Perspectives on Health and Tech

In this episode of Perspectives on Health and Tech, Oracle Health sits down with Dr. Petal S. Abdool, Geriatric Psychiatrist and Medical Director of the Centre for Addiction and Mental Health (CAMH) Simulation Centre, to explore how virtual reality is transforming the way clinicians are trained to assess suicide risk and respond to opioid-related emergencies. Together, we discuss why immersive simulation is emerging as a powerful tool in mental health education, how VR creates a safe space for clinicians to practice complex and emotionally charged conversations, and what early insights reveal about its impact on learner confidence and preparedness. The conversation also looks ahead to how technologies like VR, AI, and connected clinical systems may shape the future of training the next generation of mental health professionals. ------------------------------------------------------------- Episode Transcript: 00;00;13;09 - 00;00;30;03 Intro Welcome to Perspectives on Health and Tech podcast. Brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected health care world where everyone thrives. Let's get started. 00;00;30;06 - 00;01;00;16 Steve Herron Hello everyone. I'm Steve Herron and I lead the continuum product group at Oracle Health. That includes behavioral and mental health rehabilitation, post-acute care, and social determinants of health. And today, I'm especially excited to talk about innovation at the intersection of mental health education, clinical readiness, and emerging technology. Suicide risk assessment is one of the most critical and most difficult skills clinicians must develop. 00;01;00;19 - 00;01;30;05 Steve Herron These are high stakes conversations that demand empathy, clinical judgment, and confidence, often formed under intense pressure. Yet historically, clinicians have had limited opportunities to practice these skills in a realistic but safe environment. That's where innovation becomes essential. At Oracle Health, we're fortunate to work with organizations that don't just adopt technology, but thoughtfully reimagine how it can support clinicians and patients. 00;01;30;08 - 00;02;00;13 Steve Herron One of those organizations is the center for Addiction and Mental Health, or CAMH in Toronto, Ontario, Canada. During a recent visit, CAMH. I had the opportunity to tour their campus and spend time in their Virtual Reality Learning center. What stood out immediately was how VR is being used not as a novelty, but as a rigorous, evidence-based training tool to prepare clinicians for some of the most complex moments in mental health care. 00;02;00;15 - 00;02;29;19 Steve Herron So today, we'll explore how CAMH is using virtual reality to train clinicians in suicide risk assessment and opioid overdose recognition. What they've learned so far, and what this means for the future of clinical education. I'm delighted to be joined by today's guest, Doctor Petal Abdool geriatric psychiatrist, educator, faculty member at the University of Toronto and medical director of the CAMH Simulation Center. 00;02;29;22 - 00;02;33;18 Steve Herron Doctor Abdool, thank you so much for joining me. 00;02;33;20 - 00;02;44;21 Dr. Petal Abdool Thank you so much, Steve, for this wonderful invitation. It's a true pleasure to be here and to have the chance to highlight this important work. 00;02;44;23 - 00;02;59;24 Steve Herron To start us off. For listeners who may not be familiar with CAMH or your role there, could you share a little bit about a CAMH's mission and your work at the simulation center? Particularly as it relates to education and training in mental health? 00;02;59;26 - 00;03;45;01 Dr. Petal Abdool Absolutely. As you said, CAMH, which is Canada's largest mental health teaching hospital, fully affiliated with the University of Toronto. And our mission is to transform the way we understand and treat mental illness to care; excellent care, research, education, and system advocacy. Our strategic mission is to get upstream advance care and to lift societal health. And at the simulation center, we see our role is to turn that mission into a concrete learning experience that can prepare clinicians for the realities of mental health and addiction care not just for today, but for tomorrow. 00;03;45;03 - 00;04;10;21 Dr. Petal Abdool In my role as a geriatric psychiatrist, an educator, and the inaugural medical director of the CAMH Simulation Center, I should also add that I'm the faculty lead for simulation at the University of Toronto. So, this gives me a wonderful position to oversee programs that use these modalities. And in the past, we've worked with standardized patients, team-based simulations. 00;04;10;23 - 00;04;40;11 Dr. Petal Abdool And now we've opened the door to technology enabled simulation like virtual reality. And this is in order to help our learners to practice high stakes communication, clinical reasoning and to afford collaborative care. A key focus

We stand at a transformative moment in healthcare. Artificial intelligence is moving from theory to practice, shaping the way we diagnose, treat, and engage with patients. While much of the AI conversation focuses on technology, today our focus is on the humans at the centre of care: the clinicians and their patients. This episode explores how AI can transform the NHS by driving efficiencies and productivity—core priorities in the NHS 10 Year Health Plan—while continuing to deliver personal, meaningful care. Key questions include: How can AI help enhance the clinical experience and enable clinicians to focus on what matters most? What new opportunities arise for clinicians to help strengthen their connection with patients as technology becomes central to healthcare delivery? How can AI continue to evolve so patients feel connected and empowered throughout their health journey and in partnership with clinicians? Speakers Moderator: Tim James, Director and Clinician Executive, Oracle Health UK Panellists: Dominic Cavlan, Clinical Lead for Acute Medicine, Barts Health NHS Trust Deirdre Lyons, Consultant Gynaecologist, Imperial College Healthcare NHS Trus ------------------------------------------------------------ Episode Transcript: 00:30 – 2:31 Tim James: Thank you for joining us. My name is Tim James, Director and Clinician Executive at Oracle Health in the U.K., and I'm your host and moderator for today's discussion. Today, we take an in-depth look at the transformative experiences of two U.K. customers who are among the first to use Oracle Health Clinical Agent note generation in an outpatient care setting. These early adopters share valuable insights from their direct involvement in the design and testing of this innovative technology. They discuss how AI has supported frontline patient care at their hospitals, highlighting the use of Oracle Health Clinical AI Note Generation to streamline documentation, elevate note accuracy and quality, and ease cognitive and administrative burden. This supports real-time clinician decision-making and helps strengthen the accuracy of diagnosis and care plans. Together, we'll explore how this innovative solution is redefining healthcare delivery and what it could mean for the future of care and patient interactions. Joining us today from the U.K., I am delighted to welcome our renowned experts: Dominic Cavlan, Clinical Lead for Acute Medicine at Barts Health NHS Trust, and Deirdre Lyons, Consultant Gynecologist at Imperial College Healthcare NHS Trust. Welcome to you both. Let's start with the first question about your experience rolling out the Clinical AI Agent Note tool. As practitioners, can you share some specific features of the Oracle Health Agent tool that have helped enhance your daily workflow, where you've seen the strongest adoption so far, and what you believe has enabled its success? Let's start with Dom. 2:32 – 4:42 Dominic Cavlan: I can probably share some experiences. I run an AI patient and technology clinic, and for our new patients, we allow 45 minutes per appointment. That's a long time spent speaking with patients, which also leads to a long period of time documenting what we've discussed. With this kind of appointment, I know I can press the button to record our conversation, and then I find myself, when I finish with a patient, realizing we've been speaking for 35 to 40 minutes. Then, instead of facing another half hour of documentation, I can efficiently turn that into something to share with GPs, colleagues, or the patients themselves. I finished my Monday afternoon outpatient clinic on time regularly for the first time in a decade. And it's not only during clinic time—previous workflows for producing correspondence involved thirdparty apps and dictation software with multiple steps and people involved. In terms of adoption, we've run our pilot, and a number of specialties have really taken this on board, including Orthopaedics, Gastroenterology, and Dermatology—some of which were already quite mature in their use of Millennium. We introduced this with our Red Shirts training program, training people live in the room with the patient present. That hands-on approach was one of the big things that got this rolling quickly. 4:42- 4:48 Tim James: That's great, thank you. And Deirdre, tell us a little about your experience at Imperial. 4:48 – 7:15 Deirdre Lyons: I think the most important aspect, from our point of view, was that it's actually integrated with the Oracle Health record. From a safety perspective, people aren't copying and pasting from one area to another, which was a big improvement. For example, if I discuss surgical risks with a patient, the system will detail all those risks for me. So rather than typing notes after the fact—just like Dominic described—it now automatically captures it, and I can use all or part of it for the GP letter. Like many people, we spent a lot of time post-clinic charting, but within about a day of starting

In this episode of Perspectives on Health and Tech, Oracle Health welcomes Shelagh Maloney, CEO of Digital Health Canada, for a forward-looking conversation about how Canada can build a more connected, equitable, and digitally empowered healthcare system. From advancing interoperability and clinician mobility to exploring the role of artificial intelligence in care delivery, Shelagh shares insights from Digital Health Canada's AI in Action initiative — including the "winning conditions" needed to deploy AI responsibly and inclusively. Together, we explore how technology, policy, and collaboration can unite care across provinces, empower citizens with access to their data, and help clinicians deliver smarter, more human-centered care from coast to coast to coast. ------------------------------------------------- Episode Transcript: 00:00:00:00 - 00:00:44:03 Welcome to Perspectives on Health and Tech podcast, brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected health care world where everyone thrives. Let's get started. Welcome to the Perspectives on Health and Tech Podcast, brought to you by Oracle Health. I'm Larry Sylvestre and today we're exploring one of the most defining challenges and opportunities in Canadian health care: interoperability. 00:00:44:04 - 00:01:13:04 From enabling clinicians to practice across provincial lines to giving Canadians direct access to their health records, interoperability is key to building a truly connected health system. Joining us today is Shelagh Maloney, the CEO of Digital Health Canada, an organization at the heart of advancing digital health, professional development, and policy collaboration across the country. Shelagh, thank you for being here. 00:01:13:05 - 00:01:38:05 Before we dive in, could you tell us a bit about your vision since taking on the CEO role earlier this year? Well thanks, Larry. First, let me start by saying how thrilled I am to be on your podcast. I'm looking forward to the conversation. And yes, I did join Digital Health Canada. It's been almost a year. I joined at the end of January 2025 and it's been a whirlwind. 00:01:38:05 - 00:02:04:08 And Digital Health Canada, like other, you know, national associations that we really want to provide value to our members. We have networking events and we have influence health policy. We look at advocating for the profession. And, you know, one of the things that I'm excited about is that we've just launched a strategic plan to 2030. 00:02:04:11 - 00:02:22:06 And so a big component of that is going out and asking our members what Digital Health Canada means to them and what they're looking for. We're doing some work in the governance space. I think education is trauma, endless possibilities now, and particularly as AI is getting so big. And I know we're going to talk about that later. 00:02:22:08 - 00:02:47:10 And of course, advocacy for both professionals and the profession at large. That's a perfect set up for our discussion, Shelagh. How can Canada move forward from our fragmented systems to a pan-Canadian model of care that's equitable, citizen centric, and digitally connected? One of the biggest conversations right now in health care is around nation building, breaking down barriers between provinces and territories. 00:02:47:12 - 00:03:14:01 What are you seeing from your standpoint at the leadership role at Digital Health Canada? You know, this is such a timely question and I'll tell you why. Yesterday we had a conversation with, Doctor Anderson Chuck, the CEO of CIHI and Doctor Fahad Razak, who is the among other things, does a role at Unity Health, in Toronto, but also is the Canada research chair and data informed health care improvement. 00:03:14:03 - 00:03:34:00 And it was really interesting. And one of the things we talked about was, and, you know, you and I know this, it's not a technology issue that we're dealing with in terms of interoperability and connected care, but it's a cultural issue. And it's really interesting that, that's a different sort of change in our thinking a little bit. 00:03:34:02 - 00:03:58:22 But certainly, one of the big challenges in a federated system, having a national perspective and doing things at that large national scale is more of a challenge than we would hope that it would be. Yeah. Certainly the landscape is full of different perspectives on how to proceed. And sometimes some of these conversations do get politicized. 00:03:59:00 - 00:04:27:16 But certainly it's great to see, I think some of the federal government perspectives and agencies coming together to try and be facilitators in this discussion. And I think, Canadians in general are ready for us to meet that challenge head on. So it's really inspiring to hear how we're aligning policy and technology and how those things could potentially unlock the possibilities for clinicians and ultimately, better continuity of care for patients. 00:04:27:18 - 0

