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Welcome to the Revolution Russ Branzell , FCHIME, CHCIO CEO and President, CHIME CHIME Foundation CHIME Education Foundation rbranzell@cio-chime.org January 2014. We’ve come a long way! . But, we have a really, really long way to go. Healthcare 2013: The Perfect Storm.

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slide1

Welcome to the Revolution

Russ Branzell, FCHIME, CHCIO

CEO and President, CHIME

CHIME Foundation

CHIME Education Foundation

rbranzell@cio-chime.org

January 2014

financial level defcon 11
Financial Level: Defcon 1

Government was 1 day from Bankruptcy!!!

slide8

Change in National

Healthcare Spending

Source: Hussey, et al NEJM 361: 2109-2111 Nov. 26 2009

slide10

“The implications for existing and aspiring CEOs are equally clear. Information technology is now a survival issue…more and more frequently IT issues are now wrapped inside wider questions of business strategy.”

How to Be a CEO for the Information Age

Michael Earl and David Feeny

Sloan Management Review, Winter 2000, Volume 41 Number 2

healthcare it top 10 list
Healthcare IT Top 10 List
  • Electronic Health/Medical Records
  • Disaster Recovery/Business Continuity
  • Medical Archiving Systems
  • Storage Consolidation and Virtualization
  • Backup (disk-based and online storage)
  • Business Intelligence
  • Picture Archiving and Communication System
  • Infrastructure for Health Information Systems
  • Compliance

Source: Health IT News

10.Securing Electronic Protected Health Information

care improvement process
Care Improvement Process

Status Quo – Fee for Service

Managed Care

Quality Care

Value Care

Wellness Care

slide14

U.S. Healthcare - Three Process Trends

1) Integration

2) Value (Cost & Quality)

3) Transparency

the job of the leader isn t just to make decisions it s to make sense
“The job of the leader isn’t just to make decisions, it’s to make sense.”

The Big MOO, The Group of 33, Edited by Seth Godin.

Quote by John SeelyBrown

the healthcare cio from crawling to walking upright to carrying the organization
The Healthcare CIO: From Crawling to Walking Upright, to Carrying the Organization

A Supportive role

An Enabler role

A Driver role

An Advisor role

+

+

CIO 1.0

CIO 2.0

CIO 1.5

Tech Manager

Knowledge Purveyor

Technology Interpreter

Process Visionary

Process Consultant

Financial Analyst

Change Agent

Educator

Lobbyist

Service Broker

Project Advisor

Venture Capitalist

Customer Service

Innovator

Economist

Risk Manager

Political Visionary

Application Purveyor

Vendor Manager

Project Manager

Asset Manager

Problem Manager

Skill Manager

Process Navigator

IT Operations

Source: Gartner CIO 2.0 Conference

versus
versus

vs.

REVOLUTION

EVOLUTION

Evolution:

gradual development of

something, especially

from a single to a more

complex form.

Revolution:

fundamental change

in a way of thinking

about or visualizing

something.

building blocks of hit 2 0
Building Blocks of HIT 2.0
  • Healthcare Information Exchange
  • Certified Electronic Health Record
  • Patient Portals
  • Data Warehouse
  • Business Intelligence
  • Complete Data Integration
  • Data Analytics
  • World-class IT Team
  • Unified Communications
  • ACO System
  • Population Health System
  • Document Management
federal reserve banking system
Federal Reserve Banking System

Cleveland

Boston

New York

Philadelphia

Board of Governors

Richmond

Alaska and Hawaii are

part of the San Francisco District

nhin architecture

The NHIN Prototype – Landscape

NHIN Architecture

A Nationwide Health Information Network must be …

  • Private
  • Secure
  • Seamless
  • Flexible, Open, Transparent
  • Responsive
  • Reliable
  • Affordable
  • Simple
  • Scalable
request for extension of stage 2
Request for Extension of Stage 2
  • Interoperability - D
  • Patient Matching - F
  • Clear Standards - C
  • Vendor Readiness - B
  • Hospital/Provider Readiness - B+
care improvement process1
Care Improvement Process

Status Quo – Fee for Service

Managed Care

Quality Care

Value Care

Wellness Care

rules of the revolution
Rules of the Revolution
  • Don’t accept the status quo

2. Semper Gumby:“ Always Flexible”

3. Plagiarism is skill, not a crime

4. Don’t evolve, REVOLVE!!!!!

not on my watch
Not on my watch
  • Old Testament Bible Verse:
  • Ezekiel 33:6 – “If the watchman sees the sword coming and does not blow the trumpet to warn the people and the sword comes and takes the life of one of them, that person will be taken away because of their sin, but I will hold the watchman accountable for their blood.”
it is not the strongest who survive or the fastest it is the ones that can change the quickest

“It is not the strongest who survive; or the fastestIt is the ones that can change the quickest.”

- Charles Darwin