Transcript 0:00 Talk to me. Information, news, and entertainment on demand. WS Radio.com. 0:11 [upbeat music] Welcome to The Peggy Smedley Show, the voice of IoT in our connected world, with your host, Peggy Smedley. [upbeat music] Hello, listeners. Welcome back to The Peggy Sledley Show. 0:27 My next guest today has plenty of new plans for smarter and more efficient healthcare. 0:32 She has helped her company advance its electronic record processes to receive the HIMSS Stage seven ranking and is currently working to bring telemedicine and web education to more patients. 0:45 Please welcome Gina Altieri, Senior Vice President of Corporate Services and Chief of Strategy Integration to Nemours Children's Health System. Gina, welcome to the show. Hi, Peggy. Thank you. 1:01 Well, congratulations on being named a woman of MtoM in IoT. Well deserved. Thank you. So now we have to talk about what you do because I have to tell you, it is very impressive on how you found your way. 1:15 I think if I did my research right, you were in public accounting to leading an IT function of one of the largest children's health systems in the US, and now look what you're doing. So how did that all happen? 1:28 [laughs] It's a great journey, your career, I have to say. It is, and it's, it reminds me of a, uh, commercial where [laughs] Or when you're listening to your GPS and it says, "Recalculating, recalculating." 1:42 I can't say that when I started out, you know, twenty-- in my twenties, that this is where I thought I would end up, and I try to tell that to all young professionals as they start out. I did start in public accounting. 1:59 I received, uh, my degree in accounting, and then, you know, achieved a certified public accountant because I thought validation was very important for any, any profession. 2:12 That credential always means something to somebody. And so I did pursue that. 2:17 I started in public accounting because everybody said that was a very important training ground where you really learned how a business run-- was running. Um, and I did, though, realize accounting just was not for me. 2:35 I really wanted more of the people side of things. And so in Philadelphia, I was trying to decide what industry, and there were three major industries: real estate, healthcare, and banking. 2:50 And I had done a, uh, an internship in banking, and I thought... And most of my clients were real estate, so I thought, "Well, let me try healthcare," 3:02 and went into, uh, the adult academic medical center, uh, in healthcare, and did internal auditing just to get my foot in the door. And again, it did give me a broad view of what was available, 3:20 and that's how I then ended up as the business person in the Department of Pediatrics, which then led me to the Nemours organization because of an affiliate, uh, relationship. 3:35 And it was important to me because at that time, being in an adult healthcare system in pediatrics, no one really wanted to fund pediatrics, but they didn't want to close it either. 3:51 So I felt strategically, I really wanted to go to a pediatric health system where kids were the focus, and that's how I ended up at Nemours. And so that journey really kind of says something. 4:06 I think it's, it's an interesting journey, but it says something about being a woman who y-you're not sure what you wanna do, but just stay focused. I mean, it really says- Mm-hmm... 4:15 you, you had a focus, and I think that's a really great educational lesson for any young woman who just doesn't know but doesn't say, "Just give up." I mean, that's a really great lesson- Right... 4:24 for any millennial, any young girl coming out of school. Doesn't mean if you don't know what, so what? Just, you know, have a vision for something, right? Exactly. 4:32 You really don't know where it will lead to anyway, and, you know, as you start out, you're really there to learn. 4:40 And we're constantly learning, but we all have to, in a sense, pay our dues, uh, do those entry-level jobs, and learn, learn, learn, and then it may take you to another opportunity or you may shift focus. 4:57 Um, you just don't know. And look what you've done now. You've helped, you know, get the HIMSS Stage seven for your hospital, which is huge right now. I mean, that's... 5:08 I mean, when you think about the certification and the requirements of that, I mean, you didn't know where you were gonna be and, and what you've e-able to accomplish. 5:16 I mean, that's a lesson for all of us in any male or female to what you can accomplish, even if you didn't know that's what it was gonna be twenty years ago or what you were trying to set out for. 5:27 I mean, there were a lot of challenges you had to overcome to try to get those kind of record processes, to get that advancement that you're trying to do or that ranking. 5:36 I mean, there were a lot of pain points I'm sure you had overcome to achieve that, right? Absolutely. 5:42 So, you know, some health systems are just starting, uh, their journey to an electronic medical record, and we're fortunate in that we did that twenty years ago, uh, which, which is innovative, uh, even, even just that. 5:58 Even getting to an electronic medical record, uh-Twenty years ago. 6:04 But because we did that twenty years ago, we've built a data warehouse, so we're able to tap all of that data so that we have meaningful information, so that leaders and clinicians can make informed decisions. 6:22 Uh, and yes, it was a long, challenging process. You know, system installations, uh, aren't easy. They usually fail in one way or another. 6:35 They're either over budget or, uh, they're not on target, or the scope got so large that they lost sight of what they were trying to achieve. 