Leading organizations share how data-driven innovation transforms care delivery and patient outcomes. In this Oracle Health and Life Sciences Summit 2025 keynote, Alaa "AJ" Adel, Senior Vice President of Oracle Health International, joins distinguished leaders from West Suffolk NHS Foundation Trust in the United Kingdom, Bajaj Group in India, King Faisal Specialist Hospital & Research Centre in Saudi Arabia, and Western Health in Australia. Together, they reveal how hospitals and health systems are designing the future of care through artificial intelligence, advanced data strategies, and radically human-centered solutions built on Oracle technology. Hear real-world stories from West Suffolk NHS Foundation Trust, Bajaj Group, King Faisal Specialist Hospital & Research Centre, and Western Health as they share how Oracle Health is helping each organization reimagine hospital infrastructure, improve patient engagement, and drive operational excellence. Understand how this global perspective unlocks new, scalable healthcare models for a connected, healthier world. ---------------------------------------------- Episode Transcript: 00:00:00:00 - 00:00:37:14 Welcome to Perspectives on Health and Tech Podcasts, brought to you by Oracle Health, where we dive deep into the world of innovation and transformation in healthcare. 00:00:37:16 - 00:01:18:11 Shanna Adamic I'm your host Shanna Adamic, Director of Oracle Health Executive Content and Video. In this episode of Perspectives on Health and Tech we feature a panel discussion recorded at The Oracle Health and Life Sciences Summit held in Orlando on September 10th, 2025. In this discussion distinguished leaders from West Suffolk NHS Foundation Trust in the United Kingdom, Bajaj Group in India, King Faisal Specialist Hospital & Research Centre in Saudi Arabia, and Western Health in Australia reveal how hospitals and health systems are designing the future of care through artificial intelligence, advanced data strategies, and radically human-centered solutions built on Oracle technology. 00:01:18:17 - 00:01:47:18 The discussion is led by AJ Adel, Senior Vice President of Oracle Health International. AJ Adel Good afternoon. Today I get the pleasure of presenting four leaders from four different continents with six time zones. Don't ask me about the math. That's what we came out with. The topic of discussion is AI on a global scale. As we are traveling around the globe and we're visiting our clients, we get to see the cool things they all do, and they all work on. 00:01:47:20 - 00:02:09:17 So today, I have the pleasure of presenting those leaders who are thinking about things differently, whether they're building a hospital or delivering care or just engaging with their patients. They have a different view on things. So, I'm super excited to introduce them all on stage. I already told them we're going to change the questions. But what I didn't tell them is, we're all friends before anything else. 00:02:09:19 - 00:02:33:16 And we all decided this is going to be the most fun session ever. Let me start with you, Kathy. You. You come from King Faisal Hospital, a huge organization in Saudi Arabia, doing amazing things, serving 20% of the population of Saudi. 00:02:33:18 - 00:02:53:17 And you're keeping the patients and the people at the center of everything you do. When you put the patient at the center of your design, it's not always easy. Can you share? And what are some of the challenges you're facing when you're actually just focusing on the patient? 00:02:53:18 - 00:03:28:15 Kathy Sienko Delighted to be here from King Faisal Specialist Hospital. The one thing we know is that, even though we are largely an Islamic society, not all of our patients are homogenous. And as we think about how we design around patients, the first thing is really understanding what do the patients actually want and how do we use the data that we have around our patient's experience to tell us what's working and not what's not working for them, and how do we factor that into the design of services. 00:03:28:16 - 00:03:57:17 Kathy Sienko The other bigger problem, I think, is really moving from the rhetoric to the practicality. We all say that we want a better patient experience. We want to build our services around patients, but the provider workflows need to change in order to make that happen, to facilitate that. And that's not always so easy to change when people have been doing something the same way for many, many years. 00:03:57:18 - 00:04:19:14 Kathy Sienko So, we are 50 years old this year, believe it or not, and some of our people might even have been there for nearly all of that time. And so, getting those changes into practice, moving from the rhetoric of what we'd like to do to actually making the physical changes to the way that we work from a provider centric model to a patient centric model, is one of the challenges we have. 00:04:19:14 - 00:04:47:07 Kathy Sienko And then there is t

In this episode, we dive deep into the transformative journey of two beta customers who are among the first to experience the Oracle Health EHR system and Clinical AI Agent's in an ambulatory setting. They share their firsthand experiences while working with the design and testing of this cutting-edge technology. Joining the conversation is an Oracle Health clinical executive, Ashleigh George, who provides insights into the design, vision, and potential impact of this EHR solution on improving patient care. Together, they explore how this innovative system is reshaping the landscape of healthcare delivery and what it means for the future of ambulatory care. --------------------------------------- Episode Transcript: Welcome to Perspectives on Health and Tech Podcasts, brought to you by Oracle Health, where we dive deep into the world of innovation and transformation in health care. My name is Matt Patterson, your host and moderator for today's discussion. Today, we're thrilled to welcome three renowned experts who are pioneering change in the health care industry. 00;00;59;03 - 00;01;28;18 Unknown Joining us today, we have Ashley George, a visionary in health care technology and leader with an Oracle health product development. Dr. Ryan McFarland, a family medicine physician based out of Hudson, Wisconsin. And Dr. Randy Thompson, an emergency physician by training who now serves as the chief health analytics officer at Billings Clinic. In today's episode, we're going to explore challenges facing health care systems and how groundbreaking innovation is paving the way for a brighter, healthier future. 00;01;28;20 - 00;01;48;22 Unknown So grab a seat and prepare to be inspired as we embark on this insightful journey. First off, I'd like to allow the opportunity for each of you to introduce yourselves. We'll start with Ashley and then Dr. McFarland and Dr. Thompson. Ashley Yeah, Thanks, Matt. Well, I think you actually might have a new calling in as a podcast broadcaster. 00;01;48;23 - 00;02;24;09 Unknown That was an impressive intro. You've got a radio voice almost, but that's great. Well, anyway, thanks to Matt for having me on today. I'm Ashley George. I'm a clinician, actually, by background started my career 25 years ago in a neuro ICU unit and from there have had the opportunity to work in health care I.T. for the last 20 years and have really been at the forefront of the changes that have occurred over the last several decades and and excited for the work that I hand at Oracle Health, where we're doing today within our products and serving our clinicians around the world. 00;02;24;12 - 00;02;48;16 Unknown Thanks, Ashley. And Dr. McFarlane, why don't you tell us a little bit about your yourresponsibilities in the organization and patients that you serve? Yeah, my name's Ryan McFarland. I'm a family medicine physician in Hudson, Wisconsin, part of a large private practice group. We've got about 60 providers. I'm one of the owners in the practice on our medical board, kind of help direct our practice into the future. 00;02;48;16 - 00;03;14;05 Unknown And one of the big parts of my job has been working with our I.T. tech and things like that. And that's how we got involved with Oracle and fortunate enough to help be in the early beta testing and help build these products and everything. Thanks. And Dr. Thompson? Yeah. Good morning. My name's Randy Thompson. I'm the chief health Analytics officer for Billings Clinic Emergency Physician by training but work full time. 00;03;14;05 - 00;03;46;09 Unknown And it now in our system is the largest independent health care system in Montana, where those clinic at Logan Health merge in 2023, we have over 1200 providers representing 80 medical specialties. My job is to try to make their lives better. And I, I could say I'vebeen in health care for 41 years now and there has never been a more exciting time to be in health care in terms of the positive solutions coming to our providers and nurses. 00;03;46;11 - 00;04;11;16 Unknown Wonderful. Yeah, Thanks, Dr. Thompson. And I think that's a good segway into to get right into the meat of the conversation here. So today's podcast is obviously really about exactly what you just mentioned. Randy, The opportunities that exist within health care really to raise the bar in the industry with some of the Gen AI technologies that we're entering intothis new era of beyond. 00;04;11;16 - 00;04;33;11 Unknown So within the current landscape, I want a level set where we're at today. Ashley Can you tell us a little bit about the biggest challenges that health care systems are seeing today? Really, how is technology currently influencing health care delivery today? Yeah, I mean, I'll say as I think about this, my my response isn't just US based centric. 00;04;33;11 - 00;04;51;12 Unknown It is also thinking about internationally as I meet with customers around the world. And hands down top of mind is how are we supporting our clinicians so th

In recognition of World Suicide Prevention Day (September 10), Oracle Health brings together leading voices in clinical care, behavioral health, and technology to explore how data-driven innovation can help prevent suicide and improve mental health outcomes. Join Oracle Health's Danny Gladden, LCSW, MBA, Director, Behavioral Health and Social Care and Dr. Keita Franklin, Chief Behavioral Health Officer at Leidos, a nationally recognized expert in suicide prevention, as they discuss how ethical, person-centered use of data can detect risk earlier, connect people to care faster, and support clinicians on the frontlines. From integrated screening tools like the PHQ-9 and C-SSRS to risk alerts, we'll examine how technology, with quality care—when paired with compassion—can close critical gaps in behavioral health. This conversation is a call to action for health systems, providers, and technology partners to change the narrative on suicide, together. If you or someone you know is in crisis, please reach out to your local helpline or call/text 988 in the U.S. and Canada. ----------------------------------------------------------- Episode Transcript: Intro 00:00 - 00:29 Welcome to Perspectives on Health and Tech podcast. Brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected health care world where everyone thrives. Let's get started. Danny Gladden 00:30 - 02:26 Welcome to Perspectives on Health and Tech. Thank you for joining us. I'm Danny Gladden, general manager of behavioral health and social care at Oracle Health. I'm also a licensed clinical social worker, and I've spent my career working in suicide prevention from crisis lines to community mental health to supporting national efforts with the Department of Defense and the VA. For me, the work is personal and lifelong. At Oracle Health, we believe technology has a role to play in ending suicide with one of the largest global electronic health record footprints and long standing partnerships with the VA and the DoD. We see the impact that suicide has across every community we serve. This isn't an issue that only affects certain families or certain health system. It impacts all of us. That's why we're speaking out as a technology company. Because suicide prevention is not only about crisis intervention, it's about building systems that connect people to help earlier equip clinicians with the right tools and make sure that no one falls to the cracks. Our responsibility is to use data design and technology in ways that honor the human side of care, while supporting providers who are on the frontlines every day. And today, I'm honored to be joined by Doctor Keita Franklin, chief of behavioral health at Leidos, one of the nation's foremost experts in suicide prevention, who's led this work at the highest levels of government and continues to advance the field through research, policy and practice. And so, Keita, it's so good to be with you today. I'm so glad you've joined us. You and I have had a chance to do some pretty incredible work together. You have, spent much of your career leading national suicide prevention efforts with the VA, the DoD, the Columbia Lighthouse project. How has that experience shaped your perspective on the urgency of this issue? Keita Franklin 02:26 - 03:44 Thank you so much for having me, Danny. And I always love our work together and our connection as social workers in the field over the years, so I truly appreciate the chance to talk to you this morning. You know, one of the first things that comes to mind for me is just a basic, sort of lesson is just the complexities around suicide. Now, I don't think people know, you know, when somebody dies by suicide, there is a lot of variables and factors at play. And it's never it's never one reason. But like you'll hear about people that struggle with a host of reasons, some of which are medically oriented and pain management oriented and complexities around TBI, and some of them are mental health related, and some of them are things that you and I always talk about related to social determinants of health. So just the complexities, that's probably one of my biggest sort of things to think about. And sure, in terms of shaping my perspective. And then I appreciate the upstream. I'm definitely an upstream sort of thinker in terms of like, how do we get, you know, the military used to call this left of boom, but like, how do we get, away from just intervening at the time at the single point in time of crisis? I don't know if you saw the CDC and the National Action Alliance just pushed out this new upstream toolkit or guide this week. I have that on my list of things to look at. Danny Gladden 03:45- 04:15 Yeah, it's really great, isn't it, to have, more folks in across health care and beyond talking about suicide, suicide prevention now. So Oracle, we're a technology company. We believe we have a part to play in the bigger ecosystem of suicide

