TDP136: UI Health's CMIO, Dr. David Chestek: Why AI Scribes Will Never Have 100% Clinician Adoption

Episode 136 of The Digital Patient - Stories from the frontline of Digital Patient Engagement - featuring Dr. David Chestek, Chief Medical Information Officer at University of Illinois Health & Health Sciences System. Show notes 👇
[00:00:40] Dr. Chestek discusses his transition from biomedical engineering to medicine and informatics, influenced by family background and a desire for a more personal impact;
[00:02:54] The moment Dr. Chestek became engaged with informatics during an EHR go-live at his hospital, sparking his interest in solving systemic healthcare issues;
[00:06:01] Dr. Chestek discusses his role in a major EHR transition from Cerner to Epic, reflecting on the challenges and learnings from moving a legacy system;
[00:09:01] Why ER docs make great CMIOs;
[00:10:30] The structural setup of clinical informatics at UI Health, aiming for comprehensive coverage across various clinical areas, by leveraging departmental champions;
[00:13:41] How the COVID-19 pandemic influenced Dr. Chestek’s views on healthcare technology and informatics during a critical EHR go-live;
[00:19:20] Clinician burnout and how the multifaceted challenge was a main driver for Dr. Chestek to get into informatics;
[00:22:22] The potential of ambient listening technology to transform clinical documentation and reduce clinician burnout;
[00:27:00] How clinicians are seeking better work-life balance, and the promise of ambient listening technology to help support them;
[00:31:23] Dr. Chestek discusses the implementation and impact of AI in drafting medical correspondence and summarizing patient records.
[00:28:55] Why wearables pose a problem because of the vast amounts of data they collet that are often not readily used today;
[00:32:53] Why early adopters for new healthcare technologies are important for providing nuanced feedback, and why you want a balance between tech-savvy and tech-needy clinicians to ensure broad and effective adoption during your pilot;
[00:36:38] Dr. Chestek discusses strategies for increasing clinician awareness of EHR functionalities and remote patient monitoring (RPM) programs, emphasizing the challenge of engaging busy clinicians;
[00:35:05] Why Dr. Chestek opts for direct interaction over passive communication methods like emails or tip sheets in educating clinicians about system updates and functionalities despite it not scaling well;
Fast 5 Lightning Round:
1. Favorite Book: "Factfulness" by Hans Rosling.
2. Person He'd Love to Meet: Barack Obama.
3. Preferred Superpower: Super speed.
4. Belief in Healthcare: The inseparability of mental and physical health.
5. Time Travel Wish: Witness the moon landing.