Presented to: Scottsdale Institute CIO PanelDate: April 28, 2011By: Timothy R. Zoph, SVP Administration & CIO

Key IT Issues, Challenges and Innovations

Business Analytics: Measurement, Operational Improvements and Advancing Research

Background

• 3-year, joint development effort supporting CTSA designation

• 2M patients, 10K reports per month, 15 FTE dedicated team

• Produces near-real time dashboards for ED, ICU and DVT Compliance

• Supports novel research, operations improvements, and outcomes reporting

• Leading role in pursuing meaningful use certification through CCHIT

Challenge: Align AMC partners to support one shared repository for clinical data.

Innovation: Achieved strategic alignment across AMC to maintain a single data repository through a sustainable model for governance, financing, and operations.

System Interoperability: Dynamic Sharing of Patient Information Enabling Continuity of CareBackground

• Provides consolidated patient view across diverse IT platforms and secure physician messaging with consolidated inbox

• Integrates patient information across 3 leading EMRs

• Serves as a platform for future integration, innovation and Health Information Exchange (HIE)

Challenge: Provide real-time view of Northwestern patients across diverse care settings and IT environments.

Innovation: Based on dynamic patient information aggregation (API) making marked advantages in development time, cost, flexibility and security.

Biomedical Systems Integration: Implications of Connecting Real-Time Medical DevicesBackground

• Implemented enterprise systems for imaging, telemetry, fetal monitoring and sleep apnea

• FDA certification remains at the device level

• Emerging systems architectures need to address manageability and single points of failure

Challenge: Provide reliable performance and alerting across a broad array of patient monitoring devices, vendors, and technology platforms.

Innovation: Developing multiparty agreements clarifying accountability, support and risk.

Enterprise Project Management: Sponsorship, Methodology and New Levels of Execution

Background

• Implemented PMO across IT, Construction, and Equipment

• Deployed standardized project management process and tools to 80 project managers

• Rationalized enterprise capital project portfolio from 600+ to 250 active projects

Challenge: Establish standardized project management capability across an enterprise with varying methodologies and project experience.

Innovation: Engaged organization in collaborative design of standard, scalable, and relevant methodologies by area for project execution.

Integrating New Organizations: Aligning IT to Achieve Cost Effective GrowthBackground

• Affiliated with Northwestern Lake Forest Hospital in February, 2010

• Established methodology, team leads, and dashboard reporting prior to diligence

• Applying mature IT run model to maintain 3.5% operating expense while growing capability

• Consolidating system portfolio using IT Architecture standards, started at agreement signing

Challenge: Fully integrate a new organization in an repeatable manner to manage risk, cost, and growth.

Innovation: Applying standard, reusable tools and approaches developed in a collaborative effort led by non-IT executives.