While science and technology have driven remarkable breakthroughs, they've also created unintended barriers between clinical research and care. The complexity and cost of research limit trials to only the most well-resourced hospitals. As a result, just 3% of patients and providers participate, and doctors often lack access to or the ability to act on life-changing therapies at the point of care. Oracle is closing this gap—embedding clinical trials, evidence-based insights, and innovative therapies directly into electronic health records. The vision: every hospital research-ready, every patient encounter fueling discovery, and therapeutic innovation reaching patients where and when it matters most. Featuring: · Moderator: Raj Modi, Senior Director, Global Customer Centre of Excellence, Life Sciences, Oracle · Panelist: Maria Clark, Market Development Associate Greenphire-Suvoda, Patient Advocate for Cystic Fibrosis Foundation · Panelist: Christopher P. Boone, Ph. D., Group Vice President, Research Services, Health & Life Sciences, Oracle Listen as they discuss: o Why therapeutic innovation often stops short of the point of care—and what it takes to close that gap o How aggregating genomic, clinical, and real-world data at scale — safely and securely — is key to unlocking this future and driving personalized medicine o How embedding trials, insights, and therapies into the EHR will reshape access to cutting-edge treatments, lowering cost, and improving outcomes o How the industry is approaching this shift—and what progress is already underway Notable quotes: "Because of these CFTR modulators, patients like myself are living longer than ever before. I am only 23 years old and when I was born my life expectancy was early 20's." – Maria Clark "We have to reimagine our own business processes and really put the needs and preferences of the patients at the center of everything we do." – Christopher P. Boone, Ph. D. CTA: Harness real-world evidence and data-driven insights to inform critical decisions. Our expertise spans commercialization, market access, regulatory and safety protocols, oncology, and rare diseases. Bolster your strategies with data-driven solutions tailored to the life sciences and healthcare industries: Learn More ----------------------------------------------------------------- Episode Transcript: Raj Modi: Hello and welcome to from bench to bedside bringing therapeutic innovation closer to patients. I'm Raj Modi and I'll be your host today. This conversation speaks directly to Oracle's vision for health and life sciences. Despite all the advances we've seen in medical research over the last few decades, there's still a significant gap between scientific discovery and care delivery. And today we're going to explore how we close that gap by embedding research directly into care utilizing unified data. Connected systems and AI. I'm joined today by two fantastic guests who bring both deep expertise and lived experience. First, we have Dr. Chris Boone, who's the group vice president for Oracle Research Services. Chris is a recognized leader in real world evidence and health data innovation. And also joining me is Maria Clarke:, who is a passionate patient advocate who lives with cystic fibrosis and also works tirelessly in our industry helping organizations better understand and support research participants. Chris and Maria, welcome. Thank you both for being here. Chris Boone: Thank you, Raj. It's great to be here. Maria Clarke: Thank you. So happy to be here. Raj Modi: Let's dive into the discussion. Maria, let me start with you. You've written very powerfully about your experience living with cystic fibrosis. When people talk about patient centered research, what does that really mean to you, and how far off are we as an industry from making that real? Maria Clarke: Well, I believe this collaborative model, you know, ensures that studies are designed, conducted and interpreted with direct input from patients reflecting on their real-world experiences, their needs and priorities. This ensures you know, patients are full collaborators, not just subject ID numbers you know, in a database. Real humans with real stories and you know, research that better reflects real needs, helps promote trust, and leads to more effective personalized care. Raj Modi: That's really powerful, Maria. Thank you for sharing. You've read some raised some really pertinent points here. As a follow up to you, when it comes to access, whether that's clinical trials or the latest treatments, what barriers have you personally faced in your journey and what needs to change? Maria Clarke: So accessing care even you know when I'm fortunate enough to have, you know, insurance and advanced medications, it still comes with its own set of hurdles. For instance, you know ordering medications can be complicated, and you know, once appointments are coordinated, the burden of traveling to the clinic and missing work or school for you know,

Perspectives on Health and Tech How CAMH is Advancing Mental Health Through Innovation and Social Justice Listen in for a timely conversation in recognition of Mental Health Awareness Month and National Nursing Week. In this episode, Dr. Gillian Strudwick from The Centre for Addiction and Mental Health (CAMH) and Danny Gladden from Oracle Health discuss how mental health care is evolving, and how CAMH is advancing care through the dual lenses of technology and social justice. Learn how AI tools like Oracle Health Clinical AI Agent are easing clinician workloads, how CAMH is using data to drive impact, and why framing mental health as a social justice issue is key to helping the CAMH team deliver more equitable and compassionate care. Featuring: Dr. Gillian Strudwick, Chief Clinical Informatics Officer, The Centre for Addition and Mental Health Danny Gladden, LCSW, MBA, Director, Behavioral Health and Social Care, Oracle Health Listen as they discuss: o The Centre for Addiction and Mental Health (CAMH) background – 2:45 o Mental health care viewed as social justice work at CAMH and examples – 5:00 o Technology innovations at CAMH with a human-centered approach – 9:30 Wearable devices and the impact they have on research Repetitive Transcranial Magnetic Stimulation (RTMS) treatment Evidence-based apps and the integration of these into clinical care processes Optimizing EHR use and exploring the opportunity to share mental health notes in Canada o CAMH's perspective on AI technology and its potential impact on clinicians – 18:25 Notable quotes: "Mental health is social justice work." – Dr. Gillian Strudwick "To be able to deliver compassionate care in this day and age, we have to be innovative in our use of technology." – Dr. Gillian Strudwick CTA: Learn how Oracle behavioral health solutions combine real-time, clinical data from across each patient's unique healthcare journey and how Oracle is working to reduce the documentation burden on physicians and elevate the patient experience with the Oracle Health Clinical AI Agent. ----------------------------------------------------------------- Episode Transcript: Intro 0:00 - 0:29 Welcome to perspectives on health and tech podcast brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected healthcare world where everyone thrives. Let's get started. Danny 0:30 – 01:44 Welcome to perspectives, Oracle Health and Life Sciences podcast. I'm your host today. Danny Gladden, I'm a licensed clinical social worker and general manager of behavioral health and social care here at Oracle Health. As we step into the month of May, we recognize Mental Health Awareness Month, a time to raise awareness reduce stigma and highlight progress in mental health care. I'd also like to give a special shout out to our nurses across Canada and the US as we celebrate National Nursing week. Thank you for your unwavering dedication and compassion. Social workers and nurses make great teams. Today, we're honored to be joined by a leader in mental health care innovation. Please welcome Dr. Gillian Strudwick from CAMH, the Centre for Addiction and Mental Health, Canada's largest mental health and addiction teaching hospital and one of the world's leading research centers in its field. So, Gillian, welcome. Before we dive into big topics here, can you introduce yourself and tell us a little bit about the great work happening at CAMH. Gillian 1:45 – 03:47 Thank you, Danny, and thank you for the opportunity to be a part of this great podcast. I might break this into two sections. First, I'll introduce myself, and then I'll tell you a little bit about the organization that I'm fortunate to work for. I'm Dr Gillian Strudwick. I'm a registered nurse, and I've worked primarily in mental health clinical settings here in Toronto, Canada, and also in other parts of Canada and internationally. Currently, I am the inaugural Chief Clinical Informatics Officer at CAMH, representing our nurses and all of our non-physician health disciplines, like social work. And I have a couple of other hats as well. So one is that I'm the head scientist of the digital mental health lab, and I'm also the scientific director of our Digital Innovation Hub, which is about really accelerating our work in this digital sphere and research practice, education and beyond. So that's about me, but I'll move on to talking about CAMH. So CAMH is C, A, M, H, the Centre for Addiction and Mental Health, and it's Canada's largest mental health and addictions teaching hospital. We think, and I think there's lots to suggest that we're true in saying this, that we're a world leading Research and Education Center on mental health, and we're located right in the heart of downtown Toronto, but we serve people across our province, Ontario and across the country as well. In terms of a few numbers that I'll share with you, we've had just over 16,000 emergency department visits in the last year, over 40,0

In recent years, there's been a significant rise of AI technology and hyper-scalers entering the healthcare market. Listen in as two experts from Oracle Health discuss improving healthcare delivery through the integration of these technologies, particularly focusing on the role of AI and comprehensive data platforms on value-based care. Learn about improving care coordination and delivery, the shift to scalable platforms, and incorporating AI and cloud technology to continuously evolve with the needs of healthcare systems. Featuring: Bharat Sutariya, MD, Senior Vice President and Chief Health Officer, Oracle Health Scott Wiesner, Go-to-Market Strategy and Operations, Oracle Health Listen as they discuss: - Dr. Sutariya's perspective on the current healthcare landscape (2:50) - AI in service of improving value-based care (4:15) o Growth of hyper-scalers in the healthcare industry and what is lacking with this technology specific to healthcare The need for a comprehensive data platform that aggregates across multiple sources with terminology mapped to data and ontology applied for meaningful data - Going forward with industry-based data platforms (7:25) o Applying AI and genAI o Applications with pre-formatted workflows running on a comprehensive platform - Facing challenges in value-based care and technology choices (14:16) o The option of platform as a service (PaaS) helping to meet the needs for value-based care contracts - The Oracle strategy with cloud and genAI-based advancements (15:54) o EHR agnostic capabilities Notable quotes: "We now have a unique opportunity, particularly leveraging the might of Oracle, to layer advanced AI, including generative AI, on top of our existing healthcare technology – taking us far beyond where we were before." - Bharat Sutariya, MD, Senior Vice President and Chief Health Officer, Oracle Health "At the end of the day, with value-based care, it's really about the insights you get from the data – how do we make better use of that data in service of improving healthcare outcomes?" - Scott Wiesner, Go-to-Market Strategy and Operations, Oracle Health CTA: Want to enhance a connected healthcare ecosystem and accelerate value-based care efforts while improving clinician decision-making and the patient experience? See how Oracle Health can help with our suite of population health management solutions here: https://www.oracle.com/health/population-health/ ---------------------------------------------------------------- Episode Transcript: Introduction 0:00 Music. Introduction 0:13 – 0:28 Welcome to perspectives on health and tech podcast brought to you by Oracle Health. In this series, we have conversations on creating a seamless and connected healthcare world where everyone thrives. Let's get started. Scott 0:29 – 0:58 You're listening to perspectives on health and tech. I'm Scott Wiesner, Senior Director go to market strategy in Oracle Health. With me today is Doctor Bharat Sutariya, Senior Vice President and Chief Health Officer in Oracle Health. Dr. Sutariya has over 20 years-experience in care delivery transformation, value-based care, and healthcare technology. He's also board certified in emergency medicine and has practiced medicine for over 25 years. Welcome Bharat. Bharat 0:59 – 1:00 Scott, it's great to be with you. Scott 1:00 – 1:08 Great to have you. Very fortunate to have you here at Oracle as well. Let's get into it. Why don't you tell us a little bit about what's driving you these days? Bharat 1:08 – 2:30 Scott, in many ways, it's the same thing that has driven me for the last 25 years, and that is to significantly improving the healthcare ecosystem of providers, payers, and the life sciences, and to achieve the best outcome and experience for the patient. I've spent the last couple of decades developing and deploying healthcare technology products and solution and I've been fortunate to partner with leading health systems that think forward and solve complex problems that others mimic in healthcare then. I'm excited that I have this potential to make a significant progress, because I believe that the technology is more aligned to the problem now, and our ability to solve the problem now is better than ever before. So that's what excites me. Last thing I would say is it's great to be back now at Oracle Health, because Oracle is a full stack company having the most modern and efficient database, cloud infrastructure application development and proven, you know, technology over decades, and it's really taking that advantage of that capability and applying to health care, it likely excites me the most. Scott 2:31 – 2:52 Well, it's great when passion and experience come together. Let's sort of take the next step here. This This podcast is about perspectives, and particularly your perspective, and you've got a very extensive and a lot of experience as a practitioner, educator, implementer, and, of course, executive leader quite some time. Let's talk a little bit about

