Shaping the Future of Healthcare Through IT Leadership: CHIME Celebrates 20 Years

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Shaping the Future of Healthcare Through IT Leadership:

CHIME Celebrates 20 Years

> CIOs predict challenges for 2013

> CIO role evolving as IT takes hold in healthcare

Inside:

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The future is ours to shape.

Better Health 2020 sets the stage for excellence as we evolve healthcare together.

You’re at an extraordinary crossroads, experiencing challenges like never before. To help you take on the here and now and what’s to come, McKesson proudly introduces Better Health 2020, our initiative that positions you to use IT more strategically — for better business, better care and better connectivity.

We are ready to address your critical success factors: optimizing performance and quality, coordinating care, maximizing technology and navigating evolving payment models. All for better health, through 2020 and beyond.

Learn how information can shape your future mckesson.com/betterhealth2020

McKesson is proud to be aligned with the CHIME organization and its members. Congratulations on your 20th anniversary.

© 2012 McKesson Corporation. All rights reserved.

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CHIME | 20 years serving healthcare CIOs C1


In the beginning, they were IT directors and managers – responsible for data processing or running the supply chain computer system.

Because of their exposure to the totality of hospital and healthcare operations, many of these leaders aspired to a higher calling. They were able to lead their organizations through technology implementations and transform healthcare through the use of information technology. They became true healthcare executives, calling themselves Chief Information Officers – CIOs.

The title stuck, and the importance of their critical role in healthcare delivery evolved. Today’s CIOs are helping the healthcare industry, and the entire nation, realize the potential of information technology in improving health care delivery. Through tireless efforts, CIOs and their clinical and business partners continue to bring greater safety, quality, efficiency and effectiveness to today’s healthcare operations. Together, we are a healthcare force-multiplier.

The idea of having an electronic health record for all Americans has transitioned from being a lofty goal to one of the nation’s top objectives. CIOs are also leading other universally high-priority projects at our nation’s healthcare organizations, like ICD-10 transitions, and the creation of new data gathering and analysis

Drexel DeFord, FCHIME, CHCIO 2012 CHIME Chair CIO, Steward Health Care

CIOs Now Playing Expanded Roles in Healthcare

infrastructures to support accountable care organizations.Without a doubt, as the nation moves forward with healthcare

reform and improved delivery models that provide even greater value to our patients and families, CIOs and their teams will continue to play a mission-essential role.

In anticipation of this, the College of Healthcare Information Management Executives (CHIME) has continuously ramped up education efforts to better prepare CIOs to meet and exceed the

requirements demanded by new healthcare delivery models. We’ve also worked hard to design programs that help CIOs and their leadership teams prepare for the future, offering twice-yearly CIO Forums and the Healthcare CIO Boot Camp. The great feedback and maxed-out attendance tells us we continue to be on the right track.

CHIME has also strengthened focus on federal and state agency issues, helping to guide the creation of new regulations that are effective and achievable. In 2009, CHIME launched the Certified Healthcare CIO (CHCIO) Program to ensure CIOs are ready for the scope of leadership and management skills they’ll need to succeed.

Supporting CIOs and their healthcare organizations, CHIME has come a long way over the past 20 years. We look forward to evolving with the industry as we adopt new information technology to facilitate higher value healthcare. ■

Together, we

are a healthcare

force-multiplier.

FROM THE CHAIR

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C2 CHIME | 20 years serving healthcare CIOs


It still amazes me that it has been 20 years since we formed CHIME. The role of the CIO has changed a lot since 1992. Back in

1992, CIOs had a rather narrowly defined scope of responsibilities. They typically

were charged with installing technology in specified areas of their organizations. Their organizations were receptive to computerization of the business and administrative functions, but only a few pioneering organizations were ready to implement IT in their clinical settings. Through the years, that narrow initial scope has become ever wider, and with that evolution, CIOs have become key players in helping their healthcare organizations achieve strategic goals and missions.

CHIME’s early focus was to aid in the professional development of healthcare CIOs through education, networking and comparative data. Although that focus is still prominent today, the organization has also developed an outward view toward providing CIO leadership as our nation seeks to utilize computer systems to improve patient care. Our reputation as a trusted source of information in the HIT field has become well

recognized by major associations and governmental bodies.For all those and many other accomplishments, CHIME’s 20th

anniversary is a year worthy of major celebration. Our CHIME12 CIO Fall Forum celebrates this milestone with recognition to those who have contributed to our success.

