Business Intelligence
The telemedicine tech vendor is betting the ubiquitous Microsoft systems will enable a more robust, secure and scalable collaboration platform.
IBM executives say the purchase adds not only a massive repository of health data to the Watson Health Cloud, but also an extensive client roster to IBM's Watson Health unit.
To help information technology departments succeed at driving new projects, it takes viewing the IT team as partners, not roadblocks.
That’s the aim at Illinois-based Advocate Health Care, said Rance Clouser, the system’s vice president of IT field services.
Clouser, who leads unified communications and collaboration across the 12 hospitals and 250 care sites included in Advocate's campus, is also in charge of corporate support services, reporting and analytics.
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During a HIMSS16 presentation, "Competing IT Priorities? Master Your Enterprise IT Demand," Clouser will discuss how Advocate achieved better outcomes on initiatives from social, mobile, analytics and cloud techniques, as well as infrastructure.
Clouser said that when projects are approached or denied, it's easy to paint IT as the bad guy, but business leadership should be making the big decisions and ensuring the IT department is heard.
His team has interviewed many organizations in the healthcare space and recognized Advocate wasn't alone in the need for portfolio management and interoperability.
When integrating processes over multiple institutions within one organization, it takes a lot of effort to get things just right.
"Apparently, I was pretty naïve when we started out, and I thought it could be done quickly," Clouser said. "Don't underestimate the effort."
Advocate’s leadership has allowed its separate sites to remain independent, Clouser said, and that independence in turn enables the communities to tailor their services to the needs of their region and demographic. But the individuality causes troubles with interoperability — an issue Advocate is currently trying to remedy.
"We've developed a system, fully in place to work with the business end, upfront, to make sure we're moving toward standardization and consolidation at each site," he added.
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Due to Advocate's size, and the independence of the individual sites, Clouser said, it was imperative to meet with all staff members to learn the culture and needs.
Communication is also crucial to ensuring a successful implementation. "Communicate early, often and repeatedly,” Clouser said. “Because it just takes so long for a larger organization to adopt new processes."
The session “Competing IT Priorities? Master Your Enterprise IT Demand,” is slated to take place March 1, 2016, from 4 to 5 p.m. in Palazzo B at the Sands Expo Convention Center.
Twitter: @JessiefDavis
This story is part of our ongoing coverage of the HIMSS16 conference. Follow our live blog for real-time updates, and visit Destination HIMSS16 for a full rundown of our reporting from the show. For a selection of some of the best social media posts of the show, visit our Trending at #HIMSS16 hub.
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Editor's note: This is the second segment in Roy Smythe’s two-part interview with Dr. George Day on the nature and application of science-based innovation to advance the new model of healthcare.
A world class thought leader speaking at HX360’s Executive Program during HIMSS16, Dr. George Day is the Geoffrey T. Boisi Professor Emeritus and co-Director of the Mack Institute for Innovation Management at the Wharton School of the University of Pennsylvania. He is one of the leading global experts on the science of innovation.
Dr. Day has studied many aspects of change and competitive advantage in businesses, including such topics as understanding how to leverage emerging technology, the importance of utilizing interdisciplinary partners to anticipate market needs, and most recently what differentiates non-healthcare corporate innovation leaders from “laggards” in his most recent book, “Innovation Prowess”.
This interview has to parts. Part 1 focused on organizational structure around innovation. Part 2 below centers on innovation execution.
(This interview was edited for clarity, readability or length.)
Question [Smythe]: Healthcare organizations have a large number of areas where improvement could be beneficial – financial, technological, clinical and others. How do organizations that have an abundance of choice in this regard focus on the vital few initiatives that will create the biggest outside impact?
Answer [Dr. Day]: I’ve never met any organization that didn’t have more opportunities than they can ever possibly pursue. The worst case is where you try to do a lot of different things, but do none of them well - hence the role of discipline in narrowing the set down. In any organization, having a clear strategic approach to looking at the possibilities ahead of you is critical. Everyone in your organization has to be aligned around the qualitative and financial objectives that will be accomplished (e.g. cost reduction, improving the patient experience).
What is critical to the execution and discipline part is the (1) resource allocation and (2) the choice among innovation alternatives. Counter-intuitively it works better if you start in a divergent way and ask – what are all the things we could do? Start looking aggressively for ideas – not just the ones that come across your desk - but go out and canvas for ideas within the organization as well as peer hospitals, and spend time studying the patient experience. The idea is you diverge first and then converge –you are at risk of missing the best ideas if you don’t ask. This is something the Chief Innovation Officer or Chief Strategy Officer could orchestrate.
Once you have your portfolio of possibilities, the discipline part comes in. Narrow down to the ones that are aligned with your strategy, technically feasible, and can deliver results in a realistic timeframe. Some techniques you can use to screen your portfolio include innovation tournaments, discovery-driven planning, and patient experience mapping.
Question: Could you please explain further the importance of real options reasoning and how it could apply to efforts to generalize innovation in healthcare?
Answer: The idea around real-options reasoning is akin to the experience in buying a house. You are not sure you want to buy that house, but you don’t want to lose it. So you put down $10,000 to get another month to consider it while continuing to look further. If at the end of the month, you don’t like the house, all you have lost is the $10,000. If you do like the house, you can exercise the option and apply the $10,000 to the purchase price. Buying a real option gives you the opportunity to learn but doesn’t commit you to big action. Think of it as a stepping-stone or a way to step into a major change. Some examples of this in the healthcare space would be doing a pilot or initial implementation, or taking a small stake in a start-up company – both actions do not require big commitments.
Question: In an industry that is shifting towards a focus on measuring outcomes, some of which could take months or even years to show clinical benefit, how can an organization measure innovation progress and effectiveness? Should there be more focus initially on input, engagement and process measures?
Answer: About six years ago, I did a project with McKinsey where we looked at all the innovation metrics. We found an upwards of 45 metrics that could be grouped into 3 buckets:
Inputs – e.g. # of ideas (expanding before contracting), # of investment dollars, employee time, # of employees involved in innovation, balance of the portfolio
Throughputs or intermediate steps – e.g. # of quality ideas, time to move idea from concept to prototype, satisfaction with prototype, # of pilots completed
Outputs – e.g. how many reached the market, % of revenue derived from new solutions
Outputs turn out to be of little to no value in situations where you are fixing a system that is broken. For example, failure rates on innovation are found to be really high, but you have no diagnostic insight into what to change.
The challenge is to push back into the innovation funnel towards the intermediate stages and focus on inputs and throughputs. By tracking inputs you are able to uncover issues such as – are inputs being protected?
Throughputs and intermediate stages of innovation is often where you see problems propping up. Here you can uncover issues such as: significant approval delays and people moving in and out of teams. Monitoring these earlier process problems can help tell you what to fix when issues arise.
Discover more of Dr. Day’s critical healthcare innovation insights and applications at HX360’s Executive Program during HIMSS16, February 29 – March 3, 2016 in Las Vegas, Nevada.
Roy Smythe, MD, interviewed Dr. George Day to drill down into the science of innovation and give readers some flavor of the need to understand innovation at this level.
HIMSS revealed that HX360 is adding two speakers with national experience in healthcare issues who are not afraid of taking controversial positions.
Healthcare IT News and HIMSS are accepting speaking proposals for the Big Data & Healthcare Analytics Forum, which will be presented June 14-15 in San Francisco.
For more than a dozen years, Healthcare IT News has chronicled the rapid evolution of healthcare and information technology. With the healthcare industry on the cusp of a transformative new era it is the perfect time for us to bring you a freshly rethought and redesigned website.