The Leader's Challenge: Leading The Technology Imperative In A Provider Organization #OMTechnology 1 Tuesday, November 7, 2017 ⅼ 2:30pm 3:45pm Jim Gargiulo, Senior Associate, OPEN MINDS John Falsetti, Director of IT, Maryville Academy Dyan Roth, CEO & President, Inglis David Speicher, CTO, Aspire Indiana www.openminds.com 15 Lincoln Square, Gettysburg, Pennsylvania 17325 Phone: 717-334-1329 - Email: info@openminds.com 2017. All Rights Reserved.
Agenda I. Setting The Stage For Best Practices In Technology Strategy & Planning II. III. IV. IT s Role In Innovation At The Maryville Academy: John Falsetti, Director of IT, Maryville Academy Adaptive Technology At Inglis: Lea Frontino, VP, Information & Adapted Technology, Inglis & Dyann Roth, CEO & President, Inglis Going All-In To The Cloud At Aspire-Indiana: David Spiecher, CTO, Aspire-Indiana V. Questions & Discussion 2 2017. All Rights Reserved.
Implementing Technology Is Hard Work Most EMR projects, like any large-scale enterprise-wide projects, take years to deploy and stabilize and cost as high as 3-6% of a hospital s operating budget. It is estimated that between 30-50% of EHR implementation projects fail. According to a research report by health IT research firm KLAS, by 2016, almost 50% of large health care companies will replace their current EHR. The 2014 National EHR survey by MPI Group and Medical Economics noted that 70 percent of the survey participants described their EHR investment as not worth the effort. A study by KLAS reported that 19% of organizations complained of missing functionality in their EMR. 3 2017. All Rights Reserved.
2017 EHR Survey Results - Adoption No 15% of human service organizations have purchased an EHR Partially implemented 23% Not yet implemented 4% Yes 85% report their EHR is fully implemented Fully implemented 73% 4 2017. All Rights Reserved. Results based on a survey by OPEN MINDS of 397 respondents in August 2017
2017 EHR Survey Results - Implementation EHR Implementation Time, In Months 18-24 11% 15-18 4% 24+ 12% 1-3 6% 3-6 14% of organizations reported implementation time was over 9 months, with reporting implementation time of more than 24 months 12-15 9% 6-9 24% 9-12 20% 5 2017. All Rights Reserved. Results based on a survey by OPEN MINDS of 397 respondents in August 2017
2017 EHR Survey Results Reasons For Delay Reasons For EHR Implementation Delays Other Initiatives & Priorities 21% Both Our & Vendor Delays 34% Functionality Not Equal To Need 12% Our Delays 25% Vendor Delays 8% of delays were caused by both vendor/client factors, only 8% were caused by only the vendor, and 12% of delays were a result of functionality. 6 2017. All Rights Reserved. Results based on a survey by OPEN MINDS of 397 respondents in August 2017
IT s Role In Innovation At The Maryville Academy John Falsetti, Director of IT, Maryville Academy
IT s Role In Innovation What level does a robust, solid day to day service bring I.T. to as a business unit? Strategic inclusion Leads to Realized Potential which leads to Business Innovation It brings the unit up to ZERO 8 2017. All Rights Reserved.
Business Alignment Ladder Zero line The Zero line is the level of service that is unconsciously expected from a business unit. 9 2017. All Rights Reserved.
The Ladder s Bottom Rungs 5 4 3 2 1 1 7 8 9 10 11 12 13 Mission & Advocacy General US Social Service Trends & Policies Specific Market & Industry External Influences & Requirements Internal Programs Your Organization's Strategic Plan IT Strategic Plan Project Management Business System Analysis Data System Reporting Database System Design Voice / Data Infrastructure Helpdesk & Internal Client Services Zero Line (varies by agency) Is unconsciously Expected. Has a commodity type value. 10 2017. All Rights Reserved.
The Ladder s Top Rungs 2 3 4 5 6 1 1 2 3 4 5 6 7 Mission & Advocacy General US Social Service Trends & Policies Specific Market & Industry External Influences & Requirements Internal Programs Your Organization's Strategic Plan IT Strategic Plan Project Management Business System Analysis Data System Reporting Database System Design Voice / Data Infrastructure Helpdesk & Internal Client Services What Is Needed to bring business value. 11 2017. All Rights Reserved.
The Result 2 3 4 5 66 1 7 8 9 10 11 12 13 Mission & Advocacy General US Social Service Trends & Policies Specific Market & Industry External Influences & Requirements Internal Programs Your Organization's Strategic Plan IT Strategic Plan Project Management Business System Analysis Data System Reporting Database System Design Voice / Data Infrastructure Helpdesk & Internal Client Services To Get Here 12 2017. All Rights Reserved.