Discover the Value of AI in Healthcare Are you interested in using AI tools to drive operational efficiencies within your organization, but not sure where to start? Listen in as two industry experts from HIMSS and Oracle discuss how AI is helping to transform healthcare operations and how to consider implementing AI technology in a healthcare organization. Hear about how AI is being used in healthcare today, risk factors to consider before implementing AI tools, and how AI can be used to boost clinician satisfaction while helping to reduce operational waste. Featuring: Mary Ann Borer, Senior Copywriter, Strategic Marketing Services, HIMSS Matt Patterson, Executive Director of Oracle Health AI, Oracle Listen as they discuss: - How AI is being used in healthcare IT today and the impact it is having on the industry (1:00) - Key factors that are important to consider before implementing AI technology in healthcare systems (6:45) - Clinical and healthcare business workflows that may be best suited today for AI applications (8:20) o Automation vs augmentation - Key risk factors to consider when adopting AI in clinical practices (12:20) - Which aspects of AI may add the most value to help improve the efficiency of current processes (15:22) - What's to come for healthcare AI in the future (21:35) Notable quotes: "My number one area of opportunity in healthcare, that's best suited right now, today, for artificial intelligence is addressing physician and clinician burnout." – Matt Patterson (9:47) CTA: Learn how Oracle is working to reduce the documentation burden on physicians and elevate the patient experience with the Oracle Health Clinical AI Agent. --------------------------------------------------------- Episode Transcript: 00:00:00:00 - 00:00:38:08 You're listening to Perspectives on Health and Tech. A podcast by Oracle with conversations about connecting people, data, and technology to help improve health for everyone. In this episode, you'll hear a conversation recorded by HIMSSCast where the host and guest speaker delve into unlocking the value of AI within healthcare. Your host for this session is Mary Ann Borer and the guest speaker is Matt Patterson. 00:00:38:10 - 00:01:05:11 Mary Ann Hi, I'm Mary Ann Borer with HIMSS. Today I'm joined by Matt Patterson, executive Director of Oracle Health AI at Oracle, and we'll be talking about unlocking the value of AI within health care. Matt, thanks for joining us today. Matt Thanks for having me, Mariana. I'm excited to be here. Mary Ann Wonderful, Matt. Can you start off by telling us a little bit about how artificial intelligence is being used in healthcare IT today, and what impact does it have on the industry? 00:01:05:13 - 00:01:31:21 Matt Yeah, absolutely. And I'll start just kind of a brief introduction of my, my experience here leading into, what's been one of the most exciting chapters in my career. But I've spent about 15 years in health care, serving in a variety of different health care entities across the globe to extract value from technology investments. So have had the opportunity to really work with some large scale players across the globe. 00:01:31:23 - 00:01:56:14 Matt And that's enabled me to learn some from some of the most innovative, forward thinking leaders across the industry on a variety of use cases. So I really started, in the heat of the adoption of core EMR technology during the meaningful use era. And throughout that journey, you know, 15 years ago till today, standing up care management programs to support value based care, you know, revenue cycle optimization initiatives. 00:01:56:14 - 00:02:22:03 Matt Most recently, I led a venture around, a lab is strategy to advance diagnostic capabilities, which is another topic, but one that I believe, you know, diagnostics has so much room for, for growth in the future. But that's often back of mind for health care organizations today. But again, as I noted, this AI initiative is really the most fun that I've had in my career. 00:02:22:05 - 00:02:54:01 Matt Of really just the value that it's bringing to healthcare professionals. To start off, just, you know, backing up a little bit around AI and healthcare, it's obviously the buzz of the last, you know, 12 plus months. But AI has been in health care for nearly half a century, and I refer to it as classic AI. It's used to carry out a specific task that a human typically performs, recognizing patterns and data to predict and drive what might happen next, or summarize what's already happened. 00:02:54:03 - 00:03:28:13 Matt Or making suggestions. What's really happened in the last 12 plus months is within healthcare is leveraging generative AI. That's the newest development in healthcare that leverages massive amounts of data and computing power to look at things in a much broader context and generate something completely new. So GenAI generate documents that can summarize existing information. It can translate a document and extract information

Generative AI is a known disruptor in healthcare today. Will this transformational technology be embraced by clinicians, patients, and healthcare organizations? Listen in as two experts from Accenture Healthcare and Oracle discuss the difference between traditional AI and GenAI, the opportunities that GenAI is presenting to the industry, and the need to lean in to utilize technology as an enabler and a change agent. Hear how care delivery can be reimagined with GenAI and how this technology has the potential to be applied to help reduce clinician burnout, augment the clinician-patient relationship, bridge workforce shortage gaps, reduce margin pressure, and more. -------------------------------------------------------- Episode Transcript 00:00:00:17 - 00:00:22:10 Michelle You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to improve health for everyone. Hi, I'm Michelle Flemings. I'm the industry executive director for Health Care for North America Cloud Infrastructure at Oracle. Glad that you're here. We're in the age of artificial intelligence. 00:00:22:12 - 00:00:41:29 Michelle The opportunities that we're presented with using A.I. as an industry are truly groundbreaking. And to be honest, I think we're just getting started. I want to focus today on a subset of traditional AI and want to talk a little bit about generative AI, some of the ramifications, some of the risks, benefits and what does it mean to health care. 00:00:42:01 - 00:00:47:29 Michelle I am delighted to sit across today from Tej Shah and I'll have him introduce himself. 00:00:48:01 - 00:01:08:00 Tej Thanks, Michelle Tej Shah I'm an emergency medicine doctor, a managing director, and Accenture's global health care practice. I've got a ton of experience working across different parts of health care as a consultant, obviously, but also as a venture capitalist, investing in companies and most recently starting a company in the health tech space. 00:01:08:00 - 00:01:16:07 Michelle We're talking about AI and we always have to start with what is the comparison between traditional versus generative AI? 00:01:16:09 - 00:01:17:21 Michelle How would you put that? 00:01:17:23 - 00:01:41:11 Tej We've been talking about AI for 50 plus years. This is not a new thing. We've been talking about how we can leverage data to get insights going from analytics to AI to GenAI. Really the difference is, you know, before with AI we were able to extract data and insights from data so we could figure out what the next obvious data point was going to be. 00:01:41:13 - 00:02:19:03 Tej And in 2017 there was an article that was published by Googlers around attention is all that matters, right? And what happened with that papers is we came up with a completely new framework where we're now able through GenAI to not just predict what's the next data point, but understand what's the next word that we can generate. And it's taking into consideration the context of the sentence to be able to make that prediction so that it's actually appropriate and it's opened up a whole bunch of opportunities that we're going to talk about today that is really transformative. 00:02:19:05 - 00:02:30:03 Michelle Let's get into some of those opportunities. I think it's fascinating that it's been as long ago that A.I. came about and the general public really doesn't know. 00:02:30:03 - 00:02:35:14 Michelle let's talk about some of the opportunities in patient care that exists because of where we are now. 00:02:35:14 - 00:02:40:28 Michelle With A.I.. We do a lot around documentation. Where else should we be going? 00:02:41:00 - 00:03:08:03 Tej Back in 1996, you know, we started using search engines and it wasn't really until early 2000 when Google came around and the search bot search box became our librarian and around that time there was an article that was published by Will Carr in The Atlantic called Is Google Making Us Stupid and what he really meant. 00:03:08:03 - 00:03:33:29 Tej when you read the article was, are we thinking differently? Are we using our brains in the same way or reading as deeply as we did before? And obviously the answer is no. I think we continued to use our brains and we continue to, but we were using this tool as a librarian. We were using it to identify information quickly and be able to access it, you know, more readily. 00:03:34:01 - 00:04:04:19 Tej And what GenAI has done for us is start to be an advisor. It's enabling this transformation from technology, being a librarian to an advisor and that's what we're using AI for now. And GenAI today, right? So this idea of documentation and this is all relevant because the next sort of wave of what we're going to do with GenAI is it's going to start to act as an agent. 00:04:04:21 - 00:04:30:28 Tej It's going to start to enable us to take these tasks away from the from our day-to-day workflows and enable us to operate more efficiently.

As society's focus on mental health intensifies, technology stands at the forefront of this evolving narrative. Listen in as this group of experts examines technology's paradoxical role in mental wellbeing: constant connectivity that reveals insights yet also increases burnout due to poor design, and social media, where overuse is linked to decreased mental health but provides a beacon of hope through innovation. Hear about the challenges and opportunities of using technology to enhance mental health, exploring how digital advancements can be harnessed for a healthier, more balanced future. Featuring the following panel at SXSW Conference: Moderator: David Feinberg, M.D., Chairman, Oracle Health Danny Gladden, MBA, MSW, LCSW, Director, Behavioral Health and Social Care, Oracle Health Tracy Neal-Walden, Ph.D., Chief Clinical Officer, Cohen Veteran Network Michelle Patriquin, Ph.D., Director of Research, Associate Professor, Menninger Listen as they discuss: The moment realized, that access to care needs to be fixed (0:40 What is happening from a technological standpoint that is helping individuals, patients, families, and communities (4:33) The use of iPads Research assistance The collection of outcomes data An example of something done based on data to change the way that care is delivered (6:20) The role of sleep Post-treatment and post-discharge risks Q15 (15-minute patient safety) checks Example of the effectiveness of telehealth (9:15) Prior and post-pandemic Impacts on standard measures Additional data insights Impact on no-show appointments Using technology to tell a fuller story (12:45) Wearable devices Digital therapeutics and inputs Research to practice gap and the potential of technology (15:38) Concerns with technology not helping or distracting from human connection (17:05) Social media and the link to depression (17:50) People who are left behind; technology access and literacy (19:00) Psychologic safety of technologies (20:00) Concerns from the clinician perspective (20:45) Helping clinicians with documentation and proper training of tools leveraging AI (21:44) Clinician burnout (22:34) Notable quotes: "This is why I love wearables, and I've always loved wearables, psychophysiology, because it fills a tremendous gap in our ability to measure the dynamic fluctuations and the way our emotions and behaviors change." Michelle Patriquin, Ph.D., Director of Research, Associate Professor, Menninger (15:10) Learn more about how Oracle behavioral health solutions combine real-time clinical data from across each patient's unique healthcare journey. Watch on-demand and live webcasts by registering for Oracle Health Inside Access. -------------------------------------------------------- Episode Transcript: 00:00:00 You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. 00:00:11 David My name's David. I'm the chairman of Oracle Health. And before I introduce this esteemed panel, there's a few patients that I've cared for, and I'm a child psychiatrist that have just stuck with me. And for a lot of reasons. Well, I actually feel like for whatever long I've been in this 30 plus years, I'm just trying to make it better for these patients and their families. 00:00:34 David So let me describe them. And I think it really sets the stage for the role of technology in mental health. Okay. This little girl in third grade at the local school where my kids actually went to school writes in her haiku poem that she wants to commit suicide. And this is pre cell phone guys pre technology. The teacher reads the haiku poem and tells the prince at home that night tells the principal. 00:01:01 David The next morning, the principal then calls the mother at home. And then this is L.A. And because they knew people, they were able to get in to see me in three weeks. And I was like, my God, if my kid was suicidal, it doesn't matter who, you know, you got to be seen today, right? I didn't know this word, but I know. 00:01:22 David And now I'm going to fix access. I mean, that's what we use is this term access to me is my kid is suicidal and I'm calling an 800 number and my insurance doesn't cover it or I got to pull strings and God forbid I'm from the other side of the tracks where I don't know anyone. I will never get it like. 00:01:40 David So how can technology help there? Right now, I think what we're supposed to talk about, too, is the negative part of technology, right? I'm stuck on my phone. I'm not I'm not socializing. I'm, you know, we all go to dinner and we're like this instead of actually being together. So why don't we go down the line and introduce yourselves? 00:02:03 Michelle Okay, everybody, I'm Michel Patrick Quinn, and I'm a psychologist and a child psychologist, and I'm director of research at the Menninger Clinic and an associate professor at Baylor College of Medicine. I'm excited for this conv

