Sajjad A. Yacoob, MDChief Medical Information Officer

Children’s Hospital Los AngelesAssistant Dean for Student Affairs

Keck School of Medicine of the University of Southern California

Physicians (Clinicians) Without BordersThe evolving role of the CMIO/CCIO

The empires of the future are empires of the mind.

Sir Winston Churchill

Healthcare is evolving

Healthcare is evolving

Healthcare in the 21st Century

Electronic Health Record

Manage disease populations

Bio-connectivity

Medicine in the cloud

Device intelligence

Personal health records

Focus on patient safety

Transparency

Data analytics

Managing cost/variations

Bar Coding and RFID

Customer service

Healthcare IT is evolving

CMIOThe role of the CMIO has always been a delicate, high wire balancing act

The role of the CMIO, along with healthcare, is evolving

R E

T

LI

A

Y

To know where we are going we need to see where we have been.

Healthcare is evolving

1. Heart Disease (724,269)

2. Cancer (538,947)

3. Cerebrovascular Dz (158,060)

4. Pulmonary Dz (114,381)

5. Medical Errors (98,000 est.)

6. Pneumonia (94,828)

7. Diabetes (64,574)

8. MVA (41,826)

9. Suicide (29,264)

10. Renal Disease (24,295)

The role of CMIO is evolving…

Data

Information

Knowledge

Reliability

Understanding relations

Understanding practices

Understanding patterns

From Crisis to Confidence

Creating High Reliability in HealthCare

Joseph I. Bormel, MD, MPH

We want healthcare to be R E L I A B L E

Data

Information

Understanding relations

CPOEPhysician Champion

Physician Champion

Physician champion a bridge and translatorFocused on developing and implementing the technologyLimited scope – primarily physician adoptionCPOE a big driver – a violin solo

C P O E

?LAB

PHARMACYeMAR

CHARTING

RAD

ICU

PHYSICIANNOTES

C P O E LAB

PHARMACYeMAR

CHARTING

RAD

ICU

PHYSICIANNOTES

EMR

That it will ever come into general use, notwithstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations

London Times 1834

Data

Information

Knowledge

Understanding relations

Understanding patterns

EMRCMIO

Data

Information

Knowledge

Understanding relations

Understanding patterns

CMIO

Adoption across all disciplines Position now strategicFocused on developing and implementing solutionsExpanded scopeRequires more skills – playing multiple instruments

CMIO must understand the interplay between technology,

process and PEOPLE

People

Process

Technology

Ultimately, people define and work the processes which utilize the technology

CommunicationCMIOCredibility

Committed

Clinician

CaptainCollaborative

Confluent

The Physicians Voice in IT: Defining CMIO Roles & Responsibilities – Bob MitchellClinical Innovation and Technologyhttp://www.clinical-innovation.com/index.php?option=com_articles&view=article&id=29728:the-physicians-voice-in-it-defining-cmio-roles-a-responsibilities

CMIO as an executive

EMREven as a CMIO strategically builds the EMR structures, there are forces over the wall that are pushing the boundaries of the role

CPOE

eMAR

RAD

CHARTING

LAB

PAT I E N T C O N S U M E R I S M

News

Entertainment

On-line banking

Travel booking

Social networking

PATIENT CONSUMERISM

You've got to think about big things while you're doing small things, so that all the small things go in the right direction

Alvin Toffler

The CMIO now has to look beyond the initial “picture” and see the relationships and transformative nature of each piece of technology…see the mosaic that is improved patient safety and quality

Data

Information

Knowledge

Reliability

Understanding relations

Understanding practices

Understanding patterns

EHR – HIER e l i a b l e h e a l t h c a r e

CMIO 2.0

Data

Information

Knowledge

Reliability

Understanding relations

Understanding practices

Understanding patterns

CMIO 2.0

Now conducting a symphonyVISIONRecognizes how to position solutions as strategicPatient engagementData analyticsOutcomesTransformational

Physician Champion

CMIO

CMIO 2.0

CMIO 2.0

Make HEALTHCARE reliable

Improve population health outcomes

Data analytics - predictive

Physician Champion

CMIO

C M I O 2 . 0

Extraordinary clinicians make great stories, but they don’t make great healthcare. Our goal should be to make

healthcare reliable not heroicDon Berwick, IHI

High Reliability Organization

Genomics

Data analytics

Patient consumerismThe CMIO evolution

moves from facilitator to leader to

transformational visionary

Reactive Preventive Predictive

We will be known forever by the tracks we leave….

American Indian proverb

QUESTIONS