08:45:15 Michelle And I think it was an unexpected consequence of all of the information coming into the EHR and all of the information coming at us, period, whether it's on our phones, on our on our laptops and still faxes and message centers and inboxes. How do you see Gen AI as being able to be the thing that we can get providers to say, I trust this, I'm going to buy in, I will do this. 00:08:45:17 - 00:08:51:16 Michelle Because the last time we petted the dog, that was technology, it bit us and we have a long me

As society’s focus on mental health intensifies, technology stands at the forefront of this evolving narrative. Listen in as this group of experts examines technology’s paradoxical role in mental wellbeing: constant connectivity that reveals insights yet also increases burnout due to poor design, and social media, where overuse is linked to decreased mental health but provides a beacon of hope through innovation. Hear about the challenges and opportunities of using technology to enhance mental health, exploring how digital advancements can be harnessed for a healthier, more balanced future.    Featuring the following panel at SXSW Conference: Moderator: David Feinberg, M.D., Chairman, Oracle Health Danny Gladden, MBA, MSW, LCSW, Director, Behavioral Health and Social Care, Oracle Health Tracy Neal-Walden, Ph.D., Chief Clinical Officer, Cohen Veteran Network Michelle Patriquin, Ph.D., Director of Research, Associate Professor, Menninger    Listen as they discuss: The moment realized, that access to care needs to be fixed (0:40 What is happening from a technological standpoint that is helping individuals, patients, families, and communities (4:33) The use of iPads Research assistance The collection of outcomes data An example of something done based on data to change the way that care is delivered (6:20) The role of sleep Post-treatment and post-discharge risks Q15 (15-minute patient safety) checks Example of the effectiveness of telehealth (9:15) Prior and post-pandemic Impacts on standard measures Additional data insights Impact on no-show appointments Using technology to tell a fuller story (12:45) Wearable devices Digital therapeutics and inputs Research to practice gap and the potential of technology (15:38) Concerns with technology not helping or distracting from human connection (17:05) Social media and the link to depression (17:50) People who are left behind; technology access and literacy (19:00) Psychologic safety of technologies (20:00) Concerns from the clinician perspective (20:45) Helping clinicians with documentation and proper training of tools leveraging AI (21:44) Clinician burnout (22:34) Notable quotes:  “This is why I love wearables, and I’ve always loved wearables, psychophysiology, because it fills a tremendous gap in our ability to measure the dynamic fluctuations and the way our emotions and behaviors change.” Michelle Patriquin, Ph.D., Director of Research, Associate Professor, Menninger (15:10)   Learn more about how Oracle behavioral health solutions combine real-time clinical data from across each patient’s unique healthcare journey.   Watch on-demand and live webcasts by registering for Oracle Health Inside Access.   --------------------------------------------------------   Episode Transcript: 00:00:00 You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. 00:00:11 David My name's David. I'm the chairman of Oracle Health. And before I introduce this esteemed panel, there's a few patients that I've cared for, and I'm a child psychiatrist that have just stuck with me. And for a lot of reasons. Well, I actually feel like for whatever long I've been in this 30 plus years, I'm just trying to make it better for these patients and their families. 00:00:34 David So let me describe them. And I think it really sets the stage for the role of technology in mental health. Okay. This little girl in third grade at the local school where my kids actually went to school writes in her haiku poem that she wants to commit suicide. And this is pre cell phone guys pre technology. The teacher reads the haiku poem and tells the prince at home that night tells the principal. 00:01:01 David The next morning, the principal then calls the mother at home. And then this is L.A. And because they knew people, they were able to get in to see me in three weeks. And I was like, my God, if my kid was suicidal, it doesn't matter who, you know, you got to be seen today, right? I didn't know this word, but I know. 00:01:22 David And now I'm going to fix access. I mean, that's what we use is this term access to me is my kid is suicidal and I'm calling an 800 number and my insurance doesn't cover it or I got to pull strings and God forbid I'm from the other side of the tracks where I don't know anyone. I will never get it like. 00:01:40 David So how can technology help there? Right now, I think what we're supposed to talk about, too, is the negative part of technology, right? I'm stuck on my phone. I'm not I'm not socializing. I'm, you know, we all go to dinner and we're like this instead of actually being together. So why don't we go down the line and introduce yourselves? 00:02:03 Michelle Okay, everybody, I'm Michel Patrick Quinn, and I'm a psychologist and a child psychologist, and I'm director of research at the Menninger Clinic and an associate professor at Baylor College of Medicine. I'm excited for this conversation. The Menninger Clinic is really known for humane treatment of mental illness. We are historic, known as an inpatient psychiatric hospital and really revolutionary and something called the therapeutic milieu. 00:02:30 Michelle And so kind of actively intervene and doing psychotherapy while someone is inpatient. So it's not a passive intervention. And it's really just remarkable. We still hold on to that kind of psychotherapy within an inpatient context. 00:02:47 Tracy I am Tracy Neal Walden. I'm a clinical health psychologist. I work for I'm the chief clinical officer for Coimbatore and Network. We're a network of mental health clinics across the US. We have clinics in 16 states covering, supporting 25 states. So and that's because of telehealth. So we utilize we don't do solely telehealth, but we've been able to utilize telehealth in order to expand our reach across the US. 00:03:18 Tracy I'm also a veteran of the United States Air Force. I served for 24 years and served as a psychologist during that time in the Air Force as well. We serve not only the veteran but the veteran's family members. As a veteran, myself, my family doesn't have access to care in the VA, and that's no fault of the VA. 00:03:37 Tracy It's the way the system is set up. And so we're able to reach and provide those resources to families and in a much shorter time period, especially due to the advances that we're going to be talking about now with technology, 00:03:53 Danny Thank you and so I'm Danny Gladden. I'm the director of behavioral health and social care for Oracle. 00:03:59 Danny Happy to be the social worker on the stage. And I really proud to work with just a whole group of social workers in the delivery of mental health services and all the great work social workers do. 00:04:11 David Today, what in your organizations is happening from a technological standpoint that you think is improving access, improving quality, democratizing care, making care more affordable, more culturally sensitive, helping with, you know, inequities that we know that are in care? What are you doing to harness technology that's actually helping individuals, patients, families, communities? Sorry, go for it. 00:04:34 Michelle Yeah. So it's not really revolutionary in any way, but we use iPads and research assistants and collect outcomes data across our whole hospital and with inpatients in outpatients, outpatients, it's pretty standard. People are able to complete, you know, outcomes, measure, self-report, inpatient. It gets more complicated. And we have to we have to guide people, help people. Some good times, people resist, don't want to do it, and that's fine. 00:05:00 Michelle They don't do it. But that to me is the foundation, right? So if you collect outcomes data that gives people a voice in their treatment, particularly on inpatient. So our inpatient units are locked units, you have reduced someone's on autonomy when you measure how they're doing, from their perspective, it gives them some control back. And I think that is one of the most powerful things that we can do is give people control back through data and measuring these things and measuring the change over time. 00:05:32 Michelle Whether it's positive or negative. And technology allows us to do that. So many of our patients want to use the iPad, and then we visualized the data in graphs that are provided to the treatment team through our electronic health record. And so that gives data driven feedback that the treatment teams can actually provide to the patients at the patient level. 00:05:50 Michelle We also use it for research to understand like aggregate results, what's working for who and what's not. But I think, you know, I'm biased, I'm director of research, so I love data. I'm the PI over our outcomes. But I think that's tremendous. And we can advocate for better inpatient environments, better inpatient care, better inpatient outcome. 00:06:12 David Can you? I think it's a great example. First of all, the simplicity of it is sometimes to make things simple. It's really hard and so this is great. Can you give an example of something you've done based on the data to change how care is delivered? 00:06:23 Michelle Yes. So well, something we're working on right now, all of our results are lining up really around the role of sleep. One thing we are constantly thinking about is suicide risk with inpatient, and particularly suicide risk post-discharge for those of you who may not know post-discharge from inpatient is the highest risk period for suicide. Over and above any other time in someone's life and also relapse. 00:06:52 Michelle So post in our highest level of care. And to us that is incredibly concerning. So we have been really thinking about the role of sleep as well as other measures and look at longitudinally outcomes while someone's inpatient what is predicting suicide risk and we have a paper that we published

