David Chou and I sit down to discuss data privacy with regard to the medical record. In addition, we take a look at some of my favorite “David Chou” social media posts. Role of the CIO, Digital Transformation, and alignment of priorities between the business and the office of the CIO.

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Bill Russell:                   00:01               Hey podcast listeners, thanks for listening. If you’re enjoying this week in health it, we just want to give you some information on how you can support these conversations to keep them going this week in health. Its goal is to keep you your organization and your employees updated with the emerging thought and trends in the healthcare industry. Through our conversations with healthcare and technology leaders, the best and easiest way you can show your support is to go over to this week in health it on itunes and leave us a review. Also, you can subscribe on Itunes, Google play, or stitcher, or go over to our youtube page and subscribe and hit the notification bell. Again, we really appreciate you spending your valuable time listening to this bike cast.

Bill Russell:                   00:54               Welcome to this week in health it where we discussed news information and emerging thought leaders from across the healthcare industry. This is episode number 14. It’s Friday, April 13th. Today we discuss a topic which may come up in your next position meeting or your physicians might start getting it from patients, which is my medical record for sale and who’s profiting from this podcast is brought to you by health lyrics. Get ahead of the wave, get your plan to harness the power of technology to improve healthcare because health eric’s icon to schedule a free consult. My name is Bill Russell, recovering healthcare cio, writer and consultant with the previously mentioned health lyrics. Today I’m joined by a friend, wonderful cio, Cdo of mercy children’s Hospital in Kansas City, digital transformation leader and prolific social media presence, David Chow. David, welcome back to the show.

David Chou:                  01:40               Thanks. Hey everyone. How’s it going? Thanks for having me. Glad to be here.

Bill Russell:                   01:44               Oh, absolutely. It’s been a while. You were on episode number two and here we are on episode number 14. So I’m a, you know, a lots, a lots changed. So let me, uh, let me reintroduce people to you if in case they don’t know you, which is hard to believe at this point. But uh, I said Cio, cto for children’s mercy are virtually children’s backwards. I’m formerly cio at a University of Mississippi Medical Center. Uh, you had a cool job with Cleveland Clinic, Abu Dhabi. Did you actually live in Abu Dhabi then? I assume

David Chou:                  02:14               I did three years. So my last child actually born there. My entire family moved there, so that was a great experience and we’ve made some really good friend that we still keep in touch with today.

Bill Russell:                   02:26               Well, that’s awesome. So you’re, uh, you’re also one of the most mentioned cio and social media and an active member of chime in hymns. So we’re gonna. Uh, we’re just gonna jump into it. So one of the things we like to do with each of our cohost is to just give you an opportunity, is what, what are you working on today that maybe you’re excited about or something that’s new since last time we spoke,

David Chou:                  02:46               and so now everyone’s talking about transformation. That’s probably the biggest buzzword that you hear about whether you’re talking about organizational transformation. Are you talking about departmental transformation? Everyone is using that buzzword. What I see as Nolan really changing right now, no one’s really making that big leap, so one of the things we’re gonna work on is really changing our department structure. You’d be thinking about just how traditional it has been structured is that traditional pyramid, that centralized governance model. I’m really going to try to transform that into a more distributed model, number one and number two, try to think about how can we be more agile is really about speed now. How can we get things rolling out in weeks and months versus years because I’ve seen lots of organization including my own where it may take us a year to do infrastructure type of work and these are the fundamental stuff that needs to be done quickly.

David Chou:                  03:40               Otherwise you can transform. So where I’m looking to change up our structure, number one and number two, put it in a really nontraditional manner that we could be a lot more agile. So the distributor model for sure teams are going to be embedded a lot more departments, but also internally start thinking about how can I have a group that’s focusing primarily on keeping things moving? You know, some keeping the lights on, but I hate using that word, but that’s, that’s a big requirement, but having a separate group really out there, just pushing the envelope and getting things done and implementing the new stuff in an agile methodology. Now, do I have the perfect solution? No, but I’m still trying to think about what that model will look like. So that’s what I’m focusing on. Hopefully get something out there. Then the next month and a half or so.

