Wayne Boney Rhina Recinos Krzysztof Cyganik

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Practical Data Management Advice for the TBM Office

Wayne Boney, Senior Director – IT FinanceRhina Recinos, Associate Director – IT FinanceKrzysztof (Chris) Cyganik, Sr. Financial Analyst & RTBMA

Our Story

Why Apptio?

Current Maturity Level

Turning Challenges into Opportunities

5 Tips & Summary

Q&A

1.

2.

3.

4.

5.

6.

Agenda

at a glance

HIMSS Davies

Award Recipient

2017

Most Wired Hospital -

2017

Staff Recognized for

Excellence by

ComputerWorld

HIMSS Stage 7

Enterprise

Stage 7

Stage 7

Stage 7 Non-Stage 7

4% of over 5,000

hospitals

evaluated are

Stage 7

Healthcare Information and Management Systems Society (HIMSS) Analytics Electronic

Medical Records (EHR) Adoption Model

Stage 7 Award.

Leverage and govern health data and analytics

Execute computer order entry and electronic documentation

Measure and analyze patient engagement

Demonstrate advanced implementation

and augmentation of EHR

only

Based On Ability To

we’ve achieved

Optimal Allocation of

Costs

Increasing Complexity

Increasing Investment

in IT

RegionalExpansion

Ultimate Goal:Provide the TCO of applications, infrastructure, and services for

Medical Test X at Business Unit Y.

0%

50%

100%

150%

200%

250%

300%

2012 2013 2014 2015 2016 2017

% Increase in OpEx IT Budget

Infrastructure5 Domains: Servers | Storage | Data Center | Network | Communication

Phase 2.1Completed

Applications700+ Enterprise Applications

Business ServicesATUM Standard & NYU Langone Health Specific

Business UnitsNYU Langone Health Specific

Portfolio -based

Approach in

Progress

COST POOLSInternal Labor | External Labor | Hardware | Software | Outside Svcs | Facilities | Telecom | Other

IT TOWERSData Center | Compute | Storage | Network | Communication | Output | End User | Application Delivery | Security | IT Management

Phase 1Completed

ATUM (IT Functional Reference Model) LAYER PHASE

Current Maturity Level

Turning Challenges into Opportunities

The impediment to action advances action. What stands in the way becomes the way.

Marcus Aurelius, Roman Emperor

““

Aligning General Ledger to the Foundation of the ATUM Model

How many current clients mapped their financials to all IT Towers and Sub-Towers?

How many Apptio clients

are in the audience?

Turning Challenges into Opportunities

AccountBusiness

Unit

Operating

UnitFund

Program &

ProjectDepartment

?

IT Towers

50 IT Sub-Towers

Cost Pools

19 Sub-Pools

Aligning General Ledger to the Foundation of the ATUM Model

Brainstorm for ways

how to gather more

information

Re-examine Current

Purchasing Process

Develop ATUM Aligned

Purchasing Categories

Ask Requesters to Use

them for All OpEx and

CapEx Purchases

Build the Logic in

PeopleSoftTrain End-Users

Enhance PS Apptio

Extract to include new

categories

Modify Mappings More Accurate ITRT

Allocations

Systems Enhanced :Oracle PeopleSoft, e-Pro Module

Stakeholders :MCIT Business Office, IT Requesters, MCIT Business Partner Corp Svc

Outcome :ATUM Aligned Purchasing Process

Challenges :Adoption & Education

Current Status :Continuous Improvement

Aligning General Ledger to the Foundation of the ATUM Model

Aligning General Ledger to the Foundation of the ATUM Model

Brainstorm for ways

how to gather more

information

Re-examine Current

Purchasing Process

Develop ATUM Aligned

Purchasing Categories

Ask Requesters to Use

them for All OpEx and

CapEx Purchases

Build the Logic in

PeopleSoftTrain End-Users

Enhance PS Apptio

Extract to include new

categories

Modify Mappings More Accurate ITRT

Allocations

Systems Enhanced :Oracle PeopleSoft, e-Pro Module

Stakeholders :MCIT Business Office, IT Requesters, MCIT Business Partner Corp Svc

Outcome :ATUM Aligned Purchasing Process

Challenges :Adoption & Education

Current Status :Continuous Improvement

Aligning General Ledger to the Foundation of the ATUM Model

Turning Challenges into Opportunities

How many of you used CMDB as a source of data?