In the last decade, a growing amount of research has increasingly exposed how a lack of funding for medical and pharmaceutical research around women’s bodies has put both patients and clinicians at a disadvantage for treating even common illnesses. With a lack of knowledge and awareness on women’s health, clinicians don’t have the data with which they need to practice, and patients don’t feel heard, some even experiencing bias at the bedside. How can AI and other technologies help address some of these challenges? Listen in on this first episode of a two-part series. Featuring: Moderator: Nasim Afsar M.D., MBA, chief health officer, Oracle Health Christy Dueck, Ph.D., global head of the Learning Health Network and Health System Activation, Oracle Health Esther Gathogo, M.Pharm., Ph.D., senior performance improvement leader, Oracle Health Sarah Matt, M.D., MBA, vice president, physician and healthcare technology executive, Oracle Health Listen as they discuss: The moment they realized, personally or professionally, there was a gap in women’s health care (2:47) In practice for oncology patient Collegiate athlete performance Menstrual health care in school settings In practice, while pregnant What is being done to address the lack of research on women and diversity amongst women (10:56) Representation in clinical trials Product development Expanding inclusivity in EHR data What can be done to help address the lack of women and women of color in clinical studies (15:11) The role of AI in care delivery (17:15) Tips for training AI algorithms Burnout, patient engagement, automation Notable quotes: “When we think about women's health in general, using more automation, using more AI/ML, could it help women in their ability to get care for themselves? It absolutely could … Because right now I think what we're finding is that the system’s stressed, all the people are stressed, the patients are stressed. Everyone needs a break and we can't do more with less. We're going to have to do things differently.” – Dr. Sarah Matt “At the end of the day, we want to make, just like you said, those 15 minutes with the community members that you serve more impactful and with the option to bring more innovative things to your community than ever before.” – Christy Dueck, Ph.D. “And we know that if there's such a low representation of women in clinical trials, it means that products are being approved without the representation of these women. And it means that the real-world evidence then becomes really important. If we are then using these products, we have to understand the female body and the diversity—in terms of the genetic background as well—and that diversity means that they might respond differently to the approved medicines. It’s also thinking about how to recruit and making it a lot simpler for women to understand the products.” – Esther Gathogo, M.Pharm, Ph.D. --------------------------------------------------------- Episode Transcript: 00:00:00 Nasim Afsar You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone.  Today on the podcast, we're discussing women and health equity. From personal and professional experience, how we've become familiar with the lack of resources and research on women's health and how AI and other technologies can help address some of these challenges. 00:00:35 Hi, I'm Dr. Nasim Afsar, chief health officer at Oracle Health. And joining me today on the podcast are three of my colleagues from around the world. I'll ask them to introduce themselves and give a brief overview of what they do. Sarah Matt Thanks, Nasim. I'm Dr. Sarah Matt. I'm a surgeon by training my fellowships and burns, but I've been in product development all over the world for my entire career. That's building our electronic medical records, new mobile applications, patient engagement solutions, you name it. First, I came in to drive our OCI, the cloud side of our business for health care and life sciences. And now, after our acquisition of Cerner, I focus on new product development.  Nasim Afsar Thank you. Esther?  Esther Gathogo  Hi, I'm Dr. Esther Gathogo, and I'm a pharmacist with 18 years’ experience working across different sectors: community, hospital, academia and clinical research. And I currently work as a senior performance improvement leader in international based in UK. And I also focus on health equity and AI. 00:1:37 Nasim Thank you, Esther. Christy? Christy Dueck Hi, everyone, I’m Dr. Christy Dueck. I'm the vice president and global head of our Learning Health Network and really have responsibilities around creating health system partnerships with life sciences industries to bring clinical research as an integrated component of clinical care.  Nasim Thank you, Christy. And my background is in internal medicine. I practiced as a hospitalist for over a decade in tertiary quaternary academic medical centers. I've been in health care administration on the health care delivery side for over sixteen years in roles, in quality roles, in health management, contracting and health care operations. My team is focused on how do we ensure that across the globe we have healthy people, healthy workforce and healthy businesses. Driving the best of products and services to ensure that we're improving the health of the world. So thrilled to be here and thank you all for joining me today as we talk about women and health equity.  00:02:47 To start us off, I want to talk about the moment that you all realize that there is a wide gap in women's care and that could be either personally and professionally.  Nasim  So, to kick us off all kind of share a story from my background. This really kind of hit me a number of years ago when I had the privilege of taking care of a 48-year-old woman with end-stage metastatic colon cancer during her final hospitalization. I learned during this hospitalization that leading up to her terminal diagnosis, for about a year, she had seen a number of providers with her symptoms. Initially started off with fatigue. She then had some abdominal pains, some nausea, and this was continually attributed to stress, irritable bowel syndrome. And during those 12 months, she was really never provided the appropriate diagnostic interventions, like a colonoscopy, until it was too late.  I also learned during that time that she was a phenomenally dedicated teacher. She was a caring mother. She was a spouse, a child, a sister, an incredible friend to many. It was absolutely heartbreaking to see that her voice was not heard as she didn't receive standard of care that really could have been lifesaving. And I wish I could say that this was a rare case. But cases like this happen every single day in the U.S. and across the globe. 00:04:22 Christy, I'm wondering if you can share with us when this really became real for you.  Christy Sure. A little bit different story for me, and mine's actually personal. So, when I was studying pre-med, I was an intercollegiate athlete in rowing with aspirations of competing at the national and elite level. And like so many female athletes’ experience, I really got caught up in the cycle of being asked to lose a significant amount of weight by my coaches, because rowing, like other sports, has weight classifications. So over the course of a summer, I dutifully lost 35 pounds and returned back in the fall at under 130 pounds, which is a light weight. And in about three months I had a full osteoporotic hip fracture at the age of 20. And it was really a peak milestone for me. I was in my junior year. I was pre-med at the time. 00:05:22 I was never given, obviously, any guidance around the impact that that weight loss would have on my health, my endocrine system. And so that was really a milestone of it ended my rowing career, unfortunately. But it was really a driver for my career. I went on and got my Ph.D. in reproductive endocrinology and did a whole lot of research around the female-athlete triad since I was sort of the poster child for it at that time. 00:05:50 Nasim  What a challenging personal experience to go through. Christy, thank you so much for sharing that, Sarah.  