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HEALTHCARE
INFORMATION
TECHNOLOGY
ROLE, STRATEGY
AND SERVICE DELIVERY
PPD511 – G.BLACKARD
AGENDA
• Role of CIO in Healthcare
• Key Elements of HIT Strategy
• Core Areas of Focus
• Service Management
• Business Intelligence/ Big Data
• Cyber-Security
• Innovation
• Governance
THE ROLE OF THE CIO
• Extensive organizational knowledge regarding mission,
vision, values and core strategies
• Enterprise Partner with administrational and operational
needs as priority
• Strong collaboration with peers, staff, physicians and
suppliers
THE ROLE OF THE CIO
• Strategy development and execution
• Industry and technology innovation leadership
• Governance including policy development
KEY ELEMENTS OF HIT STRATEGY
• Statement of corporate/institutional goals and objectives
• Statement of HIT goals and objectives
• Priorities for the applications portfolio
• Specification of overall HIT architecture and infrastructure
• Software development plan
• HIT management and staffing plan
• Financials – capital and operating budget planning
STRATEGIC ANALYTIC OPTIONS IN HEALTHCARE
Category Pros & Cons Example Vendors
Buy & Build from an
Analytics Platform
Vendor
• Highest degree of analytic flexibility and adaptability
• Requires a data driven culture with high aspirations that views analytics as a clear
business differentiator
• Best suited for a culture with a higher degree of data literacy and data management
skills
• Slow initial time-to-value plagues some vendors
• Inconsistent ROI track record, but when ROI occurs, it’s big
• Caradigm Intelligence Platform
• Health Catalyst
• Healthcare Data Works
• IBM Healthcare Data Model
• Oracle Healthcare Data Model
• Recombinant (Deloitte)
Buy from an Analytics
Service Provider
• Best suited for cultures that want to avoid the details of analytics and data
management, but aspire to improve basic internal and external reporting
• Inter-organizational benchmarking and comparative analytics is a natural part of the
business model and service
• Limited analytic flexibility and adaptability
• Substantive ROI is not well-documented nor widely acknowledged
• Explorys
• Lumeris
• Optum
• Premier Alliance
• Truven Analytics Suite
Buy “Best of Breed”
Point Solutions
• Leverages expertise and very specific analytics applications in business and clinical
areas that are not always available in other options
• Does not facilitate data integration; i.e., does not provide a single analytic perspective
on patient care and costs
• Costly and complicated to maintain
• AltaSoft
• Crimson Suite
• EPSI
• MedeAnalytics
• Medventive
• Midas
• Omincell
Buy from your EMR
Vendor
• Offers the possibility of “closed loop analytics” driving analytics back to the point of
care, in the EMR and clinical workflow
• No proven track record with analytics to date from the EMR vendors
• Tend to be very focused on analytics that are specific to the EMR vendor’s data
• Less flexible and adaptable to new sources of data and analytic use cases, especially
complex ones
• Allscripts Sunrise
• Cerner PowerInsight
• Epic Clarity & Cogito
• McKesson Horizon
• Meditech Data Repository
• Siemens Decision Support
Dale Sanders, Creative Commons Copyright, 2013
CORE AREAS OF FOCUS FOR IT –
SERVICE MANAGEMENT
CORE AREAS OF FOCUS FOR IT –
BUSINESS INTELLIGENCE/BIG DATA
CORE AREAS OF FOCUS FOR IT –
CYBER-SECURITY/ PRIVACY
CORE AREAS OF FOCUS FOR IT –
CYBER-SECURITY/ PRIVACY
• Information security policy
• Staff/Physician education and training
• Develop standards
• Encryption
• Identity management – biometrics, p/w algorithms
• Infrastructure - Firewalls
• Managing information
CORE AREAS OF FOCUS FOR IT –
INNOVATION
• Design Thinking, Scientific Method, and Project
Management – Mayo Clinic Approach
• DMEDI – Six Sigma approach
Innovation
Define
Measure
ExploreDevelop
Implement
MAYO CLINIC – CENTER FOR INNOVATION
PRODUCT INNOVATION
HIT GOVERNANCE COMPONENTS
• Consistently applied HIT strategy
• Alignment of HIT strategy with organizational strategy
• Well-developed HIT infrastructure, architecture, and
policies
• Well-managed HIT project priorities and investments in HIT
infrastructure
• Documented HIT value or benefits to enhance
accountability
QUESTIONS?

