#JoinTheConversation with Danielle Siarri at #HIMSS17
This #JoinTheConversation series is brought to you by our partner Experian Health and the episodes were broadcast live in Experian Health's booth (#3503) at the The HIMSS17 Annual Conference and Exhibition. The interviews were recorded and published to the media player on this page. Please read more about why more than 60% of U.S. hospitals count on Experian Health.
Guest
Danielle Siarri, Nursing Informatics Specialist
Transcript
Joe Lavelle 00:30 That's right, I'm Joe Lavelle and I'm so excited to be bringing you “Join The Conversation”, with my co-host Todd Eury from our remote studio right here at Experian Health’s booth. Todd, let's give a quick shout out to our sponsor, Experian Health, what a great partner we have with them.
Todd Eury 00:44 I'll tell you what Joe, leading the way to a smarter business decisions, better bottom lines, and stronger relationships with your patients. That's what they do at Experian Health and that's what we're talking about today, so I'm excited to be here.
Joe Lavelle 00:58 We're going to go right to it today. Todd, we're going to introduce our special guest Danielle Siarri, Nursing Informatics Specialist, Health IT Consultant and curator of innonurse.info. Danielle, welcome to the show!
Danielle Siarri 01:10 Thank you, it's really nice to be here. I appreciate your time.
Joe Lavelle 01:13 Well, thanks for making the time today. I know you're busy here at HIMSS. Before we start our discussion Danielle, could you take a few seconds and tell the audience about you and your background?
Danielle Siarri 01:21 So for me, Danielle, I've been a nurse for going on 13 years. I was an ER nurse, travel nurse; I do trauma - all levels, Coast to Coast, Washington to Vermont and everything in between. So I've kind of seen what has changed in healthcare across, and I also travel to Europe, and see what's going on there, and I graduated my master nursing in informatics. So really pulling together the whole story of Health IT globally from all my different travels, and I'm social media ambassador for HIMSS and I'm also social media ambassador for HIMSS Europe.
Todd Eury 01:59 So you have to tell us about your passion the innonurse.info and what that’s all about?
Danielle Siarri 02:05 My branded site www.innonurse.info is a curation site. So what I decided to do before I graduate was to show what nursing informatics is all about, because a lot of people are curious, but they don't completely understand it. So for the computer science portion I coded my own site. For the second part what I did was, information is a library science, so by me picking the different articles that I find interesting in seven different languages, then that's the library portion. And then by me being a licensed nurse and having that graduate level of masters of nursing, then what I'm saying was interesting on my site when I'm pulling a half the authority from the clinical perspective.
Joe Lavelle 02:44 Danielle you’ve mentioned you're a social media ambassador here at HIMSS this week. Tell me what you're focused on and what you're really interested in seeing?
Danielle Siarri 02:51 The two areas I'm looking for, what people are doing with virtual reality and augmented reality, pulling together with connected health. I've gone to other countries and seen what they're doing let’s say Norway and how rehabilitation hospital they're using VR and AR to transport their patients, kind of mentally at the facility. Because sometimes people are bed bound, or they are in the hospital for weeks or months on time of healing, so it's a way of them coping as well as anyone that has some mental health issues, it’s the way of them using VR and AR to cope… let's say a phobia. So for actually integrating them outside or touching something they are afraid of, you can use VR and AR to connect to kind of challenge those phobias and treat them.
Todd Eury 03:34 So we've had subject matter experts here at the Experian Health Booth all day long talking with Joe and I. And what's exciting is when they start to demystify some of these hot words that are being used throughout healthcare, and one of them is blockchain. So you've recently put together a very informative article on blockchain, but for the purposes of the audience and actually myself will you first described what blockchain is for our audience?
Danielle Siarri 04:00 If you think about blockchain, it is a concept where you pull data without a third-party touching it. So blockchain's about trust. So it's instilling trust in the companies, instilling trust into patients that we can gather all this data, that’s your data, put it in one place that you have access to, I've seen people use it where precision medicine using blockchain dealing with chemotherapy cancer patients, to get more of a honed in what exactly you need to care for themselves.
