April 18, 2024
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On this episode of "The Digital Patient" podcast, hosts Alan Sardana & Dr. Joshua Liu speak with Dr. Michael Radtke, Associate Chief Medical Informatics Officer at Intermountain Healthcare, about the "Implementing Digital Coaches for Patients, Using AI-based Voice Technology to Reduce Physician Burnout & Why Listening is the Most Important Skill for a Digital Leader." Click the play button to listen or read the show notes below.
Episode 71 - Show Notes:
[0:00] Introducing Dr. Michael Radtke, Associate Chief Medical Informatics Officer at Intermountain Healthcare;
[1:35] How Dr. Radtke got involved with Informatics early in his career by taking over the re-rollout of the patient portal following the advice from a previous mentor to “find something that is such a mess that you can’t mess it up, where any small improvement will make you look like a rockstar”;
[2:35] How the early days of EHR patient portals were focused on developing features such as setting up online bill payments and improving messaging between providers and patients;
[3:17] Why Dr. Radtke prioritizes listening to patients and frontline stakeholders so he can avoid falling into the trap of building tech or features for the sake of it;
[5:10] Why Dr. Radtke believes the ratio between clinical time and IT is different for each CMIO based on their area of expertise, and why listening to front line users from different departments is the most important skill in order for a CMIO to be effective;
[7:10] How Dr. Radtke gets hospital stakeholders involved in the planning, strategy and execution of new technologies by focusing on the tangible value a solution will bring and why giving providers a voice in this process is important to avoid burnout;
[8:55] Why Dr. Radtke believes identifying champions and “front line builders” in each department who can act as trusted messengers for the organization is hugely important for implementing any innovation successfully;
[10:30] Why being transparent and explaining how a solution fits into a provider’s workflow can help build provider confidence in a new technology such as A.I.;
[12:50] How Intermountain CIO, Craig Richardville, spearheaded the Microsoft Dragon Ambient eXperience (DAX) initiative, which leverages AI-based voice technology to generate physician notes with minimal interaction–taking the task off of the physician’s plate–and how this technology allows providers to spend more time with their patients;
[16:14] Why Dr. Radtke believes personalization is the next frontier for A.I.–streamlining physician-specific workflows and improving accuracy and reliability;
[17:45] How an organization can ensure a seamless transition between systems by ensuring providers have a voice throughout the process and expectations are adequately set (e.g. “it will be a bumpy ride in the beginning, but we are all learning together and there will be continuous improvements to streamline your workflow”);
[19:45] Why Dr. Radtke believes failure and innovation go hand-in-hand, and how teams can learn from past failures to avoid mistakes;
[20:00] How perfection is a moving target and why Dr. Radtke believes it is more important to have a strong focus on key metrics and to get a new innovation shipped (safely) so the team can monitor these metrics to make improvements;
[21:30] How groups are doing anti-pilots where they turn off certain clinical alerts that are typically ignored and see if there is a resulting change in outcomes;
[22:35] Why Dr. Radtke believes strategy is the cornerstone for CMIOs today (and tomorrow), with an emphasis on organization strategy, population health management, and patient engagement, and how the CMIO role has evolved from optimizing technologies to recognizing the shifting healthcare landscape and shaping the future;
[26:10] How Dr. Radtke thinks of the “tyranny of the moment” where a patient learns what to do during their visit but forgets as soon as they go home, and why he believes digital patient engagement and digital coaches like SeamlessMD are invaluable tools that can nudge patients to change behavior (and outcomes) at the right time;
[28:08] How patient engagement impacts outcomes;
[30:15] Why Dr. Radtke believes it is important to properly stratify patient data when determining the impact of a solution as innovation is rarely one-size fits all (e.g. Older patients often prefer virtual or face-to-face visits whereas younger often patients prefer text);
[31:35] Why Dr. Radtke chooses to work with vendor partners so he can innovate more rapidly and how a good vendor partner is transparent with their roadmap and values feedback;
[34:00] How healthcare technology innovation cannot “move fast and break things” like other tech, and how Dr. Radtke emphasizes goalposts to understand what is OK to break so he can move fast within those boundaries to drive innovation;
[34:55] How Dr. Radtke prioritizes technology integrations by asking 5 questions:
[38:25] Why Dr. Radtke is most excited about three emerging technologies in healthcare:
Fast 5 / Lightning Round:
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Subscribe on: RSS | SPOTIFY | APPLE PODCAST | GOOGLE | BREAKER | ANCHOR
On this episode of "The Digital Patient" podcast, hosts Alan Sardana & Dr. Joshua Liu speak with Dr. Michael Radtke, Associate Chief Medical Informatics Officer at Intermountain Healthcare, about the "Implementing Digital Coaches for Patients, Using AI-based Voice Technology to Reduce Physician Burnout & Why Listening is the Most Important Skill for a Digital Leader." Click the play button to listen or read the show notes below.
