CHIME Lead Forum 2015 - NYC

A CHIME Leadership Education and Development Forum in collaboration with iHT2

Shaping the HIT Leader’s Future: Dynamic

Industry Drivers and Trends

Rodney C. Dykehouse, CHCIO, FCHIME CIO, Penn State Hershey Medical Center & College of Medicine

#LEAD15

Learning Objectives

• Identify current and future healthcare and organizational trends, challenges and drivers impacting provider organizations and the role of the HIT Leaders.

• Discuss the evolving role of today’s HIT Leaders and the drivers behind the shift.

• Identify the anticipated skill set and leadership qualities for the HIT Leader 3.0 including strategies for today’s leaders to prepare for the future.

What is Penn State Hershey? Penn State Milton S. Hershey Medical Center • 563-bed teaching & research hospital • Children’s Hospital, Cancer Institute

Penn State College of Medicine • $107 million research enterprise • More than 1,600 learners; • Nearly 300 College faculty

Penn State Hershey Medical Group • 59 clinical sites / 1,034,000+ clinic visits • 750+ physicians/900+ clinical providers

Penn State Hershey Health System • 19 hospital and provider affiliates • Rehabilitation Hospital, PPI • Hershey Outpatient Surgery Center (HOSC) • Hershey Endoscopy Center; Horizon Healthcare Services

Four Integrated Missions:

• Education • Research • Patient Care • Community Service

Milton S. Hershey 1857-1945* • 1905

– Hershey Factory completed

• 1907 – Hershey Park

• 1909 – Milton S. Hershey School

• 1918 – Endowed MSH School with

Hershey Chocolate Co. Stock

• 1963 ……….. Milton S. Hershey Catherine Hershey

How it all got started*

1963 Initial $50 million gift

worth approximately $369 million in today’s dollars. (Also gifted 252 acres

in Hershey, to build a medical school and teaching hospital)

1967 First medical student class – 40 students, 37 men and 3 women.

3000+ - Doctor of Medicine degrees.

The $50 Million Phone Call

PSU President Eric Walker

Hershey Trust Chairman Sam Hinkle

Agenda

• What is a HIT Leader/CIO 3.0? – The “New Normal”

– Dynamic times require dynamic, flexible, strategic leaders

• Strategic Leadership – Several examples to reinforce the need for key strategic skills from HIT Leaders

• Be Strategic. Be Revolutionary. Be Radical. Be Successful in the “New Normal”

CIO 3.0 – What now???

• What is a HIT Leader/CIO 3.0? – Today’s CIO role is shifting as the healthcare landscape is changing at

unprecedented speed.

– This evolution is anticipated to continue at an accelerated pace with mergers, consolidations, new partnerships, and evolving management models.

– Added to this dynamic environment is the rapid advancement of technology and the added pressures from government legislation and compliance mandates.

– Highly skilled HIT leadership in this environment is critical for future success.

CIO 1.0 & 2.0 Yep, you’re accountable

for these, too!

The Healthcare CIO: From Crawling to Walking Upright, to Carrying the Organization

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

An Advisor role A Driver role

Tech Manager

A Supportive role

CIO 1.0 CIO 2.0 CIO 1.5

An Enabler role

IT Operations

+ +

Source: Gartner CIO 2.0 Conference

Expectations of CIO 3.0

• 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

• Mobile & TeleHealth

Expectations of CIO 3.0

Predicting the Future: NASA ???

The question is no longer, “what planet are you on?”,

but rather “What planet SHOULD you be on…

and how will you get there???”

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.

EVOLUTION REVOLUTION vs.

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=873EbOHQykAdQM&tbnid=LYQqZFYowDKQ-M:&ved=0CAUQjRw&url=http://www.britishbattles.com/american-revolution.htm&ei=8-mSUcq0ManMywHli4GYDQ&psig=AFQjCNEzM9L7z47YZ76NAmxtmWsgTD4sZg&ust=1368669025572134

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=pqdKY1vgrEEaZM&tbnid=6wzyRW4w6QeffM:&ved=0CAUQjRw&url=http://en.wikipedia.org/wiki/Glacier&ei=SeuSUev0BMrkyAHQ0oGAAQ&psig=AFQjCNHpL52XWkUgR-TQ6wSde_5e7_Mm5g&ust=1368669376769512


• The New Normal…

What is YOUR New Normal???? Do you have a Strategic Plan?

