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School of Health Information Science

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School of Health Information Science HINF 562 Information Technology Procurement Course Overview – PowerPoint PPT presentation

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Title: School of Health Information Science


1
School of Health Information Science
  • HINF 562
  • Information Technology Procurement
  • Course Overview

2
Logistics
  • Instructor Information Jeff Barnett
  • Email jebarnet_at_uvic.ca Telephone 250-519-5519
  • M-F 0800 to 1600 PST
  • Other times on request

3
About Me
  • Initially a Pharmacist gt 20 years experience,
    most with the BC Cancer Agency
  • Interest in IT and computers
  • Pharmacy Information (Data Analyst) in late 90s
    to mid 2000
  • 1st Distributed Masters Graduate in HINF 2007
  • Currently, Director of Clinical Informatics, BC
    Cancer Agency,
  • Adjunct assistant Professor with HINF

4
Over to you?
5
HINF 562 Course Logistics
  • Using technology in the course (course website
    http//web.uvic.ca/h562/index.htm)
  • Elluminate sessions (required attendance)
  • Submission of assignments
  • Help / Assistance

6
Why study IT procurement?
  • Business challenges
  • Management challenges
  • Life challenges
  • Study challenges

7
Goals for HINF 562
  • Course goals
  • Build Technology Management Procurement Skills
  • Build Business Skills
  • Build Critical Thinking Skills
  • How will the course work to reach these goals?
  • Learn Key concepts
  • Perform on Case Studies, Assignments Class
    exercises
  • Read, read, read
  • Discuss
  • Apply
  • The primary goal of this course is to have
    students appreciate the dynamics and compromises
    which take place when a health care
    authority/facility selects information technology
    to primarily support its care giving role, as
    opposed to its financial and management control
    roles.

8
HINF 562 Course Overview
  • What is HINF 562 all about?
  • Course Outline
  • Lecture Schedules
  • Interactive exercises/information
  • Discussion, Discussion, Discussion

9
HINF 562- Course deliverables
  • Deliverables
  • Assignment 1 Requirements Analysis.
  • Assignment 2 Questioning the need for RFPs.
  • Assignment 3 Analysing a real RFP
  • In class participation

10
Course Structure
  • Building the foundations
  • Critical thinking applied
  • Team work challenges
  • Case study framework
  • Managerial Finance Capital acquisition
  • Managerial Finance ABC (Activity Based Costing)
  • Technology refresher
  • Hardware / Software
  • Medical Informatics
  • Medical Information Systems
  • Administrative Decision Process
  • Medical Technology
  • Tele-medicine, Radiology, Dentistry, Surgery,
    Pharmacy, Assistive Technology (Prosthetics),
    Expert Systems
  • IT Procurement Strategies (ITPS)
  • Privacy as related to ITPS
  • Ethics as related to ITPS

11
Care Foundation and Advanced Technologies
  • IT Systems and Technologies
  • Applied to Health Care

12
Clinical Systems
  • These systems support the activities of
    clinicians providing direct patient care,
    including presentation of clinical data, clinical
    documentation, and workflow.
  • Advanced clinical support tools such as alerts
    and pathways are sometimes included in this
    category of application.

13
Consumer and Patient Health Systems
  • These systems focus and functionality vary, but
    these systems are universally targeted for direct
    use by health care consumers.
  • Very commonly, these systems will offer some form
    of educational and data tracking and storage
    capabilities designed to help patients
    self-manage their medical or health experiences.
  • Patient-interactive systems directly involve
    patients in the care experience, providing
    guidance in triaging health problems, access to
    appointment scheduling capabilities, ongoing
    disease or medication management regimens, and
    communication with care providers.

14
Core Transaction Systems
  • These systems provide the basic financial,
    administrative, and clinical functionality
    required to maintain current operations,
    including initiating, tracking, and billing for
    both inpatient and outpatient care.
  • These systems are generally customized for
    location of care delivery and may include
    functions for hospitals, independent practice
    associations (IPAs) , management services
    organizations (MSOs), physician offices, home
    health organizations, and long-term care
    facilities.

15
Decision Support Systems
  • These systems provide advanced support for
    operational, financial, and clinical decision
    making, including analysis tools to make
    judgments about clinical care, lines of service,
    and financial management.

16
Electronic Medical/Health Record
  • This technology aggregates patient data from a
    variety of source systems.
  • Advanced electronic medical record allow access
    to text, graphics, clinical results, images,
    voice, or video.

17
Enterprise Systems
  • These systems allow single points of access for
    patient and resource management.

18
Managed Care Systems
  • These systems are designed to support the
    extended requirements that managed care places on
    organizations, these systems offer advanced
    administrative, clinical, and financial
    capabilities.
  • System functionality varies by the type of user
    organization (for example, provider or payer).

19
Medical Management Systems
  • These systems are clinically oriented.
  • They are designed to assess or guide clinicians
    in the process of care provision, playing a
    preemptive "quality control" role in the care
    process.
  • By delivering and integrating clinical content
    such as clinical protocols, alerts, reminders
    drug interaction and allergy information, and
    formularies across care locations, these systems
    help organizations manage care for optimum
    outcome at lowest cost.

