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Christian Lindmark – Arab Health Insightful Quotes
9 insightful quotes on cloud and AI from Stanford Health Care and AWS leaders at Arab Health 2024
By Nordic / April 22, 2024
Healthcare leaders are migrating their data, applications, and platforms to the cloud to boost quality, efficiency, and innovation within their organizations. At Arab Health 2024, Kevin Erdal, Managing Director and Global Practice Leader, Digital Health, Nordic, moderated a discussion on the benefits and challenges of cloud deployment and the technology’s impact as a driver of artificial intelligence. The panel featured Amazon Web Services (AWS) Physician Executive Naqi Khan, MD, and Stanford Health Care’s Christian Lindmark, Vice President and Chief Technology Officer, and Gary Fritz, Vice President and Chief of Applications. (Watch the full video below.)
Here are nine highlights from their conversation.
1. Fritz on the clinical and financial advantages of cloud and AI in healthcare: “All the applications in our portfolio will ultimately have an AI model. It’s inevitable. Predictive models can help inform physicians and reduce their cognitive burden, which is transformative for wellness and quality of care. There are also a lot of opportunities for real savings in the revenue cycle when AI models are applied in the right place. All boats will rise with AI.”
2. Lindmark on the success and bright future of cloud at Stanford Health Care: “Our private cloud has the same tools and capabilities as most hyperscalers. We’re able to spin environments up and down. We have consolidated tech stacks and automated functions. Since completing our data center consolidation in 2022, we’ve seen a $2 million annual cost reduction and decreased the number of priority 1/severity 1 incidents by 50%. Today, we’re 40% in the cloud. I firmly believe by 2030, 90% of our environment will be in the cloud.”
3. Kahn on AI sustainability: “There are a lot of opportunities moving forward as more and more AI models come into the cloud. At the same time, if you throw millions of these models out there it’s going to be confusing for the user. Aggregation and accumulation are what we’re seeing happen right now.”
4. Lindmark on the importance of industrywide collaboration to advance health IT modernization: “As providers, we’re all working on the same problem, but we often don’t do a good enough job of sharing what’s working well and what’s not working. We’re going to fail along the way, and we need to share that information with the broader community, so we don’t repeat the same mistakes. We’re better together.”
5. Fritz on cloud cybersecurity: “There is a case to be made that cloud can be safer because you can put a modern security envelope around your infrastructure. If you can get into the cloud environment with the right kind of monitoring, you can make it cost effective and, ultimately, safer. Also, it’s worth remembering cybersecurity doesn’t stop with the applications you own. It also extends to the applications every supplier that helps you owns. I’m always look at the supply chain to find out if the places where we’re buying our medications or supplies has equally robust security protections.”
6. Fritz on developing AI governance: “The issue is putting up the right guardrails to be responsible. The Coalition for Health AI is coming up with foundational models and a responsible AI development and management lifecycle that will provide industry guidance. There is serious discussion with cloud vendors and the federal government around building a small number of national labs that will allow AI developers and vendors to put their models into the environment to get tested against standardized data sets that are as free from bias as you can possibly get.”
7. Lindmark on establishing organizational buy-in: “During a cloud deployment, it’s critical to have buy-in throughout the organization. No one wants to feel like IT is doing something to them. People want to be brought along, have a hand in the decision-making process, and be a partner with IT. Moving something to the cloud for the sake of moving to the cloud isn’t worth the risk. You must show the rewards from a cost-savings perspective and how it’s going to reduce burdens and workloads. IT is one of the few organizations within a hospital that works with every other department. We have a unique advantage and view into the organization and a responsibility to work with each department to deploy platforms that help solve their challenges.”
8. Kahn on why he’s excited about generative AI in healthcare: “We’re seeing how AI is having a substantial impact in the lives of patients and clinicians. Whether its clinicians spending less time in front of their EHR system and not having to continuing working when they get home or patients getting access to tools in their language and at their education level.”
9. Lindmark on the value of strategic partnerships: “Make sure you have good strategic partnerships. Whether it’s companies like Nordic or AWS, rely on your partners and build strategic relationships that can help you achieve your goals.”
Want more information on preparing for the cloud-powered future of healthcare? Read our e-book to explore how health IT modernization through the cloud can profoundly impact patient engagement, financial sustainability, operational integrity, and new digital frontiers like AI.