Are you focused on Today or Tomorrow?

Are you ready to deliver it…even as it must remain dynamic?

The New Normal – M&A

The New Normal – Politics / Govt

The New Normal – ACO’s & more

The New Normal – Consumerism

Consumerism Do you understand this?

Mobile apps? Televisits? Virtual care??

Can you support it?

The New Normal – Payors???

Consolidation of Payors & Providers Can you compete?

Is your “IT” ready to meet this demand?

The New Normal – excluded!

Health Plan Exclusions Can you survive this?

Is your “IT” able to reduce costs & improve quality?

The New Normal – AMC Survival?

The New Normal

Personalized Medicine Can your EMR handle this?

Do you have enough storage for this?

Can you share and capture this from anywhere?

The New Normal – Genomics

The New Normal – More Data!!!

The New Normal – Cyber Security!

CyberSecurity

It CAN happen to you!

What are you doing to “prepare” your organization?


CyberSecurity What do you have “in the cloud” ??

What is your accountability for it??



CyberSecurity What have you done to understand and

protect your medical devices??

To change your vendor requirements??

What is your accountability for it??


CyberSecurity Class-Action Lawsuits…can be expected.


In the news….more security breaches… …it has happened to us!!!

Sept 9. 2014


CyberSecurity It WILL happen to you!

What are you doing to “prepare” your organization?


CyberSecurity The Govt….are they more secure??

What do we need from them?

LEAD…the info sharing to combat this new

threat to EVERYTHING the Internet and

digital technologies offer

the Health Care Industry!

The New Normal – Cost Reductions! Health Care 2020: “Givens” in Healthcare’s Future

1. Our organization MUST be able to break even on Medicare rates.

2. We must be able to partner with payers/employers to manage trend

3. We will be forced by the market to accept risk in various forms

4. FFS will not go away but it will become a less viable model, most especially for primary care

5. We will have to train physicians and other healthcare professional differently than we have in the past for the world they will inherit will be vast different.

6. Absent changes in how we deliver care “personalized medicine” will only be affordable by the 1%

Medicare Cost What is your cost compared to Medicare rates ??

What are you doing to reduce costs ??

How will you reduce costs? Staff or Stuff?


• The New Normal… – M&A: are you acquiring or being acquired? Corporate IT?

– New Reimbursement models: ACO, MSSP, Population Health

– Optimization and Business Value: commoditize everything and optimize for strategic advantage, e.g. data, quality improvement, cost reduction

– Patient Engagement: social media, wearables, patient empowerment for appts, e-messaging, televisits, etc.

– Personalized Medicine: genomics, provider comparisons, etc.

– Cyber Security: for existing and virtual enterprises

CIO 3.0 – What is a CIO to Do???

• What is C-Suite 3.0? – “When external change takes place—for example, the

emergence of a game-changing innovation, or a shift in the regulatory landscape—it rarely affects only one function inside the business. …. If anything, achieving the coherence and alignment across multiple strategies needed to bring about such changes seems to be getting harder, particularly for CIOs.” From Wall Street CIO Journal “Navigating C-Suite 3.0” orig published 2/2/15


• What is C-Suite 3.0?

– “In version 3.0,” Kelly says, “success will come to CIOs

through engaging as part of a team, and helping others in the C-suite achieve their goals.”

– From Wall Street CIO Journal “Navigating C-Suite 3.0” orig published 2/2/15


CIO 3.0 – What is a CIO to Do??? McKinsey: “Why CIOs should be business-strategy partners” February 2015 | byPedja Arandjelovic, Libby Bulin, and Naufal Khan

• WSJ: “Navigating C-Suite 3.0”

– Engage as part of the C-Suite team

– Help others in C-Suite achieve their goals

• Panel w Glaser, Calhoun, Kleeburg, et al:

– Interpersonal skills plus technological knowledge

– Adaptability

– Positive relationships

• McKinsey: “Why CIO’s should be business strategy partners”

– Reimagine the CIO’s Role

– Develop IT’s Business Savvy

– Build a Distinctive recruiting engine


• The New Normal… – M&A: are you acquiring or being acquired? Corporate IT?

