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Too Far Ahead of the IT Curve?

Too Far Ahead of the IT Curve?. Michele Hom Dr. Minder Chen BUS 550 5/10/11. Harvard Business Review – July/August 2007. Agenda. Background The dilemma Monolithic vs SOA Pros and Cons Possible Solutions Question Discussion (if time permits). PEACHTREE HEALTHCARE.

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Too Far Ahead of the IT Curve?

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  1. Too Far Ahead of the IT Curve? Michele Hom Dr. Minder Chen BUS 550 5/10/11 Harvard Business Review – July/August 2007

  2. Agenda • Background • The dilemma • Monolithic vs SOA • Pros and Cons • Possible Solutions • Question • Discussion (if time permits)

  3. PEACHTREE HEALTHCARE • CEO= Max Berndt (12 yrs at institution) • Encompasses 11 mid-large sized institutions plus: • Supported by: • Ancillary clinics • Practicing MDs • Trauma centers • Rehabilitation facilities • SNFs • Over 4000 employees • Mission is: • To deliver the best quality and efficient care • IT infostructure is collapsing

  4. Should the CEO approve a shift to risky new technology or for with the time-tested monolithic system?

  5. MONOLITHIC SYSTEM • Functionally distinguishable aspects are • not architecturally separate components • but are all interwoven SERVICE-ORIENTED ARCHITECHTURE • Loosely coupled architecture designed to • meet the business needs of the organization • Autonomous services

  6. Monolithic System SOA Outline PROS CONS • Consistent infostructure • Unifying for all new/current • facilities • Allows MDs to work together • Quick • Flexibility in $ • Ability to integrate new • facilities • Immature market • Experimental • Different for all • Never before in HC • Cost ?? • Time ?? • $500 million + • TIME • Redesign acquired facilities • Curbs MD independence

  7. POSSIBLE Solutions?? • Define clear criteria for system capabilities • Create a risk profile • Construct from the desired goals and establish a • plan for achievement • Incorporate a β center and expand

  8. Question The ability to loosely couple architecture designed to meet the business needs of the organization is: A. Monolithic system B. Enterprise system C. SOA (Pick this one!) D. Microlithic system

  9. Discussion • How do you think the implementation of a • SOA can impact healthcare? • Can a system streamline medical decisions • or will there be push back from MDs?

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