While both Edward W. McCallister and HCI Editor-in-Chief Mark Hagland were participating in HIMSS15 last week at the McCormick Place Convention Center in Chicago, they had the opportunity to sit down for a conversation on April 14. McCallister, who became chief information officer at the 21-hospital UPMC (University of Pittsburgh Medical Center) Health System in October, has spent nearly 17 years with the organization, most of those years with the organization’s 2.5-million-member health plan, of which he was CIO for several years prior to October 2014. He now oversees information systems for the entire system, including its 21 hospitals, 3,500 physicians in medical groups, and other outpatient services, and its 2.5 million-member health plan, and has over 1,400 professionals reporting to him across the vast UPMC organization. Below are excerpts from their interview.
There is a lot going on at UPMC these days. Now that you are CIO of the entire organization, what is your vision for the organization over the next few years?
Part of what’s going on right now is the whole restructuring of UPMC—it’s become a much flatter organization. I’m over the hospitals, medical groups, and insurance division, and am a customer/partner with the Technology Development Center, which has become our development arm, under the name UPMC Enterprises. But the vision is, with the alignment, with the move towards consumerism and population health, it’s putting the patient and consumer at the center. So the 50,000-foot strategy would be to recognize the opportunities to recognize the person.
When people come into the UPMC world as consumers of healthcare, we’re able to treat them in a way that is unique because of who we are. We address the consumer experience in three ways. First, we address it n terms of guidance: we provide the transparency tools, the cost comparison tools, and so on, to help them make decisions about their health. The second piece is supporting them in terms of motivation. For example, we actually have a platform that’s very device-agnostic, and gives them a place to capture data from their wearables and devices, through the insurance division, MyHealthOnline. And the third piece would be the convenience. You might be interested in all your information, and you might not necessarily want to have to pull up a portal, so you could get your information on a mobile device.
The pressures on CIOs in the new healthcare are intensifying. What must CIOs do in today’s evolving operating environment?
You bring up a good point. The role of the CIO—the changes have accelerated. Oftentimes, information technology is seen as an expense—a necessary expense, but an expense nonetheless.. I think the CIO has become a chief innovation officer and chief integration officer, and other things, all at once. So you need to start with the business leaders of your organization, and be at the table for the discussion from the beginning. Instead of CIOs being reactive, I think the role of the CIO involves being at the table in the first place, defining the future together with other senior leaders. And that makes the role of the CIO much more interesting, and much more valuable. That sets the stage, and then the CIO and his or her executive team, they’re able to figure things out together. It makes it more all-inclusive.
What are your biggest challenges at UPMC, going forward?
I think that the most difficult thing is to realize all of the opportunities and sequence them in a way that’s much more meaningful to the consumer, because at the end of the day, the patient has to be at the center of everything we do. That means sitting down with the business leaders of the organization and focusing on the consumer experience. And I think the excitement over the opportunity outweighs the fear of the challenge. I do see the challenges and opportunities. Think about telehealth and telemedicine: short five or ten years ago, the technology was the barrier in getting it done. The technology’s there now; it’s no longer the barrier to getting some of these things done. And partnering with the business is why you’re able to do this today. And I meet regularly with our telehealth director, Natasha Sokolovich. That’s a great example of what can be done together. The same goes for our ongoing collaboration with Dr. Shapiro [Steven Shapiro, M.D., UPMC’s chief medical and scientific officer since September 2010], in terms of the development of clinical pathways, as another example.
What are your top few strategic priorities as CIO?
We obviously want to do the business of IT. You start with the business of great care, and supporting 21 hospitals and 3,500 docs, and the health plan with 2.5 million members; and the international arm. So you want to drive efficiencies in our core business. Things like telehealth. The consumer always has to be at the forefront. So then, meeting the consumer where they expect to be met. And analytics. We continue to have a very focused approach to what we’re doing in analytics. The enterprise analytics initiative is an example of that. We spent the first few years building the foundation. It was more of a data warehouse initiative at first. Now, with the initiative with the University of Pittsburgh and Carnie-Mellon [in March, UPMC announced a new partnership with Carnegie Mellon University and the University of Pittsburgh called the Pittsburgh Health Data Alliance, to leverage big data for healthcare innovation], that provides the opportunity for more advanced analytics work as well.