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Arab Health
https://www.linkedin.com/feed/update/urn:li:activity:7158505507081613313
What a fantastic time we had connecting with fellow industry experts at the Arab Health Exhibition Transformation Talks. Digital Health Practice Leader Kevin Erdal led an engaging panel about leveraging strategic partnerships for cloud and AI deployments with Christian Lindmark and Gary Fritz from Stanford Health Care and Naqi Khan, MD, from Amazon Web Services (AWS).
hashtag#cloud hashtag#aiActivate to view larger image,#christian lindmark
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Private 5G in Healthcare
https://www.nbreports.com/is-neutral-host-the-ice-breaker
Private 5G has a lot to offer hospitals, hotels and large corporate campuses, yet some of these customers may struggle to justify investments in this technology. But when it comes to CBRS neutral host networks, the ROI may be more apparent. Neutral host networks can broadcast public carrier signals indoors, so the people inside a building see full bars instead of low or no bars on their phones. A reliable cell signal inside an apartment building can mean higher rents and occupancy rates, and in a hospital it can mean the difference between life and death.
Some owners of Class A office buildings are investing in CBRS networks to support neutral host, with the expectation that private networks will follow. One example is Meta, which deployed CBRS under the direction of Joel Lindholm, who came to the hyperscaler from CommScope’s CBRS business unit. He was hired to stand up private LTE/5G networks, but once he got started, he discovered that what Meta really needed was reliable coverage from the public networks.
“We realized that neutral host was our higher priority,” he said. “So we pivoted and architected the network such that we could add a private network in the future.”
Lindholm has now moved on to start his own firm, InfiniG. He said Meta is still working towards private wireless. “The private network takes time and it is a big journey,” LIndholm said. “Coordinating the migration of multiple applications that are managed by different cross-functional stakeholders onto a private network is a big task. As an example, just within the security team, there are people focused on PTT phones, others on cameras, etc. That is why it takes so long.”
Migrating dozens or even hundreds of applications to a private network is a heavy lift, but the payoff will be worth the effort, according to some wireless industry veterans. Christian LIndmark, VP and CTO at Stanford Health Care and School of Medicine, has a strong background in wireless and is very excited about private 5G.
“I absolutely believe 5G and private networks are the future,” Lindmark said on a recent webinar hosted by CBRS network vendor Celona. “If we really want to transform healthcare and if we want to make our patients’ lives better and actually bring care to our patients where they are, 5G is critical to making that happen,” he continued.
Lindmark is responsible for the technology in two Stanford hospitals, and neither of them has a private 5G network yet. But they do have Celona’s CBRS infrastructure because Stanford invested in a neutral host network.
The neutral host network made sense for three reasons, Lindmark said. First, the university was building a new 800,000 square foot hospital and did not have a plan for 5G coverage inside. Second, Stanford bought Tri-Valley Hospital in Pleasanton, CA, a property which lacked in-building coverage altogether. And third, the property around Stanford’s main hospital used an aging distributed antenna system that was due for an upgrade.
“Distributed antenna infrastructure is not cheap; it is actually quite expensive,” LIndmark said on the webinar. “Especially in hospital facilities, it is more expensive to go in and retrofit, so we were trying to figure out how do we provide a more cost-effective solution to replace these older DAS solutions? And that’s when we really started to dive into 5G as an option.”
Stanford Health Care settled on the Celona solution for neutral host. So far T-Mobile is the only carrier on board, but Lindmark expects all three major nationwide carriers to join eventually.
Celona explained that its CBRS access points broadcast a T-Mobile Public Land Mobile Network ID so T-Mobile phones connect automatically. The access points connect over the local area network to Celona’s server, which securely routes the traffic over the internet to T-Mobile’s core network.
Although other carriers are expected to join the network, they will not each need to bring their own radio signals as they would in a traditional DAS. Celona says its radio antenna units can support up to five separate carriers. That means Stanford has less infrastructure to deploy.
“We think we can reduce our costs 40% over a traditional DAS solution,” Lindmark projected. “Adding new technology without a hard dollar cost savings is really tough.”
Now that the new infrastructure is in place, Lindmark looks forward to exploring possibilities for private 5G using CBRS-enabled devices. He would like to see all wireless handheld communication devices move to a private network, including 4,000 shared clinical devices, 6,000 hospital-owned cell phones, 7,000 personal phones used by staff, 2,500 tablets and 1,200 radios used by hospital and parking lot staff. And all that could be just the beginning.
“If we really plan this right, we could get most of our IT use cases in the hospital … we could move them all to 5G, and I really want to explore that,” Lindmark said. “We put a lot of wire into our hospitals, [and that means] more cooling, more power, more network switching.
Is it possible that we could reduce the cabling infrastructure required by half, put more of this onto a private 5G network? I’m intrigued to consider that.”
