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Physician Computer Connection
Changing Roles in Health IT Leadership June 26, 2013
David S. Muntz, CHCIO, FCHIME, FHIMSS
Principal Deputy National Coordinator
Jacob Reider, MD Chief Medical Officer
Office of the National Coordinator for Health IT Department of Health & Human Services
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Our target today is to: Provoke Thought Offer Guidance Share Insight Learn Recruit
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The History of the CIO
June 26, 2013 3 Office of National Coordinator
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The CMIO
• What’s a CMIO?
• I don’t need a CMIO?
• Why are they asking so many questions about “my” stuff?
June 26, 2013 4 Office of National Coordinator
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The CMIO
June 26, 2013 5 Office of National Coordinator
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The CMIO
June 26, 2013 6 Office of National Coordinator
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The CMIO
June 26, 2013 7 Office of National Coordinator
• “Please Manage the Doctors for us .. “
• “The vendor says we need a clinical champion …”
• “You’re into computers …”
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The Terrible CMIO
June 26, 2013 Office of National Coordinator 8
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The Terrible CMIO
June 26, 2013 Office of National Coordinator 9
“You IT people don’t get it” “Why the ^%$# didn’t I get invited to that &^%$ meeting?” “This &^%$ system isn’t going to work – I told you so…”
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The Traditional CMIO
June 26, 2013 Office of National Coordinator 10
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Transforming CMIO
• What is best for YOU and the business?
• What are my strengths and how do we work best together?
June 26, 2013 11 Office of National Coordinator
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The Enlightened CMIO
June 26, 2013 12 Office of National Coordinator
• What is best for the patients and providers and what role should I play?
• How do we discover what is best for all participants and non-participants in health care? How can we inspire best efforts?
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The Enlightened CMIO
June 26, 2013 Office of National Coordinator 13
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The History of the CIO
June 26, 2013 14 Office of National Coordinator
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June 26, 2013 15 Office of National Coordinator
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The History of the CIO
June 26, 2013 Office of National Coordinator 16
Wadley Institutes of Molecular Medicine Dallas, TX est. 1969
Granville C. Morton Hospital Long Radiotherapy Institute
Wadley Blood Bank Wadley Research Institute
Goddard Computer Institute
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The Terrible CIO
June 26, 2013 Office of National Coordinator 17
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The Terrible CIO
June 26, 2013 Office of National Coordinator 18
• What is best for ME?
• How can MY career/
power/control be enhanced?
• I know what is best for YOU.
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The Traditional CIO
June 26, 2013 19 Office of National Coordinator
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Transforming CIO
• What is best for YOU and the business?
• What are my strengths and how do we work best together?
June 26, 2013 20 Office of National Coordinator
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The History of the CIO
June 26, 2013 21 Office of National Coordinator
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The Enlightened CIO
June 26, 2013 22 Office of National Coordinator
• What is best for the patients and providers and what role should I play?
• How do we discover what is best for all participants and non-participants in health care? How can we inspire best efforts?
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The Enlightened CIO
June 26, 2013 23 Office of National Coordinator
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Solving The Problems
• Those are good questions. I wish I’d thought of them
• I think they could help me
• How can I choose to respond rather than react?
June 26, 2013 24 Office of National Coordinator
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June 26, 2013 25 Office of National Coordinator
Solving The Problems: Partnering
I think we should be partners. We are great partners.
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Putting the patient at the center
June 26, 2013 26 Office of National Coordinator
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Role Definition
Activity CIO CMIO CXOs
Strategy and vision Shared Shared CEO, COO, CMO, CNO, CSO, CFO
Technology assessment/management Primary Secondary CMO, CNO, CSO
Clinical assessment/management Secondary Primary CMO, CNO, CSO
Change management Shared Shared All
Value of Investment Shared Shared COO, CMO, CNO, CSO,
CFO
Relationship management Shared Shared All
Execution Shared Shared All
June 26, 2013 Office of National Coordinator 27
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Major Challenge: Change Management
• Workflow
• Lifeflow
June 12, 2013 28
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Sharing
June 26, 2013 Office of National Coordinator 29
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Sharing
June 26, 2013 Office of National Coordinator 30
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RACI / RASCI
June 26, 2013 Office of National Coordinator 31
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Career Opportunities
Activity CIO CMIO
Chief Operating Officer
CEO
CIO (somewhere else)
CMIO (somewhere else) – clinicians only
CFO
CMO – Clinical Leadership – clinicians only
Chief Innovation Officer Office of National Coordinator 32
Really?
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Where the puck will be
June 26, 2013 Office of National Coordinator 33
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June 26, 2013 Office of National Coordinator 34
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Data Liberation: Eclectic Data
• Chief Nursing Informatics Officer
• Chief Privacy Officer
• Chief Security Officer
• Chief Pharmacy Informatics Officer
• Chief Radiology Informatics Officer
• The Patient and Consumer
• Others…
June 26, 2013 Office of National Coordinator 35
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Value Analytics
June 26, 2013 Office of National Coordinator 36
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Safety
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HHS Safety Plan
• Promote the health care industry’s use of health IT to make care safer.
• Continuously improve the safety of health IT.
June 26, 2013 Office of National Coordinator 38
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HHS Safety Plan
• Learn
• Improve
• Lead
June 26, 2013 Office of National Coordinator 39
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HHS Safety Plan: LEARN
Increase the quantity and quality of data and knowledge about health IT safety
June 26, 2013 Office of National Coordinator 40
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HHS Safety Plan: IMPROVE
Target resources and corrective actions to improve health IT safety and patient safety
June 26, 2013 Office of National Coordinator 41
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HHS Safety Plan: LEAD
Promote a culture of safety related to health IT
June 26, 2013 Office of National Coordinator 42
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The best care
At the lowest cost
For the whole
population
Improve
individual
experience
Improve
population
health Control
inflation of
per capita
costs
D. Berwick, Institute of Healthcare Improvement, 2007
The Triple Aim
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Our target today was to: Provoke Thought Offer Guidance Share Insight Learn Recruit
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Who are our Federal partners?
June 12, 2013 45
More to come…
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Together, we are making a difference!
Thank you!
Please send comments or questions to [email protected]
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www.CMS.gov/eHealth
June 26, 2013 Office of National Coordinator 47
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www.HealthData.gov
June 26, 2013 Office of National Coordinator 48
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www.HealthIT.gov
June 26, 2013 Office of National Coordinator 49