Four women health care leaders discuss the value of connected health data, clinical studies at the point of care, neurodiversity considerations in data collection, and the importance of community care. This second episode on women's health continues the conversation on how health systems need to change to eliminate barriers and address the needs of women patients to provide whole-person care. Featuring: Moderator: Nasim Afsar M.D., MBA, chief health officer, Oracle Health Christy Dueck, Ph.D., global head of the Learning Health Network and Health System Activation, Oracle Health Esther Gathogo, M. Pharm., Ph.D., senior performance improvement leader, Oracle Health Sarah Matt, M.D., MBA, vice president, physician and healthcare technology executive, Oracle Health Listen as they discuss: Many women prioritize others' care above their own needs. What are ways technology can partner with providers to ease this burden? (2:49) Clinical trials Patient engagement and automation When patients feel like they aren't being listened to, they might seek alternate options. How can patients and clinicians work better together to make sure they're bringing all of the data and modes of health and wellness together to really treat the whole person? (8:53) Providers need to re-educate on other modalities Patient education Social determinants of health data in the EHR How can we bring data together to proactively help communities that are exposed to higher risks? (12:43) Using data to identify populations preventatively Digital therapeutics What are some other ways you've seen health organizations share info with their communities? (19:56) "I think that it's really about how can we make these super busy people utilize the tools that work for them best … Because every data element I don't fill out as a patient is a data element a medical assistant, a nurse, a doctor is going to have to do instead, which means less time treating me like a patient." – Dr. Sarah Matt "Where you live has a tremendous impact on your health and well-being, not just at a country or state level, but down to the neighborhood level. And so when we can get that information in the EHR, then we're able to proactively engage based on transportation barriers, food insecurities." – Christy Dueck, Ph.D. "How do we pull that data together to be able to proactively reach into those communities? When I think about women and historically vulnerable populations, I think those are some of the same type of thinking and methodology that we have to leverage in connecting the data together, using data from a variety of sources to proactively identify populations, and then reach out to them." – Dr. Nasim Afsar "There are a lot of [technology] platforms I feel that have come on board, which just makes it more accessible for people. And then just thinking about different groups of people who may perhaps were not considered before, like neurodiverse, and are we thinking about them when we are designing the [technology] systems or thinking about their data and how to connect their data … How do they communicate with their healthcare provider? Do we have a lot of information about that? Neurodiversity covers quite a lot and there will be a lot of changes [to technological solutions] in terms of how we capture the information in a standardized way." – Esther Gathogo, M.Pharm., Ph.D. -------------------------------------------------------- Episode Transcript: 00:00:00 You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. In the second episode on Women's Health Equity, we'll be talking about how the role many women play as caregivers can present a challenge for patient engagement. We'll talk about technology and patient data and how we can effectively unify our knowledge together to treat the whole person. 00:00:37 Hi, I'm Dr. Nasim Afsar, chief health officer at Oracle Health. And joining me today on the podcast are three of my colleagues from around the world. I'll ask them to introduce themselves and give a brief overview of what they do. 00:00:53 Sarah Matt Thanks, Nasim. I'm Dr. Sarah Matt. I'm a surgeon by training my fellowships and burns, but I've been in product development all over the world for my entire career. That's building our electronic medical records, new mobile applications, patient engagement solutions, you name it. First, I came in to drive our OCI, the cloud side of our business for health care and life sciences. And now, after our acquisition of Cerner, I focus on new product development. Nasim Afsar Thank you. Esther? 00:01:20 Esther Gathogo Hi, I'm Dr. Esther Gathogo, and I'm a pharmacist with 18 years' experience working across different sectors: community, hospital, academia and clinical research. And I currently work as a senior performance improvement leader in international based in UK. And I also focus on health equity and AI. 00:0

In the last decade, a growing amount of research has increasingly exposed how a lack of funding for medical and pharmaceutical research around women's bodies has put both patients and clinicians at a disadvantage for treating even common illnesses. With a lack of knowledge and awareness on women's health, clinicians don't have the data with which they need to practice, and patients don't feel heard, some even experiencing bias at the bedside. How can AI and other technologies help address some of these challenges? Listen in on this first episode of a two-part series. Featuring: Moderator: Nasim Afsar M.D., MBA, chief health officer, Oracle Health Christy Dueck, Ph.D., global head of the Learning Health Network and Health System Activation, Oracle Health Esther Gathogo, M.Pharm., Ph.D., senior performance improvement leader, Oracle Health Sarah Matt, M.D., MBA, vice president, physician and healthcare technology executive, Oracle Health Listen as they discuss: The moment they realized, personally or professionally, there was a gap in women's health care (2:47) In practice for oncology patient Collegiate athlete performance Menstrual health care in school settings In practice, while pregnant What is being done to address the lack of research on women and diversity amongst women (10:56) Representation in clinical trials Product development Expanding inclusivity in EHR data What can be done to help address the lack of women and women of color in clinical studies (15:11) The role of AI in care delivery (17:15) Tips for training AI algorithms Burnout, patient engagement, automation Notable quotes: "When we think about women's health in general, using more automation, using more AI/ML, could it help women in their ability to get care for themselves? It absolutely could … Because right now I think what we're finding is that the system's stressed, all the people are stressed, the patients are stressed. Everyone needs a break and we can't do more with less. We're going to have to do things differently." – Dr. Sarah Matt "At the end of the day, we want to make, just like you said, those 15 minutes with the community members that you serve more impactful and with the option to bring more innovative things to your community than ever before." – Christy Dueck, Ph.D. "And we know that if there's such a low representation of women in clinical trials, it means that products are being approved without the representation of these women. And it means that the real-world evidence then becomes really important. If we are then using these products, we have to understand the female body and the diversity—in terms of the genetic background as well—and that diversity means that they might respond differently to the approved medicines. It's also thinking about how to recruit and making it a lot simpler for women to understand the products." – Esther Gathogo, M.Pharm, Ph.D. --------------------------------------------------------- Episode Transcript: 00:00:00 Nasim Afsar You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. Today on the podcast, we're discussing women and health equity. From personal and professional experience, how we've become familiar with the lack of resources and research on women's health and how AI and other technologies can help address some of these challenges. 00:00:35 Hi, I'm Dr. Nasim Afsar, chief health officer at Oracle Health. And joining me today on the podcast are three of my colleagues from around the world. I'll ask them to introduce themselves and give a brief overview of what they do. Sarah Matt Thanks, Nasim. I'm Dr. Sarah Matt. I'm a surgeon by training my fellowships and burns, but I've been in product development all over the world for my entire career. That's building our electronic medical records, new mobile applications, patient engagement solutions, you name it. First, I came in to drive our OCI, the cloud side of our business for health care and life sciences. And now, after our acquisition of Cerner, I focus on new product development. Nasim Afsar Thank you. Esther? Esther Gathogo Hi, I'm Dr. Esther Gathogo, and I'm a pharmacist with 18 years' experience working across different sectors: community, hospital, academia and clinical research. And I currently work as a senior performance improvement leader in international based in UK. And I also focus on health equity and AI. 00:1:37 Nasim Thank you, Esther. Christy? Christy Dueck Hi, everyone, I'm Dr. Christy Dueck. I'm the vice president and global head of our Learning Health Network and really have responsibilities around creating health system partnerships with life sciences industries to bring clinical research as an integrated component of clinical care. Nasim Thank you, Christy. And my background is in internal medicine. I practiced as a hospitalist for over a decade in tertiary quaternary academic medical centers.

Summary It's essential to prioritize cybersecurity, particularly for healthcare organizations that handle sensitive patient information. With so much at stake, it's critical to recognize the importance of cybersecurity and take proactive measures to prevent potential breaches. In a recent discussion, two experts from Oracle emphasized the significance of areas such as ransomware resiliency, cyber-recovery, and other crucial aspects of cybersecurity. Featuring Waleed Ahmed, Senior Manager, Cloud Engineering, Oracle Esteban Rubens, Field Chief Technology Officer, Oracle Cloud Hear Them Talk About: What's going on with cybersecurity in healthcare today (0:42) What Oracle Health is doing to address the cybersecurity situation (1:17) Areas of Focus What is the threat intelligence in the platform? (1:27) The need to continuously monitor and detect threats (1:50) How to allow the business to continue and provide care in the event of an attack (2:35) Ransomware resiliency and ransomware recovery (2:53) How to deliver a cyber-recovery (3:17) A recap of the three prongs that Oracle is focused on to deliver cybersecurity (3:47) How Oracle can support both clinical and non-clinical systems (4:08) Notable Quotes "There's an incredible amount of scrutiny in understanding what the threat landscape is and it's becoming more prevalent in healthcare, where it's an opportunity for attackers to lock in and prevent businesses from occurring where it matters most." - Waleed Ahmed "You have to be able to say, not only is my architect resilient, but in the event I do have a cyberattack, can the business continue?" - Waleed Ahmed "Oracle is delivering in three different prongs. The ability to detect, the ability to assess, monitor, and also provide the capability of bringing the systems back up." - Waleed Ahmed Learn more about how Oracle is safeguarding operations with resilient architecture and military-grade security. Watch on-demand and live webcasts by registering for Oracle Health Inside Access. -------------------------------------------------------- Episode Transcript: 00:00:00:00 – 00:00:00:09 Perspectives introduction You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data, and technology to help improve health for everyone. 00:00:00:10 - 00:00:00:24 Esteban Hi, I'm Esteban Rubens. I'm the Field Healthcare CTO at Oracle Cloud. And we're here to have a quick chat on cybersecurity and health care. I'm joined by Waleed Ahmed. He's a leader on the engineering and architecture side of Oracle Cloud. Welcome. 00:00:00:24 - 00:00:00:25 Waleed Pleasure to be here, Esteban. 00:00:00:26 - 00:00:00:35 Esteban What's going on in cybersecurity in health care today? We've seen so many headlines. There's a lot going on, very high profile attacks. There's a lot of flack everywhere. What's your take on it? 00:00:00:36 - 00:00:01:01 Waleed There is there's an incredible amount of scrutiny in understanding what the threat landscape is, and it's becoming more and more prevalent where especially in health care, where it is an opportunity for attackers to lock in and prevent businesses from occurring where it matters the most, especially after the pandemic that we've come out of right now. 00:00:01:01 - 00:00:01:36 Waleed And it has opened up a great amount of pressure on the organizations to do something about it. And in Oracle Health, what we're doing is we are addressing the situation in a manner of three areas. First of all, is understanding what the threat intelligence is in the platform, understanding threat intelligence and using capabilities from security scientists, and also third party vendors such as CrowdStrike to bring in and assess, assess and interpret what the possible threat areas are. 00:00:01:37 - 00:00:02:07 Waleed Now, once you've assessed it, you need to be able to continuously monitor and while you're monitoring, being able to immediately detect it. So understanding these two capabilities need to exist in an architecture will allow, you know, security leaders within the health space to take a take a relaxing mode and saying understanding that, yes, I have the intelligence and I also have the constant detection and and and monitoring of our of of our architecture. 00:00:02:08 - 00:00:02:34 Waleed So those two parts are there now. It's not really complete unless you think about in the event of an attack, how do I allow the business to continue? We cannot stop giving care, especially in a provider space. So in those type of settings, it's a it's a it's a life or death situation. Right. It's being able to provide critical emergent care immediately. 00:00:02:34 - 00:00:02:59 Waleed Now, to be able to do that, you have to not only think about ransomware resiliency, but you have to think about ransomware recovery. You have to be able to say, not only is my architecture resilient, but in the event I do have a cyber attack, can I allow the business to continue as, a

