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January 20, 2015
Forging
Tomorrow’s
Healthcare
CIO
Table of Contents
Reproduction of this presentation in part or in its entirety is prohibited
without express written consent from The Kiran Consortium Group, LLC.
Copyright 2015. All rights reserved.
Forging Tomorrow’s Healthcare CIO
2
• Introduction
• Industry
Surveys
• Industry Trends
• Forge Your
Path
• Bibliography
• Contact
© 2015 The Kiran Consortium Group, LLC
Introduction
3
Introduction
© 2015 The Kiran Consortium Group, LLC
As we start the new year, 2015, it is worth assessing how today’s CIOs can forge their role for
tomorrow and into the foreseeable future.
4
Forging Tomorrow’s Healthcare CIO
Industry complexity remains
high with evolving care delivery
and declining reimbursement
models
Hospitals mergers, acquisitions
and divestitures continue
User demand always exceeds
capacity
Emerging and new technologies
are abundant and compete with
finite budgets
Project prioritization remains
challenging with regulatory and
internal requirements
Introduction
Presentation
Goals:
5
Forging Tomorrow’s Healthcare CIO
© 2015 The Kiran Consortium Group, LLC
Review trends identified by CIOs,
within Healthcare and across
industries
Identify industry trends that can
impact your role as a Healthcare
CIO
Determine approaches to meet
your employer’s needs as well
as your professional goals,
today and
tomorrow
What is not included in
this presentation:
1) Tactical challenges to
Healthcare CIOs, and
2) Resource management.
© 2013 The Kiran Consortium Group, LLC 6
Industry Surveys
Industry Surveys
An abundance of industry surveys are conducted
annually seeking to gather and share insights from
Chief Information Officers (CIOs).
Caution: The results from surveys should be reviewed in a broader context since sample size
varies and the selected questions may not arrive at an anticipated conclusion that is authoritative .
7 © 2015 The Kiran Consortium Group, LLC
Our presentation will
look at a select
number of surveys
that focus on key
issues facing CIOs in
Healthcare and
across other
industries.
Industry Surveys
2014 Healthcare CIO Survey Source: SSi-SEARCH
8 © 2015 The Kiran Consortium Group, LLC
“What is your greatest challenge in
terms of accomplishing your
objectives? “ (1)
Budget 24 %
Resources 18 %
Lack of Strategic Involvement 17 %
“What is the most important capability
you need to meet the challenge of
your role now and in the future?” (1)
Data Analytics 46 %
Clinical expertise 22 %
“How would that [important] skill be
acquired or improved?” (1)
• Partnering with another member of
the team with this skill
• Bringing on additional resources to
augment the team with this skill set
• Advanced degree (only 7 %)
“In terms of partnership, which
leadership roles are most critical to
you in terms of achieving key
objectives of your role?” (1)
CEO 72 %
CFO 52 % (estimated)
COO 46% (estimated)
CMO 45 % (estimated)
CMIO 39 %
Industry Surveys
9 © 2015 The Kiran Consortium Group, LLC
“CIO Level of Satisfaction” [Identify the areas within their current roles
that provide CIO satisfaction.] (2)
1. Career Path
2. Strategic Involvement and
Compensation, and
3. Resources
If CIOs Considered Another
Role, What Might They Be? (2)
• Chief Transformation Officer
• CEO
• COO and
• Chief Strategy Officer
2014 Healthcare CIO Survey Source: SSi-SEARCH
Industry Surveys
10 © 2015 The Kiran Consortium Group, LLC
2014 Gartner Executive Programs Survey (All Industries) (3)
Survey: Conducted Q4, 2013 with participating CIOs (n=2,339) in 77 countries.
The Gartner Executive Programs report "Taming the Digital Dragon: The 2014 CIO Agenda," represents the
most comprehensive examination of business priorities and CIO strategies.
"CIOs are facing all the challenges they have for many years,
plus a flood of digital opportunities and threats. Digitalization
raises questions about strategy, leadership, structure, talent,
financing and almost everything else. All industries in
all geographies are undergoing digital disruption.
This is both a CIO's dream come true and a
career-changing leadership challenge."
"2014 will be a year of dual goals: responding to ongoing needs for
efficiency and growth, but also shifting to exploit a fundamentally
different digital paradigm. Ignoring either of these is not an option.“ (3)
Dave Aron
Vice President and Gartner Fellow
2014 Survey of Top CEO Concerns (4)
Source: American College of Healthcare Executives (ACHE)
Industry Surveys
NOTE: • Survey results released January 12, 2015.
• The average rank given to each issue was used to
place issues in order of concern to hospital CEOs, with
the lowest numbers indicating the highest concerns.
• The survey was confined to CEOs of community
hospitals (nonfederal, short-term, non-specialty hospitals).
© 2015 The Kiran Consortium Group, LLC 11
For 11 years, Financial Challenges
have remained in the #1 survey spot
What do CEOs think?
The results of this survey
are striking since the
ranking remains virtually
identical over the last
three year period.
Industry Surveys
14th Annual State of the CIO Survey (5)
Source: CIO Magazine and IDC, a company of CIO
12 © 2015 The Kiran Consortium Group, LLC
54 % Business leaders see the IT group as an obstacle to getting things done
33 % CIOs agree with this statement
27 % CIO respondents can be classified as business strategists this year, down
from 34 % last year
36 % CIOs admit they are fighting turf battles against others in the C-suite -
a kind of tumult that can arise in times of big change.
