1st Edition
Renovating Healthcare IT Building the Foundation for Digital Transformation
Healthcare IT is under tremendous pressure in today’s environment: Budgets are shrinking; staff are in short supply; cloud, mobile, and data are driving expansion and innovation. Consumer expectations are high while agility and speed to market for many HIT organizations is low. The exponential growth of data sources and the need to empower healthcare with data-driven intelligence is pushing capabilities. The words "digital transformation" are infused in just about every discussion and serve to amplify organizational expectations of IT. In this environment, IT departments have to retool, rethink, and revise their way of operating. Few have the option of starting from scratch; the vast majority of organizations have built IT functions over decades. Now, it’s time to remodel and renovate for the future. This book walks the reader through the process of determining what type of IT function they have today and what they’ll need tomorrow. It discusses how to assess and analyze IT capabilities and then develop and implement a plan to renovate in place. By retooling now, the IT function can successfully meet the growing demands of the organization in the future. When approached in a planful manner, this process of renovating can energize the entire organization and help foster innovation and transformation along the way.
SECTION 1 – INTRODUCTION TO RENOVATION
Chapter 1 – Overview of Healthcare in the U.S.
1. U.S. Healthcare Overview
2. Healthcare and Technology
3. Post-Pandemic Trends
4. The Healthcare IT Imperative
5. Summary
6. References
Chapter 2 – Renovation for Digital Transformation
1. What is Digital Transformation
2. Digital Transformation in Healthcare
3. Summary
4. References
5. Resources
Chapter 3 – Assess the Environment
1. Healthcare Environment
2. Your Organization’s Environment
3. Tolerance for Change, Appetite for Risk
4. Strategic Leadership and IT
5. Environmental Assessment Plan
6. Summary
7. References
SECTION 2 – IT BUILDING BLOCKS
Chapter 4 - IT Strategy
1. Strategy Defined
2. IT Strategic Planning
3. Healthcare IT Strategic Plan Example
4. IT Strategic Plan
5. Operational Strategies
6. Innovation and Strategy
7. Summary
8. References
Chapter 5 - IT Governance
1. About Frameworks
2. IT Governance Definition
3. Implementing IT Governance
4. Data Governance
5. Summary
6. References
7. Resources
Chapter 6 - IT Architecture
1. Understanding Enterprise Architecture
2. Summary
3. References
4. Resources
Chapter 7 - IT Finance
1. Healthcare IT Finance Overview
2. Chargeback and Show Back Methods
3. Shifting the Conversation from Cost to Value
4. Managing Cloud Costs
5. Renovating IT Finance
6. Summary
7. References
8. Resources
Chapter 8 – IT Technology
1. IT Asset Management
2. Data Centers
3. Servers, Storage, and Platforms
4. Cloud Technologies
5. Network Components
7. Enterprise Data Warehouse, Database Systems
9. IT Infrastructure Applications
10. End User Devices
11. Cybersecurity
12. Other IT Technology
13. Medical Device Technology
14. Summary
15. Resources
Chapter 9 - IT Service Management/ IT Operations
1. IT Operations Management (ITOM) and IT Service Management (ITSM)
2. Achieving Operational Excellence
3. Types of IT Operations
4. IT Operations Management (ITOM)
5. IT Processes
6. IT Service Management (ITSM)
7. Summary
8. References
9. Resources
Chapter 10 - IT Business Intelligence/Analytics
1. Data in Healthcare
2. Decentralized vs. Centralized BI
3. Collections of Data
4. Data Management
5. Summary
6. References
7. Resources
Chapter 11 - IT Business Continuity and Disaster Recovery
1. Risk Assessment
2. Business Impact Analysis
3. Risk Mitigation Strategies
4. BC/DR Plan Development
5. Emergency Response and Recovery
6. Testing, Training, Auditing
7. Plan Maintenance
8. Cloud Solutions
9. Summary
10. Resources
Chapter 12 - IT Cybersecurity
1. Overview
2. Cybersecurity Program Elements
3. Cloud Security
4. Summary
5. Resources
Chapter 13 - IT Staffing
1. Key Principles
2. Staffing Sources
3. Staffing Locations
4. Staffing Schedules and On-Call
5. Leveraging Automation
6. Technical Skills
7. Business Skills
8. Making Work Fun Diversity, Equity and Inclusion (DEI)
9. Summary
10. References
11. Resources
Chapter 14 - IT Leadership
1. Managers and Leaders
2. Key Capabilities
3. Summary
4. References
5. Resources
Chapter 15 - IT Value Creation
1. Seven Elements of IT Value
2. Business Relationship Management
3. Technology Business Management
4. TBM Components
5. Beginning With TBM
6. Summary
7. References
8. Resources
SECTION 3 – IT ASSESSMENTS
Chapter 16 - IT Strategy
1. Overview
2. Define the dimension
3. Write capability statements
4. Assess the capability
5. Chart current state
6. Summary | Future State Notes
7. Resources
Chapter 17 - IT and Data Governance
1. IT and Data Governance Overview
2. IT Governance
3. Define the dimension
4. Write capability statements
5. Assess the capability
6. Chart current state
7. Summary | Future state notes
8. Data Governance
9. Define the dimension
10. Write capability statements
11. Assess capability
12. Chart current state
13. Summary | Future state notes
14. References
Chapter 18 - IT Architecture
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
6. Resources
Chapter 19 - IT Finance
1. IT Finance Views
2. Define the dimension
3. Write capability statements
4. Assess the capability
5. Chart current state
6. Summary | Future state notes
Chapter 20 – IT Technology
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
Chapter 21 - IT Service Management/ IT Operations
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
Chapter 22 - IT Business Intelligence/Analytics
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
Chapter 23 - IT Business Continuity and Disaster Recovery
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
