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Physician Computer Connection
Changing Roles in Health IT Leadership
June 26, 2013
David S. Muntz, CHCIO, FCHIME, FHIMSS
Principal Deputy National Coordinator
Jacob Reider, MD
Chief Medical Officer
Office of the National Coordinator for Health IT
Department of Health & Human Services
1
Our target today is to:
Provoke Thought
Offer Guidance
Share Insight
Learn
Recruit
The History of the CIO
June 26, 2013 3Office of National Coordinator
The CMIO
• What’s a CMIO?
• I don’t need a
CMIO?
• Why are they
asking so many
questions about
“my” stuff?
June 26, 2013 4Office of National Coordinator
The CMIO
June 26, 2013 5Office of National Coordinator
The CMIO
June 26, 2013 6Office of National Coordinator
The CMIO
June 26, 2013 7Office of National Coordinator
• “Please Manage the
Doctors for us .. “
• “The vendor says we
need a clinical
champion …”
• “You’re into
computers …”
The Terrible CMIO
June 26, 2013 Office of National Coordinator 8
The Terrible CMIO
June 26, 2013 Office of National Coordinator 9
“You IT people don’t get it”
“Why the ^%$# didn’t I get invited to that
&^%$ meeting?”
“This &^%$ system isn’t going to work – I
told you so…”
The Traditional CMIO
June 26, 2013 Office of National Coordinator 10
Transforming CMIO
• What is best for
YOU and the
business?
• What are my
strengths and
how do we work
best together?
June 26, 2013 11Office of National Coordinator
The Enlightened CMIO
June 26, 2013 12Office of National Coordinator
• What is best for the
patients and providers
and what role should I
play?
• How do we discover what
is best for all participants
and non-participants in
health care? How can we
inspire best efforts?
The Enlightened CMIO
June 26, 2013 Office of National Coordinator 13
The History of the CIO
June 26, 2013 14Office of National Coordinator
June 26, 2013 15Office of National Coordinator
The History of the CIO
June 26, 2013 Office of National Coordinator 16
Wadley Institutes of Molecular Medicine
Dallas, TX est. 1969
Granville C. Morton Hospital
Long Radiotherapy Institute
Wadley Blood Bank
Wadley Research Institute
Goddard Computer Institute
The Terrible CIO
June 26, 2013 Office of National Coordinator 17
The Terrible CIO
June 26, 2013 Office of National Coordinator 18
• What is best for
ME?
• How can MY career/
power/control be
enhanced?
• I know what is best
for YOU.
The Traditional CIO
June 26, 2013 19Office of National Coordinator
Transforming CIO
• What is best for
YOU and the
business?
• What are my
strengths and how
do we work best
together?
June 26, 2013 20Office of National Coordinator
The History of the CIO
June 26, 2013 21Office of National Coordinator
The Enlightened CIO
June 26, 2013 22Office of National Coordinator
• What is best for the
patients and providers
and what role should I
play?
• How do we discover
what is best for all
participants and non-
participants in health
care? How can we
inspire best efforts?
The Enlightened CIO
June 26, 2013 23Office of National Coordinator
Solving The Problems
• Those are good
questions. I wish I’d
thought of them
• I think they could help
me
• How can I choose to
respond rather than
react?
June 26, 2013 24Office of National Coordinator
June 26, 2013 25Office of National Coordinator
Solving The Problems: Partnering
I think we should be partners. We are great partners.
Putting the patient at the center
June 26, 2013 26Office of National Coordinator
Role Definition
Activity CIO CMIO CXOs
Strategy and vision Shared Shared CEO, COO,
CMO, CNO,
CSO, CFO
Technology assessment/management Primary Secondary CMO, CNO,
CSO
Clinical assessment/management Secondary Primary CMO, CNO,
CSO
Change management Shared Shared All
Value of Investment Shared Shared COO, CMO,
CNO, CSO,
CFO
Relationship management Shared Shared All
Execution Shared Shared All
June 26, 2013 Office of National Coordinator 27
Major Challenge:
Change Management
• Workflow
• Lifeflow
June 12, 2013 28
Sharing
June 26, 2013 Office of National Coordinator 29
Sharing
June 26, 2013 Office of National Coordinator 30
RACI / RASCI
June 26, 2013 Office of National Coordinator 31
Career Opportunities
Activity CIO CMIO
Chief Operating Officer  
CEO  
CIO (somewhere else)  
CMIO (somewhere else) – clinicians only  
CFO
CMO – Clinical Leadership – clinicians only  
Chief Innovation Officer  
Office of National Coordinator 32
Really?