00:05:58 Sarah So I think, you know, as I went through my medical training, you kind of see things, you hear things, if things don't seem quite right a lot of times. I think where it really hit me is when I started having my own children. So, I have four kids, and my first, I was still doing surgery at the time. And when I think back to that time, there were so many assumptions made about what I, as a professional, might already know about women's health or might know about my own body, and that I didn't. And when I would ask caregivers, they would either be like, “Oh, well, you know, it's this or it's that.” And I think that having come from the medical field and having a baseline of information already, I still didn't have the answers I needed. And I was relying on my grandma or my mother or my sister or friends to ask advice when I couldn't get what I needed out of the medical system. And as a medical professional, I needed information like, “Hey, if I'm going to go into a vascular procedure, do I need to wear lead?” 00:06:57 “Hey, is this chemical okay for me? What if I get exposed to that?” And yes, sometimes there was a paper that I could Google and sometimes I could ask my doctor, but sometimes there just wasn't. And there wasn't the right people for me to ask within the medical community or otherwise. So I can really see how people just struggle, because I had, theoretically, all the resources I could possibly want available to me, and I still couldn't get the answers that I wanted. 00:07:27 Nasim Thank you for sharing that, Sarah. It really brings out the part of the heart of the matter, which is even when you have resources and knowledge, it can be so incredibly challenging. And so many wom

Summary It’s essential to prioritize cybersecurity, particularly for healthcare organizations that handle sensitive patient information. With so much at stake, it’s critical to recognize the importance of cybersecurity and take proactive measures to prevent potential breaches. In a recent discussion, two experts from Oracle emphasized the significance of areas such as ransomware resiliency, cyber-recovery, and other crucial aspects of cybersecurity.     Featuring Waleed Ahmed, Senior Manager, Cloud Engineering, Oracle  Esteban Rubens, Field Chief Technology Officer, Oracle Cloud     Hear Them Talk About:    What’s going on with cybersecurity in healthcare today (0:42)  What Oracle Health is doing to address the cybersecurity situation (1:17)  Areas of Focus  What is the threat intelligence in the platform? (1:27)  The need to continuously monitor and detect threats (1:50)  How to allow the business to continue and provide care in the event of an attack (2:35)  Ransomware resiliency and ransomware recovery (2:53)  How to deliver a cyber-recovery (3:17)  A recap of the three prongs that Oracle is focused on to deliver cybersecurity (3:47)  How Oracle can support both clinical and non-clinical systems (4:08)    Notable Quotes “There’s an incredible amount of scrutiny in understanding what the threat landscape is and it’s becoming more prevalent in healthcare, where it’s an opportunity for attackers to lock in and prevent businesses from occurring where it matters most.” - Waleed Ahmed    “You have to be able to say, not only is my architect resilient, but in the event I do have a cyberattack, can the business continue?” - Waleed Ahmed  “Oracle is delivering in three different prongs. The ability to detect, the ability to assess, monitor, and also provide the capability of bringing the systems back up.” - Waleed Ahmed  Learn more about how Oracle is safeguarding operations with resilient architecture and military-grade security.  Watch on-demand and live webcasts by registering for Oracle Health Inside Access.   -------------------------------------------------------- Episode Transcript: 00:00:00:00 – 00:00:00:09 Perspectives introduction You’re listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data, and technology to help improve health for everyone. 00:00:00:10 - 00:00:00:24 Esteban Hi, I'm Esteban Rubens. I’m the Field Healthcare CTO at Oracle Cloud. And we're here to have a quick chat on cybersecurity and health care. I'm joined by Waleed Ahmed. He's a leader on the engineering and architecture side of Oracle Cloud. Welcome. 00:00:00:24 - 00:00:00:25 Waleed Pleasure to be here, Esteban. 00:00:00:26 - 00:00:00:35 Esteban What's going on in cybersecurity in health care today? We've seen so many headlines. There's a lot going on, very high profile attacks. There's a lot of flack everywhere. What's your take on it? 00:00:00:36 - 00:00:01:01 Waleed There is there's an incredible amount of scrutiny in understanding what the threat landscape is, and it's becoming more and more prevalent where especially in health care, where it is an opportunity for attackers to lock in and prevent businesses from occurring where it matters the most, especially after the pandemic that we've come out of right now. 00:00:01:01 - 00:00:01:36 Waleed And it has opened up a great amount of pressure on the organizations to do something about it. And in Oracle Health, what we're doing is we are addressing the situation in a manner of three areas. First of all, is understanding what the threat intelligence is in the platform, understanding threat intelligence and using capabilities from security scientists, and also third party vendors such as CrowdStrike to bring in and assess, assess and interpret what the possible threat areas are. 00:00:01:37 - 00:00:02:07 Waleed Now, once you've assessed it, you need to be able to continuously monitor and while you're monitoring, being able to immediately detect it. So understanding these two capabilities need to exist in an architecture will allow, you know, security leaders within the health space to take a take a relaxing mode and saying understanding that, yes, I have the intelligence and I also have the constant detection and and and monitoring of our of of our architecture. 00:00:02:08 - 00:00:02:34 Waleed So those two parts are there now. It's not really complete unless you think about in the event of an attack, how do I allow the business to continue? We cannot stop giving care, especially in a provider space. So in those type of settings, it's a it's a it's a life or death situation. Right. It's being able to provide critical emergent care immediately. 00:00:02:34 - 00:00:02:59 Waleed Now, to be able to do that, you have to not only think about ransomware resiliency, but you have to think about ransomware recovery. You have to be able to say, not only is my architecture resilient, but in the event I do have a cyber attack, can I allow the business to continue as, as you all know, that a cyber attack, when it happens, there is a crime scene investigation put around it and there has to be scrutiny, investigation. 00:00:03:00 - 00:00:03:30 Waleed So business can come to a halt. If you were able to address by delivering a clean room and at dynamically through the cloud capabilities of Oracle, rebuild a reliable, uninfected environment and provisioning it at a moment's notice, that's where you deliver a cyber recovery, a true cyber resilience that is able to recover in and with confidence and allow the business to continue. 00:00:03:31 - 00:00:03:43 Waleed So Oracle is really delivering in three different prongs. It's the ability to detect, the ability to assess, monitor and also provide you provide the capability of of bringing bringing the systems back up. 00:00:03:44 - 00:00:04:03 Esteban That's crucial, though, whether the rapid recovery so that you can continue operations regardless of what's going on. And what about tiering of the different kinds of systems or clinical non-clinical, things like the EHR, billing? We've heard about things happening around the billing system. We can help with all of those areas. 00:00:04:04 - 00:00:04:15 Waleed Absolutely. I mean we have front line EHR that delivers into a backend payroll that pays critical resources to deliver the necessary needs. 00:00:04:16 - 00:00:05:04 Waleed So with that, we we understand and deliver security in depth. That means we will start at where the data resides to secure that all the way out to the edge. So that that in itself is because we run our oracle help platform on oracle cloud infrastructure. Inherently, it delivers security at the data tier all the way up to data in motion and as well providing key capabilities such as web access, firewalls such as, such as cloud strike capability within a cloud guard, and also with the same tool monitoring and detecting issues on the front line too, all the way in the back end where you're having connectivity between provider and payer in that sense. 00:00:05:05 - 00:00:05:23 Esteban Obviously, we could talk about this for hours and hours. We would love to talk to all of you about this. We are more than happy to have any of those discussions and expand upon them and give you very specific examples. So reach out to your Oracle resources and we can happily get engaged. So again, thank you, Waleed. 00:00:05:24 - 00:00:05:26 Esteban Thank you all and we look forward to seeing you soon. 00:00:05:26 – 00:00:05:38 Perspectives outro Be sure to subscribe to Perspectives on Health and Tech podcast. For more insights from industry experts, visit Oracle.com/health or follow Oracle Health on social media. 