Bill Russell:                   04:28               Yeah. If you get the perfect model will definitely have to have you back on the show. You know, agility. I remember when I came into healthcare it we used to provision servers and it took almost two and a half, three weeks to provision a server. I know that sounds like a lot to people outside the industry, but um, you know, just, just compliance data center, all that stuff. And you know, from an agility standpoint, when I left, uh, left the health system, we were provisioning servers in like two to five minutes and you know, that’s, that’s kind of agility that other industries have enjoyed. And now it’s coming to healthcare and uh, but it’s not only on that infrastructure side, it’s just across the board. We have to be able to roll out applications quicker, uh, update windows, operating systems quicker, the whole thing. So it’s a, that’s a great.

Bill Russell:                   05:17               I look forward to having more conversations with you about that. Perfect. So here’s how, here’s how the show works. We, uh, we just discussed the news, then we go a deep dive into some topic and, uh, today we’re going to do something, a little special, something I’ve wanted to do, so it’s going to be fun. And then we’ll close out with our favorite social media posts. Um, we’re only gonna do one new story today. Uh, just uh, for time. And because of the emphasis this week on this topic of, um, of privacy with facebook being on the hill and Zackerburg getting grilled, uh, we thought it would be a good time to talk about the, um, the medical record and here’s the medical record for sale and moving around. There’s a lot of stories out there. Uh, we pulled one from scientific American, a, that is how data brokers make money off your medical records, data brokers legally buy, sell and trade health information, but practices, but practice risks, undermining public confidence.

Bill Russell:                   06:16               And what I’d like to do is just look at, you know, five things here, is it happening, how, how would it be happening, how pervasive is it, do people really care and why should they or should they not care. So, so I’ll sort of tee this up and we’ll just go back and forth a little bit. So, um, is, is the medical record being sold and shared? Is it happening? And uh, you know, the article goes on to talk about the unit brokers. It highlights a handful of them, uh, ims being the largest one. IMS, if you’re not familiar, started off as a company that captured all the scripts, uh, with, uh, around pharmacies and they, they help pharmacies by taking paper and turning it into computer records. But in the process they also retain the right to resell that information and anonymized in some cases.

Bill Russell:                   07:06               In other cases, not a but mostly anonymized data. And there are $7,000,000,000 company now with a $20,000,000,000 market cap. So there’s definitely a market for this. You have other players like Ibm, Ibm bought exploris explorers was a product that we had at my health system. And, and uh, they’re, they clearly sell the information to the pharmaceutical industry. I don’t know if ibm has continued that practice with the explorers product, but, uh, I know that that was the case and a lexis nexis is another data broker that’s out there. But I, you know, David, the thing, I think the question I’m getting more and more as our, the emr providers or the health systems themselves actively selling this data. And uh, I, I, I’ve, I’m sorta curious your take then we know that practice practice fusion is a free Emr and we had a lot of physician practices that had practice fusion.

Bill Russell:                   07:57               It’s just like facebook, it’s ad based. If it’s free, they have to make money somehow. So it’s ad based, they’re looking at the data and putting ads in front of the doctors. That’s how they’re, that’s how they’re making money. And they’re also reselling anonymized data out on the market. That’s also how they make money. I guess the old adage of if it’s free, you’re the product and that’s a, that’s the case with practice fusion. But do you think this is pervasive with our health system is actively selling? Let’s start. There are health systems actively selling, uh, the medical record or anonymized medical record?

David Chou:                  08:30               Yeah. On the health system side. Not that I am aware of or that were really protective as far as this is our data. We do not sell it. We do not even distributed. We do not have to make sure or

Bill Russell:                   08:44               that they are anonymized, but get to the vendor side than the finished story. Right. That’s my question because I think people think that the health systems are making money for. I saw on the record and, and we weren’t, I mean I, I don’t know of any health system that would, that would jeopardize the confidence between the patient and the physician by selling the information on the back end. Now, with that being said, a cerner epic, allscripts are, are the, are the predominant Emr providers? Are, are they actively selling the data at, you know, I’m, I’m curious what your take is on it.

