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New hospital it strategy 2

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New hospital it strategy

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New hospital it strategy 2

  1. 1. Contact: sales@taurusglocal.net drgupta@taurusglocal.com Website: www.taurusglocal.com CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION. 1
  2. 2. PHASE I Healthcare- IT Strategy Definition 15 – 30 days PHASE 0 – Industry Overview Standard Industry Recommendations – Health IT Roadmap Overview Execution Preparatory Phase - first 3 months Execution Phase - Monthly, Quarterly and Yearly reviews to ensure value is delivered Customized IT Roadmap, Change Mgmt Model, Sourcing Guidelines, Governance Model EXECUTE • Traditional Consulting Model = X Value • TG Relationship Based Consulting Model = X^Y Value PROPOSED VALUE GENERATION ROADMAP How will it get done? Setup Governance structure and PMO; Mentor the PMO for implementation of top 2 high priority areas Standard Health IT Functional Landscape Standard Health IT Infrastructure Landscape Standard Vendor Categories with Examples Industry Standard Budgeting
  3. 3. TECHNOLOGY IN HOSPITAL PLANNING Green-Field Hospital Planning 4 Technology Action Software - Select the Hospital software upfront, so that it matches with hospital design, architecture and workflow. It is very expensive to change later. Selection of Medical Devices - Select medical devices such as radiology, imaging, diagnostic, monitors, ventilators etc that can be integrated with Hospital software, hardware and network. It is very expensive to change later. Hardware - Allocate space for Data centers, Network cabinets, wiring and ports as per the number of laptops/desktops required in each Department and ward. It is very expensive to change later. Network - Calculate the network load as per OPD/IPD load. Plan for internal and external network while hospital is being designed. Engage a network wiring expert and ISP for network along with hospital electrical wiring. It is very expensive to change later.
  4. 4. THE TEAM WILL DESCRIBE A STANDARD (NON CUSTOMIZED) SET OF COMPONENTS OF THE IT FUNCTIONAL SOLUTION, THAT WILL BE REQUIRED TO RUN THE HOSPITAL Standard Health IT Functional Landscape User Interface Balanced Score Card Output Reports ERP Integrated Healthcare Enterprise (IHE) CRM Driven Medicine Referral Management System HIS / EMR Chronic Disease Management Clinical Decision Support mHealth Physician Portal Third Party Apps and Plug-ins Supply Chain Management Patient Portal Centralized Healthcare Data Analytics
  5. 5. THE TEAM WILL DESCRIBE A STANDARD (NON CUSTOMIZED) SET OF COMPONENTS OF THE IT INFRASTRUCTURE, THAT WILL BE REQUIRED TO RUN THE HOSPITAL Standard Health IT Infrastructure Landscape User Interface Database Strategy Output Reports Connectivity Components Centralized Data Centre (Self Hosted/ 3rd Party Hosted / Cloud) Front End (Local) Server Strategy Storage Consolidation Client Consolidation Key Productivity Infrastructure Network Components Infrastructure Monitoring Components Security Components IT Infrastructure Management Strategy Backend Server Consolidation OS Strategy L1,L2,L3 Support Components
  6. 6. TG CONSULTING FRAMEWORK FOR TECHNOLOGY EVALUATIONS AND DEPLOYMENT STRATEGIES I T I S A H A N D M A I D E N O F D I G I T A L H O S P I T A L S Choosing the right technology platform for a healthcare organization is a truly complex decision. Multivariate environment with cultural challenges typically cloud and obstruct implementation and adoption. TG builds a ‘flexible’, ‘dynamic’, long-term IT roadmap that is totally aligned to business needs TG believes that IT can be a key catalyst for clinical transformation across healthcare organizations. A T R U L Y D I G I T A L H O S P I T A L R E Q U I R E S T O T A L C L I N I C A L T R A N S F O R M A T I O N Hospital Information System Clinical Lab Radiology Pharmacy MIS ERP Healthcare IT Portfolio Management 9
  7. 7. STARTS WITH THE HEALTHCARE-IT STRATEGY WORKSHOP Technical Rqmts Business Vision & Goals Clinical and Admin Rqmts Formulate CRM enabled IT Portfolio and Clinical Transformation Plan Healthcare-IT Roadmap including Technology, Process and People Guidelines for Clinician Driven Governance Model Recommendations for Setting up PMO to Monitor Execution of Projects Healthcare-IT Product and Vendor Sourcing Guidelines Filter as per IT Standards for Healthcare Phase I - Assessment Phase II – Formulation of Recommendations Healthcare IT Portfolio Management
  8. 8. THE ASSESSMENT PHASE WILL START WITH THE IDENTIFICATION OF KEY BUSINESS GOALS AND ASSOCIATED CRITICAL SUCCESS FACTORS Engagement Framework – Phase I – Identify Business Goals Defining the business context of the solution, this session is instrumental in shaping the goals of the project and giving direction to the engagement. Activities Deliverables Engagement kickoff Conduct meetings with Executive level stakeholders and confirm our understanding of Clinic’s business goals Get an understanding of the business drivers e.g. Primary Care, Chronic Disease, Geriatric Care, new models of Insurance etc. Identify Critical Success Factors (CSFs) - What health services can be delivered from the Clinics What specialty are critical to success of the clinics Will the clinics do only general OPD or also do referral mgmt, chronic disease mgmt and surgical follow-up In-clinic, online and virtual services Get an understanding of the budgeted IT expenditure Explore where the clinic will want to spend most of its IT budget e.g. — Be a fully ‘Digital Clinic’ from the beginning Focus on financial management of clinical workflows Cost control of supplies and high value inventories • Definition of business vision – Document understanding of clinic’ business goals – Document understanding of clinic’s IT vision and allocated IT budget – Document understanding of Critical Success Factors for clinic’s business