#Christian Lindmark
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AEHIT Advisory Board
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Christian Lindmark – SustainableIT
SIT.org September Newsletter- Final
September 2023
NEWSLETTER
The Pillars of Sustainability: Volume 4
INSIDE THE ISSUE
01 | New Members
02 | Event Recap
03 | Upcoming Virtual Events 04 | Latest ResourcesHello!
We hope you have had a safe and enjoyable summer. Thank you for being part of the SustainableIT.org community helping to drive our mission to advance global sustainability through technology leadership. As you can see by this issue’s announcements, we continue to make great progress against our mandates, growing membership and resources.01 / 07
01 | NEW MEMBERS
September 2023
As we announced in our June Newsletter, SustainableIT.org is now accepting corporate and individual annual memberships from IT and sustainability business leaders. Below are organizations whose executives have recently joined to jumpstart or accelerate their sustainability journeys by leveraging our IT-centric sustainability insights, best practices, and standards.
We welcome the following companies and institutions:
Corporate members gain team access to the SustainableIT.org community platform, which provides the latest tools and resources, research, event registration, and community access. Contact us about membership at: Memberships@SustainableIT.org
View our latest YouTube Video to see what our IT leaders are saying about our mission and momentum.
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Christian Lindmark is a 20-year veteran of IT in the healthcare industry, leading strategy, operations, and day-to-day management. For the past eight years at Stanford Health Care and School of Medicine, he’s overseen IT infrastructure, customer experience and support services, biomedical engineering, identity and access management, and IT facilities design and construction. The IT organization has had a coordinated focus on IT sustainability for the past two years. Some of the sustainability accomplishments within the IT department have been a major data center migration that resulted in a more sustainable data center operation and four Electronic Product Environmental Assessment Tool (EPEAT) awards. They also achieved a nearly 50% reduction in paper printed on site, as well as a reduction in the number of physical printers by 25%. Additionally, the IT department has created a Sustainability Group that meets monthly, working on metrics for benchmarking and identifying new initiatives.
Christian and team members work closely with Stanford Health Care’s Sustainability Program Office, an organization focused on enterprise-wide sustainability efforts, many of which are underpinned by technology. Their five key areas of focus are: 1) Design and construction, 2) Energy, emissions, and water, 3) Transportation, 4) Supply chain, and 5) Waste management. Christian wants to elevate the focus on sustainability within healthcare across the country by helping develop general best practices, ESG data strategy, and demonstrations of tangible ROI. He looks forward to engaging with SustainableIT’s healthcare community. Christian is based in the Seattle, Puget Sound area and is married with four amazing children. When Christian isn’t working or spending time with his family, he enjoys golfing and serves on the board of South Puget Sound’s First Tee, a youth development organization that enables kids to build the strength of character by seamlessly integrating the game of golf with a life skills curriculum.
September 2023
03 / 07
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02 | EVENT RECAP
September 2023
Highlights of the SustainableIT Board Meeting and CIO100 Symposium and Awards, August 14-16, 2023, Rancho Palos Verdes, California, USA
Open Board Session:Presentation 1: Energizing Sustainability at National Grid
CTO Shannon Soland and Jody Elliot, Head of IT Sustainability & Governance, shared their experience over the last year launching a Green IT program to reduce their energy and emissions footprint. They summarized the steps and timeline for launching the program and how they assessed energy efficiency of their end-user laptops, adjusted the laptop build for improved efficiency, and as a result reduced their emissions by 21%. In the first year of modernizing IT operations and data centers, they improved energy efficiency by 35% and reduced emissions by 14%. This information and more will be included in a written case history to be published to the membership later this year.
Presentation 2: ServiceNow’s IT ESG Management Platform
Mauri Paz, ServiceNow’s Director of Product for ESG Solutions, demonstrated ServiceNow’s new IT- specific module for the company’s ESG Service Management platform. The product began shipping in early August, and a soon-to-be-available module incorporates SustainableIT’s environmental standards taxonomy. The Command Center tool centralizes management of ESG data collection, reporting, and overall program management. The IT module incorporates ITSM and ITOM. The next iteration of the platform will incorporate procurement.