David Chou:                  09:24               I’ve heard pieces of it, I’ve heard that they do, so pieces of it from a um, intelligence perspective to gain insights, to gain information on how to create their product data to third parties. You may never be able to improve your product, so you do need to have some sort of behavior understanding whether it’s demographic data of the entire population, but these are anomolized. I think that’s the key word. You should not be able to associate. But if someone swine of a Ai, you take all the various pieces together from everywhere. You may be able to come together and say, okay, this looks like this is one individual that we could kind of piece together, but that’s a lot of work to do that. I don’t see anyone out there. I’m sort of doing that work that’s trying to take all the various pieces as being distributed.

David Chou:                  10:15               But I do believe that companies are providing data to third parties whether they’re selling or they’re using it for improved their particular own product. I think that is definitely happening as we speak and practice fusion. That goes back to what you said, it’s a free product, just like facebook, the free product, you don’t like it, don’t use it that way so they can’t make money without having the ads and you should know, you should be aware of that going into it. So health systems, no, I don’t see that happening, but on the vendor’s community side, I do. I do see that happening. Whether they admit it or not.

Bill Russell:                   10:53               Yeah, I know that epic has pretty much come out and said that they do not resell the data. I haven’t found anything on Cerner, but I would imagine that, you know, they’re making a significant amount of money from the, the, uh, the Emr itself, I doubt that they would be selling data, although, you know, I’m not entirely sure, uh, allscripts. It’ll be interesting because they bought practice fusion to see if they continue that practice. Um, and I, I’m not entirely sure there. So here’s how, here’s, you know, as I was doing some research on this, here’s how some of the, uh, or in this article he talks about how some of the data gets shared, so there’s identifiable information that gets shared and it’s a, it’s not really through the health system, it’s, it’s things that, you know, if you subscribe to a magazine, Health magazine or those kinds of things that, that data gets sold.

Bill Russell:                   11:40               If you sign up for, say, a fitness app or a website, that information a lot of times gets sold and uh, you know, obviously social media posts get scraped all the time, which is what we’re learning from the facebook a situation and that gets sold. But that’s really a buyer beware kind of thing. I mean, this is the patient giving away some information, not through the health system, but other ways that’s important information. And we’re really, we’re really starts to become powerful for, uh, for the buyers, the marketers and the pharmaceuticals is when they can match it up with, uh, with some other data from health systems. So here’s, here’s the thing that actually surprised me a little bit. So the doctor, here’s how some information is getting out to the world through, through every health system. So when your doctor sends you to get some medication at the pharmacy, that data is probably going into ims.

Bill Russell:                   12:36               Ims is collecting that data directly from the pharmacies. So they might get it from cvs, they might get it from, uh, any of the various vendors that are out there, the um, uh, the Dr. May also recommend a blood test and you know, recently some of the companies that the larger companies to do blood tests or are reselling some of that data is anonymized data. And um, and quite frankly you can get insurance claims. There are a, I worked with a startup that was getting insurance claim data and you know, it’s all, you know, so it’s fairly pervasive. I guess even if you go to a house system that you trust, there are pieces of your, of your data getting out there and I’m not sure, I’m not sure how many people are really aware of that. And, um, I guess the question becomes with this, that data is getting out there, but there is a good purpose for it, right?

Bill Russell:                   13:32               So it’s going to pharmaceutical companies in an anonymized fashion so they can see historical data. I mean, this is, this is how we make progress in healthcare. If you can, uh, you know, if you can study a population over a long period of time, you can, uh, you can identify how heart risk develops, you can identify how diabetes progresses within a family and those kinds of things. So there, there is a benefit. Do you think if patients understood the benefit and understood what was being shared, that they would care or if they would be upset or do you think they would, uh, they wouldn’t mind that it’s being so being shared.

