2. Win Phillips, Ph.D

3. Win Phillips, Ph.D. Clinical Assistant Professor University of Missouri Columbia, MO

4.  Formulating strategy requires assessment of external environment Environmental factors may influence policies, resource allocation, and current and future system use Enables the organization to assess feasibility of current and future organizational strategy, which may impact IS Serves as a foundation for planning needed improvements or other changes

5.  Public policies (laws, regulations, programs) impacting healthcare IS e.g., HIPAA, CMS programs and their documentation/coding requirements, ARRA/HITECH, EMTALA, disease registry requirements, clinician licensing/certification requirements, telehealth reimbursement/licensing issues Political climate (national, state, regional, local) that may affect relevant legislation, programs, and funding

6.  General economic outlook as it affects Market for healthcare services Job market for healthcare clinicians and managers Job market for IS workers Funding of programs  Tax issues

7.  Market share, strengths of major healthcare organizations, healthcare IS vendors  Possible alliances, partners, suppliers  Trade and professional associations and organizations  Insurance regulations and organizations

8.  Disease incidence Chronic disease Pandemics Registries and public health surveillance  Patient demographics Aging population Population in the “service area” of the organization

9.  Competing organizations in the “service area” and their Marketing strategy IS capability

10.  IS technical and managerial expertise availability New graduates Experienced workers  Current, projected workforce

11.  General computing technology  Healthcare computing and device technology  Impacts need for: Purchases Development Training certifications

12.  Pending legislation  Forecasts and projections of: Financial factors Economic conditions Market changes

13.  Technology  Economy  Staffing, employment, hiring, temp hiring  Industry (outsourcing IS, mergers, consolidation, vertical and horizontal integration)  Emerging best practices and industry standards

14.  Opportunities Strategic use of healthcare information systems New technologies and best practices Partners, alliances, suppliers Changing organizational strategies  Threats Shortages of staffing resources New competitors Economic downturns Greater regulatory, compliance, and reporting requirements

15. Public policy impacting IS planning ARRA / HITECH and PPACA pushing Patient-centered care Medical homes Accountable care organizations (ACOs) “Meaningful use” and coordinating care among providers require Compliant EHR and CPOE systems Interoperability Clinical decision support IS provides information technology to enable above

16. In this lecture, we discussed the external environmental analysis  Information research and analysis  Combined with internal environmental analysis  Basis for development of strategies and goals