Healthcare is ever evolving and new trends and tech capabilities are on the horizon for 2024 and beyond. What should healthcare organizations, clinicians, and patients be prepared for? How might healthcare delivery and operations be impacted? Listen in as two leaders from Oracle and Deloitte Consulting LLP dive in and share their perspectives from industry clouds and AI adoption to burnout, workforce shortages, rising costs, consumerism, and more.   Featuring:   Hashim Simjee, Principal, Global Oracle Healthcare Leader, Deloitte Consulting LLP Sarah Matt, M.D., MBA, Vice President of Oracle Health Product Strategy  Hear them talk about:  Healthcare organizations adopting industry clouds (1:30)  Utilizing AI to improve operations, support caregivers, and make diagnoses (4:32)  How AI adoption can help free clinicians’ time, improve clinician workflows, and decrease burnout (6:49)  A recent JAMA study comparing empathetic responses of physicians and chatbots and how AI, augmentation, and telemedicine could help offload clinician workload and address workforce shortages (9:02)  Consumerization of patient care and how tech can help (11:23)  Interoperability, and accurate and accessible patient data’s potential to influence health outcomes for populations disproportionately affected by social determinants of health (14:15)   How to make use of IoT with data from wearables and hospital at home (16:54)  How tech innovation can make a difference in healthcare’s biggest challenges this year (18:05)  Notable quotes:  “You can’t replace the bedside manner, you can’t replace the empathy for a clinician, but you can replace the components around pulling together information and coming back with a reasonable diagnostic that can be done and that has to be reasonable and validated.”  – Hashim Simjee  “So what we're really looking at is, as we think about AI and access—we really want to start to think about equitable access and using technology to drive easier access for consumers.” - Hashim Simjee    Learn more about how Oracle is connecting healthcare with cloud capabilities through products and solutions.  Watch on-demand and live webcasts by registering for Oracle Health Inside Access.  Check out Deloitte’s 2024 Global Health Care Sector Outlook.  --------------------------------------------------------- Episode Transcript:       00;00;00;11 - 00;00;23;18  Sarah Matt  You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. We're at the start of another new year, and I can't help but be curious about what's coming in the health care industry in 2024 and beyond. More specifically, the tech capabilities and trends that are ramping up to support health care delivery and operations.  00;00;23;29 - 00;00;42;20  Sarah  Now, Deloitte published a 2020 for Global Health Care Sector Outlook report that shared several key trends that are anticipated to make quite a splash in the future of health care delivery. And I'm excited to dive in and hear more. So with that, I'll introduce our guest speaker with us today, Hashim Simjee. Hashim, introduce yourself a little bit.  00;00;43;26 - 00;01;04;19  Hashim  Thanks, Dr. Matt. Great to be here with you. The way to help your practice, primarily focusing on technology and health in the intersection of health care. And I'm responsible for our global Oracle health care practice, including clinical plan analytics, HRA, HCM, ERP. So happy to be here with you today.  00;01;05;03 - 00;01;23;05  Sarah  Nice. We're happy to have you. You know, in our last podcast, we discussed cloud tech for health care. And looking at this year's health care predictions, I was really excited to see that in a recent report published by the International Data Corp.. So I see that 70% of health care organizations are going to adopt industry clouds by 2025.  Can you share with us a little bit about the emerging technology prediction and how it aligns with the Deloitte's 2024 outlook?  00;01;29;18 - 00;01;58;08  Hashim  Yeah, it aligns very nicely with that. We expect to see AI cloud interoperability as kind of huge, huge upturns in the market with air driving potential savings of $300 billion through 2026 relative to the broader market and think that cloud is going to continue to drive adoption and continue to drive efficiency in the market as well as help to improve access and equity as well.  00;01;59;16 - 00;02;21;06  Sarah  So you know, when I think about AI, just in the last year, we've had such a huge exponential increase in visibility use cases, you name it. You know, it was maybe last spring when chatbots really just kind of blew it out of the water. We think about AI to improve operations or support caregivers or do diagnostics, you know, Hash, where do you think it's really going to touch us the most?  00;02;24;25 - 00;03;15;29  Hashim  So we see it in a few major areas right in. But think about it. It's really streamlining of administrative tasks, improving overall quality of care. Again, you mentioned access to expanding access to care and really around helping clinicians spend more time with patients. So looking at next-best outcomes, suggesting outcomes, looking at case histories and really being able to consolidate test results and whatnot and allow the physician to spend less time inputing all that information together where the clinician can pull all that information together, allowing for admin tasks such as clinical inventory, or to be able to say, you know what the stock levels are and using algorithmic components to really be able to drive that improving quality of care, really looking at time cost to outcomes, to being able to say, you know what the optimal procedure or so on and what location, as an example, to say, how do we pull some of that together and using all of that information that reside in the facilities today and being able to do that much more automated fashion in in a predictive fashion. And so we think those are probably going to be some of the biggest or option these out there that are going to help.   00;03;48;03 - 00;04;20;09  Sarah  That's very interesting. Let's dig in a little bit. You know, IDC also shared some interesting stats around AI and Jenny AI and they estimated that 60% of health care organizations will see a 60% increase in AI solution adoption by 2025. And by that time, just like you mentioned, clinicians, time will free up 15% due to Gen AI. So these are pretty incredible stats considering health care organizations have realized the difficulties of rising costs and they're really trying to improve care, quality and clinician satisfaction. So when we think about improving clinician workflows, quality of life for providers, decreasing burnout. What are your thoughts on how we can really make an impact There.  0;04;33;28 - 00;05;05;26  Hashim  Prior in the conversation, Sara, you're going to kill me for this is, you know, one of the one of the thoughts that I've had over the years and I've had this discussion with physician friends is physicians are really an amalgamation of a lot of data. So they are, you know, one of your quintessential as you can't replace the bedside manner, you can't replace the empathy for a clinician that you can replace the components around pulling together information and coming up with a reasonable diagnostic that can be done and that has to be verified and validated.  00;05;06;08 - 00;05;26;08  Hashim  And so as I think about it, how do you free up the time for them to be able to pull that information together, being able to utilize that time to spend time with the patient and then being able to be much more in the moment with the patient and not have to do all of the routine things that they historically had to do around filling out notes, filling out paperwork.  00;05;26;20 - 00;05;42;17  Hashim  How do you use ambient listening to be able to support that and do some of the other tools that are already in the market or coming to market to better describe the position on the clinician experience and then improve the overall patient experience.  00;05;43;21 - 00;06;09;21  Sarah  So when it comes to decreasing paperwork as a provider, I am all for that. No problem. When it comes to helping you with diagnosis. Again, I'm not that concerned about that because we've been using clinical decision support tools for 100 years, whether it's a rules-based engine, whether it's a third party bringing in crisp data. I mean, just prescribing medications, especially in pediatrics, can be really difficult if you're just trying to do it off the top of your head.  00;06;10;04 - 00;06;39;16  Sarah  I think where I'm the most concerned is really about the bedside care and the empathy piece. There was a recent JAMA article that was from last year that compared ChatGPT both on its ability to make diagnostic kind of inquiries and answer medical questions. It did great on that. Okay, no problem. Not surprised. But then it also showed that the answers it was giving were more empathetic than providers. Now that makes me a little anxious. What do you think about the empathy gap and how AI could cross that chasm at some point, and perhaps I'm going to be replaced?  00;06;51;22 - 00;07;14;08  Hashim  I think, you know, I think the diagnostic element, you're spot on, right? I mean, we to your point, we have been using WebMD or whatnot for well over a decade in your self-diagnosing and now actually putting it into a clinical setting is interesting and important where I think the empathy gap is big cross.  00;07;14;13 - 00;07;53;08  Hashim  I think the models are we're training the models to be empathetic and to actually listen. And I think part of it is the clinicians are so overwhelmed with so much when you look at what we had to do with COVID, where the decrease in the number of clinicians who are actually available t