  9. 9. THEREAFTER, AN UNDERSTANDING OF HIGH-LEVEL IT REQUIREMENTS, AIMED AT ADDRESSING THE BUSINESS GOALS, WILL BE GAINED AND DOCUMENTED Once the business goals are known, the team is able to capture the requirements which will fulfill the business vision Activities Deliverables Conduct meetings with individual department heads* to understand the department level goals and critical success factors Make sure that department level goals match with corporate goals of the clinic, else get it resolved at this stage itself Explore high level workflow of every department. Talk to the doctors and nurses to help define workload and bottlenecks Estimate the workload on the system in terms of average concurrent users at various times of the day (peak and lean time) Understand the IT needs of the department and make sure that is covered in over all IT vision of the clinic Document the data sources and owners of data sources e.g. duty roster, visit/encounter time, billing, ROTA, balance score cards. Understand any preferences for any third-party applications Figure out regulatory requirements and related macroeconomic factors that may effect the functioning of the department e.g. NABL, NABH and JCI Inputs to the IT Roadmap Formulation: • Functional requirement specification at the department level and then rolling up to clinic level • Specific IT requirements at department level and clinic level Engagement Framework – Phase I – Assess Functional Requirements * Assuming that Department Heads will be available for discussions
  10. 10. THE FORMULATIONS AND RECOMMENDATIONS PHASE WILL BEGIN WITH THE DEFINITION OF A HIGH-LEVEL APPLICATION PORTFOLIO The team is now well-placed to formulate the high-level Application Portfolio. This session examines how the solution will be serving clinic’s business environment. Activities Deliverables Brain storm and decide all the components that will be required to satisfy the functionality of the clinic Figure out all touch points with external world and third party systems e.g. PACS, Supplies, waste disposal, ambulance, blood banks, labs, disease registries, banks, insurance, pharmacies etc. Discuss with senior management of the clinic and validate the workload on the system in terms of average concurrent users at various times of the day Calculate the number of transactions per hour, per day, per month and per year Determine clinic’s infrastructure strategy to support the transactions and growth Develop a scalable model for the Application portfolio Inputs to the IT Roadmap Formulation: • High-level CUSTOMIZED Application Portfolio Engagement Framework – Phase I – Application Portfolio
  11. 11. CUSTOMIZED Application Portfolio User Interface MODULE 4 Output Reports MODULE 8 CORE MODULES MODULE 9MODULE 10 MODULE 14 - MODULE 6 MODULE 5 MODULE 3 BIOMED EQUIP MGMT SOCIAL MEDIA 3 – 6 months 6 – 12 months 1 – 2 years MODULE 12 SOLUTION COMPONENT INTEGRATION CUSTOMIZED PHASED SOLUTION ARCHITECTURE MODULE 7 MODULE 6 MODULE 11 MODULE 13
  12. 12. AN ACTIONABLE IT ROADMAP WILL BE DEVELOPED AND KEY PHASES OF THE ROADMAP WILL BE PRIORITIZED WITH ALIGNMENT TO BUSINESS GOALS Knowing the Application Portfolio, the team is then able to prioritize the solution components in accordance with the business needs. Activities Deliverables Discuss with department heads and executives to prioritize the components of enterprise architecture based on expected financial returns and complexity of implementation/usage Validate the business impact and complexity of each solution components Make adjustments in prioritization and do phasing Assign timelines to the phases Identify the dependencies Identify major and minor risks for the IT implementation Lay down a risk mitigation plan • High-level IT Roadmap for the clinic – List of functionalities – Phases and timelines Engagement Framework – Phase I– IT Roadmap
  13. 13. Phase I Phase II IT ROADMAP DRILL DOWN A PHASED IT ROADMAP WILL LOOK LIKE THIS FROM A HIGH-LEVEL, WHERE DRILL-DOWN INTO DETAILS OF EACH COMPONENT WILL BE POSSIBLE.
  14. 14. RECOMMENDATIONS WILL BE PROVIDED FOR IT GOVERNANCE MODEL Take a comprehensive view of the future. Lay down guidelines for a governance model for vendor selection, vendor management, implementation, support Activities Deliverables Give a brief outline of PMO that could be setup for the handling of all operations in the IT Department Define the Governance model – Executive council, Governance council, Project status reviews, Clinical reference group, Operations reviews, Change Prioritization councils etc. • Recommendations – Governance Model – PMO Engagement Framework – Phase I – Governance Model Guidelines
  15. 15. THE ENGAGEMENT WILL CONCLUDE WITH RECOMMENDATIONS ON VARIOUS IT SOURCING MODELS Recommend sourcing models for the IT Dept. – Time & Materials, Fixed Bids, Equity stakes, PMPP etc. Activities Deliverables Bring the TG’ best practices of vendor selection and procuring software and hardware Clearly lay down the steps in the RFP process to be followed TG to lay down the vendor selection guidelines for the clinic Lay down vendor management guidelines for smooth operations downstream Brainstorm various sourcing models e.g. --  Time and material based payments  Fixed bid projects  Equity stake in long-term success  Rental Model – PPT, PPM Develop inputs and outputs for each model Lay down the benefits of each model Identify the risks associated with each model • Recommendations on IT sourcing models Engagement Framework – Phase I– Sourcing Models
  16. 16. THANKS! QUESTIONS? 19

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