Cybersecurity and Innovation: A Delicate Dance in Healthcare with Janice Reese, Director of Strategic Partnerships at NetworkPDF Cloud

[00:00:00] Welcome to the Chalk Talk Jim podcast where we explore insights into healthcare that help

[00:00:08] uncover new opportunities for growth and success.

[00:00:11] I'm your host, Jim Jordan.

[00:00:19] In this week's episode of Chalk Talk Jim, we're joined by Janice Reese.

[00:00:23] She's a visionary in the world of healthcare technology and cybersecurity.

[00:00:27] Her career spans from the early days of Adobe's PDF standardization to her current

[00:00:32] roles consultant at the intersection of healthcare, data and cybersecurity.

[00:00:38] Janice has been at the forefront of digital transformation working with industry standards

[00:00:42] and navigating complex landscapes of healthcare innovation.

[00:00:46] In our conversation we dive deep into the challenges and opportunities that arise when

[00:00:50] connecting data and systems in the healthcare ecosystem.

[00:00:54] We also explore the delicate balance between interoperability and cybersecurity, the

[00:00:59] impact of recent industry news on the healthcare sector and the potential of cloud technology

[00:01:05] and AI in shaping the future of healthcare.

[00:01:08] Janice also shares her insights on fostering a proactive and preventative and value based

[00:01:13] healthcare system.

[00:01:15] So Janice, tell me in the audience a little bit more about yourself.

[00:01:18] Janice Reese Sure, I started in technology in the

[00:01:21] early days of my career at the very beginning working with Adobe and helping Adobe standardize

[00:01:27] acrobat and PDF.

[00:01:28] It was at the beginning of death top publishing, which was significant then as that evolved,

[00:01:33] Adobe came up with a format originally just to be able to share designs on different types

[00:01:38] of computers.

[00:01:39] But then it evolved into a significant enterprise and business opportunity with third party

[00:01:43] technology, which I led a team around both business development and the ability

[00:01:48] to work with those third parties in solving a lot of business problems in the enterprise.

[00:01:53] So that kind of got me curious about everything happening in technology and industry and also

[00:01:59] how industry is so interconnected because you understood a lot of that at the beginning

[00:02:03] stages of that whole timeline and saw some of the opportunities that could evolve into

[00:02:09] healthcare because I happened to live in headquarters in Nashville, Tennessee.

[00:02:14] And also underlying cybersecurity, governance and privacy because if you're going to

[00:02:19] start to connect data and systems, you've got to be aware of that at the very foundation.

[00:02:23] And so my career has been built around working with industry standards, understanding

[00:02:28] digital transformation and how do you bring all of that together in a very growing

[00:02:32] digital aspect of our industry and our world and how we communicate.

[00:02:37] So really part of healthcare reform was with the high tech act, putting investment

[00:02:41] in but also standardizing the various a lot of the standards that ISO had using

[00:02:46] another industry, start bringing them in and customizing them for healthcare.

[00:02:50] Is that when you started moving into healthcare activities?

[00:02:53] Yeah, I got into healthcare, wrote a white paper for Adobe back in the early 2000s

[00:02:59] because of the opportunity I saw to combine Adobe and Microsoft, especially around

[00:03:03] PDF and forms and the interaction of data and information.

[00:03:07] And what you realized in those days is I was privy to setting up a lot

[00:03:11] of executive briefings working with large enterprise companies.

[00:03:14] And I was just astounded at the data and how silo the data was and also

[00:03:20] obviously acquisitions and a lot of things that were there where they had a lot

[00:03:24] of stuff, but it wasn't connected in a way that was meaningful.

[00:03:27] And you had to start small in order to be able to bring silos of business

[00:03:31] units together and solve a specific problem.

[00:03:34] And so acrobat forms, data, all of that really started to evolve in those

[00:03:39] early days.

[00:03:40] So your consulting practice today focuses on what sort of things?

[00:03:44] It really focuses on the intersection of what I mentioned,

[00:03:47] inner security, cybersecurity, healthcare and data.

[00:03:50] And how do you drive that together in a way that's meaningful?

[00:03:53] There's a lot of technology solutions out in the industry to try

[00:03:56] to solve healthcare problems.

[00:03:58] But a lot of them are not focused on how do you protect security

[00:04:01] in the cloud, specifically the PHI?

