What Organizations Need from the CIO and IT

What Organizations Need from the CIO and IT BECKER’S HOSPITAL REVIEW Asher Kramer, National Practice Director – Strategy leidoshealth. com May 16, 2014

IT Alignment with Organizational Needs leidoshealth. com

IT Strategic Alignment Planning 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 … 3 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Address Major Priorities Source: ABCO, ©Advisory Board Company 4 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Understand Key Pain Points PAIN POINTS IDENTIFIED BY LEIDOS CLIENTS Base: Leidos Health Client Survey, January 2014 5 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Alleviate Technology Concerns CUSTOMER TECHNOLOGY CONCERNS Base: Leidos Health Client Survey, January 2014 6 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Why Could IT Fail to Meet Organizational Needs? leidoshealth. com

Voice of The Customer (VOC) Strategic Alignment Methodology 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 Solution Ideas Business Rules Data Definitions Functional Requirements Constraints 8 / leidoshealth. com External Interface Requirements Quality Attributes ©LEIDOS. ALL RIGHTS RESERVED.

Why Could IT Fail to Support the Organization’s Strategy? Case Study Examples Organization Because There is A IT governance is not inclusive and does not support accountability, standardization, and end user adoption B The current IT system and An IT environment Our systems are associated The organization lacks A lack of physician that is complex not integrated to a comprehensive and end user centered processes not difficult to maintain, support population vendor solution. . . design optimized to provide resource and train health robust analytics and decision support Poor end user processes, training, and adoption and Poor IT system support of organizational workflows and processes 9 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED. Which creates No interoperability and communication Resulting in Lack of integration of information across continuum

What C-Suites Expect from the CIO and IT Case Study Findings leidoshealth. com

Most Important IT Functions Results of Leidos Health Leadership Survey % Organizations Rating Most Important IT Function A B C D E F G H I J K IT Governance Training and adoption Data, interoperability, and decision support Strategic and regulatory reform alignment System fragmentation & complexity System ease of use IT resources and support System and vendor reliability Inefficient workflows and processes Quality and patient safety Physician engagement and design 11 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED. 72. 7% 63. 6% 54. 5% 45. 5% 36. 4% 27. 3% 18. 2%

Gap Analysis of Key IT Enabled System Capabilities How 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 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 24 x 7 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 12 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

What C-Suites Need from the CIO 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. Training and education programs ability to promote optimal use of the system Poor end user processes, training, and adoption System ability to allow providers to focus on patient care System ability to integrate workflows and eliminate manual processes Ability to be user friendly 13 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED. System and processes that are integrated, user-friendly, and adequately trained to promote adoption and focus on patient care

What C-Suites Need from the CIO Key Finding Focus Area Ideal Future State A system that supports and System does not facilitate improved System depth to support the desired organizational allows continuous redesign and efficiency, quality, and safety in care process improvement of organizational delivery processes Ability to support mobility and remote access No interoperability and communication An IT system and infrastructure that promotes alignment, accessibility, and communication System and processes to promote patient ease of through multiple channels with use and accessibility internal and external stakeholders IT environment to support effective communication Ability to eliminate infrastructure limitations Ability to support integration of information across the continuum of care Lack of integrated EMR for decision support and supported access to Ability to provide information for adequate clinical decision support information Provision of information for staff modeling capabilities and enablement 14 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED. IT system that is fully integrated across continuum of care within the organization and across the greater community

What C-Suites Need from the CIO Key Finding Focus Area Ability to engage the customer (IS Resources) IT Resource Constraints – Customer Service IS as a liaison to clinical, operating, and financial stakeholders Ability to be reliable source of data/system access Alignment with organizational strategy for ideal future state Ideal Future State Robust IT resources to provide customer support and IT engagement IT system that is fully Ability to support accountable care and population integrated and aligned across health management System does not support organizational strategic goals or Support of Stages 2 & 3 Meaningful Use Including healthcare reform HIE and Interoperability Ability to provide financial information to support changing reimbursement models 15 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED. continuum of care within organization and across the greater community

The CIO Response leidoshealth. com

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 17 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

System Integration CIO Response 18 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Responsive IT Organization CIO Response 19 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Effective IT Resource Planning and Alignment CIO Response Strategy without execution is just a conversation in theory Execution without strategy is chaos Effective leadership bridges the gap between strategy and execution 20 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Where are Your Pain Points? Can we track our goals as IT has enough resources Do we prioritize our projects Is our IT governance Are all of our investment executives and as to accomplish our goals, based on our strategy or process effective and dollars going towards operational leaders? does the loudest voice win? right? efficient? achieving our goals? 21 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Connecting Strategy to Operations Create alignment that will link your Effectively prioritize initiatives and Develop multi-year roadmaps to strategy to your initiatives to your projects based on the strategic effectively plan strategic budget drivers of the organization goals and metrics 22 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Measuring Success Manage and track your success in Executive Dashboards that can Track and plan strategic Track large initiatives and small the boardroom and on the project accommodate one hospital or an acquisitions, service lines, and projects entire hospital system initiatives floor 23 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Generating Efficiency Identify under-utilized and/or inefficient IT applications 24 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Summary leidoshealth. com

Summary - Goals for a Strategic CIO 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 26 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.

Questions? leidoshealth. com

Thank You Asher Kramer – National Practice Director, Strategy Mobile: 207. 831. 5933 | Email: Asher. Kramer@leidoshealth. com Visit us at leidoshealth. com 28 / leidoshealth. com ©LEIDOS. ALL RIGHTS RESERVED.