It’s no secret: healthcare systems are overburdened—could cloud capabilities really provide some of the needed reprieve? Could the right data presented at the right time reduce costs and improve operations, ease the administrative burden on clinicians and payers, and help improve the patient experience? Two experts discuss use cases on cloud-enabled intuitive assistance, streamlining and vetting data, how cloud-enabled technologies are benefiting the whole patient experience, and more. Featuring:   Michelle Flemmings, M.D., industry executive director, Healthcare North America Cloud Infrastructure  Sarah Matt, M.D., vice president of Oracle Health product strategy Hear them talk about:   •    What’s going on in the healthcare industry right now (0:24) •    Using cloud and other technologies to improve workplace experience and retain healthcare workers (1:15) •    Challenges and concerns when moving from rules-based applications and tools to more predictive forecasting and AI (2:54) •    Working with clients going through the transition of bringing together disparate data sources separated by geography, organization, privacy, and security (4:27) •    Harnessing cloud capabilities for clinical trials (7:24) •    How to build trust around privacy and security for cloud and AI—and how cloud can be a secure mechanism to bring forth that trust (10:05) •    Opportunities in leveraging the cloud for healthcare (14:24) Notable quotes:   “I think that cloud has a great availability of information, but it also has the functionality whereby it can hopefully look at the system overall, if it's dialed in right, and then predict what's necessary and then take out the rest of the chaos. You know, taking in the signal and taking out the noise.” – Michelle Flemmings “Now with the potential of AI using thoughtful implementation to support our providers from burnout, empower our patients to lead their healthcare teams, make those right decisions using trusted information that's fit for purpose, it changes the entire landscape.” – Michelle Flemmings “We need to make certain that we're not replacing that trust that has been in the provider relationships so long and then got compromised when we did start going digital. There's an opportunity here to rebuild that, and magnify that, and still broaden our ability to care for more patients.” – Michelle Flemmings Learn more about how Oracle is connecting healthcare with cloud capabilities through products and solutions. Watch on-demand and live webcasts by registering for Oracle Health Inside Access. -------------------------------------------------------- Episode Transcript: 00:00:00 Dr. Sarah Matt You're listening to Perspectives on Health and Tech, a podcast by Oracle where we have conversations on creating a connected healthcare world where everyone thrives. I'm Dr. Sarah Matt. I'm the VP of Oracle Health product strategy. And with me today, I have Dr. Michelle Flemmings from our OCI team. So, Michelle, I know we've been hearing a lot about cloud capabilities for healthcare. Can you get us a bit of an overview of what's really going on in the industry right now? 00:00:24 Dr. Michelle Flemmings Well, Sarah, thank you for that question. I have had the pleasure of meeting with a lot of our clients and being at several events recently and top of mind is cost containment especially with the economy as it is, and the cost continuing to rise. Second, a very close second, is achieving and maintaining operational efficiency that will help support that cost containment. 00:00:44 Things around process improvement, throughput, driving patient outcomes, improving quality performance as well. And then I think, honestly, the one that really surprised me the most is road mapping around the implementation of AI and wanting to establish the right partnerships in order to know that they're doing it in the right way. 00:01:03  You know, in a race not to be last, they got to be they're busy road mapping but they also have to assess the readiness for change. And I think that's where I'm having the best conversations. 00:01:15 Sarah Matt Interesting. So we talk about cost containment as a start. I know that over the last couple of years, especially when COVID hit, we had huge issues with not just supply chain but the supply of our workers. So we think about utilizing cloud and some of our technologies to improve not only the experience of our workers, but how do you keep and retain them? What have you seen as really effective mechanisms, especially in healthcare? 00:01:37 Michelle Flemmings Oh goodness, that is a double-edged sword. Having worked with a lot of systems and in a lot of digital tools that support our care of patients, you have to be careful in the balance. You don't want to be very disruptive in the way of inset and alerts, but you also don't want to overload with minutia and tab hopping and logins and so forth. 00:02:01  Where the sweet spot is is intuitive assistance and uplift for productivity as well as insight speaking specifically around things such as items that occur in the background. So I'm seeing a patient, they know that this patient has a hip fracture and automatically, based on the fact that the patient weighed 125 pounds and is, you know, five-feet-three, this patient will need this size of prosthesis and it automatically taps out two supply chain to identify the location and availability. Those sorts of items that are intuitive and in the background and I don't have to touch another tab are important. 00:02:38  Additionally, clinical decision support—the right information at the right time that doesn't disrupt my brain processes and my thoughts, because anytime a provider is interrupted, an opportunity for omission and errors. 00:02:54 Sarah Matt So I know when I see patients—I still do charity care on the side—it is a very difficult job for all providers to keep up with the latest and the greatest when it comes to new literature, new guidelines, and that most hospital systems are doing whatever they can within the application space, whether it's their electronic medical record or otherwise, to assist with some of those areas. 00:03:15  When we think about moving from rules-based applications and tools to more predictive forecasting and AI, what do you think are some of the challenges and concerns that health organizations really need to think about? 00:03:31 Michelle Flemmings Wow. Overload of information we have that now we need to prevent it. Especially when you start doing predictive. If we're going to do that, we need to be very dialed in on our resources, our sources of information and eliminate duplication. As well, make certain that it's not just raw data that you're bringing in, and then you leave it to be sorted by the individual. 00:03:54  So any ability to bring in items that are useful that are already vetted somewhere in the system and provide the right-size solution is going to be key. It can't just be everything that you bring in. I think that cloud has a great availability of information, but it also has the functionality whereby it can hopefully look at the system overall, if it's dialed in right, and then predict what's necessary and then take out the rest of the chaos. You know, taking in the signal and taking out the noise. 00:04:27 Sarah Matt When we think about large healthcare organizations or even small healthcare organizations, especially United States, cloud is becoming a lot more necessary, if you will, because we're moving from a lot of extremely siloed on-prem installations of whatever it might be into an extremely connected environment and the HIEs of the past and the present may not give you enough of what you're looking for from a connectivity perspective. What I'm seeing a lot, and I'm wondering what your thought process is, is that payers, providers, even pharma, are all moving to systems where they're actually utilizing PaaS (Platform as a Service) to bring together some of those disparate pieces, whether it's in a data lake, a data lake house, whatever you want to call it. But they have so many different systems that are either separated by geography, separated by organization and separated by privacy and security, and they're trying to figure out the best ways to bring that disparate data together. How are you assisting some of those clients that you've been seeing in moving through that transition? 