[00:04:03] How do you look at what's happening with fire, the industry standard

[00:04:08] around sharing data relative to healthcare?

[00:04:10] Some of the agreements, the TEFCA agreement on trusted enterprise

[00:04:14] framework for common agreement to be able to have some standard ways

[00:04:18] that you can start to have governance around data.

[00:04:20] All of those things are impactful and important if we're going to drive

[00:04:23] proactive care, preventative care and value based care for the health system.

[00:04:27] I think we have two policies, I think that are strong policies,

[00:04:32] but arguably your mutually exclusive one is about cybersecurity

[00:04:35] and increasing the penalties.

[00:04:37] And the other one is about interoperability and increasing

[00:04:39] the penalties not being interoperable.

[00:04:41] How do you manage that contradiction?

[00:04:43] I think you have to understand what I mentioned earlier, the legacy systems

[00:04:47] that exist inside of the infrastructures and then the gateway

[00:04:51] and the ways that you need to start to connect that from the ecosystem

[00:04:54] to bring the care coordination of information together for both

[00:04:58] the benefit of the consumer, but also the benefit of the healthcare ecosystem.

[00:05:01] And it minimizes if you have it right in a way that you start

[00:05:05] to manage that from a security governance and privacy perspective.

[00:05:08] You start to have a more organized framework and you also start to have

[00:05:12] a more trusted way that you start to managing that as a part of the ecosystem.

[00:05:16] It's definitely still messy in regards to the way we have things today,

[00:05:21] but I think there's so much potential to get there in a way that

[00:05:25] there's more standardization of how we handle that data

[00:05:27] and how we protect it in ways that are meaningful.

[00:05:30] So where do you see cloud technology fitting into the future?

[00:05:34] On one hand, hospitals like the legacy systems

[00:05:37] because if you're the chief information officer, they're all enclosed.

[00:05:41] You trust that there's some boundary around them,

[00:05:44] whether that trust is real or just perceived.

[00:05:47] And then you have the cloud based systems, which can be, I think, deployed

[00:05:51] easier and also more upgradeable, right?

[00:05:54] Because they're being leveraged across the cloud.

[00:05:56] Where do you see that continuum today when you work with organizations?

[00:06:00] I think it's still growing to your point in getting organizations,

[00:06:04] especially in healthcare, to be comfortable with the aspects of the benefits of the cloud.

[00:06:08] And I think it's also an educational kind of a cloud journey

[00:06:12] with one of the cloud partners I work with that wraps cloud security

[00:06:15] around that infrastructure and allows that to be managed in a way that is automated

[00:06:19] because it's hard to maintain that individually,

[00:06:22] especially with the transition of having the right skill sets,

[00:06:25] the right individuals within the organization knowing that.

[00:06:28] And so if you have some assistance and help from experts that understand

[00:06:32] that and can package that securely for you in a way that can be managed

[00:06:36] to automate some of the vulnerabilities and aspects of our current threat landscape,

[00:06:40] I think that's where it's really valuable.

[00:06:42] And it's valuable for health tech companies that want to sell into health plans

[00:06:47] and other organizations because I think given recent industry news,

[00:06:50] third parties and things that are not distributed in a way

[00:06:54] that can have alternative ways that they can have communication

[00:06:57] and payments and claims happen, cause a ripple in the industry

[00:07:01] and cause a choke point of not being able to do what you need to do.

[00:07:05] And so having more of that foundation of being things together,

[00:07:09] I think is the ideal, but you've got to have somebody that understands

[00:07:12] cloud security because there's too many different things that are easy to be lost,

[00:07:16] even if you're a large organization and you think you've got the best security in the world.

[00:07:20] So you said recent news.

[00:07:21] Can you share with the audience some of those details?

[00:07:23] I think it's been in the news since around the middle of February.

[00:07:26] There was a large organization that was hacked

[00:07:28] that actually processes claims across the industry.

[00:07:31] And that was a significant infrastructure kind of wake up call for the health care

[00:07:36] industry and one understanding that there was that significant aspect

[00:07:40] that then drop payment capabilities for small and community providers, hospitals.

[00:07:46] The whole system was connected in that particular environment.

[00:07:49] And so having an industry become more aware at the top level

[00:07:54] with different things that we're doing.