David Chou:                  14:11               My opinion is there is a generation tolerance. So we look at the generation that did not grow up with Internet and that grew up with social media. They’re probably a little more risk averse as far as sharing the data. They may, they’re probably hesitance on joining face, but in probably the last adopters in terms of using facebook so they’re not used to having those data sharing even though it may benefit them. So you do have to educate them on the benefit of the research that benefit that it could probably save lives versus harm lives. Um, but I do believe it is really for the warrant for the good day, you know, and they’d like to the generation that grew up without the internet and sort of like my generation. I grew up without the Internet, early stages of my life. And then all of a sudden internet and I started realizing, well, we do give a lot of privacy, but at the same time I gained the convenience, you know, something as simple as the map, like ways that’s going to tell you the fastest route to get from point a to point b.

David Chou:                  15:08               They need to know all the data points from everyone using ways in where they’re at the traffic pattern. And then they can kind of direct you to the best performing routes. The same thing applies in healthcare, privacy and information. And be able to get the convenience factor generation like my kids, they know nothing. They know nothing but the Internet, the maslow hierarchy, right? The Internet is probably the bottom of it. They got to have connectivity now. Those, they don’t care about the privacy to them does not matter as much because they value convenience. So I do see, I do see the need for education, especially on the patient side, telling that it was more for the good. But then when you see the movie, the bad side of it, people never hear about the good that comes out of the research part of the health data that’s being shared or even being so. So that’s sort of my take. I think that the generation really plays a plays a viewpoint and that

Bill Russell:                   16:10               I think that’s true with all this, with all the stuff that’s going on with facebook and the grilling on Capitol Hill. I think there’s two things that I would communicate to, uh, uh, well there’s one thing I communicate to a cio and then there’s probably one change. I would like to see a that happens. The thing I would communicate to a cio on this is why you probably need to know what your company’s disposition is with regard to data sharing. Even if you don’t think it’s going on, you might, might want to look at your, uh, might want to ask your emr providers, are they sharing the data a look at if the data’s being shared through a big data platform like explorers or others that you’re utilizing and just be able to answer the questions. So when the physicians come in and ask, are we sharing data?

Bill Russell:                   16:57               You have an answer to that question. And I think the other is a conversation I’ve had with a nice choker on this that, uh, you know, sort of a patient bill of rights. I don’t mind that my data’s being used to further, uh, you know, health research and those kinds of things. I just want to know and to be honest, if I, if I took it one step further, I’d rather if I had the choice and I made money from it. So if you said, Bill, do you want to share your information with cancer study or with a heart study? I might say yes. And quite frankly, I don’t know why ims is making all the money on it when it’s, when it’s my data, I mean there are data brokers, I understand why they are, they’ve set up the infrastructure and those kinds of things.

Bill Russell:                   17:40               But, um, I do think that there’s value that’s being created by the patient and the patient is not recognized, not recognizing any of that bad value. So that’s, you know, that’s a much bigger conversation. We’ll, we’ll save that for another time. I do want to, uh, you know, so let’s move to our second segment, our second segment, leadership or tech talk. This week we’re going to do a best of David Chow, social media posts, which I’ve wanted to do for awhile here. So what I’ve done is I’ve taken a four of your post, I’ve gotten some significant feedback and I just want to go through them with you. So you have. The first one we’re going to do is you have a graphic with operational cio versus strategic Cio’s and uh, can you give us an idea of, uh, you know, and this got a lot of, a lot of likes within our peer group and whatnot. What do you, what is this post really highlighting in terms of operational versus strategic cio? What transition is going on?

