Veteran CIO's take on how to grapple with the tyranny of IT urgency

A few tips that can turn a difficult workday in healthcare IT into one that is productive.

You have priority work scheduled on your calendar. You have carved out time when not in meetings to get some work done. Yet urgent issues keep finding their way to your office.

Sound familiar?

That’s the life of anyone in management, especially in large complex organizations. And it’s a challenge these days as our new Stony Brook Medicine CIO and I try to get through a three-week transition period. The outline of what I need to cover with her is four pages long. And I keep adding more items.

We are ending week two. By next week, I should be in far fewer meetings as she handles them without me. I should be able to finish my tasks as part of the transition and organize my paper and electronic files to turn over to her. I know she doesn’t like paper, so I’ll be ruthless as I purge and give her only the most important paper files.

We’ve done our best to block out some chunks of time together to get through everything.

But when we sit down together to go over the next block of information, we often end up first dealing with the latest requests and issues. What started as a focused two-hours is suddenly half gone.

What have I learned?

Anyone trying to spend focused time on something must stop checking and answering email. You must stop taking phone calls. Ideally you should get away from your workspace and everyone who might stop by to see you. Our most productive time has been when we work together in the common space at the guest house where we are both staying. It’s been the hour before going to the office. It’s been when we have left early to get another hour together at “home." And we found it in the luxury of the half day we scheduled at home this morning.

[Also: When hospitals merge, culture matters, big time.]

Are we still answering emails at 11 at night?


That is not sustainable, but it is what it takes during this period.

I’ve learned that when you are early in a new position and away from home, the tendency is to work all night. I’ve done it several times in my career. But by the end of that initial period, I know that I really need my husband around to get me to shut off work and do something fun.

In summer months, there are fewer meetings at work; some standing meetings are canceled because people are on vacation. It’s a “gift of time.”  And you think you can catch up on all your email and spend more time on project work you have put off. But to meet that goal, you have to work your plan.

Here are some tips I remind myself to follow:

  • Prioritize your work daily and weekly
  • Plan your work and make time and space to get it done
  • Don’t schedule an hour meeting when 30 minutes is enough; if someone asks for 30 minutes see if you can cover that topic in 15 minutes
  • Keep time open on your calendar each day so there is room for those time sensitive issues you didn’t expect
  • Don’t be a slave to email
  • Remember that email isn’t the only form of communication – if something is urgent, pick up the phone, IM, or send a text
  • Schedule time to eat lunch even if it’s at your desk between meetings – you need the energy
  • And when you finally go on vacation, shut it all off!

Can you relate? Any tips you’d like to add?

This blog was first published on Sue Schade’s Health IT Connect blog.

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