The Intelligent Health Platform (IntelHP)

Walmart joins so many others in quickly entering and leaving or scaling back in healthcare after ambitious plans to scale. This morning, Walmart said it will close all 51 of its health-care clinics, as well as shut down their telehealth virtual care services. This is right after an announcement in March that they wanted to double the size of their clinical operations by opening up over 20 more locations this year and more next year. The reasons they cited? “Like others, the challenging reimbursement environment and escalating operating costs create a lack of profitability that make the care business unsustainable for us at this time.” As a physician, it’s been fascinating to watch over the past few years as so many non-medical companies try to get their bite of the huge percentage of the GDP that is healthcare. They pour money into trying to deliver healthcare at scale, ignoring the many concerns that hospital systems and physician private practices have been citing for years: declining reimbursements, shortages of clinicians, and expensive labor costs. Healthcare is broken, and those that are in it understand why. Patients need - and deserve - quality health care. This requires safe staffing practices, skilled clinicians who can feel good about what they do, and insurance companies that pay their bills. We can’t have a system where insurance companies can get away with record profits while finding more and more reasons not to pay for care and eroding away at the heart of healthcare. You cannot scale your way out of America’s healthcare problem. You actually need to fix the incentives, regulate insurance companies, pay clinicians appropriately, prioritize clinician well being and retention, and focus on the patient. The days of paying lip service to physicians leaving medicine and physician burnout are numbered. Supply and demand forces will necessitate real solutions that move the needle. Companies will come and go in the healthcare space when they realize how hard it is on the ground in healthcare these days. The question for patients and legislators is, who will be left to pick up the pieces if there’s no support for physicians, other healthcare workers, and hospital systems?  The percentage of clinicians leaving healthcare annually because they no longer recognize the heart of why they joined the profession is astounding, with over 1/4 of clinicians looking to leave within the next few years. Relying on the altruism of clinicians and the erosion of quality healthcare to support profits for corporations is just not a sustainable business model in healthcare - not to mention terrifying for public health. #HealthcareOnLinkedIn #PhysicianBurnout #PhysicianShortage #Walmart

On Monday nurses from across California picketed outside Kaiser Permanente's San Francisco Medical Center to protest the use of AI. In the past year I’ve presented my views on AI and its impact on nursing to America’s largest nursing association, one of the largest unions representing nurses, leadership from top provider organizations and at a number of nursing conferences. Regardless of the group my message is always the same: ·      AI is one of the greatest issues impacting the future of work for nurses. (let’s figure this out together). ·      Done right AI is not about technology. It’s about empowerment. The rub here is defining “done right.”  This is at the heart of why nurses hit the picket line in California and why I have predicted for some time that AI would become a bargaining issue. ·      Nurses are among the most important constituents to guide AI-driven workflow change and shape Responsible AI principles. Period. If you are a nurse or health leader reading this here’s the question: Are nurses actively involved in your organization’s efforts to plan/deploy/measure the value of AI applied in care settings? I’ve had the privilege of working with some great health and medical organizations around the world in planning and implementing AI. A key difference between organizations that use AI to create value-at-scale versus those that spin up a few pilot use cases comes down to this: Repeatable value comes by involving those on the front lines who drive any process to be improved with AI. These are people who know what isn’t working and are almost always the smartest to know what will. Comments, different points of view encouraged.   I’ve added/modified a few slides to amplify my message. T. #nursing #futureofwork #nursinginformatics Kathleen McGrow, DNP, MS, RN, PMP, FHIMSS, FAAN Valerie Serwicki MSHI, BSN, RN Olga Kagan, PhD, RN, CIMI, FHIMSS Sophia Brown PhD, DBA, FACHE, CPHIMS, PMP Robbie Freeman Gil Bashe Evan Kirstel B2B TechFluencer Irma Rastegayeva✨Influence Through Storytelling™️ Rachel Woods

Thrilled to share that I've just wrapped up my first-ever #NSBE50 conference, and what an incredible journey it has been! A heartfelt thank you to the IBM HBCU Quantum Center & IBM Quantum for the enlightening sessions on Quantum computing. The depth of knowledge and the cutting-edge insights presented were truly inspiring. I'm now buzzing with ideas and eager to put all this valuable knowledge into action. Here’s to the beginning of a thrilling journey into the world of Quantum computing. Let's innovate and create the future, together..... #QuantumComputing #Innovation #LearningJourney #ThankYouIBM #NSBE50Memories