Episode 71 - Show Notes:
[0:00] Introducing Dr. Michael Radtke, Associate Chief Medical Informatics Officer at Intermountain Healthcare;
[1:35] How Dr. Radtke got involved with Informatics early in his career by taking over the re-rollout of the patient portal following the advice from a previous mentor to “find something that is such a mess that you can’t mess it up, where any small improvement will make you look like a rockstar”;
[2:35] How the early days of EHR patient portals were focused on developing features such as setting up online bill payments and improving messaging between providers and patients;
[3:17] Why Dr. Radtke prioritizes listening to patients and frontline stakeholders so he can avoid falling into the trap of building tech or features for the sake of it;
[5:10] Why Dr. Radtke believes the ratio between clinical time and IT is different for each CMIO based on their area of expertise, and why listening to front line users from different departments is the most important skill in order for a CMIO to be effective;
[7:10] How Dr. Radtke gets hospital stakeholders involved in the planning, strategy and execution of new technologies by focusing on the tangible value a solution will bring and why giving providers a voice in this process is important to avoid burnout;
[8:55] Why Dr. Radtke believes identifying champions and “front line builders” in each department who can act as trusted messengers for the organization is hugely important for implementing any innovation successfully;
[10:30] Why being transparent and explaining how a solution fits into a provider’s workflow can help build provider confidence in a new technology such as A.I.;
[12:50] How Intermountain CIO, Craig Richardville, spearheaded the Microsoft Dragon Ambient eXperience (DAX) initiative, which leverages AI-based voice technology to generate physician notes with minimal interaction–taking the task off of the physician’s plate–and how this technology allows providers to spend more time with their patients;
[16:14] Why Dr. Radtke believes personalization is the next frontier for A.I.–streamlining physician-specific workflows and improving accuracy and reliability;
[17:45] How an organization can ensure a seamless transition between systems by ensuring providers have a voice throughout the process and expectations are adequately set (e.g. “it will be a bumpy ride in the beginning, but we are all learning together and there will be continuous improvements to streamline your workflow”);
[19:45] Why Dr. Radtke believes failure and innovation go hand-in-hand, and how teams can learn from past failures to avoid mistakes;
[20:00] How perfection is a moving target and why Dr. Radtke believes it is more important to have a strong focus on key metrics and to get a new innovation shipped (safely) so the team can monitor these metrics to make improvements;
[21:30] How groups are doing anti-pilots where they turn off certain clinical alerts that are typically ignored and see if there is a resulting change in outcomes;
[22:35] Why Dr. Radtke believes strategy is the cornerstone for CMIOs today (and tomorrow), with an emphasis on organization strategy, population health management, and patient engagement, and how the CMIO role has evolved from optimizing technologies to recognizing the shifting healthcare landscape and shaping the future;
[26:10] How Dr. Radtke thinks of the “tyranny of the moment” where a patient learns what to do during their visit but forgets as soon as they go home, and why he believes digital patient engagement and digital coaches like SeamlessMD are invaluable tools that can nudge patients to change behavior (and outcomes) at the right time;
[28:08] How patient engagement impacts outcomes;
[30:15] Why Dr. Radtke believes it is important to properly stratify patient data when determining the impact of a solution as innovation is rarely one-size fits all (e.g. Older patients often prefer virtual or face-to-face visits whereas younger often patients prefer text);
[31:35] Why Dr. Radtke chooses to work with vendor partners so he can innovate more rapidly and how a good vendor partner is transparent with their roadmap and values feedback;
[34:00] How healthcare technology innovation cannot “move fast and break things” like other tech, and how Dr. Radtke emphasizes goalposts to understand what is OK to break so he can move fast within those boundaries to drive innovation;
[34:55] How Dr. Radtke prioritizes technology integrations by asking 5 questions:
[38:25] Why Dr. Radtke is most excited about three emerging technologies in healthcare:
Fast 5 / Lightning Round:
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