[00:07:55] I'm a part of the Health Sector Coordinating Council.

[00:07:57] So we work closely with the Health and Human Services Group and government

[00:08:01] to try to help minimize situations around that ecosystem.

[00:08:05] And I think that was just a wake up call for the industry.

[00:08:07] It's still an ongoing discussion and conversation about what happened,

[00:08:11] when and how much information is out there in relationship to that ecosystem.

[00:08:16] But it's complex to figure out because it is an ecosystem.

[00:08:19] And there were a number of individual providers and systems

[00:08:24] and players across that ecosystem that have been affected.

[00:08:27] And it's hard to get that data really organized for the parent organization

[00:08:31] of that situation to be able to then communicate to the industry.

[00:08:35] So you work with both tech and health care people.

[00:08:37] What is it that the tech people know that the health care

[00:08:41] people don't really know yet about this whole topic?

[00:08:44] I think it depends on the tech side of things.

[00:08:46] Some tech people are much more aligned with some of the infrastructure

[00:08:50] of cybersecurity and the risk than you've got some other,

[00:08:53] I would call health tech startups that are not necessarily as well aligned

[00:08:57] and aren't aware of the ramifications of connecting into those third party systems.

[00:09:02] And I think the larger organizations that connect into a lot of third party companies,

[00:09:07] especially if they're new and growing,

[00:09:09] are going to be much more aware of their cybersecurity posture

[00:09:12] and their internet response and aspects of how they've got their organization set up.

[00:09:17] Because it's not necessarily a matter of if but when.

[00:09:21] And so you want to make sure if you've got a third party group of vendors

[00:09:25] that you're communicating with, that you understand their posture.

[00:09:29] You know what they're doing, but you also know who to communicate with

[00:09:31] in case there's an incident and you've got a firm gap on how to bring that together

[00:09:37] and understand how it affects your existing ecosystem

[00:09:40] and internal and external as far as consumers or patients.

[00:09:44] Are you familiar with the concept of a real time health care system?

[00:09:48] Is that a term that might be highly specialized

[00:09:51] but I'll explain it.

[00:09:52] It's the concept that hospital systems and physician offices in general are in a vacuum, right?

[00:09:59] They don't have data on things that happen outside of the acute setting.

[00:10:03] And if you talk about the preventable data, it's all outside of the acute setting.

[00:10:07] So you want to be able to hook up my Amazon Alexa.

[00:10:11] You want to be able to put on my watch and bring all this information in.

[00:10:16] But yet to the people inside the health system, that information is helpful.

[00:10:20] But from a cyber perspective, every unique connection is an opportunity for penetration.

[00:10:26] And it's also equipment that's outside of the health care system.

[00:10:30] It seems to me that when you look at the the apples and the Googles

[00:10:34] and the Microsofts and all the Amazons and all these big companies,

[00:10:37] they've figured out how to have that longitudinal connection

[00:10:41] and also have this cybersecurity.

[00:10:43] What is it that hospitals, executives and physician office executives

[00:10:47] need to start thinking about?

[00:10:48] I think they definitely need to think about that particular data.

[00:10:51] There's an update to HIPAA that actually now includes the data

[00:10:54] from those different types of devices and information.

[00:10:58] And to your point, it's very relative to the system.

[00:11:00] It's part of why I think the whole fire ecosystem is coming together.

[00:11:03] But they have to understand the ability of being able to protect that data.

[00:11:09] And I think there are organizations out there.

[00:11:11] There's another group called Heal Security that is actually an innovation arm

[00:11:15] of Health 2047 in connection with the American Medical Association

[00:11:19] that has created an intelligence platform that is cybersecurity monitoring

[00:11:24] in real time. So it goes along with what you're talking about

[00:11:27] in real time health care.

[00:11:28] If we want to have a real time health care ecosystem,

[00:11:30] we also need to have a real time cybersecurity monitoring model

[00:11:35] that allows us to know what's happening when and you get a lot of devices

[00:11:39] that you have to think about when you think about all those IOT devices

[00:11:42] that you are connected to hospitals are still struggling with a lot of legacy

[00:11:47] systems. And I think that's where they could use a little more help

[00:11:50] and minimizing some of the risk associated with that.

