Roundtables

nature of mobile connectivity devices and the expectations they create with our customers. We operate in a somewhat rural and [financially] depressed area and have the benefit of not needing to be early adopters or leaders in the development and deployment of these technologies. We are mon- itoring what is happening across the country and have regular discussions about what and when we will deploy. Mr. Hess: ere seems to be a plethora of disruptive technol- ogies right now in healthcare from mobility advances to device integration to location services to telehealth to surveillance and many others. I see two tech- nologies that are still early in their maturity that will truly be game-changing once we figure out how to harness the power of them. Display and visualization tech- nologies will change the tradi- tional computing experience for clinicians and patients. e movement from desktop PCs and tablets to even smaller form factors (e.g., smartphones, wear- able devices, etc.) will require different methods for displaying the applications, data and infor- mation, and we are starting to see some early capability that will be revolutionary once matured. [e other advancement is] truly advanced clinical decision support embedded in the EHR. Everyone does some form of clinical decision support, wheth- er through order sets or alerts, but when we can transform data into learning and then inform the clinician and the clinician experi- ence in a way that integrates well with his/her workflow, we can and will make a difference. Mr. Kinsella: Certainly the Internet has been the story over the past decade, removing con- straints of time and place. Look- ing down the road, I am excited about the translation of genomics to commercial and clinical ap- plications such as personalized medicines and predictive ana- lytics. I see that as incred- ibly disruptive, in both positive and negative ways. Our preparation for the future includes continued investment in infrastructure, clinical integration and analytics. Mr. Lewkoski: Mobility and mobile apps are a very promising way to improve patient engage- ment but this also includes large challenges with integration, pa- tient team continuity and security and privacy. We are addressing this in several ways but do not want to get way out in front and experience serious mishaps. Mr. Ong: From the technology side, the cloud continues to be an area of opportunity to deliv- er solutions as well as achieve operational efficiencies. at continues to be "disruptive," even though it's been around for a while. More advancements with the pa- tient portals, too. Given our need or perceived need to achieve bet- ter patient engagement, we have to look at the technical modalities a patient would favor. We found patients visit our website 50 per- cent of the time using a mobile device… it's about how they en- gage with their care, from sched- uling appointments to interacting with caregivers or paying their bill. All of those things need to be that much more advanced as we engage with patients. Mr. Richardville: ere are many in this space as well, but I would say both mobility and virtual care are two technologies that are enabling us to provide access and deliver care in places that, five years ago, not many would have predicted to be possible. ey surfaced at the same time, and oen don't see one without the other. Traditionally, the patient has come to us for care, now we "Don't be afraid to stretch the boundaries of being a CIO. I love being a CIO, but much of what I do is not what you would think of a traditional IT leader doing." -Steve Hess, CIO of University of Colorado Health Healthcare CIOs: Past, Present and Future 5

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