The Brightest Minds Speak Up

Dave “Bo” Bove
IT Manager
Umpqua Health
Roseberg, Oregon

Bo BoveBo Bove began his career working as a management consultant and software development team leader at some of America’s most admired companies, from Citibank NA to Morgan Stanley Dean Witter, DoubleClick, Hearst Publications and others. In 1993, Bo launched his own independent systems consulting practice. In 2010, he entered the healthcare field, joining Children’s Hospital Colorado as Manager of Business Applications Development. In 2017, Bo became IT Project Manager for Umpqua Health in Oregon’s rural Douglas County. He was drawn to Oregon’s innovative work in Coordinated Care Organizations supporting Medicaid recipients and by the concept of Alternative Payment Methods (APMs) in healthcare. At Umpqua, Bo seeks new technology to help the organization and also represents Umpqua at the state level.

HIMSS: What important innovations are you seeing in digital health?

Bo: Rural areas like ours in Douglas County, Oregon often lag behind other areas in healthcare technology. A lot of innovations here are considered more mainstream in other parts of the United States. We’ve been investigating telemedicine and developing IHE [Integrating the Healthcare Enterprise] systems that link us to Oregon Health and Science University hospital. In our area, these are important technologies. I’m also looking for tools to help our Medicaid members get better access to their data and have better education about their health issues.

I have a dual view of the world – the tactical innovation view on what’s going on in Douglas County and a “what can we do later” view on innovations like precision medicine and AI [artificial intelligence]. I try to keep an eye towards the future.

HIMSS: What do you see as the most pressing needs on the horizon?

Bo: Alternative Payment Methods and true population health are really what I see coming on the horizon. Being in Oregon at the forefront of APMs has been really interesting. The administration of the Medicaid program in Oregon is evolving. It was in its infancy five years ago, and there’s been a lot of learning.

The state of Oregon is setting payment amounts using the Alternative Payment Model, meaning you have to meet certain metrics to get paid. It dovetails into population health. We talk about the Quadruple Aim, and one of them is to provide care at a reasonable cost. The way you can do that is through APMs – which are all metrics or incentive based, as opposed to the fee-for-service model. With APMs, we’re moving toward true population health. The way to improve the health of populations or groups is to tie compensation to making people healthy. In the APM model, there tends to be more emphasis on education, behavior modification, med adherence, preventive medicine, and going forward, looking at how we can impact the social determinants of health.

My role is to implement the technology that supports all this – because technology should always support the clinical mission. My question is always, “if we implement this, what will be the impact?”

HIMSS: What’s the value for you in being on the HIMSS Innovation Committee?

Bo: The Innovation Committee makes me very optimistic about the future. These thought leaders are exactly the kind of people we need in health IT. The knowledge-sharing that goes on in this committee is brilliant. Ian Hoffberg [Manager of Healthcare Information Systems for HIMSS] is our liaison and organized it last year so that folks had an opportunity to present a topic of their choosing, like success stories or white papers on things they’ve done or what they see happening in different aspects of innovation.

The group itself is very exciting because they come up with ideas that support the other HIMSS committees to help the industry innovate and move healthcare forward. I’m honored to be part of this committee. The members are phenomenal -- and Ian rocks!

HIMMS: Anything else on your mind?

Bo: The field of digital health has come a long way – but it’s still in its infancy. There’s so much that can be done. From precision medicine to AI to bots or using technology to change your DNA so you’re healthy. I could talk with you about this forever! It’s an exciting field to be in.