[00:11:53] And then better streamlining how to utilize some of this fire

[00:11:56] capability and ecosystem.

[00:11:58] You can de-identify specific data with technology and tools

[00:12:02] and allows that to be more fluid in reference to some of the types of things.

[00:12:06] Some of the work we're doing in the Business Payments Coalition

[00:12:09] actually starts to work with an industry standard that then allows you to have

[00:12:13] both the data of the information and the claim together in a way

[00:12:16] that would be meaningful for the health care system, but also protected

[00:12:19] securely, which is why it's not transmitted today.

[00:12:22] Lots of opportunities to make that real time,

[00:12:26] but it also has to be real time on the monitoring side for cyber threat

[00:12:29] at the same time that it's real time on the data side for the system

[00:12:33] in order to minimize what we're dealing with our connected society.

[00:12:37] The electronic health record, what I think tech companies have figured out how to do

[00:12:41] is balance them controlling the records with also allowing us

[00:12:46] to be able to make changes to incorrect records.

[00:12:48] I don't know if you said you'd listen to a couple of my podcasts.

[00:12:51] I don't know if you listen to Chris Jones of that gets match right care

[00:12:55] is trying to be able to have people take control of their own personal record.

[00:13:01] Obviously, you can't delete things that hospitals put in,

[00:13:04] but the whole point of making sure of the accuracy of the record to go into the system.

[00:13:08] And I just changed doctors myself in the past year and continue

[00:13:12] to bring all my records on every visit, what's the two years ago,

[00:13:16] because they haven't got it into their medical record yet,

[00:13:19] or they attach it as a fax or something like that that's not actionable.

[00:13:24] And so I think that the other piece of this is there's a paradigm out there

[00:13:28] I think about controlling that electronic health record

[00:13:31] and letting people have access to it to be able to make appropriate changes.

[00:13:36] I know my wife has something in a record that has nothing to do with her

[00:13:39] that she's been trying to get out for five years, and it's just a bizarre process.

[00:13:44] In other industries, what are examples

[00:13:46] in other industries of being able to make those changes so easily?

[00:13:50] You have GDPR in reference to European industry,

[00:13:53] which requires you to be able to as an organization take information

[00:13:57] from a consumer and either delete their record or do aspects of different things.

[00:14:03] And I personally, my husband's had the same thing.

[00:14:05] He's got something in medical record.

[00:14:06] It doesn't have anything to do with him.

[00:14:08] So I think it's harder.

[00:14:09] But I think the new opportunities for the patient access

[00:14:13] and their companies like Vantt that have the really nice capabilities

[00:14:16] of how they're trying to be in the middle of the ecosystem

[00:14:19] to help facilitate that ability of fulfilling that OCR requirement

[00:14:23] of patient access and data in a secure way,

[00:14:27] in a way that allows you to combine that information.

[00:14:30] But again, I was at my dentist's office trying to get records from another dentist

[00:14:34] and my dentist hadn't done it yet.

[00:14:35] And I said, oh, I said, I need to talk to OCR.

[00:14:39] And she said, who is that?

[00:14:40] I said, office of civil rights because we do now as patients have rights

[00:14:44] to be able to request our records.

[00:14:46] And it is a requirement from those providers

[00:14:48] that they need to give us access to that information.

[00:14:51] I have a battle every time I get my teeth cleaned

[00:14:54] where they want to take my blood pressure with that two dollar wrist

[00:14:58] blood pressure cuff that always registers 10 to 15 points higher

[00:15:01] than my doctor and at home.

[00:15:03] And they're like, we should tap to do it.

[00:15:05] And I said, no, you don't.

[00:15:06] And I don't want you to do it

[00:15:08] because that will someday end up in my electronic health record

[00:15:11] and it's wrong.

[00:15:13] And you're not qualified as the person who's cleaning my teeth to do it.

[00:15:17] It's just not something that's there.

[00:15:19] So when you look at your career, can you give us a time

[00:15:23] when you've had to adapt and change your strategy quickly

[00:15:26] as you've evolved from your beginning of your career to today?

[00:15:29] Oh, yeah.

[00:15:30] I've definitely had that more than a few times, I would say,

[00:15:33] during the course of my career.

[00:15:35] I think part of it has always been

[00:15:38] I've been on the cutting edge of technology.

