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Welcome to the Revolution Russ Branzell , FCHIME, CHCIO CEO and President, CHIME CHIME Foundation CHIME Education Foun

Welcome to the Revolution Russ Branzell , FCHIME, CHCIO CEO and President, CHIME CHIME Foundation CHIME Education Foundation rbranzell@cio-chime.org January 2014. We’ve come a long way! . But, we have a really, really long way to go. Healthcare 2013: The Perfect Storm.

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Welcome to the Revolution Russ Branzell , FCHIME, CHCIO CEO and President, CHIME CHIME Foundation CHIME Education Foun

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  1. Welcome to the Revolution Russ Branzell, FCHIME, CHCIO CEO and President, CHIME CHIME Foundation CHIME Education Foundation rbranzell@cio-chime.org January 2014

  2. We’ve come a long way!

  3. But, we have a really, really long way to go

  4. Healthcare 2013: The Perfect Storm

  5. Financial Level: Defcon 1

  6. Financial Level: Defcon 1 Government was 1 day from Bankruptcy!!!

  7. Change in National Healthcare Spending Source: Hussey, et al NEJM 361: 2109-2111 Nov. 26 2009

  8. American College of Healthcare Executives Top Issues Confronting Hospitals: 2012

  9. “The implications for existing and aspiring CEOs are equally clear. Information technology is now a survival issue…more and more frequently IT issues are now wrapped inside wider questions of business strategy.” How to Be a CEO for the Information Age Michael Earl and David Feeny Sloan Management Review, Winter 2000, Volume 41 Number 2

  10. Healthcare IT Top 10 List • Electronic Health/Medical Records • Disaster Recovery/Business Continuity • Medical Archiving Systems • Storage Consolidation and Virtualization • Backup (disk-based and online storage) • Business Intelligence • Picture Archiving and Communication System • Infrastructure for Health Information Systems • Compliance Source: Health IT News 10.Securing Electronic Protected Health Information

  11. Care Improvement Process Status Quo – Fee for Service Managed Care Quality Care Value Care Wellness Care

  12. U.S. Healthcare - Three Process Trends 1) Integration 2) Value (Cost & Quality) 3) Transparency

  13. “The job of the leader isn’t just to make decisions, it’s to make sense.” The Big MOO, The Group of 33, Edited by Seth Godin. Quote by John SeelyBrown

  14. The Healthcare CIO: From Crawling to Walking Upright, to Carrying the Organization A Supportive role An Enabler role A Driver role An Advisor role + + CIO 1.0 CIO 2.0 CIO 1.5 Tech Manager 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 IT Operations Source: Gartner CIO 2.0 Conference

  15. versus vs. REVOLUTION EVOLUTION 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.

  16. Building Blocks of HIT 2.0 • 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

  17. Healthcare Information Exchanges

  18. Federal Reserve Banking System Cleveland Boston New York Philadelphia Board of Governors Richmond Alaska and Hawaii are part of the San Francisco District

  19. The NHIN Prototype – Landscape NHIN Architecture A Nationwide Health Information Network must be … • Private • Secure • Seamless • Flexible, Open, Transparent • Responsive • Reliable • Affordable • Simple • Scalable

  20. U.S. Healthcare Information Exchanges

  21. EHRs

  22. Request for Extension of Stage 2 • Interoperability - D • Patient Matching - F • Clear Standards - C • Vendor Readiness - B • Hospital/Provider Readiness - B+

  23. Digital Divide is Widening

  24. MakeITPersonal

  25. Care Improvement Process Status Quo – Fee for Service Managed Care Quality Care Value Care Wellness Care

  26. Rules of the Revolution • Don’t accept the status quo 2. Semper Gumby:“ Always Flexible” 3. Plagiarism is skill, not a crime 4. Don’t evolve, REVOLVE!!!!!

  27. Not on my watch • Old Testament Bible Verse: • Ezekiel 33:6 – “If the watchman sees the sword coming and does not blow the trumpet to warn the people and the sword comes and takes the life of one of them, that person will be taken away because of their sin, but I will hold the watchman accountable for their blood.”

  28. “It is not the strongest who survive; or the fastestIt is the ones that can change the quickest.” - Charles Darwin

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