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Information Technology Governance for Tunisian Universities (ITG4TU). pLAN. itg4tu. Consortium. Aim and objectives. Available @ itg4tu.uib.eu. Objectives. Changes observed by stakeholders. Increased transparency of governance decisions and the way that the board is managing IT.
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Information Technology Governance for Tunisian Universities (ITG4TU)
Aim and objectives Available @ itg4tu.uib.eu
Changes observed by stakeholders • Increased transparency of governance decisions and the way that the board is managing IT. • Increased accountability of ITG structures, their composition and nature and their spheres of action and responsibility. • Governance of PPP (Portfolio, Programs, Projects)
Changes observed by stakeholders • Outsourcing, provisioning and subcontracting of IT are clearer and focused • IT service catalogs are published, auditable, responsive and proactive • Increased motivation and proactive IT staff due to increased visibility, changing reactivity added value of IT • The strategy of HEIs is connected with tactical and operational IT, almost automatically and naturally through a virtuous cycle from the mission, vision and strategic objectives to measures and KPI for the IT assets
Sharp Healthcare • Sharp istheleadingcareprovider in San Diego, California. • Sharp is a not-for-profitenterprisewith 17,000 employees, 7 hospitals and 2 affiliated medical groups to provide insurance and health.
Sharp Healthcare • In Sharp Healthcarethere are twoexecutives in the role of directing and controlling IT and IS: • Senior Vice President and Chief Information Officer AND one Chief Medical Information Officer. • Sharp won numerousawards and isone of themost “wired” healthcare Enterprise in US. • Butintegration of multipleapplicationswasnoteffective in thepast: “Physiciansstillhad to go to multiplesystems to gettheir data”.
Sharp Healthcare • Sharp replaceditsmany-silos informationsystemsintoanintegratedproduct suite called Core PatientCare Project. • Uses informationsystems to improvephysiciandecisionmaking. • Diagnosis isone of themostimportantsteps in treatment: correct diagnosis leads to betteroutcomesforthepatient, butincorrect diagnosis tends to produce pooroutcomes and highercosts. • Whenpresented a list of symptons and measurements, computers compare the data withbody of knowledge of thisillness and otherexpertsystemsaugmentingphysicianjudgement.
Sharp Healthcare • To get more value from IT, Sharp Healthcare does: • Key business value: Improving patient satisfaction through greater capabilities for physicians and employees. • IT Focus value: Integrate processes and systems of hospitals, optimizing the efficiency and effectiveness of staff and improve internal information to maximize the quality of medical diagnostics.
CareGroup • CareGroup was born in late 1996 from the merger of several hospitals in eastern Massachusetts. • As the second largest hospital group in the area, CareGroup was now a formidable force in the medical cost war that included healthcare providers and employers. • CareGroup embraced paperless medicine, from electronic medical records to digitized x-rays; technology was fundamental to hospital operations.
CareGroup • The Network Collapse • When CareGroup's network collapsed in November 2002, the CIO immediately marshaled resources to contain the effect and get the affected systems operational.
CareGroup • Underlying Cause • The source of the collapse was an "out of spec" network. CareGroup integrated its multiple operating systems into a state-of-the-art IT system. However, not well managed were the incremental changes to the network. • That, combined with an experimental application that had been left unmonitored in a production environment, were the underlying causes for the network failure.
CareGroup • Consequences • Key areaswereaffected: clinicalunits, e-mail, admissions office, clinicallabs, radiology, ambulatory, pharmacy, medical records, payrollsystems, emergencyfunctions,… • Doctorshad to checkdrugsforthemselves, radiologyresidentswhohadneverused X-raymanually in photographic film got a crashcourse in diagnosis, medical histories had to come entirelyfrompatients, telephonesreplaced e-mail, paperformswerehauledout of closets, … • Theybecame a hospital of 1970!!!
CareGroup • Backupprocesses • Establishment of command center • Establishment of morning and afternoonbriefingsessionsforclinicians and IT staff: patient safety concernsparamount • Establishment of “runners” as messengersdeliveringdocs, specimen, results, … • Paperdocumentationis back • Call back forurgentlabresults • Pharmacydispensingmanually, admissionsmanually, ambulatorycontingency plan… • Creation of hotlinesforpatientcareconcerns… • ALL BASED ON Y2K RISK PLAN MADE BEFORE!!! • Problemsolved • After 2 daysnetworkproviders (Cisco) fixedtheproblem: 10 peopleonsite, hundreds in remote.
What is IT GovernancE? • IT Governance is the board of directors and executive management’s responsibility • The main objective of IT Governance is to align business strategy with IT strategy • IT Governance includes strategies, policies, responsibilities, structures and processes for using IT within an organization • There is a clear difference between IT Governance and IT Management • IT Governance is an integral part of corporate governance.
CommunicationSkills • Another important challenge for a CIO is to prevent business executives have unrealistic expectations about what can or can not do with IT. • IT "house" in order, symptoms of problems: • Late delivery of projects • Diffuse governance of IT • Poor organizational structure of IT staff • There is no strategic plan for IT • Important "disappeared" or inconsistent with the strategy projects • ...
Communication Skills • In a survey of 106 companies that have a great reputation in IT, they identified the following benefits of having a good perception: • IT increases credibility • Accelerate alignment between business objectives and IT • Improved teamwork with no IT units • Promote more appropriate investments • CIO influence improvement in business
Communication Skills • To change a negative perception: • Making co-owner (sponsors) of IT projects to the business units • Directing strategic planning sessions with business leaders • IT procedures have solid governance, PPP governance (projects, programs, Portfolios) and IT investments • Present IT successes executives, board, and all the company ... • Take account of the successes and failures in IT projects and lessons learned
The five common CIO errors • No listening • To think that the work is primarily technical for CIOs • No build relationships with stakeholders (customers, users, employees, shareholders, ...) and sponsors • Not communicate what is being done and why • Do not get involved with business units, in sponsorship and responsibility, in key initiatives
10 reasons to fire the CIO • Not understand the 80/20 rule • Not understand the applications in mobility, consumerization, etc. • Lack of leadership • Priorities are not aligned with the strategic direction • "My job is not to sell" • Not generating value from IT • No link with to the client, the user • "Cloudy” in the cloud • Lack of real-time analysis of the market • Lack of power of transformation
Leading the communication about technology in the organization