00:05:27 Michelle Flemmings Absolutely. We start with, for lack of a better word, an audit of their inventory. What do they have? What do they utilize and where does it sit? How is it connected? Is it connected in a manner that works for you now? If so, great, we won't mess with that. But if it's not connected and you need to go ahead and log into something else or open up another platform, that doesn't work. 00:04:49  What we then go to is examine and evaluate in partnership with our clients. What else are you trying to achieve? What are the near misses that you have now that you're experiencing and are frustrated or struggling to capture? And what is your Nirvana? 00:06:06  And then we make a path with them from those starting from that basis. It needs to be end-to-end, is honestly where I think that we need to take our clients and go with them for success. It needs to be everything that starts with the patient walking in the door. In the case of the provider and how do we do dispositions that makes sense and prevent readmission. 00:06:26  In the case of payer, how do we get the first-time right rate for claim submission, but then also put automations that are thoughtful, meaningful, and impactful in that the prior authorization process and in the payment process. How do we help them to remove the, now primarily retrospective, review of claims for potential fraud, bring it into more contemporaneous—then in cases where possible, how do we bring it to being anticipatory? So we're identifying patterns that would be consistent with possible fra

Mental health remains a significant area of concern in healthcare, especially after the pandemic. Universal screening tools, such as suicide risk assessment, have become a vital resource. One of the best ways to normalize mental health screening is by integrating it into your clinical electronic health record (EHR) workflow. However, with the influx in risk assessments, is your staff confident and prepared to handle the needs that arise? And does your organization have the infrastructure required to support those needs? While telehealth has alleviated part of the burden for providers, it has also exposed many ways technology can create barriers to care, especially for communities who are already at a disproportionate risk for suicide and addiction. So, how can we better coordinate care across the illness-wellness continuum? Join Danny Gladden and Dr. Sarah Matt as they discuss the progress and opportunities to support mental health and improve suicide prevention. Guests: Danny Gladden, director of behavioral health and social care, Oracle Health Dr. Sarah Matt, vice president of product strategy, Oracle Health Hear them talk about: Education and training for physicians regarding suicide assessment and prevention treatment (2:00) Suicide screening assessments and lack of staff resourcing and infrastructure to meet those needs (4:15) Crisis intervention training for first responders and the increased availability of mental health first aid (11:15) Telehealth doesn’t solve access to care issues—there’s still a gap in equity and barriers to care (13:00) Benefits of behavioral health data collected on digital record (15:15) Moving toward a consumer-focused patient experience (17:20) Suicide prevention resources (19:18) Learn more about Oracle Inpatient and Outpatient Behavioral Health solutions --------------------------------------------------------- Episode Transcript: 00;00;00;00 - 00;00;30;09 Danny Gladden: You're listening to Perspectives on Health and Tech, a podcast by Oracle, where we have conversations on creating a connected healthcare world where everyone thrives. Hi there. I'm Danny Gladden, clinical social worker, director of behavioral health and social care here for Oracle. Dr. Matt, so glad you are here. Dr. Sarah Matt: Thank you, Danny. I'm so excited. You know, when it comes to suicide prevention, I think there's so many problems that we could talk about, but I think there's also solutions and things we can do next.   00;00;30;16 - 00;01;06;28 Danny: So I'm excited that we're talking about this topic today. Yeah. And, you know, I think we've made some great progress. And I say we as the collective, we myself, I'm a clinical social worker that practices in mental health services. I've actually ran one of the National Suicide prevention lifelines, but suicide prevention takes all of us. And so, you know, I'm actually just curious, you know, you're a physician—think about your preparation into sort of medical school and residency.   00;01;06;28 - 00;01;26;15 And you know what does what did your preparation look like as a physician assessing for and treating suicide risk? Sarah: So I went to med school a long time ago, I will say, But when it comes to training, it was very traditional. So four years of med school. And then I did my residency in general surgery and my fellowship in Burns.   00;01;26;17 - 00;01;56;05 So I'd say that when you think about structured learning for mental illness, it was pretty scared. Most of it was around inpatient mental health services. So that's the rotations that we did in medical school. Now there was the small bits and pieces you may have gotten on your primary care rotation, but it really wasn't a focus. Now today are unclear how the clinical rotations are going and how the medical schools have changed their training.   00;01;56;12 - 00;02;19;17 But I would say that for the generations of doctors that are in my age category, it definitely wasn't something that was highly stressed. Danny: Yeah, you know, in the last couple of years, I get invited from time to time to come in and speak to first or second year medical students, particularly on the subject of suicide assessment, suicide prevention, collaborative safety planning.   00;02;19;17 - 00;02;58;19 And I, I think that structurally we've come a long way in normalizing the assessment of suicide risk. We have built it into much of our clinical workflows. The Joint Commission has guidance on how on how we assess for suicide risk. But I think even maybe where there is some competence that's been gained, there's still a gap in competence, particularly because of our own fears around, oh, if I ask someone about their suicide risk, what will I do with the information they provide me?   00;02;58;19 - 00;03;28;02 And particularly I think about our community access hospitals it at 2 a.m. who are sort of dealing with folks with limited resources, limited specialty consultations and whatnot. And so we celebrate universal screening tools such as the Columbia Suicide severity rating scale or many other really great evidence based, validated tools. But I know that we have a long, a long way to go.   00;03;28;02 - 00;03;54;21 And so as we think about September Suicide Prevention Awareness Month, we think about the physicians and the nurses and those and quality and compliance who are working to manage risk within a within a hospital health system. What are you seeing best practices from a technology perspective in how folks are leveraging technology to assess for and prevent suicide?   00;03;54;24 - 00;04;18;18 Sarah: So it's hard to say best practices because I think we can still do a lot better. A lot of times everyone at the administrative level of a hospital system recognizes the importance from a regulatory perspective, from a compliance perspective for universal screening for suicide. And a lot of times this kind of shows up as an extra forum for the nursing staff on intake and things like that.   00;04;18;20 - 00;04;37;14 I think some of the things that are missing are the why and the importance. And so in a system where nurses, doctors and all the rest of the staff are highly strained, sometimes it's difficult to do another form. The other thing I had mentioned is that a lot of times this burden is put again on medical assistance and nurses.   00;04;37;21 - 00;05;02;21 The providers rarely do these screens themselves, and I think that oftentimes they might not know exactly what the screening is or how useful it can be. So for their patients, where they may have a potential and or a diagnosis to have some sort of depression, anxiety, etc., there's things that they can use. There's tools that are available and they may not have all of those at their disposal.   