Where the puck will be
June 26, 2013 Office of National Coordinator 33
June 26, 2013 Office of National Coordinator 34
Data Liberation: Eclectic Data
• Chief Nursing Informatics Officer
• Chief Privacy Officer
• Chief Security Officer
• Chief Pharmacy Informatics Officer
• Chief Radiology Informatics Officer
• The Patient and Consumer
• Others…
June 26, 2013 Office of National Coordinator 35
Value Analytics
June 26, 2013 Office of National Coordinator 36
Safety
HHS Safety Plan
• Promote the health care
industry’s use of health IT to
make care safer.
• Continuously improve the safety
of health IT.
June 26, 2013 Office of National Coordinator 38
HHS Safety Plan
• Learn
• Improve
• Lead
June 26, 2013 Office of National Coordinator 39
HHS Safety Plan: LEARN
Increase the quantity and quality of data and
knowledge about health IT safety
June 26, 2013 Office of National Coordinator 40
HHS Safety Plan: IMPROVE
Target resources and corrective actions to
improve health IT safety and patient safety
June 26, 2013 Office of National Coordinator 41
HHS Safety Plan: LEAD
Promote a culture of safety related to health IT
June 26, 2013 Office of National Coordinator 42
The best
care
At the
lowest
cost
For the
whole
population
Improve
individual
experience
Improve
population
health
Control
inflation of
per capita
costs
D. Berwick, Institute of Healthcare Improvement, 2007
The Triple Aim
44
Our target today was to:
Provoke Thought
Offer Guidance
Share Insight
Learn
Recruit
Who are our Federal partners?
June 12, 2013 45
More to
come…
Together, we are making a difference!
Thank you!
Please send comments or questions to
David.Muntz@HHS.gov
Jacob.Reider@HHS.gov
www.CMS.gov/eHealth
June 26, 2013 Office of National Coordinator 47
www.HealthData.gov
June 26, 2013 Office of National Coordinator 48
www.HealthIT.gov
June 26, 2013 Office of National Coordinator 49

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Amdis onc presentation 2013

  • 1. 0 Physician Computer Connection Changing Roles in Health IT Leadership June 26, 2013 David S. Muntz, CHCIO, FCHIME, FHIMSS Principal Deputy National Coordinator Jacob Reider, MD Chief Medical Officer Office of the National Coordinator for Health IT Department of Health & Human Services
  • 2. 1 Our target today is to: Provoke Thought Offer Guidance Share Insight Learn Recruit
  • 3.
  • 4. The History of the CIO June 26, 2013 3Office of National Coordinator
  • 5. The CMIO • What’s a CMIO? • I don’t need a CMIO? • Why are they asking so many questions about “my” stuff? June 26, 2013 4Office of National Coordinator
  • 6. The CMIO June 26, 2013 5Office of National Coordinator
  • 7. The CMIO June 26, 2013 6Office of National Coordinator
  • 8. The CMIO June 26, 2013 7Office of National Coordinator • “Please Manage the Doctors for us .. “ • “The vendor says we need a clinical champion …” • “You’re into computers …”
  • 9. The Terrible CMIO June 26, 2013 Office of National Coordinator 8
  • 10. The Terrible CMIO June 26, 2013 Office of National Coordinator 9 “You IT people don’t get it” “Why the ^%$# didn’t I get invited to that &^%$ meeting?” “This &^%$ system isn’t going to work – I told you so…”
  • 11. The Traditional CMIO June 26, 2013 Office of National Coordinator 10
  • 12. Transforming CMIO • What is best for YOU and the business? • What are my strengths and how do we work best together? June 26, 2013 11Office of National Coordinator
  • 13. The Enlightened CMIO June 26, 2013 12Office of National Coordinator • What is best for the patients and providers and what role should I play? • How do we discover what is best for all participants and non-participants in health care? How can we inspire best efforts?
  • 14. The Enlightened CMIO June 26, 2013 Office of National Coordinator 13
  • 15. The History of the CIO June 26, 2013 14Office of National Coordinator
  • 16. June 26, 2013 15Office of National Coordinator
  • 17. The History of the CIO June 26, 2013 Office of National Coordinator 16 Wadley Institutes of Molecular Medicine Dallas, TX est. 1969 Granville C. Morton Hospital Long Radiotherapy Institute Wadley Blood Bank Wadley Research Institute Goddard Computer Institute
  • 18. The Terrible CIO June 26, 2013 Office of National Coordinator 17
  • 19. The Terrible CIO June 26, 2013 Office of National Coordinator 18 • What is best for ME? • How can MY career/ power/control be enhanced? • I know what is best for YOU.