Healthcare is ever evolving and new trends and tech capabilities are on the horizon for 2024 and beyond. What should healthcare organizations, clinicians, and patients be prepared for? How might healthcare delivery and operations be impacted? Listen in as two leaders from Oracle and Deloitte Consulting LLP dive in and share their perspectives from industry clouds and AI adoption to burnout, workforce shortages, rising costs, consumerism, and more. Featuring: Hashim Simjee, Principal, Global Oracle Healthcare Leader, Deloitte Consulting LLP Sarah Matt, M.D., MBA, Vice President of Oracle Health Product Strategy Hear them talk about: Healthcare organizations adopting industry clouds (1:30) Utilizing AI to improve operations, support caregivers, and make diagnoses (4:32) How AI adoption can help free clinicians' time, improve clinician workflows, and decrease burnout (6:49) A recent JAMA study comparing empathetic responses of physicians and chatbots and how AI, augmentation, and telemedicine could help offload clinician workload and address workforce shortages (9:02) Consumerization of patient care and how tech can help (11:23) Interoperability, and accurate and accessible patient data's potential to influence health outcomes for populations disproportionately affected by social determinants of health (14:15) How to make use of IoT with data from wearables and hospital at home (16:54) How tech innovation can make a difference in healthcare's biggest challenges this year (18:05) Notable quotes: "You can't replace the bedside manner, you can't replace the empathy for a clinician, but you can replace the components around pulling together information and coming back with a reasonable diagnostic that can be done and that has to be reasonable and validated." – Hashim Simjee "So what we're really looking at is, as we think about AI and access—we really want to start to think about equitable access and using technology to drive easier access for consumers." - Hashim Simjee Learn more about how Oracle is connecting healthcare with cloud capabilities through products and solutions. Watch on-demand and live webcasts by registering for Oracle Health Inside Access. Check out Deloitte's 2024 Global Health Care Sector Outlook. --------------------------------------------------------- Episode Transcript: 00;00;00;11 - 00;00;23;18 Sarah Matt You're listening to Perspectives on Health and Tech, a podcast by Oracle with conversations about connecting people, data and technology to help improve health for everyone. We're at the start of another new year, and I can't help but be curious about what's coming in the health care industry in 2024 and beyond. More specifically, the tech capabilities and trends that are ramping up to support health care delivery and operations. 00;00;23;29 - 00;00;42;20 Sarah Now, Deloitte published a 2020 for Global Health Care Sector Outlook report that shared several key trends that are anticipated to make quite a splash in the future of health care delivery. And I'm excited to dive in and hear more. So with that, I'll introduce our guest speaker with us today, Hashim Simjee. Hashim, introduce yourself a little bit. 00;00;43;26 - 00;01;04;19 Hashim Thanks, Dr. Matt. Great to be here with you. The way to help your practice, primarily focusing on technology and health in the intersection of health care. And I'm responsible for our global Oracle health care practice, including clinical plan analytics, HRA, HCM, ERP. So happy to be here with you today. 00;01;05;03 - 00;01;23;05 Sarah Nice. We're happy to have you. You know, in our last podcast, we discussed cloud tech for health care. And looking at this year's health care predictions, I was really excited to see that in a recent report published by the International Data Corp.. So I see that 70% of health care organizations are going to adopt industry clouds by 2025. Can you share with us a little bit about the emerging technology prediction and how it aligns with the Deloitte's 2024 outlook? 00;01;29;18 - 00;01;58;08 Hashim Yeah, it aligns very nicely with that. We expect to see AI cloud interoperability as kind of huge, huge upturns in the market with air driving potential savings of $300 billion through 2026 relative to the broader market and think that cloud is going to continue to drive adoption and continue to drive efficiency in the market as well as help to improve access and equity as well. 00;01;59;16 - 00;02;21;06 Sarah So you know, when I think about AI, just in the last year, we've had such a huge exponential increase in visibility use cases, you name it. You know, it was maybe last spring when chatbots really just kind of blew it out of the water. We think about AI to improve operations or support caregivers or do diagnostics, you know, Hash, where do you think it's really going to touch us the most? 00;02;24;25 - 00;03;15;29 Hashim So we see it in a few major areas right in. But think about it. It's really streamlining of administrative

It's no secret: healthcare systems are overburdened—could cloud capabilities really provide some of the needed reprieve? Could the right data presented at the right time reduce costs and improve operations, ease the administrative burden on clinicians and payers, and help improve the patient experience? Two experts discuss use cases on cloud-enabled intuitive assistance, streamlining and vetting data, how cloud-enabled technologies are benefiting the whole patient experience, and more. Featuring: Michelle Flemmings, M.D., industry executive director, Healthcare North America Cloud Infrastructure Sarah Matt, M.D., vice president of Oracle Health product strategy Hear them talk about: • What's going on in the healthcare industry right now (0:24) • Using cloud and other technologies to improve workplace experience and retain healthcare workers (1:15) • Challenges and concerns when moving from rules-based applications and tools to more predictive forecasting and AI (2:54) • Working with clients going through the transition of bringing together disparate data sources separated by geography, organization, privacy, and security (4:27) • Harnessing cloud capabilities for clinical trials (7:24) • How to build trust around privacy and security for cloud and AI—and how cloud can be a secure mechanism to bring forth that trust (10:05) • Opportunities in leveraging the cloud for healthcare (14:24) Notable quotes: "I think that cloud has a great availability of information, but it also has the functionality whereby it can hopefully look at the system overall, if it's dialed in right, and then predict what's necessary and then take out the rest of the chaos. You know, taking in the signal and taking out the noise." – Michelle Flemmings "Now with the potential of AI using thoughtful implementation to support our providers from burnout, empower our patients to lead their healthcare teams, make those right decisions using trusted information that's fit for purpose, it changes the entire landscape." – Michelle Flemmings "We need to make certain that we're not replacing that trust that has been in the provider relationships so long and then got compromised when we did start going digital. There's an opportunity here to rebuild that, and magnify that, and still broaden our ability to care for more patients." – Michelle Flemmings Learn more about how Oracle is connecting healthcare with cloud capabilities through products and solutions. Watch on-demand and live webcasts by registering for Oracle Health Inside Access. -------------------------------------------------------- Episode Transcript: 00:00:00 Dr. Sarah Matt You're listening to Perspectives on Health and Tech, a podcast by Oracle where we have conversations on creating a connected healthcare world where everyone thrives. I'm Dr. Sarah Matt. I'm the VP of Oracle Health product strategy. And with me today, I have Dr. Michelle Flemmings from our OCI team. So, Michelle, I know we've been hearing a lot about cloud capabilities for healthcare. Can you get us a bit of an overview of what's really going on in the industry right now? 00:00:24 Dr. Michelle Flemmings Well, Sarah, thank you for that question. I have had the pleasure of meeting with a lot of our clients and being at several events recently and top of mind is cost containment especially with the economy as it is, and the cost continuing to rise. Second, a very close second, is achieving and maintaining operational efficiency that will help support that cost containment. 00:00:44 Things around process improvement, throughput, driving patient outcomes, improving quality performance as well. And then I think, honestly, the one that really surprised me the most is road mapping around the implementation of AI and wanting to establish the right partnerships in order to know that they're doing it in the right way. 00:01:03 You know, in a race not to be last, they got to be they're busy road mapping but they also have to assess the readiness for change. And I think that's where I'm having the best conversations. 00:01:15 Sarah Matt Interesting. So we talk about cost containment as a start. I know that over the last couple of years, especially when COVID hit, we had huge issues with not just supply chain but the supply of our workers. So we think about utilizing cloud and some of our technologies to improve not only the experience of our workers, but how do you keep and retain them? What have you seen as really effective mechanisms, especially in healthcare? 00:01:37 Michelle Flemmings Oh goodness, that is a double-edged sword. Having worked with a lot of systems and in a lot of digital tools that support our care of patients, you have to be careful in the balance. You don't want to be very disruptive in the way of inset and alerts, but you also don't want to overload with minutia and tab hopping and logins and so forth. 00:02:01 Where the sweet spot is is intuitive assistance and uplift for productivity as well as insight spe

Mental health remains a significant area of concern in healthcare, especially after the pandemic. Universal screening tools, such as suicide risk assessment, have become a vital resource. One of the best ways to normalize mental health screening is by integrating it into your clinical electronic health record (EHR) workflow. However, with the influx in risk assessments, is your staff confident and prepared to handle the needs that arise? And does your organization have the infrastructure required to support those needs? While telehealth has alleviated part of the burden for providers, it has also exposed many ways technology can create barriers to care, especially for communities who are already at a disproportionate risk for suicide and addiction. So, how can we better coordinate care across the illness-wellness continuum? Join Danny Gladden and Dr. Sarah Matt as they discuss the progress and opportunities to support mental health and improve suicide prevention. Guests: Danny Gladden, director of behavioral health and social care, Oracle Health Dr. Sarah Matt, vice president of product strategy, Oracle Health Hear them talk about: Education and training for physicians regarding suicide assessment and prevention treatment (2:00) Suicide screening assessments and lack of staff resourcing and infrastructure to meet those needs (4:15) Crisis intervention training for first responders and the increased availability of mental health first aid (11:15) Telehealth doesn't solve access to care issues—there's still a gap in equity and barriers to care (13:00) Benefits of behavioral health data collected on digital record (15:15) Moving toward a consumer-focused patient experience (17:20) Suicide prevention resources (19:18) Learn more about Oracle Inpatient and Outpatient Behavioral Health solutions --------------------------------------------------------- Episode Transcript: 00;00;00;00 - 00;00;30;09 Danny Gladden: You're listening to Perspectives on Health and Tech, a podcast by Oracle, where we have conversations on creating a connected healthcare world where everyone thrives. Hi there. I'm Danny Gladden, clinical social worker, director of behavioral health and social care here for Oracle. Dr. Matt, so glad you are here. Dr. Sarah Matt: Thank you, Danny. I'm so excited. You know, when it comes to suicide prevention, I think there's so many problems that we could talk about, but I think there's also solutions and things we can do next. 00;00;30;16 - 00;01;06;28 Danny: So I'm excited that we're talking about this topic today. Yeah. And, you know, I think we've made some great progress. And I say we as the collective, we myself, I'm a clinical social worker that practices in mental health services. I've actually ran one of the National Suicide prevention lifelines, but suicide prevention takes all of us. And so, you know, I'm actually just curious, you know, you're a physician—think about your preparation into sort of medical school and residency. 00;01;06;28 - 00;01;26;15 And you know what does what did your preparation look like as a physician assessing for and treating suicide risk? Sarah: So I went to med school a long time ago, I will say, But when it comes to training, it was very traditional. So four years of med school. And then I did my residency in general surgery and my fellowship in Burns. 00;01;26;17 - 00;01;56;05 So I'd say that when you think about structured learning for mental illness, it was pretty scared. Most of it was around inpatient mental health services. So that's the rotations that we did in medical school. Now there was the small bits and pieces you may have gotten on your primary care rotation, but it really wasn't a focus. Now today are unclear how the clinical rotations are going and how the medical schools have changed their training. 00;01;56;12 - 00;02;19;17 But I would say that for the generations of doctors that are in my age category, it definitely wasn't something that was highly stressed. Danny: Yeah, you know, in the last couple of years, I get invited from time to time to come in and speak to first or second year medical students, particularly on the subject of suicide assessment, suicide prevention, collaborative safety planning. 00;02;19;17 - 00;02;58;19 And I, I think that structurally we've come a long way in normalizing the assessment of suicide risk. We have built it into much of our clinical workflows. The Joint Commission has guidance on how on how we assess for suicide risk. But I think even maybe where there is some competence that's been gained, there's still a gap in competence, particularly because of our own fears around, oh, if I ask someone about their suicide risk, what will I do with the information they provide me? 00;02;58;19 - 00;03;28;02 And particularly I think about our community access hospitals it at 2 a.m. who are sort of dealing with folks with limited resources, limited specialty consultations and whatnot. And so we celebrate universal screening to