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In the closed board session, the board voted to approve the appointment of two new SustainableIT board directors:
JP Saini Shannon Soland
At Foundry’s CIO100 Symposium and Awards, the following SustainableIT board and member organizations received honors for their IT accomplishments:
September 2023
Deloitte
Mastercard
PepsiCo, Inc. Stanford Health Care Sunbelt Rentals, Inc. Mattel, Inc.CIO100 Hall of Fame Induction
Ralph Loura
Srini Koushik
Two members of the SustainableIT board were inducted into the CIO Hall of Fame, which honors individuals with 10 or more years in C-level technology positions who have significantly advanced the CIO role while demonstrating sustained business success. Board Chairman Ralph Loura was inducted in recognition of his decades of accomplishments as an IT leader at Cisco, Clorox, Hewlett-Packard, Rodan & Fields, Lumentum, and other organizations, his influence through such professional groups as the TBM Council, and his contribution to numerous boards and non-profit organizations. We congratulate Ralph for this well-deserved honor.
Board member Srini Koushik, executive VP and CTO of Rackspace Technology, was inducted in recognition of his more than 20 years of achievement as IT, business leader, and board member at such organizations as IBM, HP, Nationwide, Magellan Health, and the Open Group, as well as his current role, which includes the founding of Foundry for AI at Rackspace (FAiR), a practice to encourage responsible adoption of AI solutions across industries.
05 / 07
ygolonhceT ecapskcaR OTC & PV
gro.TIelbaniatsuS namriahC draoB
dirG lanoitaN reciffO ygolonhceT feihC
.cnI ,slatneR tlebnuS reciffO ygolonhceT dna latigiD feihC
03 | UPCOMING VIRTUAL EVENTS
September 19, 2023 | 1:00 pm EDT
How to Find and Track the Right Sustainability Data
Few companies have complete or trustworthy data at the start of their sustainability transformation journey. What is the best approach to obtain and leverage data that’s “good enough,” to start with, and what should be the plan to mature that data making it more reliable and easy to work with for assessing, reporting and making sustainability decisions. Featuring digital sustainability and GreenOps expert Mark Butcher. Bring your questions and challenges.
Private Event for Members Only: Register here October 4, 2023 | 1:00 pm EDT
Technology Accessibility and Inclusion by Design
Accessibility and inclusiveness of information technology are the most direct impacts that IT teams can have on social sustainability.The goal is to embed accessibility and inclusiveness as criteria in sourcing and systems design. Frances West, renowned technology inclusiveness advisor and IBM’s first chief accessibility officer, will discuss the best ways to incorporate these social goals into IT leadership and operations, including how to strategize, document, measure, and report accessibility approaches and impacts. Register here
October 17, 2023 | 2:00 pm EDT
Building the Business Case for IT Energy Sustainability
One of the most common early challenges for sustainable IT is determining the ROI and presenting a compelling business case for IT energy sustainability. This webinar will provide insights on documenting infrastructure energy efficiency, carbon avoidance, resiliency, and fulfilling the requirements of pending climate-sustainability regulations. Our SME is Andy Anderson, EVP of Energy & Sustainability Solutions of WatchWire by Tango, a New York-based energy, water, and waste management SaaS solutions provider. Register here
October 26, 2023 | 11:00 am EDT
IT Sustainability Leadership Lessons Learned
On National Sustainability Day (US), we will be treated to a candid discussion of lessons learned by accomplished leaders of IT and enterprise sustainability. What worked and did not work to motivate people, engage executives, collaborate with peers, partner with vendors, and drive positive change? Bring your questions and challenges. Register here
September 2023
06 / 07
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Christian Lindmark – 5G
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Christian Lindmark – Healthcare Tech Focus and Trends
5 Focus Areas For Healthcare CIO And CDO
5 Focus Areas For Healthcare CIOs And CDOs In 2023 GETTY The healthcare sector is struggling under tight margins and the situation shows no signs of improving. Reimbursements for Centers for Medicare & Medicaid Services (CMS) physician fee schedule have been decreasing. Despite CMS initiatives to facilitate higher reimbursements for inpatient services, they are still failing to keep up with the rising costs of compensation and inflation, according to the American Hospital Association (AHA).
As a result, organizations are drastically cutting back on budgets—putting the CIOs and CDOs (Chief Digital Officers) in a particularly delicate position to get the right priorities set.
Healthcare has been spared significant layoffs, unlike big tech organizations recently. however, if things don’t turn around soon, that may change.
Here are five areas of focus for healthcare CIOs and CDOs.
Basic Digital Experience Is Still Struggling
Healthcare’s patient/customer experience is still off the mark compared to other industries–like retail, finance and airlines—despite improvements. Making a medical appointment and finding availability is not as easy as booking a flight. Understanding the potential cost for a healthcare visit is not as simple as a retail transaction in a department store.