00;05;02;23 - 00;05;57;11 Danny: Yeah, again, back to the community access hospital or the Alaska village that's using a health aide, for example. I think about that 2:00 in the morning assessment that the sort of mandatory requirement in policy to assess for suicide risk and the patient sort of reporting some level of suicidal thoughts and the provider, the nurse, the health aide in Nome, Alaska, wanting desiring to do what's best to keep the patient safe, but also have limited resources to be able to, you know, get that get that individual true specialty care.   00;05;57;13 - 00;06;47;01 And so, you know, celebrate universal screening. But also worry about actual the what happens on the other side of a positive screening. Is it possible that we are unintentionally over hospitalizing folks with the best of intentions or over incarcerating folks with the best of intentions to keep to keep patients safe and to keep the community safe because of lack of available responsiveness from trained mental health professionals who can a dig deeper into assess, assessing and understanding is there a true lethality risk or is this someone who has what we might call morbid ideation?   00;06;47;01 - 00;07;18;00 You know, if I didn't wake up tomorrow, that would be okay. But no, I'm not actually going to hurt myself. And then also the ability to build collaborative safety plans. Right. We don't get to draw blood or run an X-ray to know someone's risk, right? We get to ask a bunch of really intrusive questions and then the intervention is not is not often, particularly for suicide risk, medication in real time or a cast or another medical device.   00;07;18;02 - 00;07;47;26 It is a really intense creation of a collaborative safety plan that's a usable tool for the for the patient to leave the hospital to help them recognize their own triggers and to help them utilize their own resources, their own social network, for example, to mitigate that risk. And so I celebrate universal screening and I worry about the infrastructure that's behind it.   00;07;47;26 - 00;08;21;23 And let's just say, Dr. Matt, the you know, someone does have a risk of suicide or other psychiatric disorders that need to be treated. We have an infrastructure that doesn't have enough available beds and that folks often get housed in emergency departments, get housed in municipal jail cells. At times they get housed in med surge out of a desire to keep them safe.   00;08;21;23 - 00;08;42;24 Sarah: I'm curious what thoughts you have kind of on the current state of mental health delivery. So I think that, you know, as we go past universal screening, we've just screened all these people, just like you mentioned. Now, what is the problem? And I think you're right. In a lot of environments, everything from primary care to pre-hospital to inpatient.   00;08;42;26 - 00;09;06;07 The next step is the hard part is the hard part for the patient who may need extensive therapeutics as well as medication. But from a provider perspective, what do you do next? If you are in a small rural hospital, you may not have access to a psychiatrist in the middle of the night. It might be that that personally comes every couple of days.  

As part of the No Surprises Act, healthcare systems must now provide comprehensive good-faith estimates for the cost of care—both from their own organization (relatively easy) and from outside providers (much harder). Listen to industry leaders Seth Katz, University Health, and Josh Mast, Oracle Health, discuss with Jodi Busch, Oracle Health, the impacts of good-faith estimates on health organizations and how to use this phase as an opportunity to streamline workflows and better prepare your teams for the next iteration of the No Surprises Act. Featuring:  Seth Katz, Vice President of HIM and Revenue Cycle, Finance, University Health   Josh Mast, Director and Product Regulatory Strategist, Oracle Health   Jodi Busch, Senior Director of Financial Alignment Organization, Oracle Health   Hear them discuss:  An overview of this year’s iteration of the No Surprises Act (1:16)  How have these changes impacted safety net hospitals/organizations? (3:36)  How are schedulers at hospitals/organizations handling the increased duties of working good-faith estimates? (5:05)  Was it difficult to gain internal buy-in from your staff for these changes? (6:57)  Have you had any issues sending the good-faith estimates back to patients in the allotted time? (9:39)  Are there penalties for non-compliance? (10:59)  How does the enforcement discretion potentially impact the overall process? (13:29)  Where are you at in terms of combining providers inside and outside of the organization? (15:06)  What has been the response back from patients regarding good-faith estimates? (16:10)  What's coming next? (17:29)  Notable quotes:  “We have to remember that we work in healthcare to help take care of people and make them better and that the No Surprises Act, price transparency, information blocking are good things for the patients.” – Seth Katz  “At the end of the day, this is about trying to get patients and consumers information prior to receiving care so that they are better informed.” – Josh Mast 

In the US, big leaps have been made toward industry-wide interoperability in recent years. From establishing a standard set of health data that must be exchanged, to broadening the scope of the ban on information blocking—recent regulations have driven positive advancements to simplify health data sharing across vendors and venues of care.   On top of all that, the Office of the National Coordinator and The Sequoia Project, the Recognized Coordinating Entity for the Trusted Exchange Framework and Common Agreement (TEFCA) established under the 21st Century Cures Act, announced the first applications accepted for Qualified Health Information Networks (QHINs) under the TEFCA. That short list included CommonWell Health Alliance, of which Cerner,  now Oracle Health, was a founding member nearly a decade ago.  This is a leap forward in achieving our vision for interoperability. Our shared goal with CommonWell joining TEFCA is to build a nationwide health information exchange,  leveraging a collaborative trade organization, that will help give patients access to their healthcare data regardless of where they receive care.    Listen in as we talk about the exciting progress toward nationwide interoperability and how it will benefit patients and providers.   Featuring: Paul Wilder, Executive Director, CommonWell Health Alliance Sam Lambson, Vice President of Interoperability, Oracle Health   Hear them discuss: • TEFCA and what it means for advancing interoperability (2:10)  • Benefits of better information exchange for providers and patients (3:49) • How a record-location service is more accurate, efficient and secure than geo-locating like many systems use today (6:45) • When does TEFCA start affecting patients and providers at the point of care? (13:04) •How does TEFCA impact gaps between care, translating care, and settings of care, like telehealth? How does it affect patient engagement and involvement? (17:00) • Ways to learn more and ask questions (19:20)    Notable quotes:  "Me having my data is not just a toy. It’s not just I want the image because it’s interesting … I want the report. It’s that I want to manage my health, or that of my children, or my parents in a better way—which I think in the end is really going to benefit the provider." - Paul Wilder  "And think of mental health—it gets even more robust as we’re expanding services a lot right now. If we don’t do it efficiently, it’s going to get very expensive. And getting past all those administrative flows to get to the care you need at the level the person can do it in front of you—as opposed to what the data is allowing you to do—is, I think, really important." - Paul Wilder   Resources TEFCA: A leap toward achieving nationwide interoperability Sequoia Project CommonWell Health Alliance Reacts to QHIN Application Approval

The very definition of healthcare communication has shifted over time. Today, fewer clinicians practicing at the bedside have highlighted the need for advanced communication tools and processes.  Join Jason Schaffer, MD, vice president and chief medical information officer at Indiana University Health and Liz Harvey, MSN, chief nursing officer at Oracle Health, as they discuss the evolution of clinical care team communications and how increased demand for healthcare has made better collaboration tools both a necessity and an opportunity for innovation. Hear them discuss: • How have trends in healthcare communication changed? (1:20) • What types of technology are now available for teams and what are the benefits for patients and caregivers? (3:21) • Important points teammates should agree on regarding critical communications (8:04) • Knowing your message responsibility and escalation paths in critical situations (12:35) • How to create flexibility with communication when needed (15:20) • How can a unified communication strategy help organizations proactively address system-wide challenges? (17:20) Notable quotes: “We should be separating technologies for the right speed and urgency of communication.” – Jason Schaffer, MD “We can’t solely rely on technology. We have to engage our brains and use the years and years of school that we have all spent learning how to be clinicians as we start to look as some of these messages that we receive and talk about the criticality.” – Liz Harvey, MSN Learn more about Oracle clinical communication and collaboration tools.

