Title: MEDITECH CIO MIX Russ Branzell, CIO VP, Information Services VP, Human Resources Poudre Valley Healt
1MEDITECH CIO MIXRuss Branzell, CIOVP,
Information ServicesVP, Human ResourcesPoudre
Valley Health System
PVHS
2Agenda
- Year in Review
- I.T. Governance
3PVHS
Year in Review
4PVHS Year in Review
Innovation Enterprises
- For-profit company
- Mission to sell support services to community
- Target
- Physician offices
- Insurance companies
- Other low-tech industries
5Boards View of I.S.
Video Clip
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8I.T. Governance Definition
- I.T. Governance is about who is entitled to make
major decisions, who has input and who is
accountable for implementing those decisions.
I.T. governance is also about assigning decision
rights and creating an accountability framework
that encourages desirable behavior in the use of
I.T.
9I.T. Governance Why/what?
- I.T. Governance defines the
- Assignment of decision rights
- Accountability framework to create a
decision-making process for determining the
services, architecture, standards, policies for
the enterprises I.T. management - It ensures a management process of
- Setting goals
- Establishing policies, practices, procedures and
the organizational structure to provide
reasonable assurance that enterprise goals will
be me
10CIO Board Relevance Questions
- Are you the personal advisor to your board for
every I.T. decision? - What is your boards view of I.T.?
- Tech stuff
- Cultural, clinical, and business transformation
- Where does the risk of I.T. rest?
- Who governs I.T.?
- How does the board fund I.T.?
11Governance Capability in a Complex World
Level 5
Respect
Level 4
- Harmonized with business strategy and culture
- Fully integrated across all domains
- Fully integrated with enterprise governance.
- Metrics tracked
Level 3
Trust
Level 2
Acceptance
- Clearly defined decision-making authority across
multiple domains - Mechanisms in place for decision making
- Exceptions handled
Skepticism
- Fire fighting
- Investment and architecture focus
- Viewed as IS initiative
- No exception handling
Level 1
- Ad Hoc
- Investment domain
- Little understanding of governance outside of IS
organization - Some budget processes in place
Uncertainty
- Undocumented
- Unpredictable
- Unclear decision-making authority
- IS staff suffers from direction shifts
Maximize BVIT
Shared Decision Making
IS Leads Who Follows?
IS Leads No One Follows
False Starts and Staff Confusion
Gartner
12Through 2008, over 60 percent of I.T. governance
initiatives will fail because I.T. leaders will
be unable to get buy-in from their business
leaders (0.8 probability).
Source Gartner
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19Volumes of research suggest that a diverse group
of independent directors with access to
reasonable information will consistently make
better decisions about big picture issues than
the most intelligent CEO or CIO can!!!!!
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22IT
23PVHS I.T. Governance Structure
PVHS Board of Directors
PVHS Senior Mgt
CEO
I.S. Steering Committee
Physician Informatics Team
CEO
CMIO
Financial Informatics
Clinical Informatics
Business Informatics
VP, Strategic Planning
CFO
CNO
24PVHS Board Engagement
- Monthly updates
- Semi-annual presentations
- Annual I.S. Steering Committee mtgs
- Board I.S. orientation process
- Board champions
25PVHS I.S. Outcomes
- 120 increase in staffing
- Dedicated I.S. Capital Budget
- 100 funded
- End-user project ownership and accountability
- Business outcomes and metrics dramatically
improved - I.S. infused throughout the organization
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27Questions?