[00:15:40] And so sometimes being on the cutting edge of technology

[00:15:43] and change means that you're in a more volatile timeline

[00:15:46] or situation because you may work for an organization

[00:15:50] that then has certain aspects of things that happen

[00:15:53] that are outside your control.

[00:15:54] But all of a sudden, you really built up what you really want to do

[00:15:57] and help bring forward with that particular organization.

[00:16:01] But circumstances are like, wait a minute, no, we've got to cut back.

[00:16:05] We've got to eliminate what the role that you've been providing

[00:16:07] and the information of what you've done.

[00:16:10] And I think that's been hard.

[00:16:11] And that's part of why I started my consulting business early on

[00:16:15] when that happened to me with Adobe.

[00:16:17] Adobe hired some executives that didn't understand their business

[00:16:20] back in the late 90s, early 2000s.

[00:16:23] And I wrote some white papers and ended up being able to come back

[00:16:26] as a consultant with Adobe and build up a whole professional services

[00:16:31] capability with my career from that time period.

[00:16:34] But I wasn't able to stay directly with Adobe

[00:16:37] because of the fact that they had hired wrong executives

[00:16:40] needed to restructure.

[00:16:41] And one of the roles I had was one of those restructure roles.

[00:16:43] And I've had that happen like I said more than a couple times in my career.

[00:16:47] But I've always turned it into something more exciting

[00:16:49] and something that seemed to be more than I was meant to do

[00:16:52] in reference to bringing a group of people together

[00:16:55] in order to drive some significant change.

[00:16:58] So I've had a similar experience

[00:17:00] and I had done a period of time in and nonprofit and profit venture

[00:17:05] and obviously consulting any more business models

[00:17:07] and more things in that period of time

[00:17:09] than you could if you work for one company forever.

[00:17:12] And what strikes me is how people are focused on their business models

[00:17:16] not really looking out as to what could change it

[00:17:19] and the timing of the various changes.

[00:17:21] And yet you appreciate when you're inside a company, the pragmatic

[00:17:23] we only have so much money and this project's not there.

[00:17:26] But I think that one of the things you recognize,

[00:17:29] particularly in health care, it startups in the medical side is

[00:17:33] there has to be supporting infrastructure from the other pieces.

[00:17:36] People will have a program component that they'll put in

[00:17:39] and they'll either not recognize that the other software isn't quite installed

[00:17:44] in the industry to support that or the bigger guys that are already there.

[00:17:48] They're only a very small piece of that

[00:17:50] and they can replicate what they're offering in a couple of minutes

[00:17:53] and it doesn't make sense to invest in that startup.

[00:17:56] So how do you keep current?

[00:17:58] You were talking a lot of standards.

[00:17:59] How do you keep current on all the rapid changes that are going on in this space?

[00:18:03] I guess I have rapid curiosity, so I read a lot

[00:18:06] and follow a lot of different podcasts like yourself and other industry players

[00:18:10] in regards to articles, but I also participate on industry standards groups.

[00:18:14] So I work with the HL7 group and some of the fire initiatives.

[00:18:18] This lays on right now as far as a volunteer

[00:18:21] and trying to bring together the business payments coalition

[00:18:24] and some things that are happening with fire and some of the stuff

[00:18:27] happening with HIEs specifically working with my hand

[00:18:30] and their interoperability institute in a way that kind of brings

[00:18:33] that together from a workforce education.

[00:18:35] Can you explain HIEs for the audience?

[00:18:38] Yeah, their health information exchanges

[00:18:40] that were put in place right around 2010, funded initially by some money

[00:18:44] with the federal government really didn't do a lot over a period of time.

[00:18:49] Some did more than others, but I think we're at a pinnacle point

[00:18:52] given the ecosystem and industry standards and the TEFCA,

[00:18:56] the Trusted Exchange Framework Common Agreement

[00:18:59] and what's out there that HIEs are starting to bring things together.

[00:19:03] They were definitely more became more aware of what they had

[00:19:07] and didn't have during COVID because public health data,

[00:19:10] obviously, is a big foundation of the opportunities with HIEs

[00:19:14] and some states are much more proactive in how they've developed them than others.