– New Reimbursement models: ACO, MSSP, Population Health

– Optimization and Business Value: commoditize everything and leverage for strategic advantage, e.g. data, quality improvement, cost reduction

– Patient Engagement: social media, wearables, patient empowerment for appts, e-messaging, televisits, etc.

– Personalized Medicine: genomics, provider comparisons, etc.

– Cyber Security: for existing and virtual enterprises


• The New Normal… – M&A: are you at the Planning & Negotiations table?

– New Reimbursement models: is your data architecture and analytics in place to support these?

– Optimization and Business Value: have you commoditized everything and now focused on business process optimization?

– Patient Engagement: are you recognized as a business partner? Are you innovating? Can you?

– Personalized Medicine: is your EMR & SAN ready?

– Cyber Security: is your team, tools and CIRT ready?


45

Leadership

Be a Strategic IT Leader

• Understand the business

• Build bridges with clinicians

• Anchor your thinking in process improvement and measurement

• Use simple and straight forward communication

• Establish trust by achieving results

• Look for direction and new approaches

• Contribute ideas and options

Setting Vision and Strategy

• What is a CIO?

– Pragmatic Visionary

• Define the future

• Plan the steps

Today Understand the

Organization and

Culture

Vision Define the Vision

Identify the steps

Step 1

Step 2

Step 3

IT Governance…. Situational

IT Governance Council

Zolko

Education IT Advisory

Verderame

Research IT Advisory

Leslie

Clinical IT Advisory

DeFlitch

Bus/Finance IT Advisory

Abbott

Infrastructure & Service MGT IT Advisory

Dykehouse

Data IT Advisory

Young

CyberSecurity IT Advisory

Snyder

System/Project •Student IS •LMS •Room Scheduling •A/V Design - Support •Conf Rms •Patient TV Policies •Room Scheduling •A/V use

System/Project •CRMS •IRB •UP Research •BioRepository •Research PACS •I2b2 Database Policies •Compliance •IRB •

System/Project •EMR •PACS •Lab IS •Pharmacy •Oncology •Endoscopy •Clinical Device Integration Policies •EMR use •Med Rec •

System/Project •Lawson ERP, (HR, Finance, Mat Mgmt) •Kronos •Rev Cycle •Coding •ICD-10 •Web Policies •Web •Compliance •Coding

System/Project •Data Center •Network •IS Security •Authentication •Messaging •Device mgmt •Srvc Delivery – Help Desk, etc. •Storage Policies •IS Security •DR/ BC •Device use

System/Project •Master Data •BI & Analytics •Data integrity •Data reporting •Dashboards •Person Identity Mgmt

Policies •Data use •Master file mgmt •Data integrity •Data Governance

System/Project TBD

Policies TBD

Project Plans - Transparency

“How strategists lead” Cynthia Montgomery, Harvard Business School

McKinsey Quarterly, July 2012

Strategy & Execution

“I’ve been struck by how often executives,

even experienced ones, get tripped up: they …overlook how inter-related

strategy and execution are.”

Project Plans - Transparency

Everyone thinks of changing the world but no one thinks of changing himself

-Leo Tolstoy

HIT Leader / CIO 3.0 – What you can do now!

• The New Normal… – Leverage your relationships & credibility as a true business partner

focused on business value. Help your peers to succeed! Optimize!

– Demonstrate the value of strategic and operational planning to be agile and effective in meeting the changing requirements • Strategic Foundational efforts: EIM (Enterprise Information Mgmt) strategy,

genomics planning, patient engagement strategies

• Operational efforts: HIE, Patient portals, Telemedicine incl televisits, etc.

– Establish peer and external networks to leverage the leading markets, technologies and lessons learned.

– Don’t forget the basics! Build your team with the right skills. Focus on IT maturity, commoditization, costs…AND customer service!

It is NOT too late!

Thank you!

Q & A

Rodney C. Dykehouse, CHCIO, FCHIME Chief Information Officer

Penn State Hershey Medical Center and Health System

Penn State College of Medicine MC A-310 / ASB 3200

90 Hope Drive / PO Box 855 Hershey, PA 17033

Phone: 717-531-4544 EMail: [email protected] Web: http://pennstatehershey.org


Insert Twitter handle(s) here

mailto:[email protected]

http://pennstatehershey.org/

CHIME Lead Forum 2015 - NYC

Healthcare

Transcript of CHIME Lead Forum 2015 - NYC