As part of the No Surprises Act, healthcare systems must now provide comprehensive good-faith estimates for the cost of care—both from their own organization (relatively easy) and from outside providers (much harder). Listen to industry leaders Seth Katz, University Health, and Josh Mast, Oracle Health, discuss with Jodi Busch, Oracle Health, the impacts of good-faith estimates on health organizations and how to use this phase as an opportunity to streamline workflows and better prepare your teams for the next iteration of the No Surprises Act. Featuring: Seth Katz, Vice President of HIM and Revenue Cycle, Finance, University Health Josh Mast, Director and Product Regulatory Strategist, Oracle Health Jodi Busch, Senior Director of Financial Alignment Organization, Oracle Health Hear them discuss: An overview of this year's iteration of the No Surprises Act (1:16) How have these changes impacted safety net hospitals/organizations? (3:36) How are schedulers at hospitals/organizations handling the increased duties of working good-faith estimates? (5:05) Was it difficult to gain internal buy-in from your staff for these changes? (6:57) Have you had any issues sending the good-faith estimates back to patients in the allotted time? (9:39) Are there penalties for non-compliance? (10:59) How does the enforcement discretion potentially impact the overall process? (13:29) Where are you at in terms of combining providers inside and outside of the organization? (15:06) What has been the response back from patients regarding good-faith estimates? (16:10) What's coming next? (17:29) Notable quotes: "We have to remember that we work in healthcare to help take care of people and make them better and that the No Surprises Act, price transparency, information blocking are good things for the patients." – Seth Katz "At the end of the day, this is about trying to get patients and consumers information prior to receiving care so that they are better informed." – Josh Mast

In the US, big leaps have been made toward industry-wide interoperability in recent years. From establishing a standard set of health data that must be exchanged, to broadening the scope of the ban on information blocking—recent regulations have driven positive advancements to simplify health data sharing across vendors and venues of care. On top of all that, the Office of the National Coordinator and The Sequoia Project, the Recognized Coordinating Entity for the Trusted Exchange Framework and Common Agreement (TEFCA) established under the 21st Century Cures Act, announced the first applications accepted for Qualified Health Information Networks (QHINs) under the TEFCA. That short list included CommonWell Health Alliance, of which Cerner, now Oracle Health, was a founding member nearly a decade ago. This is a leap forward in achieving our vision for interoperability. Our shared goal with CommonWell joining TEFCA is to build a nationwide health information exchange, leveraging a collaborative trade organization, that will help give patients access to their healthcare data regardless of where they receive care. Listen in as we talk about the exciting progress toward nationwide interoperability and how it will benefit patients and providers. Featuring: Paul Wilder, Executive Director, CommonWell Health Alliance Sam Lambson, Vice President of Interoperability, Oracle Health Hear them discuss: • TEFCA and what it means for advancing interoperability (2:10) • Benefits of better information exchange for providers and patients (3:49) • How a record-location service is more accurate, efficient and secure than geo-locating like many systems use today (6:45) • When does TEFCA start affecting patients and providers at the point of care? (13:04) •How does TEFCA impact gaps between care, translating care, and settings of care, like telehealth? How does it affect patient engagement and involvement? (17:00) • Ways to learn more and ask questions (19:20) Notable quotes: "Me having my data is not just a toy. It's not just I want the image because it's interesting … I want the report. It's that I want to manage my health, or that of my children, or my parents in a better way—which I think in the end is really going to benefit the provider." - Paul Wilder "And think of mental health—it gets even more robust as we're expanding services a lot right now. If we don't do it efficiently, it's going to get very expensive. And getting past all those administrative flows to get to the care you need at the level the person can do it in front of you—as opposed to what the data is allowing you to do—is, I think, really important." - Paul Wilder Resources TEFCA: A leap toward achieving nationwide interoperability Sequoia Project CommonWell Health Alliance Reacts to QHIN Application Approval

The very definition of healthcare communication has shifted over time. Today, fewer clinicians practicing at the bedside have highlighted the need for advanced communication tools and processes. Join Jason Schaffer, MD, vice president and chief medical information officer at Indiana University Health and Liz Harvey, MSN, chief nursing officer at Oracle Health, as they discuss the evolution of clinical care team communications and how increased demand for healthcare has made better collaboration tools both a necessity and an opportunity for innovation. Hear them discuss: • How have trends in healthcare communication changed? (1:20) • What types of technology are now available for teams and what are the benefits for patients and caregivers? (3:21) • Important points teammates should agree on regarding critical communications (8:04) • Knowing your message responsibility and escalation paths in critical situations (12:35) • How to create flexibility with communication when needed (15:20) • How can a unified communication strategy help organizations proactively address system-wide challenges? (17:20) Notable quotes: "We should be separating technologies for the right speed and urgency of communication." – Jason Schaffer, MD "We can't solely rely on technology. We have to engage our brains and use the years and years of school that we have all spent learning how to be clinicians as we start to look as some of these messages that we receive and talk about the criticality." – Liz Harvey, MSN Learn more about Oracle clinical communication and collaboration tools.

The Federal Joint Health Information Exchange connects the health records of the Department of Defense, Department of Veterans Affairs, and Coast Guard by helping provide continuity of care from the time Veterans enter the service, throughout active duty, and the rest of their life. Now that the Joint HIE has been live for more than two years, what successes are we seeing? How has it impacted Veterans and improved the care they receive? Listen as Amanda Cournoyer, Interoperability Director of the Electronic Health Record Modernization Integration Office at U.S. Department of Veterans Affairs, talks about advocacy and interoperability at VA with Sam Lambson, Vice President of Interoperability at Oracle Health. Hear them discuss: • Amanda's personal journey from active military service to working in interoperability at VA (1:50) • An overview of a few of the interoperability solutions VA is implementing to improve care for Veterans (7:53) • Why interoperability is a big deal for Veterans' and active-duty service members' care (11:45) • Why it's a benefit to VA providers and community care providers (14:10) • What she is looking forward to improving in data exchange nationwide (15:11) Notable quotes: "One of the things I don't think people understand is that 60% of the health care DoD provides to their family members and active duty is actually provided outside in the community. And on the VA side, 30% of our care is [health care] purchased in the community." – Amanda Cournoyer "It's not just about making sure our VA providers, our DoD providers or our patients have access to their data, we want to make sure the providers taking care of our patients have access agnostic to their location or their affiliation or their health IT platforms." – Amanda Cournoyer "We're putting this data into the workflows for the first time. It's not just a view, review, maybe decide you want to copy and paste into your clinical notes and your encounters—we're using it for care coordination." – Amanda Cournoyer "That's some exciting work that you've accomplished bringing so many points of a disparate network that was trying hard to get together for so many years finally integrated as one body to support Veterans and active [duty] service members. It's truly phenomenal." – Sam Lambson

With significant and ongoing changes in the health industry in recent years, healthcare leaders have had to rapidly adapt to new ways of thinking and doing in order to stay resilient in the face of change. Yet some leaders push past the status quo and view these opportunities as a chance to explore new avenues for patient care, new partnerships for growth, and new ways to ease provider burden and boost their workplace culture. In this episode, Stephanie Trunzo, senior vice president and general manager of Oracle Health, shares her experiences within change management and how to instill enterprise-level thinking within one's team. She discusses: • Bringing entrepreneurial experience into larger organizations to become an intrapreneur (0:55) • How you need to think about the people first in transformation process (1:45) • How to embrace and mitigate risk and create a safe space for your team to create change alongside you (3:54) • How to avoid becoming stale and losing clarity and instead surrounding yourself with fresh ideas and people to stay sharp (6:58) • Getting an entrenched workforce onboard with change (11:09) • What we should be thinking about when trying to instigate long-term change (14:10) • What they're excited about in bringing Oracle and Cerner together (16:50) • Pandemic introduced change, but how healthcare can now bring consumers along (18:38) Notable quotes: "We don't work for org charts. We work for people we believe in. We work for the purpose that makes us get up and be excited about the work that we're doing. It's not different for the workforce you're trying to move forward – how do you connect them back to that purpose in the first place?" – Stephanie Trunzo "Do you want to be right, or do you want to get it right? If you're on the path of 'be right' you're going to be blind to the kinds of changes that need to happen." – Stephanie Trunzo "People sometimes fall in love with complexity. The very things that they want to change is what they derive their own value from … you want to help them see that by making this thing simpler they actually can show value in a much more important and different way." – Stephanie Trunzo

During the pandemic and social and economic unrest of the last few years, there was a dramatic increase in demand for mental health services. Stigma had already been on the decline, and now, available mental health services are on the rise. Some patients are now seeking treatment for the first time, while others are continuing decades-long treatment with better coordinated services. Many don't travel this journey alone. The help their family, friends and caregivers provide is critical—for some, a caregiver's records have provided the only continuity of care. Travis Dalton, general manager of Oracle Health, and Danny Gladden, director of behavioral health for Oracle Health, talk about their personal experiences in this area and how Oracle Cerner and Oracle Health can work together with health systems and clinics to alleviate the administrative burdens of caregivers to provide better care for behavioral health patients. Hear them discuss: • How do you think the last few years have changed how the general public talks about mental health and wellness? (3:30) • Why is mental health and well-being a personal driver for you? Can you share more about your experience being a caregiver? (7:11) • Recently, it's been estimated that 70% of behavioral health records are still on paper. And many patients don't have a personal advocate to help them keep track of their records and treatment plans. What are some of the biggest challenges that are still being addressed in behavioral health? (12:55) • What are some ways health care systems and providers can help alleviate the burden for mental health caregivers and patients? (17:45) Learn more about Oracle Inpatient and Outpatient Behavioral Health Solutions

It's estimated that 80% of an individual's health is determined by nonclinical factors, such as socioeconomic, behavioral and physical environments. Today more than 38 million people in the United States are facing hunger, including one in six children. Those struggling with food insecurity are at increased risk for chronic diseases such as diabetes and high blood pressure. Hunger impacts their stress levels and ability to care for themselves and others. Hunger also impacts their performance at work and school; it's even been linked to suicide risk. Yet some of the most vulnerable communities don't know how to take advantage of free food resources. In this episode, members of University Health, a safety net hospital in Kansas City, share how they've been working to increase access to resources for one of their most food-insecure communities—immigrants and refugees. Guests: • Gloria Diamond, Director of Health Network Product Market Strategy, Oracle Health • Susan Oweti, Supervisor of Cultural Health Navigation / Arabic Interpreter and Director of UH One World Food Pantry, University Health • Deborah Sisco, Manager, Patient Advocacy and Engagement – Quality Resources, University Health • Alison Troutwine, Project Manager, University Health Hear them discuss: • How does your cultural health navigator program help identify patients as food insecure? (1:30) • What feedback have you heard? (7:12) • How are social determinants of health being addressed at the community level? (10:54) • Tell us about how University Health formed a partnership with a local food bank? Why did you pursue that route instead of only doing referrals? (13:09) • Since many recipients of your pantry come from different cultures, how have you provided foods that are tailored to your community's needs? (15:00) • How do you build a food program that makes an impact and is sustainable for the long term? (20:10) Notable quotes: "Research shows by the time someone has made their home in the United States for five years, a lot of them aren't food insecure anymore. So we're really talking about helping people when they need it the most—when they're first getting here." – Deb Sisco "You can hear the community saying, 'Thank you, thank you for doing this. This is what we really needed,' you know? 'Thank you for thinking about this—this is really appreciated.'" – Susan Oweti "It's so important to build a team of passionate people that can work together to address the needs of our community." – Alison Troutwine "That's beautiful: respecting people's culture, providing dignity, all very important work that you're doing." – Gloria Diamond

In general, 45% of individuals who die by suicide will have seen their primary healthcare provider within one month of their death, but only 20% will have seen a mental health professional. During the last few years, there has been an increased awareness and focus on mental health. Despite the increased availability of mental health apps and virtual connections to providers, the demand for services is still high. Recently, a national three-digit crisis number, 988, was rolled out in the US to help connect anyone in need with suicide prevention and crisis resources. What can health systems and providers do on a larger scale to help prevent suicide? In this episode, Danny Gladden, Director of Behavioral Health at Oracle Cerner, talks with Dr. Caitlin Thompson, Clinical Psychologist and Chief Clinical Officer at Red Duke Strategies, who formerly served as the National Director of Suicide Prevention at Veterans Affairs. Hear them discuss: • Demystifying crisis lines—what happens on the call, how it's utilized by patients and providers (2:34) • With the increase in mental health screenings at non-behavioral appointments, the importance of training, and how to help your nonbehavioral staff feel comfortable talking about mental health and suicide with patients (6:47) • How asking if someone is suicidal opens doors to conversation (9:30) • The availability of training and safety plans to help staff (12:10) • Non-behavioral staff mental health check-ins during appointments (15:10) • Safer Communities Act and risk mitigation that has helped (17:00) • New areas of research, interventions (18:25) Notable quotes: "I think that part of what needs to happen in talking about suicide, both with clients but with each other, is to get us get more comfortable in talking about it." - Dr. Caitlin Thompson "Suicidal thoughts are very normal and they're not bad or good. They are, from a medical model, a symptom by which we want to focus then on intervention." - Danny Gladden Learn more about Oracle Inpatient and Outpatient Behavioral Health Solutions.

