Expert: Effective HIT use hinges on the right governance approach | Ed Marx comments on finding the best IT governance model | Hospitals increasingly invest in venture capital funds
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October 23, 2014
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Expert: Effective HIT use hinges on the right governance approach
Health groups seeking to make cost-effective use of health IT should have the right governance strategy in place, writes Dr. Dick Taylor of the MedSys Group. Taylor discusses the characteristics of an effective IT governance model, including getting the organization's financial and clinical executives to decide on IT budget priorities and become partners in ensuring widespread adoption of new systems, as well as devising a comprehensive IT strategy. InformationWeek (10/21)
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Ed Marx comments on finding the best IT governance model
Ed Marx, SVP and CIO, Texas Health Resources
Ed Marx, SVP and CIO, Texas Health Resources
At every IT-related conference across all industries, you can be assured that there will be at least one session on IT governance. Everyone is looking for the silver bullet to this common struggle. I have seen all kinds of models, and at the end of the day, it comes down to organizational culture. What works superbly for one hospital may fail miserably at another. It is a mistake to believe that the models are portable. That said, you can leverage almost any model to achieve effective governance. CIOs should not look to copy a specific model, but rather home in on and adopt the successful traits that run through the majority of the working models out there.

As Dr. Taylor points out, you know your model is working when IT governance helps establish and defends budgets. I always had physicians and executives as co-chairs in my models. Practically, I gained three times the influence as they became surrogate CIOs when it came time to acquire or defend resources. Adoption and usability were no longer on my shoulders, but rather the responsibility was carried by our multi-stakeholder governance model. Sometimes, I never had to say a word in a governance meeting at all, as my surrogates were more effective spokespersons than I. An effective model also offers an escalation path for your organization to deal with unforeseen challenges and to respond to crisis. Finally, the model should be a natural vehicle for strategy: from ensuring alignment to determining how finite resources should be allocated across competing priorities.

Focus less on the model and more on the desired outcomes. The path will become much more clear when you build around pre-agreed-upon and measurable success traits.
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Find Merge at CHIME Fall CIO Forum
Merge is a leading provider of innovative enterprise imaging, interoperability and clinical solutions that seek to advance healthcare. Merge's enterprise and cloud-based technologies provide access to any image, anywhere, any time. For more information, visit merge.com and follow us @MergeHealthcare.
 
Strategy & Leadership
Hospitals increasingly invest in venture capital funds
Household-name health care systems, such as the Mayo Clinic, Dignity Health and the Cleveland Clinic, have launched venture capital funds, aiming to bring new technology to the market and generate revenue. BeckersHospitalReview.com (10/15)
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Technology Spotlight
Technology that makes better use of wearable device data in the works
Researchers at the University of Memphis' Center of Excellence for Mobile Sensor Data-to-Knowledge are designing open-source software that could help make better use of information gathered with wearable and mobile tools. Researchers will evaluate the software with two pilot initiatives, one focused on cutting readmissions among people with congestive heart failure and another designed to help former smokers avoid relapse. BeckersHospitalReview.com (10/20)
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Management & Operation
Survey: More hospitals seek to add e-monitoring of hand hygiene
A DebMed survey of more than 400 nurses, health care leaders and infection prevention experts found a 2% increase in hospitals with electronic monitoring for hand hygiene since 2012. The survey found 33% were in the process of implementing an electronic system, and an additional 43% of hospitals are planning to adopt a system to track hygiene compliance. MedCityNews.com (10/20)
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Docs express uncertainty over which apps patients need
Many doctors believe digital tools can help improve patient health, with more than a third saying they have suggested patients use mobile health applications, according to a survey by Manhattan Research. About 50% of those who have recommended using an app made suggestions about which one to use, while most respondents were uncertain which apps to recommend. PhysiciansBriefing.com/HealthDay News (10/17)
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Regulatory & Legislative
Feds extend Anti-Kickback Statute, Stark Law waivers for ACOs
Anti-Kickback Statute and Stark Law waivers for accountable care organizations that are participating in the Medicare Shared Savings Program have been extended by the CMS and the HHS' Office of Inspector General through Nov. 2, 2015. The extension is important to help ACOs avoid legal uncertainties and to prevent possible disruption of their operations and business plans, according to the interim final rule. BeckersHospitalReview.com (10/20)
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Federal audit finds FDA apps, network susceptible to cyberattacks
The HHS Office of Inspector General recently conducted an external penetration test of the FDA's Web applications and computer network to uncover vulnerabilities to cyberattacks. One problem found during the test was that some FDA Web pages failed to validate the data being entered by users. According to the OIG, this vulnerability could give attackers an opportunity to send malicious data to FDA pages, hack a user's Web browser and redirect the user to malicious sites. The OIG suggested that the FDA perform corrective actions and regularly evaluate the security of its systems to address the problems. Health Data Management (10/21)
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Market Focus
Mayo Clinic rolls out telemedicine kiosk in Austin, Minn.
The Mayo Clinic Health System has deployed a telehealth kiosk at its campus in Austin, Minn., as part of its Mayo Connected Care pilot initiative to enable employees to easily consult with providers about minor conditions. In addition to the videoconferencing feature, the kiosk is equipped with devices to check the patient's eyes, throat and ears, as well as blood pressure. Star Tribune (Minneapolis-St. Paul, Minn.) (10/19)
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CHIME News
CHIME forms 2 new organizations for health IT leaders
CHIME has announced the creation of two new CHIME-supported associations: The Association for Executives in Healthcare Information Applications (AEHIA) and The Association for Executives in Healthcare Information Technology (AEHIT). Both timely associations are now accepting applications for membership from senior executives of health care provider and payer organizations. For more details about these organizations or to join, please contact staff@chimecentral.org.
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CHIME Best Practices Institute Solutions Showcase
After years of sharing best practices informally, CHIME14 attendees will also review real-life solutions to the health care industry’s most difficult IT challenges in the CHIME Best Practices Institute Solutions Showcase. This new learning environment features collaborations between health care providers and their vendor partners. One great idea captured here can make the ROI for CHIME14 immeasurable! Get more information.
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SmartQuote
For the past 33 years, I have looked in the mirror every morning and asked myself: 'If today were the last day of my life, would I want to do what I am about to do today?' And whenever the answer has been 'No' for too many days in a row, I know I need to change something."
-- Steve Jobs,
American entrepreneur
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