6:45 And I think the most difficult thing of all is getting the, uh, engagement so that people actually use the system functionality. 6:57 And I think that that's what stage seven says, uh, to others, that we have this outside credential that, you know, we are using the electronic medical record in a meaningful way to improve, uh, children's health. 7:13 And yes, only one percent of all of the hospitals in the United States have that designation. 7:20 And, you know, not only do we have it for our hospitals, but we also have it for all of our ambulatory sites, uh, including all of the physician offices, you know, that we've a-acquired, so that when we acquire, uh, or build from scratch, we install the same version of the electronic medical record so that a patient, no matter where they're seen, their record follows, follows them. 7:50 And that's a powerful- Even to school. And that's a powerful thing because now you're talking about because there's so many, you know, regulations associated with all of this to say you're doing it right. 8:00 There's so many things you have to d-understand with this- Mm-hmm... that somebody listening to this now needs to understand the power of this because you're using tech-technology to its best. 8:11 And, you know, we all know, and I don't wanna pick on any doctor listening or any clinician listening, they're not very good at changing their passwords and keeping up with everything. 8:21 There's a lot of process here, and that's what... I mean, that's why I'm so impressed right now because we get it. 8:27 I mean, you know, for someone who does a radio show every day, I mean, I understand what you've done here. It's, it's pretty impressive to get everybody to- I know... fall in line with that. Right. 8:38 Another point that you bring up is information security, which is relatively new to the healthcare arena. And I am proud to say that we do have an information security, uh, department. 8:52 We have a, a team of ten, ten people. 8:56 Uh, we have a chief of information security, uh, which is also, um, I guess, a luxury in the sense, but it's an important group of people, and it's something that healthcare really does need to consider and invest, uh, because the risks are just so great. 9:15 And, you know, patients' privacy and their information is valuable, and it's important to them that we protect it. 9:23 And, and looking at that, Gina, to get everyone to understand what you're describing here is, is to go through this process and to get everyone to understand, 'cause you're dealing with pe-- You're, you're dealing with a lot of millennials that are a part of all of this- Yeah... 9:38 process. So you're getting everyone to understand what you're doing, patient records now, and getting everyone to use technology to educate parents and delivery of care here. 9:47 So this whole process, where do you think this is all going to lead now? I mean, are you guys going to be the center of saying, "Look, we're gonna be this," hopefully, you know, for others to understand it can be done? 9:59 'Cause we're all kind of paranoid about our information, you know? Yeah. 10:02 You're setting the stage of getting others to understand we can use machine learning and where all of this is going to be going, machine-to-machine information or whatever we talk about. Where do you see it all going? 10:13 We've got about a minute left. Where, where do you see- Oh, wow... the future of all of this? So yes, uh, you, you hit the nail. 10:20 The millennial parent, which is our customer, in a sense, uh, in a children's health system, we follow our true north, helping families receive the care they need and want, how and when they need and want it, and that millennial parent wants it now. 10:36 They want it at their fingertips on their mobile device. And so that's what we are preparing to deliver for them. 10:43 Not just, uh, you know, information, not just, um, scheduling an appointment, um, but an actual live visit, access to their medical record, discharge instructions, everything that's available, not just to the parent, but also to the school nurse, if that's necessary, or a care provider, uh, information, uh, about devices so that, you know, a mom could be sitting at home, uh, with a device so that a pediatrician can look in the child's ear or look in the child's mouth and see real-time, uh, via a telehealth visit, and then that information is downloaded into their medical record and accessed to them at home anytime, anywhere. 11:32 And that is what we're working on now because we do believe that's where, uh, healthcare is going. [upbeat music] Gina, we're out of time, but I tell you, I have so many more questions. 11:42 We'll have to have you come back so we can answer it, talk to you more. So I'm sorry we're out of time, but thank you for being with us, and congratulations, and I look forward to talking to you again. 11:50 All right, listeners, stick around. We've got more to come right here on The Peggy Smedley Show. We'll be right back after this commercial break. 11:57 [upbeat music] Signal to noise, an electronic term with new relevance on the internet. 12:04 Connected World Media cuts through the noise of data overload and finds you the signal of important information.Information that will keep you current and aware of context in the Internet of Things. 12:15 Peggy Smedley shares her insights on The Peggy Smedley Show and in Connected World magazine, all online at connectedworld.com. Stay current and competitive at connectedworld.com. 12:28 [upbeat music] Thank you for listening to WS Radio. Improve your business and your life with useful information from experts and thought leaders. 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