Understanding the Role of the Healthcare Chief Information Officer

Transcription

1 Understanding the Role of the Healthcare Chief Information Officer C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic Executive Director, ecleveland Clinic

2 Healthcare Reform has been a Major Topic of Discussion A Model Healthcare Delivery System Quality / Efficiency Health Information Technology

3 The Role of the CIO Mapped to the Integration Maturity of a Healthcare Organization Role of CIO The level of integration maturity determines with whom the CIO will be principally working. Enterprise-wide management of core human and material resources Administrative Integration Clinical Integration Operational Integration Integration Maturity of Organization

4 Administration Integration: Functional Information System Description General Ledger Accounts Payable Purchasing Payroll Human Resources Basic Scheduling Basic Insurance Management Dashboards, Administrative Activity

5 Demographic Information and Insurance

6 Clinical Scheduling

7 Dashboard: Administrative Activity

8 Administration Integration: Activities of CIO Defining Business Units Driving Administrative Efficiency Managing Staffing Levels Reducing Gross Variation

9 Administration Integration: Strategic Plan Focus Understanding the cost structure and efficiency of the operational business units in the organization

10 The Role of the CIO Mapped to the Integration Maturity of a Healthcare Organization Role of CIO The level of integration maturity determines with whom the CIO will be principally CFO / CAO working. Enterprise-wide Enterprise-wide management patient and of core human clinical and service material management resources Administrative Integration Clinical Integration Operational Integration Integration Maturity of Organization

11 Clinical Integration: Functional Information System Description Coordinated Scheduling Administrative Clinical Electronic Medical Record Personal Health Record Dashboards, Clinical Activity

12 Electronic Medical Record

13 sallyi

14 Dashboard: Health System View Budget Variance October 2009 ($ in thousands) CCHS CCF System Hospitals Children's Rehab Florida Weston Clinic Care Other Businesses Actual 09 $ 11,514 $ 8,871 $ 1,958 $ 72 $ 1,092 ($ 201) ($ 278) Budget 09 $ 8,394 $ 276 $ 7,872 $ 198 $ 644 $ 262 ($ 859) Variance $3,120 $ 8,595 ($5,914) ($126) $448 ($463) $581 Actual 08 $ 8,829 $ 7,151 $ 1,287 $ 53 ($ 71) $ 711 ($ 302) 10,000 $ thousands 0-10,000 CCHS Cleveland Clinic System Hospitals Children's Rehab Florida Clinic Care Other Businesses

15 Clinical Integration: Activities of CIO Defining Clinical Service Units Interfacing Information Clinical Operations Modeling Development of Service Level Financial Reporting Creation of Process-related Quality Improvements

16 Clinical Integration: Strategic Plan Focus Facilitation of a Distributed Clinical Care Model Volume Growth through Geographic Access

17 The Role of the CIO Mapped to the Integration Maturity of a Healthcare Organization Enterprise-wide Enterprise-wide outcomes patient driven and patient management clinical and service clinical management service design Role of CIO COO, CMO, CNO, Clinical Department Heads CFO / CAO Administrative Integration Clinical Integration Operational Integration Integration Maturity of Organization

18 Operational Integration: Functional Information System Description Demand Management Through-put Management Coordinated Care Paths Remote Chronic Disease Management Dashboards, Predictive Modeling

19 Clinical Quality Anesthesia Dashboard: Antibiotic Compliance Monthly Trend

20 Patient view of questionnaire: Upon log-in, patient prompted to fill out questionnaire for next appointment.

21 MyChart questionnaire attaches to the patients visit type under upcoming appointments.

22 MyChart questionnaire allows patients to answer questions prior to the scheduled visit.

23 MyChart questionnaire also allows patients to review their answers before they are submitted.

24 Advanced Scheduling

25 Advanced Scheduling

26 Dashboard: Financial / Quality / Patient Experience View

27 Mitral Valve Repair Mortality 2.5 % National Average Cleveland Clinic

28 Cost: Last Two Years of Life Mayo Clinic Cleveland Clinic Duke Univ. Hosp. Barnes-Jewish Mass. General Univ. of Wash. UCSF Medical NY-Presbyterian Johns Hopkins UCLA Medical Dartmouth Atlas 0 $25,000 $50,000 $75,000

29 Operational Integration: Activities of CIO Strategic Growth Planning Enterprise Operational Modeling Design Enterprise Governance Control Processes Enterprise Change Management Outcomes-driven Systems Implementations

30 Operational Integration: Strategic Plan Focus Quality Value Service Smart Growth

31 The Role of the CIO Mapped to the Integration Maturity of a Healthcare Organization Board of Directors, CXO, Chief Strategy Officer, Clinical Chairman Enterprise-wide outcomes driven patient management and clinical service design Role of CIO COO, CMO, CNO, Clinical Department Heads CFO / CAO Administrative Integration Clinical Integration Operational Integration Integration Maturity of Organization

32 The Role of the CIO Mapped to the Integration Maturity of a Healthcare Organization Board of Directors, CXO, Chief Strategy Officer, Clinical Chairman Role of CIO COO, CMO, CNO, Clinical Department Heads CFO / CAO Administrative Integration Clinical Integration Operational Integration Integration Maturity of Organization