You can also use blockchain from an economic point of view. So building a platform for payment systems. So they're going to be a lot of talk about the conference about blockchain, so I did a lot of research and a lot of travel, seeing how they're using it all over the world. It's really popular in Canada right now, in Montreal they have a lot of think tanks. So I'm just really want to see what people are doing and what's new. On a side note when you learn about blockchain, one thing is new is something, there is Blockchain and there is sidechains. So that's a new thing that's going to be coming out, so I'm looking to see if anyone's working with sidechain, so it’s like 2 chains together that interact but yet a third party can't break into it.
Joe Lavelle 05:08 Danielle, I may be making a bad assumption but I'm assuming that you're talking about blockchain as it's something we're looking into versus something that exists. If that's a valid assumption, how close are we to having healthcare providers use something and what do we have to accomplish between now and that time that they're actually able to use it?
Danielle Siarri 05:44 It's being used, there are a few companies that are actually here. They're going to be at “Rock the Blockchain”, and so there is actually a clinical company that is using blockchain, and I think it's going to be about 5 or so. So they're going to be introducing it from their point of view, their company, so it is being used, it is being promoted. It’s just rolling out and giving people that trust and they are starting to investigate it.
Todd Eury 06:08 So Regina Holiday was one of our guests earlier today and she talking about her passion about patient engagement, and I'm wondering would you see blockchain improving key healthcare issues like patient engagement?
Danielle Siarri 06:03 I do because when it comes to patient engagement and that's the thing as a nurse is getting a patient involved in care, most of the time people do want to be involved in the care, they want to know, they want to participate because it is their body. So that's why I talk about bringing trust by introducing the blockchain. Okay, we're going to take this data that you have; we're going to present it in the way that you are in control of. It’s going to only touch from the blockechain to your hands, not a lot of people are touching and manipulating, so it is really just a lot explaining that this going to be a nice step forward to improvement of your care.
Joe Lavelle 06:33 You mentioned virtual reality, augmented reality and I think there's an MR that you'll tell us what that is, and I also noticed you wrote an article about them on the HIMSS Europe blog recently. Could you tell us how VR and AR are being used in healthcare today, some kind of real world examples to wet our appetite for what's to come?
Danielle Siarri 06:51 With virtually reality, it's almost like with your goggles and you're seeing it more inward. With AR, it's like you see your hand and then you see an image of something in your hand that’s almost like you're manipulating it. So a good example of use, when I was in school doing anatomy, we'd actually would have cadavers. So now what they're doing with augmented reality, you see a heart and you can expand the heart, and then you could touch, this is the interior of the vena cava, this is the carotid artery. You can manipulate, instead of having models or a cadaver. You can make it as large or small and interact with it, and that tactile and that visual helps with the learning situation. And then with patients like I said I was in Norway in Oslo and to see patients interact with teleheath and with VR and AR they were able to transports themselves to be able to use it for PT and OT. And they actually made a library where, say we want to work the trapezius muscles, these are the games that you use to work those muscles. So they almost do a competition on the PT against the patient, who can work this muscle, who can do this, who can win at the game. So patients are using it and they really like it.
Todd Eury 08:00 So I'm a huge science fiction fan and one of my favorite movies is Tom Cruise's Minority Report where a lot of that AR was used for crime investigation per say, they called it pre-crime or something.
Danielle Siarri 08:12 Yes, Precog.
Todd Eury 08:13 Precog, exactly.
Danielle Siarri 08:14 Hello I’m a sci-fi geek.
Todd Eury 08:15 Yeah, exactly.
Danielle Siarri 08:18 I'm proud of it. You don't get this nerdy on accident.
Todd Eury 08:21 That's right. We are nerdy.
Danielle Siarri 08:23 I'm proud of it.
Todd Eury 08:24 So VR and AR, how do you see that being used in the future, and when I say future I mean 12 months from now or 5 years from now?