How many clients in the audience allocated their financials to

infrastructure and applications?

Improving CMDB to Build Better Infrastructure Allocations

Turning Challenges into Opportunities

Improving CMDB to Build Better Infrastructure Allocations

What is a Configuration Management Database (CMDB) System?

Turning Challenges into Opportunities

Improving CMDB to Build Better Infrastructure Allocations

Missing

Assets

Duplicate

AssetsIncomplete CIs

Missing

RelationshipsStale Data

Reconciling

Data between

multiple tools

Achieving

Accurate

Discovery

Maintain

Expertise

required for

CMDB

Maintenance

Concerns with

maintaining CI

data

Costs of

maintaining

accurate

CMDB

Universal Challenges Organizations face with CMDB systems

Source: blazent.com

Configure the Model

using currently available

data

Document current

Allocations Process and

Methodology

Review the results with

Stakeholders

Explain the Gaps and

shortcomings related to

data issues

Propose Improvements

based on Current

Documentation

Become a stakeholder in

CMDB Improvement

Project

Track changes introduced

to CMDB

Use better data to revise

and improve allocations

Make Progress in

Continuous Improvement

of the ATUM Model

Systems Enhanced :CMDB, ITAM, SAM

Stakeholders :MCIT Business Office, IT Engineers, Disaster Recovery, Systems Teams, CIO

Outcome :Improved and Enhanced CMDB Data (CI & Relationships)

Challenges :Cost and Effort to Maintain

Current Status :Project(s) in Progress

Improving CMDB to Build Better Infrastructure Allocations

Turning Challenges into Opportunities

How many clients have a well-defined

service catalog?

How many clients in the audience

mapped Application &

Services layer of the ATUM Model?

ATUM as a foundation for Service Catalog

ATUM as a foundation for Service Catalog

80%of Service Catalog projects are a failure in the eyes of the

customer

A study involving about 100 companies that attempted to implement a Service Catalog showed that only 57% of the businesses viewed their

project as a success, and 12% of the companies considered their project a complete failure.

Source: http://www.evergreensys.com/blog/why-80-percent-service-catalog-projects-fail

Service Type Service Category

+New

category to accommodate our needs as a

healthcare institution

ATUM as a foundation for Service Catalog

NYU Langone Health Mission

SpecificService Name

NYU Langone Health Mission Specific Services

Clinical Research Education Healthcare Network

• Pharmacy • Radiology • Diagnostic Imaging and

PACS• Dermatopathology• Neurosurgery• Surgical and Anatomic

Pathology• Organ Transfer and

Transplant Surgery• Cardio - Invasive Cardio

and Perioperative• Radiation Oncology• Food and Nutrition• Blood Bank• Labs• Monitoring, Metering and

Telemetry• Patient Handling and

Discharge• Medical Supply

Management• Patient/Staff Feedback• Telemedicine• … (see .xls file)

• Data Core• High Performance

Computing• Collaborative Research

Data Warehouses • Research Instrumentation

and Labs• Clinical Trials

• Learning Management System and Curricula Management

• Simulator and SIM Center• Innovative Medical

Educational Applications• Library

• HIE and Data Exchanges• Government Programs

(DISRIP)• Faculty Group Practice

(FGP)

Service Type

Service Category

Service Portfolio Name

NYU Langone Health Mission Specific

ATUM as a foundation for Service Catalog

Do not stop improving

even though data will

never be perfect

Think outside the box and

do not be afraid to

propose changes

Build working relationships

with people outside of

Apptio Team

Monitor implemented

changes and evaluate

improvements

Show current progress, and

explain how it can be

improved

1. 2. 3.

4. 5.

THANK YOU

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