David Chou:                  18:36               Well, if you think about just a cio role in healthcare specifically, even 15, 20 years ago, there was no cio role. It started in a department called data processing and then it moved towards a while. Can you manage a server? Came at telecom. So you have a lot of folks who are in the coc that are operating on the back capacity to this day and that’s more operational. They’re not really thinking big picture. They’re not here trying to create new business models using technology. They’re not utilizing technology to be a competitive advantage or just keeping status quo versus what they have done 15 years ago and we still have a lot of that and that there’s still a place for that. But the organization needs now have changed so much where a CEO, they want that thought leader that’s going to help them drive business outcome.

David Chou:                  19:21               You can technology. So operational is the one that’s still focusing on keeping lights on, focusing on implementing emr. That’s the biggest project. Oh, let me implement the Emr. Yes, it’s a huge task, but what are you going to do after the Emr and the strategic cio is here coming in talking about, well let’s you know, let’s change it and you, while your technology investments, can you monetize something? Like you brought a good point, why is the patient on monetizing this? That’s the business model itself. Health system can prod, monetize and says, well let me sell this to you. So those are the. Those are the strategic cio’s that are out there thinking about not just being a user of technology, but how do you create business model? How do you try to gain some revenue based upon your investments?

Bill Russell:                   20:05               So the operational cio is in the business of it and the strategic cio is in the business of the business, is in the business of healthcare and they’re figuring out how to apply technology to new business models that are business partner. So that’s, that’s, that’s a great distinction. And um, you know what, I shine this this past year or this past, uh, uh, event in Vegas. Um, I’ve, I’ve seen a lot of ceos could falling into that operational cio trap. So that’s, uh, that’s why I think that’s getting so much traction. People are trying to figure out how to, how to make that jump and it’s really focusing on the business. What is the business needs and drivers and not. I’m not talking about servers in your data center, your Emr. So that’s, that’s cool. So the next, the next post is pretty interesting. He says, we live in a digital world.

Bill Russell:                   20:57               That means the healthcare vertical as well. And what it has is a physician’s on one side, consumers on the other and had a survey that looked at for things, care coordination, do it yourself services, data sharing and mobile app usage. And it’s fascinating to me that, you know, they asked a series of questions, you know, can, can digital help, can mobile health in care coordination and you have it between the physicians and the patients and it’s almost the same percentages. They’re saying, hey, yeah, this can really help. And the consumers are saying, hey, yeah, this can really help. I think people would be surprised at this graphic, just that the physicians are, are asking for digital. Are you finding that the physicians are really, uh, I mean obviously the population, it depends on the population, but you, you see the, the physicians really starting to get excited about the possibilities of digital.

David Chou:                  21:54               Definitely. I mean if you think about what the really easy discussion going digital, you try and make someone’s life easier, that’s what the outcome is supposed to be. Physicians want your life to, right? They see it at, at home as a consumer and then they come to work. And I also take blame personally for as a cio, we may not be providing these capabilities like the consumer experience that they have at home. So that’s where I strive to really improve. And agility, that’s why I go back to what I mentioned earlier, how can things faster because people do want that convenience, they want to have a better experience and overall it’s going to make their life better. So yes, people want to do things on mobile, but we can’t because things are not mobile friendly. It may be mobile ready, but the experience is poor, therefore they may not use it as an adoptive. So all of these, this, this trend will continue and it’s up to us as technology leaders, as sort of buyers of technology to really push the organization to then get the right partnership that’s going to create that experience because if we don’t, we’re always gonna have that disconnect between service that’s being provided as an organization versus the wants as an organization.

Bill Russell:                   23:01               And I think we’ve talked about this before and that the, um, the accident, the, you’re not being paid as a hospital cio, now you’re not being compared against other hospitals. They’re comparing you against the digital world. So they’re coming in and saying, why don’t I have something like dropbox here? I mean, you guys, uh, you know, some health systems are still using FTP and those kinds of things and, and physicians are going, I’m just going to spin up a version of dropbox or box or something like that or a or file share. So the comparison now as to, you know, why do I have 25 Gig of storage at home on my email server but at work and only a five gig. It’s those kinds of things. So I have, we are you seeing that kind of comparison that, that they are saying, they’re not saying, hey, the last health system I was at had this, why don’t we have this? Or they say, hey, why can I do this at home and I can’t do this at work?

