Maintaining Clinical Workflow Integrity in Times of Transition (2024)-WEB07-2024

Video Transcription

Video Summary

The video is a discussion hosted by Florent Sainclair, COO of DICOM Systems, on change management in healthcare, specifically focusing on maintaining clinical integrity during transitions. Participants include Sam Essa from USC’s Keck School of Medicine and Dmitri Tichelnik, CTO of DICOM Systems. The conversation centers on transitions healthcare systems undergo, such as mergers, acquisitions, and IT vendor changes, and shares ten recommendations to navigate these changes successfully. The complexity of managing diverse IT systems and the potential for errors that can impact patient care are emphasized. Real-world scenarios illustrate the challenges faced, like managing numerous vendors and ensuring interoperability among systems. Transition planning involves comprehensive knowledge of the existing and new systems, the formation of a transition committee, and implementing a vendor-neutral middleware layer to handle data interoperability and security concerns. The importance of a meticulous discovery process is highlighted to prevent costly mistakes and ensure continuity of patient care. Sam Essa shares USC’s experiences, including the management of acquisitions and integration of disparate systems while maintaining service integrity. Dmitri explains the need for backward and forward compatibility with technologies and outlines strategies for data migration and maintaining fault tolerance. The introduction of AI and digital pathology adds layers of complexity requiring careful orchestration to integrate seamlessly into existing workflows. The discussion concludes with a focus on meticulous planning, knowledge transfer, and real-time situational awareness during transitions to minimize operational disruptions.

Keywords

change management

healthcare transitions

clinical integrity

IT vendor changes

data interoperability

patient care

system integration

digital pathology

AI in healthcare

operational disruptions