[00:19:18] And I would have to say my hand, which is the Michigan Health Information Network

[00:19:22] and Tim Pletcher and Angie Bass there,

[00:19:25] they not only have created something very unique in my hand,

[00:19:28] but they also have a nonprofit called Velatora that works with other states

[00:19:33] and helps other states figure out different things of how they can maximize connectivity,

[00:19:38] how they can bring benefit to the community.

[00:19:40] Some of the issues around consent when allowing a consumer to opt in, opt out

[00:19:44] of certain data that's continuing to grow in areas of beneficial capabilities,

[00:19:49] but also in starting to put the right infrastructure.

[00:19:51] So if we do have another significant incident like we had in 2020 with COVID,

[00:19:56] we have more ability to understand what's happening in public health,

[00:20:00] interact with the different agencies and community,

[00:20:02] figure out how to do a better job with Medicaid and maternal care.

[00:20:06] There's so much benefit that could happen as we start to bring that together.

[00:20:09] It just needs this standard and all these things that are laying out.

[00:20:13] So it's interesting because I used to teach a health systems course

[00:20:18] at Carnegie Mellon University and so I would flowchart out a bunch of stuff.

[00:20:21] And what you realize is public health.

[00:20:24] Oh, sorry.

[00:20:24] General public health in general is very loosely connected.

[00:20:28] It's connected, but it actually has no formal rules.

[00:20:32] You would think what I was seeking at the time

[00:20:35] was looking from the World Health Organization to go into New York state,

[00:20:39] go into the nice clean connections and it isn't.

[00:20:42] But I would say that during COVID, it really is.

[00:20:46] It was a revolution of what the government did with the data.

[00:20:50] I can literally pick one of my local hospitals

[00:20:53] and probably look at 11 diseases right now today that are coming in,

[00:20:58] coming out and you could not even do that before COVID.

[00:21:01] And I think I actually think the government deserves kudos for that.

[00:21:04] I thought they did a very nice job.

[00:21:06] No, I think they did.

[00:21:07] And the Cloud Security Partner that I work with, Cloudticity,

[00:21:10] they actually stood up a whole COVID capability in New York state

[00:21:13] within a two week period in working with buyer data

[00:21:17] and putting the protection around the cloud to make sure all of this data

[00:21:20] could be secure and obviously it was being attacked significantly during that time.

[00:21:25] But it's a case study and exactly that value in the data,

[00:21:29] capabilities on ROI and how that could be positioned in the community

[00:21:34] in a way that made a big impact in New York in regards to some of the things I saw.

[00:21:39] Yeah, this and I'll nerd out on that.

[00:21:41] There's a whole history of New York and public health

[00:21:43] and states rights and public rights, but I won't go into that.

[00:21:46] You were talking about some people that you follow.

[00:21:48] Can you people love to hear the names so that they can follow them to?

[00:21:51] Who do you recommend people follow specifically?

[00:21:54] Oh, gosh, there's a recent lady.

[00:21:56] I had everything else turned off.

[00:21:58] There's a recent lady in Nashville that I've been following

[00:22:00] that has a significant background in threat intelligence.

[00:22:03] Her name is Elizabeth Stevens and she's written a cyber security manifesto.

[00:22:09] So she's got some interesting thoughts on cyber risk monitoring

[00:22:12] in real time and some of the things happening in threat intelligence.

[00:22:16] Her background has been with Microsoft previously and some of the work that she's done.

[00:22:21] Gosh, look at my list thinking of everybody off the top of my head.

[00:22:25] I think if you just let it I've actually enjoyed

[00:22:28] I've seen some wonderful articles from AT&T and cyber security to another group

[00:22:32] that I personally at Hill Security.

[00:22:34] I cannot forget that Charles Unger is a CEO of Hill Security.

[00:22:38] He basically takes his intelligence platform that he's created in real time

[00:22:43] and does a monthly summary and does a weekly summary of some of the things

[00:22:47] happening across all specific areas.

[00:22:49] He does focus more focused on health care indirectly,

[00:22:52] but also some of the bigger CBEs or other aspects of the vulnerabilities

[00:22:57] that have been identified.

[00:22:58] When I talk to some of my cyber security friends,

[00:23:01] we end up having a conversation of what we think the role of AI

[00:23:05] can do to help or hurt cyber security.

[00:23:08] What are your thoughts on that topic?

