leidoshealth.com what organizations need from the cio and it becker’s hospital review asher...

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What Organizations Needfrom the CIO and ITBECKER’S HOSPITAL REVIEWAsher Kramer, National Practice Director – Strategy

May 16, 2014

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IT Alignment with Organizational Needs

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Effective IT planning must be grounded by organizational purpose and strategy. A clear understandable vision of the future and a well-aligned strategy

to achieve this vision and associated outcomes is fundamental to success.

IT must align itself to …

IT Strategic Alignment Planning



Address Major Priorities

Source: ABCO, ©Advisory Board Company



PAIN POINTS IDENTIFIED BY LEIDOS CLIENTS

Understand Key Pain Points

Base: Leidos Health Client Survey, January 2014



CUSTOMER TECHNOLOGY CONCERNS

Base: Leidos Health Client Survey, January 2014

Alleviate Technology Concerns

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Why Could IT Fail to Meet Organizational Needs?



Voice of The Customer (VOC) Strategic AlignmentMethodology Employed

Results of findings from 15 organizations using VOC interview

15-20 interviews with 35-45 IT stakeholders at each organization

C-Suite retreat and alignment results – What IT needs to do to promote and help to achieve the organization’s strategic goals

Business Requirements

Use cases or scenarios

Business Rules

Functional Requirements

Quality AttributesExternal Interface

Requirements

Constraints

Data Definitions

Solution Ideas



Organization Because There is and Which creates Resulting in

A

IT governance is not inclusive and does not support accountability, standardization, and end user adoption

Poor end user processes, training, and adoption

Poor IT system support of organizational workflows and processes

No interoperability and communication

Lack of integration of information across continuum

BThe organization lacks a comprehensive vendor solution...

An IT environment that is complex difficult to maintain, resource and train

Our systems are not integrated to support population health

A lack of physician and end user centered design

The current IT system and associated processes not optimized to provide robust analytics and decision support

Why Could IT Fail to Support the Organization’s Strategy?Case Study Examples

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What C-Suites Expect from the CIO and IT

Case Study Findings



Most Important IT FunctionsResults of Leidos Health Leadership Survey

IT Function % Organizations Rating Most Important

A IT Governance 72.7%B Training and adoption 72.7%C Data, interoperability, and decision support 72.7%D Strategic and regulatory reform alignment 63.6%E System fragmentation & complexity 54.5%F System ease of use 45.5%G IT resources and support 36.4%H System and vendor reliability 36.4%I Inefficient workflows and processes 27.3%J Quality and patient safety 27.3%K Physician engagement and design 18.2%



Gap Analysis of Key IT Enabled System CapabilitiesHow important vs. how satisfied organizations are (scale of 1-5)

IT Enabled System Capability Gap

A. Access to a single, comprehensive clinical record when treating patients 2.7

C. Ability to access patient information remotely and with a high degree of mobility (i.e., handhelds) 2.4

B. Ability to share clinical information & communicate electronically between clinicians treating the same patient 2.3

I. Ability of patients to access their information and communicate with their caregivers 2.3

O. Ability to support and optimize end user workflows, acceptance and adoption of systems 2.1

H. Ability to support the streamlined flow of patients through the system (i.e., registration, scheduling, check-in/out) 2.1

E. Ability to understand the costs associated with the clinical services we deliver 1.9

D. Ability to understand and manage the overall health status of our patient population 1.8

K. Ability to access information (via Help Desk or online) to troubleshoot applications (i.e., the software) 1.7

L. Speed and reliability of the network 1.6

F. Availability of robust decision support and analytical tools to help make better business and clinical decisions 1.4

M. Security of our patient information and knowing we have reliable 24x7 access to it 1.3

J. Installation and support of desktop PCs (i.e., the hardware) 1.1

N. Ability to support revenue cycle processes, patient throughput, and business office workflows 0.9

G. Ability to manage other critical business information such as H/R, payroll and materials/supplies 0.7



Key Finding Focus Area Ideal Future State

IT governance is not inclusive and does not support accountability, standardization, and end user

adoption

Ability to counter external competitive threats An IT governance structure

flexible, sustainable, and scalable enough to meet

internal and external threats and exercise strong change

control

Ability to adapt to the changing needs of the organization

System and strategy ability to support the future needs of the organization.