“Business leaders want the CIO to simplify technology;
it's the most important thing CIOs can do to improve relations,
they say. They also say it's much more urgent than CIOs think for
the IT group to reorganize, to be easier to work with and
to train IT people to focus on external customers.” (5)
13 © 2015 The Kiran Consortium Group, LLC
Industry Surveys
Healthcare Industry: Chief Information Officers, Health Systems Source: Deloitte
“New Normal” for HIT Professionals “Teams with “actuaries, health economists, clinicians, allied health professionals, web
designers, social network specialists, and informaticists as clinical and administrative
data is amassed, structured, stored, and used internally across the organization’s care
continuum and externally with key stakeholders – consumers, patients, health insurers,
employers, supply chain partners, employers, regulators, and public health agencies .” (6)
Key Challenges (6)
o Cost and Resources
o Governance
o People “… Increased talent and IT capacity requirements to structure and manage data, synthesize
it as useful information, and support decision-making at every level of the organization”…
o Providers and Consolidation
o Technology
14 © 2015 The Kiran Consortium Group, LLC
Industry Trends
15 © 2015 The Kiran Consortium Group, LLC
Industry Trends
This segment focuses
on a select number of
Industry Trends that
can directly and
indirectly impact both
the goals of your
employer as well as
those goals for which
you are responsible.
Some trends will emerge from internal factors specific
to your employer, while other challenges result from
external factors (e.g. government, market pressures,
consumer patterns, branding, etc.).
16 © 2015 The Kiran Consortium Group, LLC
Industry Trends
We have selected six factors and the corresponding
U.S. trends that can impact the goals and efforts of
Healthcare CIOs. Taking time to look at a broader set of
industry trends brings an industry perspective rather
than just a single organizational view.
• Fiscal State
• Consolidation
• New Relationships
• Technology
Innovation and
Investment
• Medicine in the
Digital World
• The Consumer
17 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Fiscal State
o Inpatient Admissions: - Continued decline during the Q3, 2014
[Note: True for many health systems ,but not all.] (7)
o Operating Margins: (7)
o Standard & Poor Study of Financial Data: (9)
“Ratings are reacting to the margin pressure. There is a lot of operating pressure on
hospitals and our expectation is that it's going to continue… The brief improvement in
2012 came from cost-cutting. [The strategy worked—but only temporarily.] Hospitals
are running out of room to cut costs” even as the decline in patient volume
accelerates.” Martin Arrick, Managing Director, Standard & Poor's
o Revenue vs. Expenses: (8)
- Moody’s reviewed 2013 audited financial
statements for 448 not-for-profit hospitals
and health systems
- “Expenses grew at an annual rate of
4.6%, while revenue grew at annual rate
of 4.1%”
18 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Fiscal State o Hiring Patterns (2014): (11)
• “nearly average employment gains
for the year after five years of below-
average growth”
• “Healthcare ended last year with 14.9
million workers, accounting for
roughly 1 out of 10 U.S. jobs”
o Employee Layoffs (2014): - It has become more common to see
layoffs at health systems across the
country as pressures to control expenses
continue.
o Outpatient Visits: - Some organizations are experiencing
growth in outpatients (e.g. Sloan-Kettering
experience 3.4% outpatient growth while their
inpatient admissions declined by 2.4%) (10)
o Non-Operating Revenue: - Some Hospitals and Health Systems
have benefited due to the investments
in their portfolio due to a robust stock
market.
(11)
19 © 2015 The Kiran Consortium Group, LLC
Industry Trends
“Despite a history of strength and stature in
America, the hospital institution is in the
midst of massive and disruptive change.
Such change will be so transformational that
by 2020 one in three hospitals will close
or reorganize into an entirely different
type of health care service provider.
Several significant forces and factors are
driving this inevitable and historical shift.” (12)
Consolidation
Tomorrow? Other industry voices, state in hushed tones, that
the U.S. may eventually have 250 to 500 health systems.
Today…. (13)
Total Number of All U.S. Registered Hospitals (2012): 5,723
Total Staffed Beds in All U.S. Registered Hospitals (2012): 920,829
Number of Community Hospitals in a System (2012): 3,100 (of 4,999)
20 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Consolidation
A sampling of transactions during the last year with hospitals and health
systems nationally:
2015: Community Medical Center (Missoula) sold to
joint venture between
Billings Clinic and RegionalCare Hospital
Partners (TN)
TriHealth (OH) buys McCullough-Hyde
Memorial Hospital (OH)
Mercy Memorial Hospital System (MI)
joins ProMedica (OH)
Methodist HealthCare (TN) to close Methodist
Fayette Hospital (TN)
United Memorial Medical Center (Batavia, NY) and
Rochester Regional Health
System (NY) merge.
Community Health Systems (TN) signs agreement to sell Dallas
Regional Medical Center (TX( and
related outpatient services to Prime Healthcare Services (CA)
Community Health Systems (TN) acquires
operational control of
Gaffney Medical Center (SC)
Mercy Health System (WI) and Rockford
Health System (IL)
merge
Geisinger Health System (PA) and Spirit Health
System (PA) affiliate
Hackensack (University Health Network (NJ)
and Meridian Health
(NJ) merge
Prime Healthcare Services (CA) to acquire hospitals, long-term
care facilities and other assets
of Carondelet Health in Kansas City (MO, part of Ascension).
[Includes St. Joseph Medical
Center (MO), St. Mary's Medical Center (MO) and 3 Carondelet
Health long-term care facilities.]
New health system: Beaumont Health System,
Botsford Health Care and
Oakwood Healthcare (MI)
21 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Consolidation
Just a sampling of what has transpired over the last year with hospitals
and health systems nationally:
Hospitals continue to close: - 2013: 14 Critical-access hospitals
closed in 10 states (14)
- HCA (for-profit) will shut down Edward
White Hospital in St. Petersburg, FL (162
licensed beds; 110 staffed beds (15)
- The Mayo Clinic (non-profit) closes 100-
bed Franciscan Skemp Healthcare-
Arcadia Campus (WI) (16)
- New Jersey: 26 hospitals closed (1992-
2012); 8 hospitals declare bankruptcy
(2007-2012) (17)
Repurposing Existing Space: (18)
“Since 2008, developers have bought
hospitals in Paterson, Jersey City,
Hammonton and Trenton, converting the
buildings into so-called medical malls that
house an array of services like urgent care
centers, doctors’ offices and dialysis centers.”
“ Nevertheless, these buildings are often
ideal for medical uses — an emergency
department can be repurposed as an urgent
care center. Existing operating rooms can be
used for outpatient surgical centers. And an
inpatient floor is a natural fit for a sub acute
care facility. Added to that, the new use is
certainly preferable to a deteriorating
structure that contributes to urban decay.”