We’re grateful to those individuals and companies who have been vitally important in shaping CHIME for these past 20 years. Many CIOs have stepped into key leadership roles, not for any personal glory or recognition, but for the purpose of helping peers develop in professional stature and promote wider use of IT in healthcare.

On a personal note, it has certainly been a rewarding experience for me to be a part of CHIME’s growth and

success through these 20 years. From my seat, I am perhaps most aware of the immense amount of volunteer leadership and creativity that has been devoted to CHIME. My thanks go to them and to all CHIME members who have contributed to our success. It’s the members, and their selfless service to each other, that has truly made this great organization an exceptional one. ■

Richard A. CorrellCHIME President and CEO

CHIME Tracks Changes in CIO Role Over its 20 Years

Our reputation as

a trusted source

of information

in the HIT field

has become well

recognized by

major associations

and governmental

bodies.

FROM THE PRESIDENT

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The roles and responsibilities of chief information officers at healthcare organizations continues to evolve, with changes occurring at an accelerated rate in recent years.

The pace of implementing projects under the purview of the CIO shows no signs of abating, according to several key thought leaders who belong to the College of Healthcare Information Management Executives (CHIME). And because IT supports so many key initiatives within these organizations, and lies at the foundation of change expected in a reformed healthcare system, CIOs will be involved in developing organizational strategy, not just executing it.

Heightened awareness caused by federal programs and regulations have brought increasing attention to health IT and the CIO role, said Randy McCleese, current CHIME Board member and vice president of information systems and CIO at St. Claire Regional Medical Center in Morehead, Ky.

In addition, as clinicians and patients increasingly become more knowledgeable and comfortable using computers, there is more pressure on healthcare organizations to provide effective, accessible IT systems.

“There’s recognition by leadership that you can’t run a healthcare organization without information technology,” said Bill Spooner, senior vice president and CIO at Sharp HealthCare in San Diego.

Spooner started his career in healthcare IT by implementing financial systems; now, clinical systems capture much of his attention, necessitating decision support for clinicians and workflow adaptations to make better use of IT capabilities, he said.

Implementation of electronic health records, prompted by the incentives in the HITECH Act, has become an expectation for IT executives, said Pam McNutt, senior vice president and CIO at Dallas-based Methodist Health System. The need to switch to ICD-10 compliant applications by October 1, 2014, also places more significance upon the CIO, who typically is one of the key players in leading the transition.

Health reform initiatives also will increase the need for IT, McNutt said.

“There are regulatory requirements associated with Accountable Care Organizations, and even though they don’t require specific

CIO Role Evolving as IT Gets Integrated into Larger Hospital Strategies

IT solutions, you have to have the technology to successfully manage your patients and identify risk,” she said. “Also, value-based purchasing, and public reporting of quality and patient satisfaction metrics is creating a demand for real-time monitoring and intervention tools.”

As healthcare reimbursement changes over time, CIOs will need to provide the capabilities that will enable their organizations to keep up, said Rick Schooler, vice president and CIO at Orlando Health.

“Most healthcare organizations are preparing for clinical integration across a community’s healthcare continuum,” he said. “Healthcare reform is forcing a focus on quality and reimbursement that is tied to quality. Healthcare organizations now want information to better manage patients and patient flow. Now, you have to have effective deployment of electronic medical records just to stay in the game.”

For the IT department to provide such a strategic level of information, CIOs must become move past merely providing operational direction for their department to becoming key strategic leaders within their organizations, Schooler said.

“The CIO is going to have to have a bag full of skills – the ability to negotiate, consult, market, plan and have the ability to link strategic priorities to IT investments,” he said. “The CIO will become more of a healthcare executive than he or she has been in the past. The value add at the executive level will depend on executive skills, not technical and operational skills. The CIO has to be in the inner circle and contribute to strategic issues that affect the organization, not just IT.”

CIOs, who long have waited to be acknowledged by senior executives, are now major players in within the C-suite and strategic planning process, said John Glaser, now chief executive officer of the health services business unit of Siemens Healthcare, previously vice president and CIO of Partners HealthCare and founding member of CHIME.

“Heightened awareness caused by federal programs and regulations have brought increasing attention to health IT and the CIO role.”

Randy McCleese, current CHIME Board member, vice president of information systems and CIO St. Claire Regional Medical Center, Morehead, Ky.