David Chou:                  23:57               We see some of that. Definitely we see some of that. I’m also educating folks a lot more. I mean historically just something has emails. How many organizations still have email onsite versus utilizing them an office? Three, 65. I mean that’s absolutely astounding. Wine talk about when I talk to people, when they say, Oh, I’m managing my email server, why are you imagining exchange server who does that anymore? And then you talked about the tools that just come with office three, 65, like a one drive box, things of that nature. You shouldn’t have to use your something as simple as email to be a file cabinet, put it in the the centralized cloud storage and then you could have multiple edits. You don’t have to have this version control where you know everyone emails back and forth version one, version two, version three, and the naming convention.

David Chou:                  24:39               You have this one file that everyone can collaborate, so some of these simple things where we still have to push the envelope in terms of getting users to bath and then vice versa. We do get challenged with Kenny can I had the same experience that I have at home? Whether it’s your, your sort of comparison to dropbox and other things like that. Even competition. Let me tell you something. Every time I locked the conference room, it’s so embarrassing when I see wires, but why do we have wires laying around and then you go to people’s home. Well and to have a nice flat screen TV, no wires, we’ll just put it down apple tv on there and then projecting that or some assembled versus providing these multi hundred thousand dollars of equipment to do a conference room. I mean you can take advantage of some of these simple things just to have a better look and a better experience and I think that’s up to us to really change that culture. But yes, we do get those questions all the time as far as, well, I had the same experience at home and I have it here and it’s up to us to make that change. So I try and make that change. But we’re also trying to push it outwards to get people educated.

Bill Russell:                   25:41               Alright. So we’ll make this the last one because I know you have a meeting to run to. So, um, it says it and business executives don’t see eye to eye on its priorities, especially on cost cutting. So, um, are you, are you still seeing that today when you, um, that the, the business is looking for one thing and it maybe has a different set of priorities?

David Chou:                  26:06               I see that definitely. I think the purpose of this post goes back to when you look at every orientation, what are they focusing on right now they’re focusing on some sort of performance improvement, which is a consulting work for saying we’re cutting costs. So this is a very hard thing for CEO’s are innovators to figure out is your, everyone’s focusing on cost cutting. And it had the biggest one of the big risk. So it’s very easy to say it. It’s kind of out. So how do you innovate at the same time you’re going through. That was sort of my theme is how do you do that? And that’s a very hard thing to do when you don’t have the resource at the end of the day. And that’s where he gets it, takes it. A very creative cio is to go this cost cutting exercise at the same time, find one or two things they could do to still keep innovation going.

David Chou:                  26:49               Otherwise, all you’re doing is reducing things, just reduction and then you see the trend. Right now you’re seeing the trend right now as we speak where lots of health system it departments are getting outsourced help desk. I mean all these things are I want to talk about ongoing service and that’s a result of this reduction in expense exercise that everyone who takes to go to, they think it’s cheaper to go that way. It may be, but are you going to lose some, some, some of the other advantage of it still to be determined and which is why we’re starting to see that trend.

Bill Russell:                   27:18               Yup. No, that’s interesting. And then you have a, you have another post on digital transformation, which is a topic for a whole nother podcast, but it has 20 ways to achieve digital transformation and they highlight four things that change in mindset, uh, maybe a change in skills and people process and tools are. I guess my only question on this one would be from a digital transformation standpoint, are we so focused on the operational that it’s hard to really make progress on the digital transformation is just, there’s just so much blocking and tackling that needs to happen that I’ve talked with Sarah Richardson a couple of weeks ago and she said, you know, this weekend I’m putting on my hardhat, I’m going out, we’re opening for new facilities and I’m going to be there with the team to sort of roll things out. I mean, that’s sort of the reality of certain health systems and the size of the it organization. Um, how, you know, how, how do you balance that, how do you balance the day to day and in the digital transformation that, you know,