The Federal Joint Health Information Exchange connects the health records of the Department of Defense, Department of Veterans Affairs, and Coast Guard by helping provide continuity of care from the time Veterans enter the service, throughout active duty, and the rest of their life. Now that the Joint HIE has been live for more than two years, what successes are we seeing? How has it impacted Veterans and improved the care they receive? Listen as Amanda Cournoyer, Interoperability Director of the Electronic Health Record Modernization Integration Office at U.S. Department of Veterans Affairs, talks about advocacy and interoperability at VA with Sam Lambson, Vice President of Interoperability at Oracle Health. Hear them discuss: • Amanda’s personal journey from active military service to working in interoperability at VA (1:50) • An overview of a few of the interoperability solutions VA is implementing to improve care for Veterans (7:53) • Why interoperability is a big deal for Veterans’ and active-duty service members’ care (11:45) • Why it’s a benefit to VA providers and community care providers (14:10) • What she is looking forward to improving in data exchange nationwide (15:11) Notable quotes: “One of the things I don’t think people understand is that 60% of the health care DoD provides to their family members and active duty is actually provided outside in the community. And on the VA side, 30% of our care is [health care] purchased in the community.” – Amanda Cournoyer "It’s not just about making sure our VA providers, our DoD providers or our patients have access to their data, we want to make sure the providers taking care of our patients have access agnostic to their location or their affiliation or their health IT platforms." – Amanda Cournoyer "We’re putting this data into the workflows for the first time. It’s not just a view, review, maybe decide you want to copy and paste into your clinical notes and your encounters—we’re using it for care coordination." – Amanda Cournoyer "That’s some exciting work that you’ve accomplished bringing so many points of a disparate network that was trying hard to get together for so many years finally integrated as one body to support Veterans and active [duty] service members. It’s truly phenomenal." – Sam Lambson

With significant and ongoing changes in the health industry in recent years, healthcare leaders have had to rapidly adapt to new ways of thinking and doing in order to stay resilient in the face of change. Yet some leaders push past the status quo and view these opportunities as a chance to explore new avenues for patient care, new partnerships for growth, and new ways to ease provider burden and boost their workplace culture. In this episode, Stephanie Trunzo, senior vice president and general manager of Oracle Health, shares her experiences within change management and how to instill enterprise-level thinking within one's team. She discusses: • Bringing entrepreneurial experience into larger organizations to become an intrapreneur (0:55) • How you need to think about the people first in transformation process (1:45) • How to embrace and mitigate risk and create a safe space for your team to create change alongside you (3:54) • How to avoid becoming stale and losing clarity and instead surrounding yourself with fresh ideas and people to stay sharp (6:58) • Getting an entrenched workforce onboard with change (11:09) • What we should be thinking about when trying to instigate long-term change (14:10) • What they’re excited about in bringing Oracle and Cerner together (16:50) • Pandemic introduced change, but how healthcare can now bring consumers along (18:38) Notable quotes: “We don’t work for org charts. We work for people we believe in. We work for the purpose that makes us get up and be excited about the work that we’re doing. It’s not different for the workforce you’re trying to move forward – how do you connect them back to that purpose in the first place?” – Stephanie Trunzo “Do you want to be right, or do you want to get it right? If you’re on the path of ‘be right’ you’re going to be blind to the kinds of changes that need to happen.” – Stephanie Trunzo “People sometimes fall in love with complexity. The very things that they want to change is what they derive their own value from … you want to help them see that by making this thing simpler they actually can show value in a much more important and different way.” – Stephanie Trunzo

During the pandemic and social and economic unrest of the last few years, there was a dramatic increase in demand for mental health services. Stigma had already been on the decline, and now, available mental health services are on the rise. Some patients are now seeking treatment for the first time, while others are continuing decades-long treatment with better coordinated services. Many don’t travel this journey alone. The help their family, friends and caregivers provide is critical—for some, a caregiver’s records have provided the only continuity of care. Travis Dalton, general manager of Oracle Health, and Danny Gladden, director of behavioral health for Oracle Health, talk about their personal experiences in this area and how Oracle Cerner and Oracle Health can work together with health systems and clinics to alleviate the administrative burdens of caregivers to provide better care for behavioral health patients. Hear them discuss:  • How do you think the last few years have changed how the general public talks about mental health and wellness? (3:30) • Why is mental health and well-being a personal driver for you? Can you share more about your experience being a caregiver? (7:11) • Recently, it’s been estimated that 70% of behavioral health records are still on paper. And many patients don’t have a personal advocate to help them keep track of their records and treatment plans. What are some of the biggest challenges that are still being addressed in behavioral health? (12:55) • What are some ways health care systems and providers can help alleviate the burden for mental health caregivers and patients? (17:45) Learn more about Oracle Inpatient and Outpatient Behavioral Health Solutions

It's estimated that 80% of an individual’s health is determined by nonclinical factors, such as socioeconomic, behavioral and physical environments. Today more than 38 million people in the United States are facing hunger, including one in six children. Those struggling with food insecurity are at increased risk for chronic diseases such as diabetes and high blood pressure. Hunger impacts their stress levels and ability to care for themselves and others. Hunger also impacts their performance at work and school; it’s even been linked to suicide risk. Yet some of the most vulnerable communities don’t know how to take advantage of  free food resources. In this episode, members of University Health, a safety net hospital in Kansas City, share how they’ve been working to increase access to resources for one of their most food-insecure communities—immigrants and refugees. Guests: • Gloria Diamond, Director of Health Network Product Market Strategy, Oracle Health • Susan Oweti, Supervisor of Cultural Health Navigation / Arabic Interpreter and Director of UH One World Food Pantry, University Health • Deborah Sisco, Manager, Patient Advocacy and Engagement – Quality Resources, University Health • Alison Troutwine, Project Manager, University Health Hear them discuss: • How does your cultural health navigator program help identify patients as food insecure? (1:30) • What feedback have you heard? (7:12) • How are social determinants of health being addressed at the community level? (10:54) • Tell us about how University Health formed a partnership with a local food bank? Why did you pursue that route instead of only doing referrals? (13:09) • Since many recipients of your pantry come from different cultures, how have you provided foods that are tailored to your community’s needs? (15:00) • How do you build a food program that makes an impact and is sustainable for the long term? (20:10) Notable quotes: “Research shows by the time someone has made their home in the United States for five years, a lot of them aren't food insecure anymore. So we're really talking about helping people when they need it the most—when they're first getting here.” – Deb Sisco “You can hear the community saying, ‘Thank you, thank you for doing this. This is what we really needed,’ you know? ‘Thank you for thinking about this—this is really appreciated.’” – Susan Oweti “It's so important to build a team of passionate people that can work together to address the needs of our community.” – Alison Troutwine “That's beautiful: respecting people's culture, providing dignity, all very important work that you're doing.” – Gloria Diamond