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Thoroughly revised and updated, this book offers a comprehensive resource for understanding information technology (IT) strategic planning and implementation within healthcare institutions. Filled with illustrations and case studies, the book is written for leaders and high-level managers in healthcare organizations. New to this edition are updated concepts and practices, more illustrative examples of strategy as well as updated industry data and technology examples. The book also contains news chapters on IT asset and IT-centric organizational attributes and value and offers learning objectives, key terms, and discussions questions in each chapter.
John P. Glaser, PhD, is chief information officer of Health Services Business, Siemens. Previously he was chief information officer of Partners Health Care. Claudia Salzberg, MS, is a research and analyst in the Center for Patient Safety Research and Practice and the Division of General Medicine of Brigham and Women's Hospital.
Table of Contents
|Tables, Figures, and Exhibits||p. vii|
|The Authors||p. xv|
|An Overview of Strategy||p. 1|
|Definition of Strategy||p. 2|
|The Need for IT Strategy||p. 6|
|Areas of IT Strategy||p. 8|
|Strategy Considerations and Conclusions||p. 12|
|Characteristics of Strategic Thinking||p. 15|
|Linkage of IT Strategy to Organizational Strategy||p. 21|
|IT Planning Objectives||p. 22|
|Vectors for Arriving at IT Strategy||p. 23|
|A Normative Approach to Developing Alignment and IT Strategy||p. 30|
|Observations on IT Strategy Development||p. 40|
|The Information Technology Asset||p. 47|
|Asset Composition and Overview||p. 48|
|Application Systems||p. 50|
|Technical Architecture||p. 55|
|IT Staff||p. 70|
|The Chief Information Officer||p. 78|
|Observations on the IT Asset||p. 80|
|Information Technology-Centric Organizational Capabilities and Characteristics||p. 83|
|Managing Change||p. 84|
|Studies of Factors Contributing to Effective IT Use||p. 97|
|Strategy Considerations and Conclusions||p. 109|
|Complementary Strategies||p. 110|
|The Realization of IT-Enabled Value||p. 114|
|Strategy Evolution||p. 120|
|Governing Concepts||p. 124|
|The Competitive Value of Information Technology||p. 128|
|High Performance Medicine||p. 137|
|HPM Team 1: Investment in Quality and Utilization Infrastructure||p. 139|
|HPM Team 2: The Patient Safety Initiative||p. 142|
|HPM Team 3: The Uniform High-Quality Initiative||p. 144|
|HPM Team 4: Disease Management Initiative||p. 145|
|HPM Team 5: The Trend Management Initiative||p. 148|
|HPM Governance and Change Management||p. 150|
|Personalized Medicine||p. 155|
|Partners HealthCare Personalized Medicine and IT||p. 156|
|Framing the Strategic Response||p. 158|
|The Workflow Process||p. 160|
|The End Users||p. 163|
|Implementing the IT Strategy||p. 166|
|Enterprise IT||p. 167|
|Clinical Environment IT||p. 170|
|Research IT||p. 171|
|Service-Oriented Architecture for Electronic Health Records||p. 177|
|Framing the Strategic Response||p. 180|
|The Potential Value of SOA||p. 181|
|The Challenges of SOA||p. 183|
|Approaching the SOA Strategy||p. 184|
|The SOA Strategy||p. 185|
|Health Care Reform||p. 193|
|New Modeles of Care||p. 194|
|Payment Reform||p. 197|
|National and State Health Information Technology Initiatives||p. 198|
|The Effect of Health Care Reform on IT Strategy||p. 201|
|The Effect of Health Care Reform on the IT Asset||p. 203|
|The Effect of Health Care on Governance||p. 210|
|Population Health||p. 213|
|Goals of Population Health||p. 215|
|Population Health and Health Care Providers||p. 216|
|The Effect of Population Health Interests on IT Strategy||p. 217|
|Disease Monitoring and Surveillance||p. 221|
|Chronic Disease||p. 223|
|Immunization Registries||p. 223|
|Synthesis of Information Technology Strategy||p. 227|
|IT Asset||p. 228|
|IT-Centric Organizational Characteristics and Capabilities||p. 231|
|Governing Concepts||p. 233|
|Complementary Strategies||p. 235|
|Strategy Evolution||p. 237|
|The Realization of IT-Enabled Value||p. 238|
|IT as Way to Enhance Competitive Position||p. 240|
|Table of Contents provided by Ingram. All Rights Reserved.|