Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.

Insight Driven Health

The Healthcare Executive’sRole in IT Decisions

Andy Ziskind, M.D.November 8, 2011

• Interventional cardiologist

• Former Positions– Vice-President University of Maryland

– Vice-Dean/Associate Vice-President University of Washington

• Co-Chaired IT Oversight

– Group President BJC Healthcare/President Barnes-Jewish Hospital

• Chaired, BJC IT Oversight Committee

• Oversaw Eclipsys implementation at BJH

• Currently Accenture Partner

– Lead Accenture’s Academic Health System and Accountable Care practices

Background

2

Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.

Lessons Learned

• These major implementations are not IT projects, they are clinical transformation initiatives that require operating executive sponsorship and ownership

• Rigorous approval processes and tollgate reviews are essential– Don’t move forward without critical success factors in place– Catch problems early– Executive leadership needs to stay actively engaged

• If it sounds too good to be true, it probably is!– Beware of vendors and consultants overpromising.

Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.

Lessons Learned (con’t)

• Implementation and operating expenses are consistently underestimated– Hidden costs– Unanticipated costs– Post-go live operating expenses to support new system and build

new features.• Spend time selling vanilla! Resist excessive customization• Physicians will not show up for training in the classroom at

9:00 am on Tuesday– Train at the right time in the right way and provide lots of go live

support.• Integrate the CIO fully into the senior clinical leadership

dialogue

Recognize that the CIO is in the crosshairs!

“Bummer of a birthmark,Hal.”