22 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Select Examples of New Relationships include, but are not limited to:
New Relationships
There are a growing number
of non-traditional
relationships and/or ventures
to enhance and/or expand
delivery models. The
implications for Information
Technology are not always
evident on the surface, if at
all.
o Health System and Retail
Pharmacies
o Health System with Retail Web
Site
o Health System and Vendor Create
Services Firm
o Health and Retail Ventures
o Health System (Non Profit) / Health
System (For Profit)
o Health System Joint Contracting/
Joint Operating Agreements
o New Delivery Model and Multiple Care
Providers
23 © 2015 The Kiran Consortium Group, LLC
Industry Trends
New Relationships
Carondelet Health Network (AZ, part of Ascension Health) sign
nonbinding letter of intent with Dignity Health (CA) and a subsidiary of
Tenet Healthcare Corporation (TX) to create a joint venture.
The joint venture would own and operate Carondelet… (19)
o Health System (Non Profit) / Health System (For Profit)
“…Tenet would be the majority partner and
would hold management responsibility for all
operations of Carondelet's assets, although
the joint venture would maintain
Carondelet's heritage and identity. The joint
venture will connect Carondelet to a regional
healthcare system of hospitals owned and
operated by Dignity and Tenet in the
Phoenix area, as well as Tenet and Dignity's
accountable care organization, Arizona Care
Network. “ Ascension Health would hold a
minority interest. (19)
24 © 2015 The Kiran Consortium Group, LLC
Industry Trends
New Relationships
Example:
“…Ascension [Health] is not on an acquisition spree. Its latest deals—in Illinois,
Michigan, Arizona and Wisconsin—are not outright purchases, but rather agreements
with regional rivals and other national players to jointly own, operate or contract
for hospitals and insurance companies. “ (20)
o Health System Joint Contracting/ Joint Operating Agreements
“[We] pair Ascension with well-established players in
each market and allow the system to avoid costly
competition or wasteful duplication by capitalizing
on partners' resources that Ascension lacks. There
are times we don't have all the pieces.” (20)
Robert Henkel
Chief Executive Officer
Ascension Health
Note: “Joint contracting or joint operating agreements also can yield leverage needed to boost rates paid by
insurers, lower prices paid to suppliers and prevent exclusion from increasingly prevalent narrow network
health plans, or plans that limit access to a select group of providers…” (20)
25 © 2015 The Kiran Consortium Group, LLC
Industry Trends
New Relationships
o New Delivery Model and
Multiple Care Providers (21)
• Trinity Health System (MI,
86-hospital system active across 21 states)
and the 34,000-physician
Heritage Provider Network (CA)
to provide population health
management in select markets
throughout the country.
• The joint venture, Trinity Health
Partners, will use new models
for primary care, care
management, hospitalists,
long-term care, and high-risk
clinics to improve and
coordinate care.
"Trinity Health's strategic plan calls for us to
become a people-centered health system that
extends beyond just providing acute and post-
acute care….This joint venture allows us to
rapidly expand our capabilities to contract with
payer-partners for full-risk, capitated
arrangements that will result in better health,
better care, and lower costs in the communities
we serve." (21)
Richard J. Gilfillan, MD
President and CEO
Trinity Health
26 © 2015 The Kiran Consortium Group, LLC
Industry Trends
New Relationships
o Health System and Retail Pharmacies
Walgreen Company and 2 health systems
enter into agreement to offer and coordinate
acute, chronic and preventive-care
services: (23)
• 7 Healthcare Clinics in the Indianapolis-area
facilities with 8-hospital Community Health
Network (IN), and
• 13 Central Florida Healthcare Clinics and 4-
hospital Orlando Health system (FL).
“Along with treating minor illnesses and
injuries, Walgreen will provide routine
screenings, immunizations and management of
conditions such as asthma, diabetes, high
cholesterol and hypertension.” (23)
Health IT: (a) Community Health Network (IN): “integrate
Walgreen’s EHR with Community Health's
proprietary Community CareConnect system
(b) Orlando Health (FL): “read-only access to
patient medical information and creating an on-line
center for appointment scheduling” (23)
CVS Health and 4 Health Systems
enter into a clinical affiliation: (22)
• Baptist Health System (Birmingham, AL),
• Community Health Systems affiliated
hospitals,
• Tennova Healthcare (Knoxville, TN), and
• Premier Health (Dayton, OH).
What is included in this clinical affiliation? “CVS will provide the health systems' patients
with access to clinical support, medication
counseling, chronic disease monitoring and
wellness programs at CVS stores and
MinuteClinic.” (22)
Health IT: “CVS and the health systems will also integrate
their EHR systems to enable CVS to provide
patients' prescription and visit information to the
health systems.” (22)
27 © 2015 The Kiran Consortium Group, LLC
Industry Trends
o Health System and Vendor Create
Services Firm: (24)
• Dignity Health (not-for-profit) and a
subsidiary of UnitedHealth have an
agreement to create a revenue cycle
management firm.
• Optum360, newly named firm, staffed by
3,000 employees from both organizations .
• Dignity Health enters into a 10-year
contract with Optum360 (2013). (25)
• Dignity Health: minority owner in venture.
New Relationships
o Health System with Retail Web Site (26)
Sentara Healthcare (VA) launches a
new retail, direct-to-consumer
website (shopsentara.com) providing
over-the-counter medical and health
products for patients in four categories: • wellness and nutrition,
• health at home,
• fitness and exercise and
• braces and foot care.
Sentara Healthcare partners with Paquin Healthcare to
develop, host, distribute, and provide customer service.