Poor end user processes, training, and adoption

Training and education programs ability to promote optimal use of the system

System and processes that are integrated, user-friendly,

and adequately trained to promote adoption and focus

on patient care

System ability to allow providers to focus on patient care

System ability to integrate workflows and eliminate manual processes

Ability to be user friendly

What C-Suites Need from the CIO




System does not facilitate improved efficiency, quality, and safety in care

delivery

System depth to support the desired organizational process

A system that supports and allows continuous redesign and improvement of organizational

processes

No interoperability and communication

Ability to support mobility and remote accessAn IT system and infrastructure

that promotes alignment, accessibility, and communication through multiple channels with

internal and external stakeholders

IT environment to support effective communication

System and processes to promote patient ease of use and accessibility

Ability to eliminate infrastructure limitations

Lack of integrated EMR for decision support and supported access to

information

Ability to support integration of information across the continuum of care IT system that is fully integrated

across continuum of care within the organization and across the

greater community

Ability to provide information for adequate clinical decision support

Provision of information for staff modeling capabilities and enablement





IT Resource Constraints – Customer Service

Ability to engage the customer (IS Resources)Robust IT resources to

provide customer support and IT engagement

IS as a liaison to clinical, operating, and financial stakeholders

Ability to be reliable source of data/system access

System does not support organizational strategic goals or

healthcare reform

Alignment with organizational strategy for ideal future state IT system that is fully

integrated and aligned across continuum of care within organization and

across the greater community

Ability to support accountable care and population health management

Support of Stages 2 & 3 Meaningful Use Including HIE and Interoperability

Ability to provide financial information to support changing reimbursement models


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The CIO Response



Effective IT Governance CIO Response

Single “buck stops here” governing group

Simplified structure across care continuum with end user representation

Collaboration between IT and clinical and operational departments

IT Project Management

Leadership

Information Services Executive Steering

Committee

Technology and Infrastructure Standards

Clinical Standards

Revenue Cycle Standards

Inpatient & Ancillary

Ambulatory& Community

Data Governance, Analytics and Knowledge

Management

Adoption and Patient Experience

Patient Access

Billing & Payment

Methodologies

Physician Advisory Committee

Security & Compliance



System Integration CIO Response



Responsive IT Organization CIO Response

Integrated IT Team- Build

- Configuration- Optimization

- Testing

- Training- Support

- Upgrades

IT Strategy, Resources, Infrastructure, and Support Organized and Aligned to Promote One Patient and One Record Enabled by Technology

Training

System

Admin

BI, R

epor

ting,

& A

naly

tics



Strategy without execution is just a conversation in theory

Execution without strategy is chaos

Effective leadership

bridges the gap between strategy

and execution

Effective IT Resource Planning and AlignmentCIO Response



Where are Your Pain Points?

IT has enough resources to accomplish our goals,

right?

Do we prioritize our projects based on our strategy or

does the loudest voice win?

Are all of our investment dollars going towards achieving our goals?

Can we track our goals as executives and as

operational leaders?

Is our IT governance process effective and

efficient?



Develop multi-year roadmaps to effectively plan strategic budget

Effectively prioritize initiatives and projects based on the strategic

drivers of the organization

Create alignment that will link your strategy to your initiatives to your

goals and metrics

Connecting Strategy to Operations



Manage and track your success in the boardroom and on the project

floor

Executive Dashboards that can accommodate one hospital or an

entire hospital system

Track large initiatives and small projects

Track and plan strategic acquisitions, service lines, and

initiatives

Measuring Success



Identify under-utilized and/or inefficient IT applications

Generating Efficiency

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Summary



Assure effective IT governance Align IT strategy with organizational strategy Assure the IT organizational structure supports business needs Empower organization to connect strategy to operations Design systems around end user needs Eliminate noise and bias in project identification by prioritizing

initiatives based on strategies Identify under-utilized and/or inefficient applications Plan and budget initiatives based on strategic goals Optimize budget and resource planning Execute and manage initiatives and strategy at executive and

operational level

Summary - Goals for a Strategic CIO

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Questions?



Asher Kramer – National Practice Director, StrategyMobile: 207.831.5933 | Email: [email protected]

Thank You

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leidoshealth.com what organizations need from the cio and it becker’s hospital review asher...

Documents

leidos clients

organizational needs

leidos health client

organizations strategy

rights reser

alignment results

population health

results of findings