“The bar just got higher for CIOs. They will be involved in more strategic issues. Operating margins will be smaller, and CIOs will have to do more with less. A lot of time pressure is related to federal and state changes.”

John Glaser, chief executive officer of the health services business unit of Siemens Healthcare, previously vice president and CIO of Partners HealthCare and founding member of CHIME.


CHIME | 20 years serving healthcare CIOs C5


“By and large, organizations have demanded that CIOs be a member of the C-suite,” Glaser said. “The years ahead will cement that. The bar just got higher for CIOs. They will be involved in more strategic issues. Operating margins will be smaller, and CIOs will have to do more with less. A lot of time pressure is related to federal and state changes.”

CIOs will need to become better business executives as healthcare makes a transition to a new business model, said George Hickman, incoming CHIME Board Chair and CIO at Albany Medical Center.

“There is a lot of talk in the industry right now about the idea that the healthcare provider industry is moving from Curve One to Curve Two,” he said. “If you don’t change and innovate as all of the factors outside of our industry shift, then you will see your lifecycle come to full end and see your organization die. While CIOs have been paying a lot of attention to EHRs, the shift to new paradigms in healthcare may require them to implement systems “that add aspects of efficiency to the delivery process.”

Hickman believes that Curve Two in healthcare will focus more on population health, quality outcomes, changes in how we are paid and the management of disease.

Gretchen Tegethoff, current CHIME Board member and vice president and CIO at Athens Regional Health System, also expects that the shift from volume of care delivered to an emphasis on value will eventually result in keeping patients out of hospitals and will focus on care management and coordination across the continuum, through home health to telehealth, and by increasing patient engagement and data exchange by providers. All have obvious impacts on the CIO, she says.

To support new models of care, healthcare organizations will need to increase analytical capabilities to enable them to conduct

population analysis, said Joanne Sunquist, CIO at Hennepin County Medical Center in Minneapolis.

“We need to be able to support and predict the potential impacts of new models of care, like ACOs,” she said. “And we have to be able to look beyond our walls, providing information among a much larger continuum of care, connecting the dots with pharmacies, nursing homes and other providers, and the patients themselves. CIOs need a wider vision to be successful. You have to have a good understanding of the surrounding business environment.”

The evolving push to reform the nation’s healthcare system, and increasing efforts to digitize patient information to improve patient safety and care coordination will mean constant change for healthcare CIOs in the years ahead, increasing their need to share experiences through educational events and networking with their peers. ■

26Lifetime members

Founded 1992 Headquarters Ann Arbor, MI

Mission Advancing the role of CIOs and senior healthcare IT

leaders through education, collaboration and advocacy in support

of improved health and healthcare in our communities.

CHIME Foundation established: 1994

CHIME Certified Healthcare CIO Program

established: 2009

CHIME Facts

The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers and other senior healthcare IT leaders. With more than 1,400 CIO members and 87 healthcare IT vendors and professional services firms, CHIME provides a highly interactive, trusted environment enabling senior professionals and industry leaders to collaborate; exchange best practices; address professional development needs; and advocate the effective use of information management to improve health and healthcare in the communities they serve. For more information, please visit www.cio-chime.org.

About the CHIME Foundation

The CHIME Foundation is a separate non-profit organization comprised of select healthcare IT vendors and professional services firms. CHIME Foundation members benefit from the unique opportunity to partner and collaborate with more than 1,400 CHIME member CIOs. The CHIME Foundation provides and participates in the educational initiatives and programs that serve the professional development needs of both CHIME and CHIME Foundation members.

800+Members in 2002

1,400+Members today

192 Charter members

875Healthcare CIO Boot Camp graduates

About CHIME

“We have to be able to look beyond our walls, providing information among a much larger continuum of care, connecting the dots with pharmacies, nursing homes and other providers, and the patients themselves.”

Joanne Sunquist, CIO at Hennepin County Medical Center

For more information, please visit www.cio-chime.org. CHIME Platinum Anniversary Sponsor




What’s Ahead in 2013? CIOs Share Their Greatest Challenges

Pamela Arora, Vice President, Chief Information OfficerChildren’s Medical Center

“The biggest IT challenge we face for 2013 is the fast

pace of change, which can be a blessing and a curse for a CIO. The healthcare industry needs to change, wants to change, and has to change to maximize efficiency while still increasing quality across the continuum of care. This paradigm shift is contingent

on the appropriate integration of game-changing Information Technology and Biomedical tools, which will accelerate progress.”