“But as more consumers look for
increased convenience and trusted
information, the ability to provide a
branded option that offers a higher
trust factor and unique patient
experience gives us a leg up.“ (26)
Ken Krakaur,
President
Sentara Third Core Division
28 © 2015 The Kiran Consortium Group, LLC
Industry Trends
New Relationships o Health and Retail Ventures:
Sam’s Club: “….health screenings are free, confidential and
available to the public at all …locations with a
pharmacy (598 locations). Since launching the
monthly health screenings in 2011, Sam’s Club
has conducted nearly one million screenings per
year, providing important, personalized health
care results that help people stay informed about
their well-being. “ (27)
Health System and Local Grocery
Stores: Edward Hospital (IL) is opening two
Quick Care Clinics at Jewel-Osco stores in the
Chicago suburbs. Offer routine treatment and
preventive care, without an appointment, seven
days a week. (28)
Walmart: On its third “iteration in retail clinics. The first
Walmart Care Clinic is in Carrollton, TX. (29)
Health System and Retailer: Kaiser Permanente (CA) to open three clinics at
Target stores in San Diego, Vista, and Fontana.
Clinics will include telemedicine capability.
- Access for Kaiser health plan members and
non-members.
- Four clinics to be staffed by Kaiser clinicians.
- Now Target has a total of 84 clinics in 8 states (30)
Retail Pharmacy in Health System: Children's National Medical Center opens new
Walgreens Pharmacy inside its lobby (July, 2014). (31)
Retail Pharmacy and Coordinated
Care Program: Walgreens has deployed its WellTransitions
program at more than 150 health systems.
The ….”pharmacists …role within care teams
responsible for transitioning patients from acute
care to home…[etc.] These pharmacists will be
available for medication review, bedside medication
delivery, patient counseling and follow ups to help
hospitals reduce readmission rates…” (32)
29 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Investment of all types of
resources and focus on innovation
for emerging or new information
technologies and medical devices
is an important goal.
Health systems will need to
determine whether they have
capacity, interest and strategic
motive to pursue and sustain
this type of initiative.
Success is not guaranteed!
Note: A few select examples are provided on the following slides. Some
organizations will be successful in this undertaking while many may not be
able to sustain the resources required to create a center of innovation.
Technology Innovation and Investment
30 © 2015 The Kiran Consortium Group, LLC
Industry Trends
For-profit and not-for-profit Health
Systems are investing in
innovation and emerging
technologies at a growing rate.
Examples include: (33)
Ascension Health (St. Louis. MO) set aside
a $225 million venture capital fund
earmarked for projects involving health IT,
devices and diagnostic screenings
Hospital Corporation of America (Nashville,
TN) aims to grant $10 million annually to
startups in the healthcare field through its
subsidiary Health Insight Capital
Investment firm, Heritage Group (Nashville,
TN), has raised $157 million from
investments from surrounding hospital
systems including Community Health
Systems, LifePoint Hospitals and
Vanguard Health Systems
The map on the following slide identifies a select number of U.S. health systems that are funding their
own centers of innovation that are contributing to the
accelerating number of technologies in support of digital patient care as well as other advancements to
enhance care delivery.
Technology Innovation and Investment
31 © 2013 The Kiran Consortium Group, LLC
There are numerous innovation centers nationally that continue to
explore how best to improve health through existing and emergent
technologies.
Sources of data (34)
Transformation Lab – Intermountain
Healthcare (Murray, UT)
Scripps
Translational
Science Institute
– Scripps Health (La Jolla, CA)
Glassomics (San Diego, CA)
UPMC Technology
Development Ctr. (Pittsburgh, PA)
Partners Healthcare
Center for
Connected Care (Boston, MA)
Mayo Clinic Center
for Innovation (Rochester, MN)
CCF Innovations (Cleveland, OH)
The Innovation
Institute - St. Joseph Health
(Orange, CA) xG Health Solutions
Geisinger Health
System & Oak
Investment Partners (Danville, PA)
Garfield Health
Care Innovation
Center (Kaiser
Permanente)
Industry Trends
Technology Innovation and Investment
32 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Advances continue at a dizzying pace to the market and
medicine is grappling with more data, more devices,
more access to support clinical care.
What happens with a growing amount of patient data?
Yale University and Johnson & Johnson have announced the first such deal to enable
external investigator access to medical device and diagnostics clinical data from J&J. (35)
Partnership between Phoenix Children's Hospital and the Chan Soon-Shiong Family
Foundation, based in Los Angeles, has the potential to fundamentally transform the way
pediatric specialists approach treatment protocols through a commitment to genomic
technology and its implications for pediatric medicine (36)
Providence Health and Services (OR) will be the first healthcare system that will utilize the
system giving the most comprehensive view of each patient’s disease available to date. The
CLIA-certified clinical genomics lab will be located at NantOmics (Culver City, CA). (37)
Medicine in the Digital World
33 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Additional examples of advancements:
Medicine in the Digital World
Managing Chronic Disease: (38)
“The Michael J. Fox Foundation (MJFF) and
Intel Corporation are partnering to gather and
analyze data from wrist-worn devices on
people with Parkinson’s disease with the
goal of helping individuals and their doctors
better manage disease and progress research
toward better treatments and a cure.”
Health Sensor Data: (39)
The Center of Excellence for Mobile Sensor
Data-to-Knowledge, a NIH-funded center, at
the University of Memphis (TN): Researchers
developing software solutions to assist
clinicians to analyze and use data
collected by wearable devices.
Smart Clothing: (40)
Intel Corporation: smart shirt, designed
for people who exercise; embedded
sensors that are made from conductive
fiber that tracks heart rate data streamed
over Bluetooth and WiFi to a smartphone
or computer. Note: Smart clothing continues to evolve and be
refined over time. It is not clear whether this
information will be added to a Personal Health
Record or be shared in some way with clinicians.
Tech industry innovators -Google, Apple and
Samsung – are working toward adding health
IT features into wearable devices in order to
transmit biometric data to clinicians. (41)
34 © 2015 The Kiran Consortium Group, LLC
Industry Trends
Both internal consumers of technology and the broader
world of consumers outside the healthcare ecosystem
are fueling interest, exploration and intent to be
involved in their health.