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PPD511 Week 3 HIT Strategy and Delivery

  • 2. AGENDA • Role of CIO in Healthcare • Key Elements of HIT Strategy • Core Areas of Focus • Service Management • Business Intelligence/ Big Data • Cyber-Security • Innovation • Governance
  • 3. THE ROLE OF THE CIO • Extensive organizational knowledge regarding mission, vision, values and core strategies • Enterprise Partner with administrational and operational needs as priority • Strong collaboration with peers, staff, physicians and suppliers
  • 4. THE ROLE OF THE CIO • Strategy development and execution • Industry and technology innovation leadership • Governance including policy development
  • 5. KEY ELEMENTS OF HIT STRATEGY • Statement of corporate/institutional goals and objectives • Statement of HIT goals and objectives • Priorities for the applications portfolio • Specification of overall HIT architecture and infrastructure • Software development plan • HIT management and staffing plan • Financials – capital and operating budget planning
  • 6. STRATEGIC ANALYTIC OPTIONS IN HEALTHCARE Category Pros & Cons Example Vendors Buy & Build from an Analytics Platform Vendor • Highest degree of analytic flexibility and adaptability • Requires a data driven culture with high aspirations that views analytics as a clear business differentiator • Best suited for a culture with a higher degree of data literacy and data management skills • Slow initial time-to-value plagues some vendors • Inconsistent ROI track record, but when ROI occurs, it’s big • Caradigm Intelligence Platform • Health Catalyst • Healthcare Data Works • IBM Healthcare Data Model • Oracle Healthcare Data Model • Recombinant (Deloitte) Buy from an Analytics Service Provider • Best suited for cultures that want to avoid the details of analytics and data management, but aspire to improve basic internal and external reporting • Inter-organizational benchmarking and comparative analytics is a natural part of the business model and service • Limited analytic flexibility and adaptability • Substantive ROI is not well-documented nor widely acknowledged • Explorys • Lumeris • Optum • Premier Alliance • Truven Analytics Suite Buy “Best of Breed” Point Solutions • Leverages expertise and very specific analytics applications in business and clinical areas that are not always available in other options • Does not facilitate data integration; i.e., does not provide a single analytic perspective on patient care and costs • Costly and complicated to maintain • AltaSoft • Crimson Suite • EPSI • MedeAnalytics • Medventive • Midas • Omincell Buy from your EMR Vendor • Offers the possibility of “closed loop analytics” driving analytics back to the point of care, in the EMR and clinical workflow • No proven track record with analytics to date from the EMR vendors • Tend to be very focused on analytics that are specific to the EMR vendor’s data • Less flexible and adaptable to new sources of data and analytic use cases, especially complex ones • Allscripts Sunrise • Cerner PowerInsight • Epic Clarity & Cogito • McKesson Horizon • Meditech Data Repository • Siemens Decision Support Dale Sanders, Creative Commons Copyright, 2013
  • 7. CORE AREAS OF FOCUS FOR IT – SERVICE MANAGEMENT
  • 8. CORE AREAS OF FOCUS FOR IT – BUSINESS INTELLIGENCE/BIG DATA
  • 9. CORE AREAS OF FOCUS FOR IT – CYBER-SECURITY/ PRIVACY
  • 10. CORE AREAS OF FOCUS FOR IT – CYBER-SECURITY/ PRIVACY • Information security policy • Staff/Physician education and training • Develop standards • Encryption • Identity management – biometrics, p/w algorithms • Infrastructure - Firewalls • Managing information
  • 11. CORE AREAS OF FOCUS FOR IT – INNOVATION • Design Thinking, Scientific Method, and Project Management – Mayo Clinic Approach • DMEDI – Six Sigma approach Innovation Define Measure ExploreDevelop Implement
  • 12. MAYO CLINIC – CENTER FOR INNOVATION
  • 14. HIT GOVERNANCE COMPONENTS • Consistently applied HIT strategy • Alignment of HIT strategy with organizational strategy • Well-developed HIT infrastructure, architecture, and policies • Well-managed HIT project priorities and investments in HIT infrastructure • Documented HIT value or benefits to enhance accountability