David Chou:                  28:22               yeah, it really started to culture and it starts with you as a leader and there’s things that you had to let go. That’s what I’m seeing. I tried to let go of a lot of operational stuff, um, order for me to start socializing new ideas with the organization. So you got to be a lot more hands off if you’re the traditional style that, that likes to be in the weeds and really blocking and tackling. You may not be able to have the time. So you’ve got to figure out how to let go about how do you create a new culture to where you’re focused on speed. You’re focusing on Julie, you’re focusing on creating a new business. I always emphasize business model because that’s what the end result that you’re trying to create that. So that’s, that’s been my approaches, gave me out of the weeds as much as I can, focusing a lot more, um, this sending a new culture, setting a new way of thinking.

David Chou:                  29:09               And that also involves making a lot of changes, whether it’s having difficult discussions and building new teams and with your peers or even within your own department. But that’s where it fundamentally has to start with that culture. And then for me is just being out there with all the senior leaders and having them see a different life. You’re really not a technology anymore. You’re, you’re really a business leader because you’re in the middle of every department and we think about the role of it. We see everything, we see everything from just patient all the way up and that is critical and being out there with your partners and helping them achieve their success. I think that’s how you can transform and that’s where you can inject new ideas.

Bill Russell:                   29:52               Yeah, and I’ve seen two major health systems that now have chief digital officers on the executive team and the CIO is or not on that, on those executive teams, which I, which I think is sort of a cautionary tale to say, um, you may want to start thinking in terms of the business because the organizations are looking for and if they don’t find it in the cio, they will create a new role of a person that can, can lead them into the digital economy. Well, uh, so let’s close out the show. We usually close with um, uh, social media posts. I’ll do one real quick. If you have one, you could share one. So my end to stay on this theme of David Chow posts, I have a post that you put, it’s a market, a market Tunis Dot Com, uh, with all the cutbacks from the airline on their services is great. Pick and you have last chance to purchase an upgrade from economy class. It’s a plane with a little tow rope and it looks like a skier holding onto the back of the airplane, sorta telling us that that’s how he’s going to get across the country. And having just flown from La to Philadelphia. That’s a. You know what? Sometimes it feels more and more like A. Airlines are buses. Yeah.

David Chou:                  31:04               Yeah.

Bill Russell:                   31:05               American Airlines are pretty small. Do you have one for us?

David Chou:                  31:13               I think the one that always comes to my mind, it was, I think it was tweeted by Mr. it was from a physician that you worked with David Butler creek quilt when we taught people love talking about having an experience in healthcare. But let’s think about it. No one has the experience in the healthcare today, right? This change so much that the experience of the 15 year ago doesn’t matter as much. So when you talk about do you have the experience in healthcare today? No one has this. So it’s a really aspiring to think about is just go out there, change the world changer organization because don’t feel as if someone else knows this better than you do. No one does. We’re all in the sort of as a journey. So take advantage of that. And that’s sort of my theme to my team is no one knows what the healthcare today it looks like. So go create it.

Bill Russell:                   32:01               Cool. Well I’ll look forward to march. Will be on in two weeks. I think I’m all right. So that’s all we have time for. Uh, for now. David, tell us the best way that people can follow you

David Chou:                  32:11               and definitely follow me on twitter. My handle is d, c h o u 11. Oh, seven or Linkedin, my facebook page. So lots of different ways to get connected and reach out anytime you guys want.

Bill Russell:                   32:23               Awesome. And you can follow me on twitter at the patient cio by writing on the health Erik’s website, health system cio were David also published some articles and uh, follow the show on twitter this week and hit and check out our new website this week in health it.com. If you liked the show, please take a few seconds and give us a review on itunes or google play catcher, our videos on youtube. Um, you can go to the easiest way to get there this week in health it.com/video. And please come back every Friday for more news commentary from industry.

Speaker 3:                    32:57               That’s all for this week.


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