The Consumer
Clinician adoption of mobile technology as well as their
status as “digital natives” may expedite and expand use
of information to support patients. A recent survey: (42)
• 69 % of clinicians use both a desktop/laptop and a
smartphone/tablet to access data, and
• 33% of “respondents polled believe smartphones and tablets
will drive overall efficiency in care by eliminating
redundancies and view mHealth devices as having a positive
impact on care quality and coordination.” (42)
Internal Consumers:
35 © 2015 The Kiran Consortium Group, LLC
Industry Trends
External Consumers:
The Consumer
“[Dr. Eric Topol] makes the
case that smartphones and
other mobile devices in the
hands of patients will serve
to “democratize medicine”
giving them control of their
data—which has historically
been the domain of
physicians.” (44)
Some 2015 predictions show the following: (43)
- “65 % of consumer transactions with healthcare
organizations will be mobile by 2018, thus requiring
healthcare organizations to develop strategies to
harmonize experiences across the Web, mobile and
telephonic channels.”
- “70% of healthcare organizations worldwide will invest
in consumer-facing mobile applications, wearables,
remote health monitoring and virtual care by 2018,
which will create more demand for big data and
analytics capability to support population health
management initiatives.”
While health system portals and web sites have been made available to
consumers and patients for a number of years, not all information is readily
available when multiple clinicians are required nor is utilization as high as
anticipated, in spite of on-going efforts to transition consumers to digital interaction.
36 © 2015 The Kiran Consortium Group, LLC
Industry Trends
External Consumers:
The Consumer
Connected Health Study (December, 2014) (45)
56 % “Americans want to monitor their health with
connected health devices that automatically connect online
and send information to their doctor or other people they
choose…”
Why do Americans want connected health devices? “It would keep track of my health information accurately – 30 %
It would allow me and my doctor to see trends and patterns – 29 %
It would give me peace of mind to know how I’m doing – 24 %
It would allow my doctor to be “in the know” to prevent surprises during
appointments – 19 %
It would allow my doctor to monitor my health 24/7 if necessary – 18 %
Internet of Things is the future of medicine – 11 %
The whole world is connected so it makes sense for devices to be
connected – 10 %
It’s difficult to enter the information into an app – 3 %”
There remains a disconnect between what the consumer wants and
what can be delivered today regarding their patient information.
37 © 2015 The Kiran Consortium Group, LLC
Forge Your Path
Forge Your Path
38 © 2015 The Kiran Consortium Group, LLC
Where do we invest our effort to enhance and advance
our role as a healthcare Chief Information Officer?
There is no single,
guaranteed path for
HIT professionals to
advance their careers.
Forge Your Path
39 © 2015 The Kiran Consortium Group, LLC
Where will you focus your efforts?
1. Strategy Matters, Find
a C-Suite Mentor
2. Create Measurable
Improvement
3. Build a Customer-
Centric Team
4. Develop Your Next
Generation of Leaders
5. Industry Consolidation
May Point to A
Non-Linear Career
6. Think About Your Next
Career Step
Forge Your Path
40 © 2015 The Kiran Consortium Group, LLC
1. Strategy Matters, Find a C-Suite Mentor
A. Executive mentorship is essential to further insights and
understanding of business opportunities and challenges that
require timely solutions. Cultivate these relationships!
B. Discussions with your mentor will reframe thinking and
conversations to focus on the targeted strategic goals.
C. Determine what additional
skills you have yet to develop.
Make a plan and work on these
skills.
D. Volunteer for an initiative that
will stretch your current skills
when working with other
executives.
Forge Your Path
41
2. Create Measureable Improvement
1. Strategy
© 2015 The Kiran Consortium Group, LLC
B. Think beyond sustainability
and focus on ideas that
create measurable growth
for your organization.
C. Identify solutions for growth
that are consistent with
the CEO’s strategic
goals. Link back to
one or more of
these goals.
A. Identify solutions that not only enhance operations but facilitate
growth.
D. Ensure that solutions
are feasible within the
context of organizational
culture and capacity.
E. Optional: There may be non- traditional
ventures that might provide
measureable improvement.
It will depend on the strategic
goals of the employer, their
risk tolerance and cultural
approach for new ventures
as to whether this path will be
pursued.
Forge Your Path
42 © 2015 The Kiran Consortium Group, LLC
3. Build a Customer-Centric Team
The rise of a digital environment
has made consumers, internal
and external, more demanding
of excellent customer service.
A. Identify successful IT
departments, regardless of
industry, who have raised
the level of customer
support. Learn from them.
B. Your team will enhance their skills by becoming a more
customer-centric group, the organization will benefit, and
you will gain insights from this experience.
Forge Your Path
© 2015 The Kiran Consortium Group, LLC
4. Develop Your Next Generation of Leaders
43
A. Talent management becomes even more important in a
competitive landscape for the best resources.
B. Leadership is both formal and informal. Engage all of your
department to become a leader.
C. By developing the next generation of leaders, your efforts can
remain focused on strategic and enterprise efforts.
D. Leadership becomes
even more important
as organizations
flatten and operations
leverage a matrix model.
E. Build a Succession Plan
Forge Your Path
44 © 2015 The Kiran Consortium Group, LLC
5. Industry Consolidation May Point to a Non-Linear Career
A. The “classic” ladder (i.e. non-linear) career progression
may not necessarily be available to all Healthcare CIOs given
industry consolidation.
B. Begin today. Identify additional executive responsibilities
that can be added your current role.
The
Matrix
Career
C. Investigate other roles within
your employer and determine
how you might be considered for
that position(s).
D. Develop your own career
strategic plan should you
choose a matrix career moving
forward. Tomorrow will bring change!
Forge Your Path
45 © 2015 The Kiran Consortium Group, LLC
6. Think About Your Next Career Step
A. The consolidation of health
systems points to a declining
number of opportunities.
Research trends in evolving
positions that can capitalize
on your experience and skills.
B. Identify potential positions
that you might consider in
the future; find colleagues
who have made these steps
and determine what their path
has been to secure and
transition to that role.
C. Expand your personal
and professional network
today.
D. Join an external Board, internal
or external to Healthcare, and/or
a cause-based organizations.
Forge Your Path
There is no time like the present to forge your tomorrow.