[00:23:10] I definitely think it can be used for good.

[00:23:12] And I've seen it in some of the opportunities of using AI to look at

[00:23:16] the network, understand how to go out and pick some of the aspects of vulnerabilities.

[00:23:21] Other things that I think we'll continue to find out how to bring together

[00:23:25] with certain tools and technologies.

[00:23:26] But on the opposite end, we're also obviously seeing more as tech

[00:23:31] aspects of using it in a way, especially with social data that is

[00:23:36] applied together to try to entice individuals that are part of an

[00:23:40] infrastructure of an enterprise to click on something.

[00:23:43] Now, I think that's actually going to be one of the biggest opportunities

[00:23:46] because I think that's when you look at how most of these breaks happen,

[00:23:50] a large majority of them come through exactly that situation, I think.

[00:23:54] Yeah, no, exactly that.

[00:23:55] So I think that's the bigger concern of how it's going to be used in a forestly.

[00:23:59] I think there's lots of opportunities to use it for good.

[00:24:02] But you've got the common individual of the person and the people

[00:24:06] around the world within everything that have to be a little bit more

[00:24:09] trained in being aware and people are so visible in what they post on social media.

[00:24:14] And I think they're getting AI is helping them get better at it too.

[00:24:18] I've had a couple come through my email system that are quite shocking.

[00:24:23] And I have a website that focuses on business models of health care

[00:24:27] called HealthCare Data.Center.

[00:24:29] And I finally took down the ability of people to make comments

[00:24:34] because that's where the Chinese and the Russians and the North Koreans were go.

[00:24:38] I was spending a ton of money just on cybersecurity.

[00:24:41] And it's not that I'm not now, but that was one of the vulnerabilities.

[00:24:44] It was pretty significant.

[00:24:45] I think we're learning so much.

[00:24:47] But you look out in the next five or 10 years.

[00:24:50] What do you see as the biggest opportunity in health care?

[00:24:54] I think the biggest opportunity is to effectively get control of the data

[00:24:58] on behalf of the patient and the consumer and connect it into the ecosystem.

[00:25:04] In a way that's going to be meaningful to be more proactive in how do you manage

[00:25:08] and handle your health?

[00:25:10] I think on the flip side, the cyber landscape that we're in

[00:25:14] and the continued volatility of our geopolitical world.

[00:25:18] And this year with the upcoming election,

[00:25:20] I think we just have to be a lot more aware and resilient of what we see

[00:25:26] and question sometimes information both on health and other aspects of things

[00:25:30] because I think there's just going to be a push to try to continue to divide society

[00:25:35] as we have.

[00:25:37] And I think we just have to be aware of that.

[00:25:39] And that's a good and bad of the benefit of the ecosystem and digital transformation.

[00:25:44] But I think we often hear people talk about the cost of health literacy,

[00:25:48] but it seems to me that there's a significant cost of cybersecurity literacy.

[00:25:53] Do you do any training or is that something that started to occur in your practice?

[00:25:57] Yeah, we do training and I actually have been partnering with a couple of individuals.

[00:26:01] I'm part of the WESIS Women in Cybersecurity Global Initiative.

[00:26:05] And so we work closely with the founders out of Tennessee Tech.

[00:26:10] And so they currently have a program that we're working with in Tennessee,

[00:26:14] which brings a remote vehicle to a school and then has the ability

[00:26:19] for kids to go through it and have some training.

[00:26:21] And so we want to do more of that.

[00:26:23] And then there are a couple of individuals that want to start to create

[00:26:26] TikTok or some other kind of basic videos where the community might see them

[00:26:31] in regards to some just basic cyber hygiene, basic things that you need to think about

[00:26:35] and be aware of.

[00:26:36] I imagine that we're going to have to start including this

[00:26:39] in our curriculums that we probably don't do that very well today.

[00:26:44] I think it definitely needs to be all the way started at kindergarten

[00:26:47] just to be aware of certain parameters of information.

[00:26:50] I'm also a proponent to not have as much social media with kids

[00:26:53] until after they get to a certain age in regards to how they interact

[00:26:57] because I also have a beach volleyball complex in my front yard

[00:27:00] and run professional and junior tournaments for kids.