Danielle Siarri 08:31 Well, I think some of the things have happened, but not everyone is seeing it, because they are using it in the hospital for treatment with kids with cancer. They are using it for, let's say a patient that's lonely, they have no one to visit them; they could be transported out of their environment. So it's being used all over in small quantities, the only challenge is costs. For some places like in Oslo there stewards of the care, but the money comes from the government, from the people. So cost is affected and the second part is connectivity. So if you’re talking about Africa like Morocco connectivity is really good, but if you're talking some place like Ghana where they're doing Telehealth and connectivity is not, not, how do I put it? It’s not continuous. Just like electricity or water it’s not continuous, so then they are not able to really grasp those technologies. So those are kind of the challenges that people are facing using it, but once they use it they really like it.
Joe Lavelle 09:20 #very year we bring a crystal ball. Todd didn't let you look into it for that last question. As you look into the crystal ball, what would you predict to be the hot topics next year at HIMSS18, the buzzwords that we're going to talk about?
Danielle Siarri 09:09 That's a good question, I wish I'd thought ahead, I didn't have my crystal ball. I could tell you what I hope, because I've been coming to HIMSS for off and on for the last 5 years. This is the first time I’ve seen more patient engagement, is I hope to see more of that and being evolved. And years ago I don't feel people really involved the end users, whether it was the clinician or the patient when they constructed of something, even now I still have to explain like you know what's nursing informatics, what does that mean like I don't understand that even in the U.S.
So I hope more of that the end users are involved in the UX from the beginning, not after everything is done. Having me sit there with someone, explain this is the verbiage you need to use, this is how it needs to look, this is the workflow, and then getting that across that there are people like me that exist, that can make it better for all clinicians and for the patients, because we're the communicators. We talk to the doctors, we talk to the tech people, we talk to everyone and we have that language to get everybody what they need. So just more of people understanding.
Todd Eury 10:32 HIMSS, it’s the largest Healthcare IT conference in the world and it can be overwhelming at times. And before I come I always make sure I write down what my goals are for the conference. So I always want to ask our guests, what you're top two to three goals to accomplish while you're here at HIMSS 2017?
Danielle Siarri 10:50 Well being here was one of my goals. I have that writen down. And I wasn't going to be late.
Joe Lavelle 10:55 She wins, Danielle wins “Join the Conversation” today.
Danielle Siarri 10:58 I was going to make sure that I showed up on time, because that is really important, everyone's time is valuable. So that was one of my goals. Really to see the blockchain and finding different vendors that are using theVR, AR and also we are talking about the mixed reality which is kind of a high breed of the two. So we will see.
Joe Lavelle 11:18 Perfect Danielle. Before we wrap up, can you tell people where they can go to contact you and learn more and keep up with your great, outstanding thought leadership?
Danielle Siarri 11:25 If you just type in Innonurse and search on Google, you will find me. So Instagram, Twitter, I'm on LinkedIn and then you can go directly to my site at innonurse.info and see what I'm talking about with the content and then I'm producing more content on another site called Nuadox. So where we feature smaller companies that are doing good work, but maybe they don't get the level of outreach of people that can find them and people would like to collaborate about them, but they just don't know them. So writing, greeting, tweeting, all over.
Joe Lavelle 11:55 I love it and I don’t know if you know that, but that’s the mission of Intrepid Healthcare is to find those people that are doing great things.
Danielle Siarri 12:02 Those nuggets, those people that are doing good work and no one has any idea about them.
Joe Lavelle 12:05 They don't have the voice to be heard or they're too small or they don't have the marketing budget so. Danielle, it's such a great pleasure to have you today. Thanks for making the time to share your wisdom with us.
Danielle Siarri 12:15 Thank you. I really appreciate both of your time. You'd been very kind and it's been a great experience. Thank you.
Joe Lavelle 12:20 Well, that's wraps this live broadcast from HIMSS 17. Again we want to have a quick shout out to our sponsor Experian health and on behalf of our guest and Danielle Siarri, my co-host Todd Eury, I'm Joe Lavelle and we hope you stay tuned for more of Intrepid Healthcare's great coverage of “Join The Conversation” from Orlando.
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