1. Today’s complexity provides countless opportunities.
2. Dedicate some time to map out your goals now.
3. Recharge your career and discover new avenues to
create a sustainable professional path.
46 © 2015 The Kiran Consortium Group, LLC
We wish you well as you
undertake the
modernization effort on
your own career.
Start today!
© 2013 The Kiran Consortium Group, LLC
Bibliography
47
© 2013 The Kiran Consortium Group, LLC
Thanks to Ms. Helen L. Hill, Principal, for her review of this presentation.
Presentation: Cover Page Graphic found on cover page is found on Bing.
https://www.bing.com/images/search?q=Aluminum+Foundry+Industry&FORM=R5FD1#view=detail&id=A163DA57545B9C9884068E2963
BB423FCB847A00&selectedIndex=116
Introduction
No citations
Industry Surveys Page 6: Photo on divider slide: Survey photo from Bing.
https://www.bing.com/images/search?q=Survey+Research&FORM=R5FD2&crslsl=0#view=detail&id=A3CEA576D39BB
5512A48DCACFADBB6737A188580&selectedIndex=1
Photo on divider slide. Word photo “research” from Biing.
https://www.bing.com/images/search?q=Survey+Research&FORM=R5FD2&crslsl=0#view=detail&id=F8F57
9862EB4A0388033ECE995C2284AB80D9B93&selectedIndex=34
Page 8: (1) Dixon, Pamela. “Can CIOs keep up with pace of change? “, Healthcare IT News, December 29, 2014 .
http://www.healthcareitnews.com/news/can-cios-keep-healthcare-change?single-page=true
Page 9: (2) Dixon, Pamela. “CIOs ramp up strategic focus”, Healthcare IT News, January 6, 2015.
http://www.healthcareitnews.com/news/cios-ramp-strategic-focus
Page 10: (3) Press Release. “Gartner Executive Programs Survey of More Than 2,300 CIOs Reveals Many Are
Unprepared for Digitalization: the Third Era of Enterprise IT”, January 14, 2014.
http://www.gartner.com/newsroom/id/2649419
Bibliography
48
© 2013 The Kiran Consortium Group, LLC
Industry Survey (continued) Page 11: (4) Press Release. “Survey: Healthcare Finance, Reform Top Issues Confronting Hospitals in 2014”,
American College of Healthcare Executives (ACHE), January 12, 2015..
http://www.ache.org/pubs/Releases/2015/top-issues-confronting-hospitals-2014.cfm
Survey sent to 1,118 community hospital CEOs who are ACHE members, of whom 338, or 30.2 percent,
responded.
Page 12: (5) Nash, Kim S. “CIOs Need to Snap Out of Complacency”, CIO, January 5, 2015 5:00 AM PT.
http://www.cio.com/article/2860697/it-strategy/cios-need-to-snap-out-of-complacency.html?nsdr=true
Survey included 304 non-IT business decision-makers on some of the same questions the State of the CIO
survey posed to 558 IT leaders.
Page 13: (6) Harry Greenspun, MD, Paul H. Keckley, PhD, and Sheryl Coughlin, PhD., MHA. “ Health System Chief
Information Officers: Juggling responsibilities, managing expectations, building the future” , Deloitte White
Paper, February 12, 2013. http://www.deloitte.com/assets/Dcom- United
States/Local%20Assets/Documents/us_chs_HealthSystemChiefInformationOfficers_021213.pdf
Industry Trends Page 14: Graphic from this cover page. Source of graphic image, Bing:
https://www.bing.com/images/search?q=Survey+Research&FORM=R5FD2&crslsl=0#view=detail&id=6EA43D
CEDE5E108A7D09EB5E647FE8AFD6D25459&selectedIndex=50
Page 15: Source of graphic image, Bing:
https://www.bing.com/images/search?q=Complexity+Health+Care+Word+Cloud&FORM=RESTAB#view=detail
&id=45F63F231F9BAA2DDB7945F7072F671A656B166C&selectedIndex=120
Page 17: (7) Landen, Rachel. “Hospitals' admissions still declining”, Modern Healthcare, January 3, 2015 .
http://www.modernhealthcare.com/article/20150103/MAGAZINE/301039966&utm_source=link-20150103-
MAGAZINE-301039966&utm_medium=email&utm_campaign=digitaledition
Bibliography
49
© 2013 The Kiran Consortium Group, LLC
Industry Trends (continued) Page 17: (8) Landen, Rachel. “Not-for-profits' expenses continue to outpace revenue growth, Moody's finds”, Modern
Healthcare, April 23, 2014. http://www.modernhealthcare.com/article/20140423/NEWS/304239963
(9) Kutscher, Beth. “Fewer hospitals have positive margins as they face financial squeeze” , Modern
Healthcare, June 21, 2014 .
http://www.modernhealthcare.com/article/20140621/MAGAZINE/306219968/fewer-hospitals-have-positive-
margins-as-they-face-financial-squeeze
Page 18: (10) Kutscher, Beth. “Sloan-Kettering sees higher outpatient volume, payment rates”, Modern
Healthcare, August 6, 2014 . http://www.modernhealthcare.com/article/20140806/NEWS/308069962
(11) Evans, Melanie. “Happy days are here again for healthcare hiring, mostly”, Modern Healthcare,
January 9, 2015. http://www.modernhealthcare.com/article/20150109/NEWS/301099976
Page 19: (12) Houle, David and Fleece, Jonathan. “Why one-third of hospitals will close by 2020”, KevinMD.com,
March 14, 2012. http://www.kevinmd.com/blog/2012/03/onethird-hospitals-close-2020.html David Houle and Jonathan Fleece are the authors of “The New Health Age: The Future of Health Care in America”.