Chapter 24 - IT Cybersecurity
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
6. References
Chapter 25 - IT Staffing
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
Chapter 26 - IT Leadership
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Individual Assessments
6. Summary | Future state notes
Chapter 27 - IT Value Creation
1. Define the dimension
2. Write capability statements
3. Assess the capability
4. Chart current state
5. Summary | Future state notes
SECTION 4 – RENOVATION PLAN
Chapter 28 - Create Your Renovation Plan
1. Summary of Assessment Findings
2. Analyzing IT Current State Results
3. Identify Critical Outcomes
4. Renovation Approach
5. Create a Timebound Plan
6. Setting Expectations Around Results
7. Sequencing Your Renovation Work
8. Create Your Prioritized List
9. High-Level Objectives and Strategy
10. Project Plan
11. Agile Renovation Project Management
12. Documenting Your Renovation Plan
13. Summary
Chapter 29 – Manage Change
1. Change Management and Project Management
2. Change Management Overview
3. Summary
4. References
5. Resources
Chapter 30 – Design Your Digital Future
1. Preparing for Digital Transformation
2. Clearing Out the Old
3. Starting Points
4. Summary
5. References
6. Resources
Chapter 31 – Completion - Certificate of Occupancy
Biography
Susan Snedaker, MBA, is a renowned healthcare IT executive, consultant, and author with more than 15 years of experience in the industry. Susan is a leading voice in the world of healthcare IT and has helped numerous organizations improve patient outcomes through innovative IT solutions. As Chief Information Officer (CIO) for a major Federally Qualified Health Center (FQHC) system, and previously, as Information Security Officer (ISO) for a major community hospital system, Susan has a wealth of experience leading healthcare IT departments and implementing cutting-edge technologies. Her expertise has been recognized by her peers, earning her prestigious certifications as a Certified Healthcare CIO (CHCIO) and Certified Healthcare Information Security Leader (CHISL). Susan is also an accomplished author, having written several books on healthcare IT and leadership, as well as numerous articles and white papers. Her thought leadership has been featured in leading industry publications and she is a sought-after speaker at conferences and events. Susan's passion for healthcare IT and her commitment to sharing her expertise are reflected in her latest book, Renovating Healthcare IT: Building the Foundation for Digital Transformation.
"To significantly increase the success of a digital transformation, it is crucial to build a strong organizational foundation. Such a foundation should be rooted in the organization's ability to manage change, form partnerships and innovate, coupled with a well-integrated and managed IT infrastructure and applications. Susan Snedaker's book, Renovating Healthcare IT: Building the Foundation for Digital Transformation, offers a comprehensive guide to defining, assessing, and establishing a high-performance IT foundation. From IT strategy, governance, operations, architecture to staffing, the book covers all aspects essential for the digital transformation of healthcare. With the need to digitally transform healthcare, following the guidance in this book is paramount, as it offers a masterful guide to achieving success."
John Glaser, PhD
Executive in Residence, Harvard Medical School
Former CIO, Partners HealthCare"As the demands of our industry continue to increase and our technology rapidly evolves, it can be difficult to keep up. Due to limited resources and time constraints, our IT architectures often remain unchanged for decades. In order to break free from this cycle of stagnation, industry leaders should look to Susan Snedaker's latest book, Renovating Healthcare IT: Building the Foundation for Digital Transformation. Snedaker's in-depth meta-analysis and clear-eyed grasp of the situation show us how to interrupt this cycle, transforming the traditional cycle of evolution into a path of renovation."
Anthony Fonze
Former hospital CEO, healthcare network CIO, and HIE Chief Innovation Officer"Susan Snedaker's book Renovating Healthcare IT: Building the Foundation for Digital Transformation, provides a comprehensive guide to navigating a fluid post-pandemic landscape and offers a clear roadmap for success as organizations adapt to the future of patient care. Expertly dissecting the challenges faced by the industry, from budget cuts to cybersecurity threats, Snedaker offers actionable solutions for optimizing IT infrastructure, fostering innovation, and driving digital transformation. This is an essential read for hospital and healthcare decision-makers, both inside and outside of IT, who aspire to make a meaningful impact in the constantly evolving future of digitally driven patient care."
Roshni Mark, Public Funding Advisor, Cisco Systems
Previous: Hospital Administrator, Massachusetts General Hospital"Healthcare is in desperate need of a digital transformation. In this instructive book, Snedaker skillfully leads readers from the principles of digital transformation to IT building blocks to a final map of designing a digital future. This instructive, eye-opening book is essential reading for those looking to lead or deepen their understanding of the digital healthcare revolution. "
Katherine Gergen Barnett, MD
Department of Family Medicine
Vice Chair of Primary Care Innovation and Transformation,
Boston Medical Center
Clinical Associate Professor, Boston University Medical School
Affiliate, Harvard Center for Primary Care
Health Innovators Fellow, Aspen Institute"An invaluable resource for those looking to improve the efficiency, effectiveness, and security of healthcare IT systems."
From the Foreword by Russ Branzell, President & CEO, CHIME