For instance, a family with multiple children often has difficulty scheduling an appointment to have all their kids see the pediatrician at consecutive time slots due to most scheduling programs being designed for only one patient per time availability.
Another example is a healthcare clinic can charge $200 to the patient’s insurance company for a patient visit, but this doesn’t necessarily mean they’ll receive that full amount back in reimbursement. The exact rate of compensation is usually determined by negotiations between the clinic and insurer prior to any services being rendered.
CIOs must explore and implement tools to assist with enhancing the patient experience instead of waiting for their electronic medical record vendor to do it all, which may be the easy solution but a harmful strategy at times.
Training a Digital First Mindset
The digital skill gap is a rising concern in healthcare organizations, mainly due to the number of disparate software products throughout an organization.
To ensure proper usage and management of these tools, there must be an emphasis on training employees on how they are used and operated. Generally, technology training only occurs during employee orientation or when products are launched; however, it has been largely neglected.
The average mid-enterprise health system in America consists of 250+ applications alone. Large enterprises have over 500 different applications, making tech literacy all the more important for staff members.
Aaron Miri, chief information and digital officer of Baptist Health, focuses on immersive design. Miri said in an interview, he is creating “Hands-on labs, formal reeducation (cert programs, etc.), Leveraging your key vendors to help cross train, working to educate your exec team with skilled partners such as in the example of cybersecurity, the FBI or DHS, etc.”
Automate All
CIOs and CDOs must take the lead on digital initiatives and concentrate on external patient-facing experiences and internal employee experiences.
In order to progress with administrative and receptive tasks, automation tools have become essential for departments such as supply chain, HR, and finance, with the following examples.
- Automating the supply chain helps to reduce waste while increasing productivity and efficiency for your staff by streamlining processes such as stocking, tracking, and replenishing internal goods.
- They are leveraging AI-driven HR automation to address and mitigate the risk of employee burnout.
- Assist pre-authorization and simple claim denials.
Seattle Children’s Hospital’s chief information and digital officer, Zafar Chaudry, is placing his bet on automation. Zafar said in an interview, “With the escalating costs in healthcare and margins continuing to drop, IT will be instrumental in enabling cost improvements with hot areas being automation, AI, RPA, and better use of cloud-based analytics to help change processes and improve throughput.”
Co-Creation Is The Play For Healthcare Provider Innovation
Healthcare organizations must think creatively with new affiliations and partnership models to meet the strategic needs and financial demands in the current evolving market environment. We are not a software development team, so let’s stop trying to act like one.
To best support your hospital or clinic, CIOs and CDOs should explore practical ways to collaborate with early-stage companies and find unique solutions for your patients. For example, I recently created a for-profit entity dedicated to innovative practices to co-create with venture studios or individual companies. This type of collaboration introduces new products in the industry.
Don’t Sleep On Your Infrastructure
After witnessing Southwest Airlines’ infrastructure go down last December, technology executives must keep their infrastructure, including security solutions, updated. At the same time, progressive organizations also focus on incorporating 5G solutions. I have always wanted to utilize 5G as an extension or replacement of my wireless network infrastructure.
Stanford Healthcare’s chief technology officer Christian Lindmark also has the same mindset by exploring 5G/CBRS for their new facilities and buildings. Christian said in an interview, “I still think many of the healthcare workflows are two to four years away, but now is the time to start investing in the infrastructure, especially if you are building a new facility or doing any renovation. We have identified a few workflows we hope to start testing in the next six to nine months.”
Overall, CIOs and CDOs alike will no doubt face immense pressure from their already tight budgets if the current situation worsens in the healthcare industry. Follow these five focus areas to be a successful CIO/CDO of the future – your organization’s future may depend on it!
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Scottsdale Institute 2022 – Christian Lindmark
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Scottsdale Institute – Christian Lindmark
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Christian Lindmark – Stanford Medicine TDS
Christian Lindmark
The Shared Services team is comprised of five teams which support staff, faculty and patients across all of our facilities. The Customer Experience and Support Services team includes Desktop Engineering, Field Service, Service Desk, Audio/Visual, Communication Technology, and Identify & Access Management. The Infrastructure team provides Server, Storage and Network Engineering and Operation support, Enterprise and Solutions Architecture, Incident Management as well as manages our physical Data Centers locations. The Technical Services team supports our Epic technical infrastructure as well as our interoperability platform. The Bio-Medical Engineering team supports all patient and clinical care medical devices in inpatient and outpatient facilities. The Facilities and Campus Transformation team represents IT in all construction and renovation projects across the organization.
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Christian Lindmark 