(13) Health Forum, LLC. “Fast Facts on US Hospitals, 2012” , Health Forum, LLC, an affiliate of the American
Hospital Association , updated January 2, 2014. http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
Page 21: (14) Sandler, Mike. “More critical-access hospital closings likely “, Modern Healthcare, September 30,
2014. http://www.modernhealthcare.com/article/20140930/NEWS/309309932
(15) Herman, Bob. “HCA to close Florida hospital as inpatient volumes dwindle”, Modern Healthcare,
September 24, 2014. http://www.modernhealthcare.com/article/20140924/NEWS/309249963
(16) Evans, Melanie. “Mayo closes Wis. Hospital”, Modern Healthcare, April 2, 2011.
http://www.modernhealthcare.com/article/20110402/NEWS/304029999
(17) New Jersey Hospital Association. List of New Jersey Hospitals that have been closed or file for
bankruptcy. http://www.njha.com/media/31188/hospitalclosureposter.pdf
(18) Kaysen, Ronda. “Repurposing Closed Hospitals as For-Profit Medical Malls”, The New York Times,
March 4, 2014.
http://www.nytimes.com/2014/03/05/realestate/commercial/repurposing-closed-hospitals-as-for-profit-medical-malls.html?_r=0
Bibliography
50
Bibliography Industry Trends (continued)
Page 23: (19) Adamopoulos, Helen. “Ascension, Dignity, Tenet to Enter Into Joint Venture”, Becker’s Hospital Review,
July 23, 2014.
http://www.beckershospitalreview.com/hospital-transactions-and-valuation/ascension-dignity-tenet-to-enter-into-joint-venture.html
Page 24: (20) Evans, Melanie. “Reform Update: Ascension deals signal new economic reality in healthcare”, Modern
Healthcare, August 27, 2014 - 4:00 pm ET.
http://www.modernhealthcare.com/article/20140827/NEWS/308279965&utm_source=AltURL&utm_medium=email&utm_campai
gn=mpdaily&AllowView=VXQ0UnpwZTVBdmFaL1IzSkUvSHRlRU9oalVzZEErQlk=
Page 25: (21) Mace, Scott. Trinity Health, Heritage Provider Network Announce Joint Venture,” HealthLeaders Media ,
January 13, 2015.
http://www.healthleadersmedia.com/print/LED-312095/Trinity-Health-Heritage-Provider-Network-Announce-Joint-Venture
Page 26: 22) Ellison, Ayla. “CVS Health enters into clinical affiliations with 4 health systems ,” Becker’s Hospital Review,
October 31, 2014. http://www.beckershospitalreview.com/hospital-transactions-and-valuation/cvs-health-enters-
into-clinical-affiliations-with-4-health-systems.html
(23) Robeznieks, Andis. “Walgreen will offer services to Orlando, Indianapolis health systems”, Modern
Healthcare, August 30, 2013.
http://www.modernphysician.com/article/20130830/MODERNPHYSICIAN/308309973#ixzz2dU0KUCXI?trk=tynt
Page 27: (24) Shinkman, Ron. “Dignity Health, Optum form revenue management cycle firm”, Fierce Health Finance,
October 21, 2013. http://www.fiercehealthfinance.com/story/dignity-health-optum-form-revenue-management-
cycle-firm/2013-10-21?utm_medium=nl&utm_source=internal
(25) “Dignity Health And Optum360 Form Revenue Cycle Management Company”, Industry Bulletin, October 13,
2013. http://www.openminds.com/market-intelligence/bulletins/101413-dignity-health-optum-360-revenue-cycle-
aca.htm/ (26) Jayanthi , Akanksha. “Sentara launches retail site for OTC products”, Becker’s Hospital Review, January 12,
2015.
http://www.beckershospitalreview.com/healthcare-information-technology/sentara-launches-retail-site-for-otc-products.html 51
Bibliography Industry Trends (continued)
Page 28: (27) Press Release. “Sam’s Club® Invites Americans to Take Control of Their Health in 2015 with Free Monthly
Screenings ‘, January 05, 2015. http://www.businesswire.com/news/home/20150105006277/en#.VK23AHssCyM (28) Press Release. “ Edward Quick Care Clinics to Open at JEWEL-OSCO Pharmacies in Naperville,
Romeoville”, November 08, 2012.
( 29) Cheney, Christopher. “Retail Clinics Solidify Their Market Niche”, HealthLeaders Media , December 9, 2014.
http://www.healthleadersmedia.com/print/HEP-311067/Retail-Clinics-Solidify-Their-Market-Niche (30) Rubenfire, Adam. “Kaiser expands clinic services to Target stores”, Modern Healthcare, November 20, 2014.
http://www.modernhealthcare.com/article/20141120/NEWS/311209949?utm_source=link-20141120-NEWS-
311209949&utm_medium=email&utm_campaign=mpdaily&utm_name=top
(31) A summer of retail-hospital partnerships in Washington region”, Washington Business Journal , September 3,
2014.
http://www.healthleadersmedia.com/print/LED-308009/A-summer-of-retailhospital-partnerships-in-Washington-region
(32) Editorial Staff. “Walgreens launches coordinated care program at 150+ sites”, Clinical Innovation +
Technology, 10/16/2012 .
http://www.clinical-innovation.com/topics/clinical-practice/walgreens-launches-coordinated-care-program-150-sites
Page 29: (33) McLaughlin, Jim. “HCA, Ascension Pump Venture Capital Into Quality, Efficiency Innovations”, Becker’s
Hospital Review, January 17, 2013.
http://www.beckershospitalreview.com/racs-/-icd-9-/-icd-10/hca-ascension-pump-venture-capital-into-quality-
efficiency-innovations.html
Page 31: (34) Graphic developed by The Kiran Consortium Group LLC, 2013. Information derived from a number of
industry articles:
- Boyer, E.J. “New health care incubator coming to Nashville”, July 10, 2013,; updated: Jul 12, 2013.
http://www.bizjournals.com/nashville/blog/2013/07/new-health-care-incubator-coming-to.html
- Jacob, Steve. “Digital Health Accelerator Opens Its Doors to Startups”, Technology, April 24, 2013.