In this episode – recorded at Oracle Cerner Middle East and Africa Collaboration Forum in 2022 – an expert panel, hosted by Dr. Mohamed AlRayyes, Oracle Cerner, addresses how recent advancements in data and technology, from the clinical level to the system level, have enabled health care innovation across the Middle East.

In this episode—recorded at Oracle Cerner Middle East and Africa Collaboration Forum 2022—Dr. Bashar Balish, Senior Director and Client Site Leader at Oracle Cerner, speaks with keynote speaker Himanshu Puri, Head of Information Technology, King's College Hospital London, UAE, about how the pandemic opened new opportunities for patient engagement and which innovations healthcare systems are utilizing to deliver better care.

In this episode – recorded at Oracle Cerner European Collaboration Forum 2022 – speakers from the UK, Canada, and Qatar consider where we currently are with the long-running challenge of interoperability and what we need to do to in the future to help achieve its key goals.

In this episode – recorded at Oracle Cerner European Collaboration Forum 2022 – an expert panel in the field of health and care disparities discuss their views on the opportunities to remove systemic barriers to health equality and thereby improve health equity through digital innovation.

Even before the COVID-19 global pandemic, consumers were asking providers for more autonomy and convenience with their healthcare. Given the pandemic, there has been a subsequent boost in healthcare consumerism, pushing patients to adopt the patient engagement technologies at a much faster rate. In this episode, Sue Martin, vice president, financial alignment at Cerner, and Rick Gundling, senior vice president, professional practice at HFMA, discuss the impact that COVID-19 has had on consumerism. Tune in to hear Sue and Rick discuss: • How the rapid increase in consumerism has impacted the healthcare industry (1:39) • The largest behavior differences between pre-pandemic patient behavior and today, and healthcare organizations' reactions to the change in patient behavior (3:25) • Helpful strategies that healthcare organizations can leverage to empower and support patients as they navigate a changing landscape (8:26) • Industry insight into consumer expectations moving forward (13:49)

In this episode, Dr. Lu de Souza, vice president and chief medical officer, is joined by Dr. Tania Tajirian, chief medical information officer, Centre for Addiction and Mental Health. They discuss the topic of clinician burnout, what factors play a role in burnout, and lessons that have been learned in tackling this issue. Notable quotes: "EHRs are meant to be tools, not a burden. How you bring joy back to medicine is by reducing that burden. Less time at the terminal, more time at the bedside. That resonates with every clinician...also with patients." – Dr. Tajirian "We have to get back to thinking about our care team holistically." – Dr. de Souza Tune in to hear Dr. de Souza and Dr. Tajirian answer these questions: • How are EHRs impacting clinician burnout? (02:17) • Why taking a multi-prong approach is important in tackling this issue? (06:22) • What are the top three or four things you [Dr. Tajirian] have learned through this process? (16:31) • What is coming up in your strategy immediately, and what is coming in the next five years? (18:59) • Share some wisdom that has helped you in your journey. (22:33)

In this episode, Josh Mast, director and product regulatory strategist, is joined by fellow associate, Hans Buitendijk, director of interoperability strategy, and special guest, Mariann Yeager, CEO of The Sequoia Project. Through their own experiences, they discuss TEFCA (Trusted Exchange Framework and Common Agreement), including what it is, how it impacts healthcare providers today, and how it can impact healthcare in the future, both locally and globally. Notable quotes: "…a trusted exchange framework where we can all share the data safely, securely, and with the right stakeholders." – Hans Buitendijk "The ultimate goal is to make it much easier to have a standardized way to share information…" – Mariann Yeager "I think that there is opportunity to leverage the capabilities and what we've been able to accomplish here in the US and learn from other countries to facilitate information exchange internationally, and I think it's closer than we think." – Mariann Yeager Tune in to hear Josh, Hans, and Mariann answer these questions: • What is TEFCA? (01:39) • Why is that such an important topic for users and healthcare providers? (03:02) • What role is The Sequoia Project playing within this trusted exchange network? (04:44) • What do you see as the ultimate goal in implementing TEFCA? (06:15) • What do you think are the biggest challenge for achieving that goal? (07:55) • What is the next big milestone for TEFCA? (08:47) • What advice would you give healthcare organizations going forward? (10:13) • What does healthcare data-sharing look like over the next five to 10 years? (11:48) • Do you believe that US policies like TEFCA have a potential worldwide impact on healthcare exchange? (14:50)

In this episode, Dick Flanigan, senior vice president, Cerner, is joined by fellow associate Rob Helton, senior director of platform management. They discuss the upcoming bulk API requirement, stemming from the 2015 CEHRT Cures Update, on health systems as well as how this new functionality will help advance innovation in healthcare. Tune in to hear Dick and Rob answer these questions: • Why are APIs important for the industry? (2:00) • Why are APIs so exciting? (4:45) • What kind of value does Bulk API add to the future? (7:23) • What is FHIR? (8:41) • What is required of health systems when it comes to the January 2023 deadline? (10:40) • What challenges will organizations face, and how is Cerner helping address those challenges? (12:26) • What does the future hold for clients and consumers in an API enabled world? (13:52)

In this episode, Dick Flanigan, senior vice president, Cerner, is joined by fellow associates Sue Martin, vice president, financial alignment, and Josh Mast, director, regulatory strategy. They discuss the impact of the No Surprises Act (NSA) on health systems as well as how this new federal legislation may help patients avoid unexpected and potentially devastating medical bills. Tune in to hear Sue and Josh answer these questions: • What healthcare problems does the NSA help solve? (1:29) • Which healthcare players are expected to accomplish the goals of the NSA? (3:42) • How does the NSA impact surprise billing, balance billing and good faith estimates? (5:24) • What challenges are health systems facing as they work to comply with the NSA? (6:47) • What part of the healthcare process will see the greatest workload? (10:44) • What changes can consumers and health systems expect around price transparency? (12:09) • What's the burden on providers and how can Cerner help? (14:46) • What's next for the NSA? (19:25)

In this episode, Bob Robke, vice president, real-time health system and clinical products, Cerner, is joined by Lisa Gulker, senior director, health system operations and clinical surveillance, Cerner. They discuss COVID-19's impact on how health system leaders use real-time and predictive data and the challenges of managing scarce and expensive resources to address growing health needs. Notable quotes "Health leaders don't want to go back to working off yesterday's data. They want to make real-time decisions with situational awareness based on what we predict will happen in the future." – Lisa Gulker "The data in our clinical products and in the EHR is great for mining in real time and bringing up in a command center setting." – Lisa Gulker "COVID-19 accelerated systemness in healthcare, and it's here to stay. Leaders have learned how to manage resources and supply chains across larger groups of organizations." – Lisa Gulker Tune in to hear Lisa answer these questions: What are your key takeaways so far from your journey as a clinician and health system and informatics leader? (1:50) How has COVID-19 effected health system reliance on real-time and predictive analytics for decision-making? (4:45) How are command centers shifting the scope of capabilities for centralized clinical operations? (6:45) How is real-time situational awareness helping health systems address the staffing crisis? (9:39) Outside of the command center, is there a way to bring situational awareness to the point of service? (13:58) How are current market forces influencing health system leadership practices? (16:22)

In this episode, Dick Flanigan, senior vice president and Cerner brand ambassador, is joined by Hans Buitendijk, director interoperability strategy, Cerner, for a conversation around the current and future state of data reconciliation, connectivity and usability.

In this episode, Jessica Herstek, MD, chief medical informatics officer, Children's National Hospital, joins Lu de Souza, MD, vice president & chief medical officer, Cerner, for a conversation around funding disparities in children's health innovation. Learn about the unique relationship between Children's National Hospital and the Bear Institute, which enables the health system to pursue a multifaceted approach to innovation — including a new pediatric accelerator challenge that invites start-ups, student teams, pediatric providers and administrators to collaborate on creative solutions aimed to help close the innovation gap in children's digital health.

In this episode, we're joined by Casey Sansale, senior director and product integration executive, Cerner, for a conversation around the future of ambulatory care and how organizations can optimize their outpatient efforts. Notable quotes "Making healthcare approachable is the fundamental challenge that we have as we digitize. Putting the patient at the center of all we do is likely the most prominent area of ambulatory growth." – Casey Sansale "This decade is going to define the intersection of healthcare and technology." – Casey Sansale "The pandemic is a catalytic change agent for healthcare and technology. It's fundamentally going to be the thing that propels us forward." – Casey Sansale "The pandemic highlighted the importance of technology for rapidly solving problems." – Casey Sansale Tune in to hear Casey answer these questions: What was happening in the ambulatory space before COVID-19, and how has the pandemic influenced those trends? (1:11) Policy (1:28) Defining decade (2:22) Systemness (4:34) Big tech, retail and insurance, direct care operators & startups (5:21) Joint ventures (6:25) Regulatory payment reform (7:52) Venues of care (9:01) Expanded care team (10:06) Better together (10:26) What are the driving factors of ambulatory care post-pandemic? (11:39) Provider/Payer/Patient interdependence (12:06) Rebalancing the care team (13:01) Hyperspecialization (14:00) Gravity of data (16:05) Precision medicine (16:37) Real-world evidence & data activation (17:22) Social medicine & U.S. healthcare (17:48) How has the rise in consumerism impacted ambulatory care strategies? (18:55) Convenience & access (21:05) Workforce health (21:26) Communications (22:08) Social determinants of health (22:35) Data liquidity (22:53) What's top of mind for organizations that are focused on ambulatory as an area for growth? (24:04) Direct patient care activities (24:39) Clinician & staff wellness (25:19) Digitizing the enterprise (26:54) Enterprise-wide analytics (27:43) Patient experience (28:05)

In this episode, David Harse, vice president and general manager, consumer engagement, Cerner, is joined by Allison Hess, vice president, health innovations, Geisinger, for a conversation around wellness and addressing inequities in healthcare.

In this episode, we're joined by Cerner leaders David Bradshaw, senior vice president, consumer and employer solutions, and Jessica Oveys, director, product market management, for a conversation around the future of healthcare in a post-pandemic world and the potential impact on consumerism and engagement. Read the show notes: https://www.cerner.com/perspectives/the-tipping-point-of-healthcare-consumerism-and-engagement

In this episode, Lu de Souza, MD, chief medical officer, Cerner, has a conversation around the importance of clinician wellness with Jennifer L. Bickel, MD, medical director for the Center for Professional Well-Being at Children's Mercy Hospital in Kansas City, Missouri. Read the show notes: https://www.cerner.com/perspectives/assessing-and-prioritizing-clinician-wellness

In this episode, Christy Dueck, vice president and general manager of research, Cerner, leads a conversation with John Potthoff, CEO, Elligo Health Research, and Scott Rogers, director of innovation, CoxHealth, around how diverse community-based hospitals are a lifeline to saving clinical research, and can help increase patient trust and reduce health disparities. Read the show notes here: https://www.cerner.com/perspectives/how-diverse-community-based-hospitals-are-a-lifeline-to-saving-clinical-research