Robert Slepin, Vice president and CIOJohn C. Lincoln Health Network

“Thriving under healthcare reform will not be possible standing still. We must boldly move forward to fulfill the Triple Aim of better individual care and improved population health at a more affordable cost. To continue advancing towards these strategic goals, we must meaningfully use patient data especially at the point

of care and transitions of care, become compliant with ICD-10 by October 2014, and continually innovate our planning, delivery, and coordination of patient care enabled by IT.”

Ron Strachan, FCHIME, CHCIO, CIOCommunity Health Network

“We will be spending a lot of time organizing to better

support our new EMR that we use across all sites of care. This will involve more clinical leadership and process improvement efforts to optimize our use of this very large investment. Additionally, we will move forward on business intelligence like never before – enterprise

data warehouse and analytic tools plus better data governance and support for our business units for BI.”

Anna Turman, CHCIO CIOChadron Community Hospital and Health Services

“Patient centered care, population health and patient

engagement are some of the greatest challenges and a necessary priority facing critical access hospitals (CAH) and healthcare facilities alike this upcoming year. There are expectations of IT to keep pace to assist facilities, providers and patients to facilitate the transition to a

patient-centered care model. IT will support providers as active team members with patients, encouraging the patient to become active participants in their own care.”

Gretchen Tegethoff, CHCIO, Vice president and CIOAthens Regional Health System

“The biggest IT challenge that I expect to face in 2013 is having enough and the right resources to manage the

priority projects. This, together with keeping the projects and initiatives moving and progressing, is the challenge. Between meaningful use, ICD-10, data and analytics governance, and other organizational priorities, while

the funding and leadership support may be there, it comes down to resources. As a CIO fairly new to my organization, these priority projects are occurring in parallel to my building my team.”

What they’re saying...

Continued on page C8 >

Chief information officers at the nation’s hospitals expect to oversee multiple large projects in 2013, continuing multi-year initiatives that will affect operations across the length

and breadth of their organizations.The scope of these projects will emphasize CIOs’ abilities

to manage projects and working relationships within their organizations, and work more closely with senior executives to ensure that IT projects help meet organizations’ strategic objectives.

Collecting, managing and analyzing information will be crucial for healthcare organizations that want to survive and transition to the new breed of healthcare organizations that will manage population health and optimize care delivery in the future.

An informal poll of more than 60 CHIME members also found that IT initiatives are being more closely tied to strategic initiatives, as information technology undergirds a wide array of projects throughout their healthcare organizations.

Meaningful Use and Federal Regs

Most of the CIOs polled cited Meaningful Use as one of the key factors driving their agendas for 2013. While seeing the importance of continuing to attain objectives specified in federal regulations and receiving stimulus funds, CIOs also noted the importance of using electronic health records (EHRs) to improve care, attain efficiencies and reduce expenses.

With EHRs increasingly being accepted as the de facto approach for recording patient information, CIOs now find themselves more involved with related issues that help maximize their investment. CIOs are working more closely with clinicians to address their concerns and gain their support, and also are involved in reconfiguring workflows.

Having data available has also heightened the importance of data analysis, and CIOs polled by CHIME indicated that they would get more involved in providing business intelligence services, through the use of data warehousing and analytic applications.

Health Information Exchange also appeared as a commonly mentioned challenge by CHIME CIOs. Data exchange will grow in importance both within an organization and externally, with other healthcare organizations, federal agencies and public health agencies. Data exchange within organizations will become more complicated as organizations grow through mergers and try to become integrated.

The Impact of Reform

With healthcare reform appearing inevitable, accountable care organizations (ACOs) were frequently mentioned as strategic initiative supported by IT. Managing population health through ACOs will require improved data exchange and better access to patient information, no matter where they are in the continuum of care.

CIOs also are feeling the pressure to maximize savings and reduce unnecessary expenditures through the use of IT. As IT becomes a core service within healthcare organizations, CIOs are increasingly being involved in planning for how IT can support new strategic initiatives.

As healthcare organizations continue to focus on IT capabilities to increase cost-effectiveness, efficiency and patient safety, CIOs expect to provide greater input to senior executives and aim to coordinate their IT efforts with organizational priorities. ■


Join AHIMA for this two-day meeting, bringing together thought leaders and policy makers to explore:

As more health information iscaptured electronically and healthcareinstitutions are required to manage “bigdata,” the challenges to health informationintegrity are growing.

» The relationships between informationintegrity and data governance.