Pre-Requisite To Assure That I.T. Has A Strategic Impact. Don t underestimate how the lower rungs of the ladder support the higher rungs. The culture continues to moves towards conscious inclusion of I.T. at a strategic level. I.T. leadership needs to react to the inclusion in a way that moves the organization toward their strategic goals. 13 2017. All Rights Reserved.
Adaptive Technology At Inglis Lea Frontino, VP, Information & Adapted Technology, Inglis Dyann Roth, CEO & President, Inglis
Inglis Overview OPENMINDS Nov. 7, 2017
Our Mission Since 1877, the Inglis Mission is to enable people with disabilities, and those who care for them, to achieve their goals and live life to the fullest. Our Vision By 2020, we will be a recognized innovator in serving people with physical disabilities, a national catalyst for best practice diffusion and a high performing, financially self-sustaining organization. 2
Inglis Overview Serves over 1,000 people daily throughout the Delaware Valley by offering: Accessible, safe and affordable housing Innovative Day Programming Adapted Technology community programs and smart home technology support Employment Services that train more than 200 people for employment opportunities Cares for 240+ adults in Inglis House, a specialty nursing care facility that provides: Long-term, residential care for adults with physical disabilities, including multiple sclerosis, cerebral palsy, spinal cord injury and stroke, among others. All residents are power wheelchair users. Rehabilitative medical and nursing care Physical, occupational and speech therapies State of the art Adapted Technology Lab with daily workshops and in-room support Selection of more than 120 social enrichment and therapeutic recreation programs Partners with over 20 colleges and universities to train future healthcare professionals; collaborates with over 90 agencies to further aid those with disabilities Markets a patented hands-free water bottle for wheelchair users called Drink-Aide sold both nationally and internationally 3
Adapted Technology 4
Leadership Challenges External Drivers Pace of technology change - both organization-wide solutions and adapted tech solutions Changing landscape for reimbursement and coordination of care/services Managed Long Term Care / PA Community Health Choices July 2018 Demand for HIE and Electronic Health Record Value-based payment models Data Security / Cybersecurity Cloud Migration Internal Challenges High degree of change already in organization / change management Limited people resources in IT and AT to support a broad / diverse customer base Gaps in leader and staff technology competencies business and clinical systems Gaps in resident and consumer technology competencies and skills IT and AT staff skill development Time, capacity and motivation to learn Time to research constantly new technologies 5
Going All-In To The Cloud At Aspire-Indiana David Spiecher, CTO, Aspire-Indiana
Why Cloud? Scalability Security Flexibility Accountability
Types Of Cloud Just someone else s server? Lift and Shift legacy apps? Natively Cloud (tabs and HTML5)?
Disruption
Then
Now
It Changed The Way We Work... FROM emailing TO chat FROM attaching TO sharing FROM FINAL FINAL FINAL versions TO one source of truth FROM phone calls TO face-to-face video FROM endlessly organizing and hunting TO searching FROM forgetting to save TO no need to save FROM installing, running, and updating software TO the web FROM my computer in my office TO any screen anywhere, anywhere at anytime
Security & Data Loss Prevention No copies or downloading emails to known (or unknown) devices. IMAP, POP, Exchange turned OFF Versions increase risk Always Up-to-date MultiFactor Authentication 700 Security Engineers and security by design at all layers End-to-end and algorithmic encryption MDM
Best Practices For Technology Adoption At the intersection of technology adoption and the stages of change is key to understanding how to successfully introduce and sustain projects of strategic importance 28 2017. All Rights Reserved.
5 Best Practices for Technology Adoption Identify, activate and promote your early adopters Involve them early and often, leverage their enthusiasm, have them advocate on behalf of the project Don t replace the process, support it Integrate technology so that it augments and improves work flows and processes Leverage the community and bring them together Rally people around a common cause, facilitate communication and peer support Arts and Crafts Sessions Encourage play in a sandbox, point out new features and functions, invite people to get their feet wet before cliff diving Don t call it the New Way Instead call it what it is, a tool to help people do their job better and.don t allow people to be too busy to improve and to make adoption happen 29 2017. All Rights Reserved.
30 2017. All Rights Reserved.
Questions & Discussion
Turning market intelligence into business advantage OPEN MINDS helps over 180,000 industry executives tackle business challenges, improve decision-making, and maximize organizational performance every day. See how our market intelligence can help your organization at www.openminds.com. Mental Health Services Chronic Care Management Disability Supports & Long-Term Care Addiction Treatment Social Services Intellectual & Developmental Disability Supports Child & Family Services Juvenile Justice Adult Corrections Health Care @openmindscircle OPEN MINDS Circle OPEN MINDS Circle www.openminds.com 15 Lincoln Square, Gettysburg, Pennsylvania 17325 717-334-1329 info@openminds.com