  • 20. The Traditional CIO June 26, 2013 19Office of National Coordinator
  • 21. Transforming CIO • What is best for YOU and the business? • What are my strengths and how do we work best together? June 26, 2013 20Office of National Coordinator
  • 22. The History of the CIO June 26, 2013 21Office of National Coordinator
  • 23. The Enlightened CIO June 26, 2013 22Office of National Coordinator • What is best for the patients and providers and what role should I play? • How do we discover what is best for all participants and non- participants in health care? How can we inspire best efforts?
  • 24. The Enlightened CIO June 26, 2013 23Office of National Coordinator
  • 25. Solving The Problems • Those are good questions. I wish I’d thought of them • I think they could help me • How can I choose to respond rather than react? June 26, 2013 24Office of National Coordinator
  • 26. June 26, 2013 25Office of National Coordinator Solving The Problems: Partnering I think we should be partners. We are great partners.
  • 27. Putting the patient at the center June 26, 2013 26Office of National Coordinator
  • 28. Role Definition Activity CIO CMIO CXOs Strategy and vision Shared Shared CEO, COO, CMO, CNO, CSO, CFO Technology assessment/management Primary Secondary CMO, CNO, CSO Clinical assessment/management Secondary Primary CMO, CNO, CSO Change management Shared Shared All Value of Investment Shared Shared COO, CMO, CNO, CSO, CFO Relationship management Shared Shared All Execution Shared Shared All June 26, 2013 Office of National Coordinator 27
  • 29. Major Challenge: Change Management • Workflow • Lifeflow June 12, 2013 28
  • 30. Sharing June 26, 2013 Office of National Coordinator 29
  • 31. Sharing June 26, 2013 Office of National Coordinator 30
  • 32. RACI / RASCI June 26, 2013 Office of National Coordinator 31
  • 33. Career Opportunities Activity CIO CMIO Chief Operating Officer   CEO   CIO (somewhere else)   CMIO (somewhere else) – clinicians only   CFO CMO – Clinical Leadership – clinicians only   Chief Innovation Officer   Office of National Coordinator 32 Really?
  • 34. Where the puck will be June 26, 2013 Office of National Coordinator 33
  • 35. June 26, 2013 Office of National Coordinator 34
  • 36. Data Liberation: Eclectic Data • Chief Nursing Informatics Officer • Chief Privacy Officer • Chief Security Officer • Chief Pharmacy Informatics Officer • Chief Radiology Informatics Officer • The Patient and Consumer • Others… June 26, 2013 Office of National Coordinator 35
  • 37. Value Analytics June 26, 2013 Office of National Coordinator 36
  • 39. HHS Safety Plan • Promote the health care industry’s use of health IT to make care safer. • Continuously improve the safety of health IT. June 26, 2013 Office of National Coordinator 38
  • 40. HHS Safety Plan • Learn • Improve • Lead June 26, 2013 Office of National Coordinator 39
  • 41. HHS Safety Plan: LEARN Increase the quantity and quality of data and knowledge about health IT safety June 26, 2013 Office of National Coordinator 40
  • 42. HHS Safety Plan: IMPROVE Target resources and corrective actions to improve health IT safety and patient safety June 26, 2013 Office of National Coordinator 41
  • 43. HHS Safety Plan: LEAD Promote a culture of safety related to health IT June 26, 2013 Office of National Coordinator 42
  • 44. The best care At the lowest cost For the whole population Improve individual experience Improve population health Control inflation of per capita costs D. Berwick, Institute of Healthcare Improvement, 2007 The Triple Aim
  • 45. 44 Our target today was to: Provoke Thought Offer Guidance Share Insight Learn Recruit
  • 46. Who are our Federal partners? June 12, 2013 45 More to come…
  • 47. Together, we are making a difference! Thank you! Please send comments or questions to David.Muntz@HHS.gov Jacob.Reider@HHS.gov
  • 48. www.CMS.gov/eHealth June 26, 2013 Office of National Coordinator 47
  • 49. www.HealthData.gov June 26, 2013 Office of National Coordinator 48
  • 50. www.HealthIT.gov June 26, 2013 Office of National Coordinator 49