1. Chapter 12 Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

2. To be able to understand the importance of an IT strategic plan. To review the components of the IT strategic plan. To be able to understand the processes for developing an information technology strategy. To be able to discuss the challenges of developing an IT strategy. To be able to appreciate the ability of information technology to improve organizational competitiveness and performance. Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

3. Goals of IT alignment and strategic planning An overview of strategy Areas requiring strategy Vectors for arriving at IT strategy The IT Asset and governing concepts A normative approach to IT strategy Challenges of IT strategy and alignment Information technology as a competitive advantage Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

4. Ensure that information technology plans and activities are well linked to the plans and activities of the organization Ensure that the alignment is comprehensive:  Each aspect of strategy has been addressed from an IT perspective recognizing that not all aspects have an IT component and not all components will be funded  The non-IT organizational initiatives needed to ensure maximum leverage of the IT initiative, for example, process re-engineering, are understood  The organization has not missed a strategic IT opportunity, for example, those that might result from new technologies Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

5. Develop the tactical plan that details approved project descriptions, timetables, budgets, staffing plans and plan risk factors Create a communication tool that can inform the organization of the IT initiatives which will be undertaken and those that will not Establish a political process that helps to ensure that the plan results have sufficient organizational support Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

6. Formulation  Mission and goals  Activities and initiatives Implementation  Structures  Skills  Organizational capabilities  Organizational processes Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

7. The application system agenda  Should we implement the electronic health record? Initiatives to improve the IT Asset  How do we improve the security of our infrastructure? Concepts that govern the approach to a class of initiatives and applications  Should we be on the cutting edge of technology or adopt a more conservative approach? Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

8. Derived from organizational strategy Persistent focus on core organizational processes and information management New information technology Strategic trajectory/vision Fundamental views of organizations Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

10. How should IT support our disease management initiative?  Develop and publish best practices  Monitor costs, quality and care activity of a cohort  Guide documentation  Remind providers and patients of steps to be taken  Monitor and manage a specific patient Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

13. Leadership Synthesis and Debate IT Ramifications of Organizational Strategies Continuous Process and Information Management Improvement New Information Technology Strategic TrajectoryFundamental Views Application Inventory IT Asset InitiativesGoverning Concepts The Synthesis of the IT Strategy Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

14. Applications  Sourcing  Application uniformity  Application acquisition Infrastructure  We want our applications to be able to …, e.g., support clinical decision support and be accessible from home  Broad properties of the infrastructure, e.g., security and reliability Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

15. Data  Acquisition of new types of data  Data meaning  Organizational responsibility for managing data  Data analysis technologies IT Staff  Acquisition of new skills  Organization of the IT staff  Sourcing of the IT staff  Characteristics of the IT staff Governance Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

16. What is it about the electronic medical record that makes it important to us? What does “integrated systems” mean to us? Should we treat IT as an expense or an investment? Should we collaborate with other organizations in our region on IT or view IT as a way to achieve a competitive advantage? Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

18. Inventory of the IT initiatives that will be undertaken Linkage of the initiatives to the organization’s strategic plan Initiative timeline and interdependencies Plan budget Risk assessment Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

19. The overall strategy is unclear or volatile The linkage may be shallow Senior management may hesitate to engage in the IT strategy discussion The true value of an IT initiative may be unclear It is difficult to make tradeoffs between IT investments Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

20. IT planning was not a separate process IT planning had neither a beginning nor an end IT planning involved shared decision making and shared learning between IT and the organization The IT plan emphasized themes Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

21. Leverage organizational processes Enable rapid and accurate provision of critical data Enable product and service differentiation Support the alteration of overall organizational form or characteristics Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

22. Attempting to out hustle the competition Freezing the system Changing the basis of competition Leveraging some other, significant organizational strength Leveraging a well developed, strong IT Asset Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser

24. IT planning has several objectives IT strategies are developed through five vectors IT alignment remains a significant organizational challenge IT can be applied to improve an organization’s competitive position IT is a tool; its value is achieved by thoughtful application Health Care Information Systems: A Practical Approach for Health Care Management 2nd Edition Wager ~ Lee ~ Glaser