20
Clinical Data Repository or Data Warehouse
Systems
  • This technology provides storage for partial or
    complete sets of organizational data, both
    clinical and financial.
  • It may be used to provide immediate access to
    data or allow for longitudinal collection and
    analysis of patient population health data.

21
Telecommunication Convergence Systems
  • This technology combines the use of
    telecommunications technology with application
    systems across a variety of platforms.
  • Most commonly used with call centers, nurse
    triage, and educational and consumer-oriented
    efforts.

22
Data Integration Systems
  • This technology, often custom-programmed by a
    systems integrator, allows free connectivity
    between existing application systems.
  • Through data integration, patient demographic
    data input at one point of care can be accessed
    and reused at any other. May also include "off
    the shelf" applications such as interface engines
    and data repositories.

23
e-Commerce Technologies
  • Electronic commerce technologies incorporate a
    combination of application system and advanced
    technology to allow consistent, secure, and
    reliable communication across often unconnected
    entities.
  • Most are developed in health care supply chain
    systems and claims, authorization, and
    eligibility transaction processing.

24
Imaging Systems
  • These systems support the collection, viewing,
    and manipulation of digital images, whether
    documents, patient pictures, or clinical results
    data.

25
Integrated Medical Devices
  • These devices allow the capture, collection, and
    transmission of physiologically oriented patient
    data into health care application systems.
  • An example of this technology would be a peak
    flow meter that allowed the periodic download of
    readings onto the physician's desktop.

26
Internet, intranet, and Extranet Connectivity
  • Rapidly becoming the major delivery mechanism for
    large data sets, this technology is central to
    pioneering efforts in organizational marketing
    and "branding," patient education and consumer
    health, internal workflow redesign, and cost
    reduction.
  • Vendors are almost universally exploring it as a
    technology platform for application
    functionality.

27
Research Systems
  • These systems allow the collection,
    consolidation, tracking, management, and analysis
    of data relating to clinical research efforts.
  • They include administrative, financial, and
    clinical data components.

28
Tele-medical and Tele-health Technologies
  • These technologies allow for clinical diagnosis
    and treatment support across geographical
    distances.
  • These systems support the bidirectional
    transmission of voice, text, and imaging data.

29
Workflow Technologies
  • Often integrated into application systems,
    workflow technologies support the work processes
    of computer end users. Smart routing used by call
    center technologies or automated work queues for
    medical management staff would be included in
    this category.

30
Workforce- enabling Technologies
  • These are technologies that support the education
    and training of organization staff, as well as
    communication between them.
  • They include technologies such as electronic
    mail, groupware, knowledge management tools,
    Internet and intranet access, computer-based
    continuing education, and distance learning.

31
Information Technology Procurement
  • Introducing major concepts and challenges
  • of
  • IT Procurement in the Health Industry

32
Reality check Costs 1
  • Paretto Rules!
  • HDW SFTW 20
  • The rest 80

HDW SFTW
Planning, design, specification, management
33
Reality check Costs 2
  • Develop 40
  • Maintain 60

System development
System maintenance
34
Three procurement issues
  1. What IT to procure requirement analysis
  2. How to procure IT build or buy
  3. How to deliver on time and on budget

35
1. What IT to procure
  • What to procure
  • Start with a Strategic plan
  • for your HA Þ for IT
  • Develop policies
  • For converting your plan into action
  • Present a business case
  • For justify the procurement
  • Develop a Statement of requirements
  • Do not forget to separate the ERs (essential
    requirements) from the NtH (nice to have)
  • Question What must we be able to do, not What
    do we want to build
  • Include flexibility and scalability
  • Develop a Business Case
  • detail cost/benefits in measurable terms
  • prioritize, not just go/no go decision
  • define accountability and monitoring
  • develop a financial analysis
  • get buy-in at all levels
  • Be aware that changes during actual procurement
    process are very expensive plan ahead

36
2. How to Procure IT Buy or build
  • Objectively analyze your options
  • Buy a package already on the market
  • Get external vendor to develop what you need
  • Outsource
  • Develop it in house
  • If you choose 4, dont think you need less
    formality with requirements specification

37
2. How to Procure IT Buy or build (contd)
  • Be Organized
  • Form a Steering Committee
  • Develop procurement plan
  • Assign clear responsibilities
  • Be Specific
  • Specify detailed functional requirements
  • Describe the precise nature of service
  • can be gt50 of total work involved!
  • Define performance measurement
  • In (for us)
  • Out (for them)

38
3. How to deliver on time and on budget
Bringing it home
  • Involve an experienced project manager
  • Deliver progress problems reports
  • Resolve problems promptly
  • Manage change
  • Apply the T4 technique (test, test, test and then
    re-test!)
  • Measure the finished modules, product against
    previously agreed upon metrics.
  • Whenever possible, test real world scenarios in
    parallel, in new and old systems, to determine
    accuracy

39
Want specifics?
  • In BC
  • http//www.fin.gov.bc.ca/ocg/fmb/manuals/CPM/06_Pr
    ocurement.htm
  • In the US
  • http//www.itpolicy.gsa.gov/

40
Questions ?
  • .
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