http://healthcare.dmagazine.com/2013/04/24/digital-health-accelerator-opens-its-doors-to-startups
52
Bibliography Industry Trends (continued)
Page 31: (34) Continued…
Additional articles that pertain to the map:
- Press Release. “Partners HealthCare and Center for Connected Health launch personal health technology
platform to improve care delivery, Pioneering program to seamlessly and securely integrate data patients
collect”, 6/20/2013. https://www.partners.org/About/Media-Center/Articles/Partners-Center-for-Connected-
Health-Technology-Platform.aspx
- Wicklund, Eric. “Scripps Health looks for cost savings in digital health”, mHealthNews , August 08, 2013 .
http://www.mhealthnews.com/news/scripps-health-looks-cost-savings-digital-health
- Munro, Dan. “Intermountain Healthcare Opens Innovation Center”, Forbes, September 5, 2013; first posted on
Forbes 8/25/2013 http://www.thedoctorweighsin.com/intermountain-healthcare-opens-innovation-center/
- Pai, Aditi. “Sprint Launches Mobile Health Startup Accelerator in Kansas City”, MobiHealthNews, September 24,
2013. http://mobihealthnews.com/25724/sprint-launches-mobile-health-accelerator-in-kansas/
Page 32: (35) Lawrence, Stacy. “Yale to enable J&J to share its device, diagnostics clinical data with external researchers”,
Fierce Medical Devices, January 15, 2015.
http://www.fiercemedicaldevices.com/story/yale-enable-jj-share-its-device-diagnostics-clinical-data-external-research/2015-01-
15?utm_medium=nl&utm_source=internal Some additional text is found below:
“Yale University and Johnson & Johnson ($JNJ) have announced the first such deal to enable external investigator
access to medical device and diagnostics clinical data from J&J. The medical conglomerate will allow
investigators access to its clinical trial data in those businesses, as well as for pharmaceuticals, via the Yale
University Open Data Access (YODA) Project, which will sit as an independent intermediary that manages
investigator requests and facilitates access to the data. The deal includes access to data across the company,
including all relevant J&J business. The deal is an expansion upon a previous data sharing deal from last year
that was combined just to the drug business of J&J…”
(36) Meyer, Robert L. (President and CEO, Phoenix Children's Hospital) “Genomic-based treatment protocols:
Altering the future of medicine”, Becker’s Hospital Review, January 07, 2015.
http://www.beckershospitalreview.com/healthcare-information-technology/genomic-based-treatment-protocols-altering-the-
future-of-medicine.html
53
Bibliography
Industry Trends (continued)
Page 32: Continued…
( 37) Press Release. “Providence Health, NantHealth and The Chan Soon-Shiong Institute of Molecular
Medicine Partner to Create the Country’s First Health Network for Clinical Whole Genomic Sequencing
Health Network Spans 5 Western United States Serving 22,000 New Cancer Patients and 100,000 Cancer
Cases Per Year.”, July 31, 2014.
http://www.businesswire.com/news/home/20140731006562/en#.U9v9TF50w2w
Page 33: (38) Walsh, Beth. “Partnership to use personal fitness device data on Parkinson's”, Clinical Innovation +
Technology, August 19, 2014.
http://www.clinical-innovation.com/topics/mobile-telehealth/partnership-use-personal-fitness-device-data-parkinson-s
(39) Gregg, Helen. “New University of Memphis center seeks to make sense of health sensor data”,
Becker’s Hospital Review, October 20, 2014. http://www.beckershospitalreview.com/healthcare-information-
technology/new-university-of-memphis-center-seeks-to-make-sense-of-health-sensor-data.html
(40) “Just wear it? Intel unveils ‘smart’ shirt”, Clinical Innovation + Technology, May 30, 2014.
http://www.clinical-innovation.com/topics/mobile-telehealth/just-wear-it-intel-unveils-%E2%80%98smart%E2%80%99-shirt
(41) O’Connor, Fred. “Wearable Devices with Health IT Functions Poised to Disrupt Medicine”, CIO, May
01, 2014. http://www.cio.com/article/print/752291
Page 34: (42) Dvorak, Katie. “John Nosta: 'Digital natives' to drive technological revolution in medicine”, Fierce
HealthIT, January 7, 2015. http://www.fiercehealthit.com/story/john-nosta-digital-natives-drive-
technological-revolution-medicine/2015-01-07?utm_medium=nl&utm_source=internal
Page 35: (43) Pedulli, Laura. “IDC’s predictions for 2015 “, Clinical Innovation + Technology, November 26, 2014.
http://www.clinical-innovation.com/topics/health-it/idc%E2%80%99s-predictions-2015 (44) Slabodkin, Greg. “Patients Take Control of Data in ‘Democratization’ of Medicine”, Health Data
Management, January 8, 2015 7:48am ET.
http://www.healthdatamanagement.com/news/Patients-Take-Control-of-Data-in-Democratization-of-Medicine-49590-1.html?utm_campaign=daily-
jan%208%202015&utm_medium=email&utm_source=newsletter&ET=healthdatamanagement%3Ae3616603%3A4223235a%3A&st=email
54
Bibliography
Industry Trends (continued)
Page 36: (45) Penic, Fred. “56% of Americans Want Connected Health Devices to Monitor Their Health”, HIT
Consultant, January 14, 2015. http://hitconsultant.net/2015/01/14/americans-want-connected-health-
devices/?utm_source=HIT+Consultant+Newsletter&utm_campaign=00043cb1c1-
HIT+Consultant+Weekly+Insights+01%2F08%2F15&utm_medium=email&utm_term=0_37fb10719e-00043cb1c1-300787845
Forge Your Path Page 38: Graphic source, Bing:
https://www.bing.com/images/search?q=Survey+Research&FORM=R5FD2&crslsl=0#view=detail&id=3E234
B9186F6F63B4E41DF08CFDD7418B6711BDC&selectedIndex=29
55
56 © 2013 The Kiran Consortium Group, LLC
Lucy Mancini Newell, MBA, FHIMSS
Managing Partner
Cell Phone: 224.388.6376
Corporate Phone No: 1.800.678.8524
Web Site: www.Kiran-Consortium.com
Other Thought Leadership Materials Are
Found On Our Web Site.
E-Mail Address:
Lucy.Mancini-Newell@Kiran-Consortium.com
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