» How information integrity affects healthcare transformation—new care and payment models.

» Policy and/or standards needed for healthinformation integrity and governance

» The impact of ICD-10 on documentation integrity

» Analytics and the use of data to ensurehealth information integrity and quality care

» Other topics related to the use and integrity of health information in EHRs

Register today at ahima.org/eventsMX7257


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Neal Ganguly, CHCIO, FCHIME, FHIMSS, Vice President and CIOCentraState Healthcare System

“Supporting the changes driven by the healthcare

reform agenda are high on my agenda. Participation in alternate delivery system models like ACOs, PCMHs, etc. are going to require the IT teams to serve up more and more data for analytics. The biggest challenge for us is to build that data

infrastructure up in as rational and well thought proactive manner as possible as opposed to just being reactive.”

Randi Terry, Director of Information ServicesMercy Hospital Cadillac

“The biggest IT challenges are meeting the requirements

for Meaningful Use (for both hospital and physicians). These projects have taken over our project load for the next few years. Mobile security is our biggest technical challenge, as we have more and more mobile devices (personal) enter our facilities. Also on the list is process design and redesign – as we put in more computers (EHR technology), processes are changed and improved.”

Thomas Colbert, Vice president and CIOSansum Clinic

“IT is important strategically because we have

“bet the farm” on our EHR, which I believe any group does when they commit to full participation and optimization, as we did. All following decisions, whether for new lines of business, clinical devices/systems, even provider reimbursement, have an

EHR component in the decision making process. It touches everything.”

Phyllis Teater, Chief Information OfficerWexner Medical Center at The Ohio State University“Our biggest challenge is prioritization and the related

resources. With the explosion of need and the realization of the impact for health IT, there is such an endless queue of ideas, requests and opportunities, I feel we always have our hand out and have to be the rate-limiting step for so many important initiatives that depend on IT.”

Get Involved with CHIME

Top Challenges for 2013

Gregory S. Walton, CHCIO, Chief Information OfficerEl Camino Hospital

“The total volume of projects set new records each year. There are multiple reasons for this demand, including government mandates, market transition, wider acceptance of IT as an important tool for all aspects of health care.”

Theresa Meadows, RN, MS, FHIMSS, CHCIO-Eligible, Senior vice president and CIOCook Children’s Health Care System

“We can’t lose sight of projects that will allow us to obtain

competitive edge. We need to anticipate how we can help the business, apply the resources in real-time and make adjustments as necessary. Agility in our IS organization will be key to the success of the overall organization.”

David R. Furnas, CHCIO, CISM, PMBA, Chief Information OfficerGila Regional Medical Center

“In one word, people. With so many strategic initiatives under way, including preparation for MU Stage 2 and ICD-10; implementation of our next-generation HIS; and a major hospital expansion/renovation project, it is a strategic challenge to ensure we are mitigating over-subscription of

our FTE staff and using contract staff whenever necessary or appropriate.”

Alan Whitehouse, CHCIO, CIOOconee Regional Medical Center

“Resources have been and will remain very tight. The roll out of CPOE to individual physician specialties continues while preparing for electronic physician documentation and health information exchange. The time line has been so tight there is almost no slack. Getting and keeping the right folks engaged early and throughout is critical.”

What they’re saying...

CHIME is the only professional alliance that focuses on the unique needs of CIOs, their teams, and business partners. CHIME gives members a competitive edge and credibility by providing relevant knowledge tailored to current CIOs.

CHIME offers membership to CIOs and senior IT leaders at healthcare related organizations. To qualify for membership, individuals must be the CIO or highest-ranking IT executive at their facility; they do not have to hold the CIO title.

For more information about CHIME membership, visit www.cio-chime.org.

Small and Rural Hospitals

CHIME has focused efforts on outreach to IT executives at small and rural hospitals to better support them and their facilities in IT implementation toward achieving meaningful use of EHRs. Small hospital IT executives who want to find out more about scholarship opportunities and benefits specific to their needs can contact CHIME membership at [email protected].

EHRs

switch to ICD-10 organizational goals


To learn how AHIMA certification protects you, visit www.ahima.org/WhyAHIMA

AHIMA: Health Information You Can Trust.™

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data integrity issues are identified

quickly and properly. Why AHIMA? Our health information credentials stand above

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safeguard your patients and your bottom line.


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Shaping the Future of Healthcare Through IT Leadership: CHIME Celebrates 20 Years

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