[00:27:05] And I think it's much better to keep kids active and outside

[00:27:09] and involved with each other as opposed to being on social media

[00:27:13] until they get bit older and have a little bit more maturity

[00:27:16] and how to handle some of the things that they see

[00:27:18] or some of the things that are posted.

[00:27:21] I one of the conversations I would have with my daughters when they were younger

[00:27:25] is when I was their age and they said that goes on your permanent record.

[00:27:29] It really wasn't true, but today it really is.

[00:27:32] And you can envision we just had our first granddaughter.

[00:27:35] You can envision that in her life

[00:27:38] everything will be so open that she could get denied a service,

[00:27:42] a job or something from something in her digital footprint.

[00:27:46] Yeah.

[00:27:47] And I think it's definitely something some parents are concerned about.

[00:27:50] They are asking grandparents as an example not to post as much

[00:27:54] on social media for a lot of things so they don't have a tax that come out

[00:27:57] and utilizing some of that.

[00:27:59] But I just think, yeah, it would be better.

[00:28:02] And the other thing I tell some of the young kids out here,

[00:28:05] I said the front page of the newspaper, the breaking news on the TV.

[00:28:09] I said, whatever you post has the possibility

[00:28:13] to put you in that position.

[00:28:15] Just think a few times before you push out in some anger

[00:28:19] or start to put something out there that you wish you might not have said.

[00:28:23] I read an article on it was a woman who was bullied in high school

[00:28:28] and she had graduated from college and started her job.

[00:28:31] So she had some reflection and she was talking about when her parents were younger,

[00:28:35] if someone was being bullied, they could come home to their safe environment.

[00:28:39] But when you're in social media and you have that access 24 seven,

[00:28:43] it doesn't stop when you get home.

[00:28:45] And that was a really interesting reflection I thought she had.

[00:28:48] What else would you like to share with our audience?

[00:28:51] I think that it gosh, I think it's about right now

[00:28:55] we're trying to simplify communication

[00:28:59] to the patients to the consumers so that they can actually grasp

[00:29:03] and understand aspects of what's happening in their day to day

[00:29:06] environment and their health to be more proactive.

[00:29:09] And I think people want to take charge of their health.

[00:29:12] The young people I see out here have Apple watches and are tracking their steps

[00:29:16] while they're playing volleyball, they're watching their diet and food

[00:29:19] and trying to be more aware of their own environment

[00:29:23] and on social media from a mental health and business perspective.

[00:29:27] And we have 10 acres in the woods that have we're surrounded by woods.

[00:29:31] We play world music and fun things and have people get out and play

[00:29:36] beach volleyball because you learn more playing with somebody

[00:29:39] side by side than you do working with them.

[00:29:41] So I would advise companies to take their teams out to play sometimes

[00:29:46] to build rapport.

[00:29:48] I had that experience working with technology companies like Adobe

[00:29:52] when Adobe acquired all this CEO and founder took us six or eight months

[00:29:57] before the acquisition took place, took us to a place in Texas

[00:30:00] where we had to do some trust falling the whole idea of team building.

[00:30:05] And I think we need more of that as we try to bring this digital

[00:30:08] transformation of ecosystem together because it requires

[00:30:11] understanding what other groups of the company do, what other parts

[00:30:15] of the ecosystem are providing.

[00:30:18] So you have a better understanding of why they need the information

[00:30:21] where it matters and then how does that really help both the consumer

[00:30:24] as well as the system be more effective in the amount of fraud

[00:30:28] and abuse and the amount of waste that we have in the money

[00:30:31] that we spend because we can be a lot more effective with our

[00:30:34] investments, both in people and time.

[00:30:36] So where can our guests find you?

[00:30:38] They can find me on LinkedIn, Janice Reese or LinkedIn is

[00:30:42] slash network PDF and they can also find me on Instagram

[00:30:46] with my national beat.

[00:30:48] We have a great visual aspect of that and welcome to email me

[00:30:52] at Janice at networdpdf.com.

[00:30:54] Perfect.

[00:30:54] Thank you for being yesterday.

[00:30:56] Appreciate it.

[00:30:57] Thank you.

[00:31:00] Thanks for tuning into the Chalk Talk Gym podcast for resources,

[00:31:05] show notes and ways to get in touch.

[00:31:07] Visit us at chalktalkgym.com.