How Cloud Drives Innovation and Digital Transformation

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1 How Cloud Drives Innovation and Digital Transformation 161, February 22, 2017 Randy Gaboriault, CIO & SVP of Innovation, Christiana Care Health System 1

2 Speaker Introduction Randy Gaboriault. MBA Chief Information Officer & Senior Vice President of Innovation Add Speaker Photo Here 2

3 Conflict of Interest Randy Gaboriault, MBA Has no real or apparent conflicts of interest to report. 3

4 Agenda Driving Forces for Innovation Moving from a Health System to a System that Impacts Health Forces Shaping Christiana Care s Cloud Strategy Christiana Care s Cloud Drivers Lesson s Learned Q&A 4

5 Learning Objectives Implement an approach for transforming organizational capabilities through it innovation Explain the driving forces for Cloud Formulate a strategic case for moving services to the Cloud 5

6 An Introduction of How Benefits Were Realized for the Value of Health IT Include one slide at the beginning of the presentation that links and frames the presentation to demonstrate the benefits realized for one or more STEPS value categories. Use metrics where possible. Please see STEPS slide templates & guidelines for detailed instructions on utilizing the STEPS framework in your HIMSS17 presentation. 6

7 Christiana Care Health System Community-based AMC Largest employer in Delaware 195,000 ED visits 53,000 admissions 39,000 surgical procedures Aa2 Moody s Bond Rated 7

8 8

9 45% & 85% 9

10 $25K & $50K 10

11 Delaware Healthcare Market Realities (Pg 8.)

12 12

13 Arrival Investigation Intervention Recovery Discharge 13

14 Capitation Hospital Shared Savings Accountable Care Shared Savings Quality Shared Savings Bundles Process Quality Fee For Service 14

15 MOVE FROM A HEALTH SYSTEM TO A SYSTEM THAT IMPACTS HEALTH 15

16 16 Caring for people with long-term conditions, who live in community settings

17 The Biggest Shift In A Century 17

18 A Changing of the Guard 18

19 19

20 20

21 Creating Higher-Value Transactions On The Consumer s Terms 21

22 Forces Shaping Our Cloud Strategy 22

23 1 4-Walls No Walls 23

24 2 A Physical Native with Digital Complements A Digital Native with Physical Complements 24

25 3 Data Producer Data Consumer 25

26 4 Periodic Interaction Persistent Interaction 26

27 5 Human-based Decision Making Analytically-assisted Everything 27

28 6 Technology Purchaser & Implementer Technology Producer & Co-creator 28

29 Christiana s Cloud Priorities Focus on 7 Clouds General Administration Clinical Patient Engagement Integrated Analytics Human Capital Management Services Collaboration & Productivity 29

30 Our Cloud Drivers 30

31 We have to grow without growing 31

32 We have to be integrators of a new information supply chain 32

33 We need to stop maintaining technology and start enabling new care delivery and business models 33

34 We have to shift from implementing software to creating new organizational capabilities 34

35 The cloud vendor has become, and always will be better then us on security for their services 35

36 COMMERCE FRAMEWORK + CONSUMER + DIGITAL + CLOUD 36

37 A Summary of How Benefits Were Realized for the Value of Health IT Freed up resources to focus on high value activities Created resource capacity to enhance clinical workflows and patient engagement Deliver access to richer data in real-time to improve business insight and response Direct resources to new areas of health delivery including risk-based contracting and population health management Invest savings in capacity versus spending on upgrades 37

38 Questions Randy Gaboriault Christiana Care Chief Information Officer; Senior Vice President of Innovation & Strategic Development Chair, Delaware Health Information Network (DHIN) Adjunct Faculty - The Geisel School of Medicine at Dartmouth 38