Thursday, November 20, 2008

Standards for Healthcare IT - Now!

In discussions with Houston/Dallas based Hospital and Integrated Delivery Network (IDN) CEO's last week the financial outlook for healthcare is bleak and the pressure to perform is immense. Despite promises of billions from the new Obama Administration for technology, costs and the rip-tide of emerging demographics are against maintaining profitability - margins will absolutely continue to shrink if it's business as usual (with little or no innovation).
We must use technology with good governance to leverage the provider position in the marketplace. It will be key to maintaining efficient and high quality operations. Quality is critical...
Along with other mission critical services we provide, InterOPERANT believes in the standardization of clinical operations, functions, and access to key clinical and financial data...
What is the value of standardization?
What does it mean?
The value of standardization is comprised of very simple concepts such as:

Having all or a significant number of the applications reside in common environments which deploy like operating systems and common database types.

Focus IT staff on a limited number of technologies to become deeper content experts limiting reliance on vendor provided resources who may not have the same level of dedication to the institution.

Separate infrastructure contracting from software contracting to leverage better pricing due to volume discounts.

When standard platforms exist in an environment, standard tools for environment monitoring and recovery can be deployed as well as a number of more complex concepts such as:

Can actually achieve reliable, unaltered business performance metrics because the need for data normalization is significantly reduced

Sets a foundation to effectively build an EHR through integration as well as interfacing. When interfacing data across unlike platforms, data is very likely to get changed in some manner to achieve “integration”. This can be insignificant in most cases, but very significant in a few. The data normalization when interfacing can be very complex and require extensive support overhead.

If you achieve integration through interfacing, a significant part of the enterprise becomes tied to one platform which has a track record of being a high maintenance environment with questionable stability.

What will be the exact deliverables from InterOPERANT?

An Application inventory and standards implementation assessment – this would provide an expert pathway from current state to desired end state leveraging the most prevalent current investments and functionality.

Then we roll up our sleeves and help you get it done.

Why hire us to do it? Could you just do it yourselves? How do we co-source partner with you?

The partners of InterOperant have over 75 years of combined experience and have directly been involved in standards implementations in several multi-billion dollar companies. These implementations spanned years in each organization and were accomplished by:

Establishing the proper governance for hardware and software selection and deployment (this involves significant education of the entire organization to the proper guidelines to insure compliance to policy)

Effective auditing of the entire enterprise to identify technologies or platforms not in alignment with the strategy and planning for the mitigation of these within desired timelines

Working with the vendors to transform the implementations of their platforms into compliance with the adopted standards or plan a mitigation strategy which might mean replacement of the platform should the platform not be able to be remediated.

Educating the organizational stake-holders to the importance of a balance of application functionality to platform standardization to achieve an overall standards based environment.
Implementation of enterprise standards is a very difficult task and without continued reinforcement throughout the change process, these initiatives can get derailed or linger on until the initial goals become irrelevant or outdated.

This type of change has to be deliberate and continuously supported until it is completely adopted in the environment in order to shift into the support and evolutionary stages that follow. There will always be continuous change prevalent in computing environments and this change is harder to manage and is more costly in a heterogeneous environment where standards are attempting to be deployed.

What will we build to help them maintain standards after InterOPERANT leaves?

The governance is the key piece to maintaining the implemented standards. There has to be a solid roadmap for departments to bring projects forward, have these projects reviewed and championed in partnership with IT to insure standards are being adhered too. There can be tools constructed to audit and monitor the application inventory present on the network for offending applications to the standards. Some of the tools you already own, the rest we can supply.

Best,

Don Lyons, CEO and Managing Partner

Blenda Shipp, Chief Development Officer and Senior Partner