Case Study Presentation: Too Far Ahead of the IT Curve? Catherine De La Torre-Martinez Dr. Minder Chen Bus 550 California State University Channel Islands November 3, 2009
Case Study PresentationToo Far Ahead of the IT Curve? • “15 million patients at U.S. hospitals are harmed, an estimated 100,000 people die as a result annually, according to the Centers for Disease Control & Prevention”* What is Health Information Technology? • Definition of Health Information Technology Types of Healthcare IT include: • EHR (Electronic Health Records) • CPOE (Computerized Provider Order Entry) • CDSS (Clinical Decision Support System) • PACS (Picture Archiving and Communications System) • RFID (Radio Frequency Identification)) • ADM (Automated Dispensing Machines) • EMM (Electronic Materials Management) Bar Coding/ Interoperability Potential of Health Information Technology • Quality Health Information Care/Technology *http://www.businessweek.com/innovate/content/nov2008/id20081117_820750.htm • *http://www.businessweek.com/innovate/content/nov2008/id20081117_820750.htm
Case Study PresentationToo Far Ahead of the IT Curve? • How Healthcare Agencies Use IT Systems • Type of Information Technology/Applications
Case Study PresentationToo Far Ahead of the IT Curve? • Who is Peachtree Healthcare? • Mission • Ensure quality • Provide consistency and continuity of care across the entire network • To deliver care with the highest levels of efficiency and economy • Maintain respect for patients and staff • History • Rapid and Tremendous Growth in 12 years • From a single teaching hospital into a regional network of 11 large and midsize institutions • Supported by ancillary clinics, physician practices, trauma centers, rehabilitation facilities and nursing homes
Case Study PresentationToo Far Ahead of the IT Curve? • Who is Peachtree Healthcare? • Data: • 4000 employed and affiliated physicians • One million patients are treated annually throughout the state of Georgia and beyond • Patients rage from new born to nonagenarian • All races, ethnicities, lifestyles and economic conditions among patient population • Every imaginable injury and disease treated • Many patients over the past year would be seen at more than one Peachtree Healthcare facility
Case Study PresentationToo Far Ahead of the IT Curve? • Who is Peachtree Healthcare? • Decision-Makers for Peachtree Healthcare • CEO, Peachtree Healthcare: Max Berndt • Board Chairman, Peachtree Healthcare: Paul Lefler • CIO, Peachtree Healthcare : Candace Markovich • CFO, Peachtree Healthcare : Tom Drane • Small Task Force Group • Stakeholders for Peachtree Healthcare • Employees • Patients/Family • Business partners • Board Question:What is Peachtree Healthcare’s Business Model?
Case Study PresentationToo Far Ahead of the IT Curve? • Current Peachtree Healthcare Challenges: Pressure to standardize processes/practices • Incompatible current technology with future goals • High maintenance costs for current IT system/Recent meltdown of clinical information system • Seeking competitive advantage • Conflicted support for IT-based innovation • Several institutions with unique doctor-oriented identities Question: What should the strategy to select an IT system of Peachtree Healthcare include?
Case Study PresentationToo Far Ahead of the IT Curve? • Proposed IT Systems: SOA vs. Monolithic Systems
Case Study PresentationToo Far Ahead of the IT Curve? • What the heck is missing here? • Business Perspective: • Difficult to support • Costs • Benefits • Healthcare Environment • Vision • Outcomes IT Perspective: • Expertise • Immediate solutions, Practical solutions • Incremental Implementation Medical Perspective: • How to carry out the mission Life or death • Priorities • Efficiency/Quality Question: Evaluate Peachtree Healthcare’s response to their problem. Is their problem clearly identified?
Case Study PresentationToo Far Ahead of the IT Curve? • Potential Solutions • Business Perspective: • Initiate strategy to identify of vision for what they want to accomplish, desired outcome, look at business processes, seek input from those who are involved in processes • IT Perspective: • Place IT expert in charge of research of IT systems • Incremental implementation will minimize risk, make project easier to control • Have IT expert research SOA • Medical Perspective: Clinical systems carry out the mission Incorporate business dynamics/identify differences with company Question: How can an IT system provide value to Peachtree Healthcare patients? Employees? Stakeholders?
References • Glaser, John P. "Too Far Ahead of the IT Curve?" Harvard Business Review July-August 2007. • Laudon, Jane P and Kenneth C. Laudon. Management Information Systems: Managing the Digital Firm. Upper Saddle River: Pearson Prentice Hall, 2009. • MEdpAC. "Report to the Congress: New Approaches in Medicare." Congressional Report. June 2004. • Scanlon, Jessie. "Donald Berwick: Curing the Healthcare System." BusinessWeek (2008). Gracias!