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TRANSFORMING

HEALTH CARE

ENTERPRISE

Steps to Change

Home

Schema

Video

Why is the Affordable Care Act

important to me and what will it

change?

Building background

How do you feel about approaches to

Business Strategy Transformation

for Health Care?

Building Background

What Is Enterprise Architecture?

Enterprise Architecture is the method by which business strategy is successfully translated into information technology

Enterprise Architecture as Strategy, Jeanne W. Ross, Peter Weill, and David Robertson, MIT Sloan School

EA helps to organize and clarify the relationships between agency strategic goals, investments, business solutions and measurable performance improvements – but, it is just one link in a chain of integrated practice areas

OMB

©Institute for Enterprise Architecture Developments 2001-2008

Reduction of Complexity and Cost

Technology High Low

High

Bu

sin

es

s

Return on Investment

No Architecture

Enterprise Architecture

Technology Architecture

Business Architecture

5

Our Vision A system that is designed to generate and apply the best evidence for the collaborative health care choices of each patient and provider; to drive the process of new discovery as a natural outgrowth of patient care; and to ensure innovation, quality, safety, and value in health care. (Charter of the Institute of Medicine Roundtable on Value & Science-Driven Health Care)

Pilot w/a Group of States

Business Analysis &

Architecture

Business Process

Modeling

Transition Planning to

Service Oriented

Architecture (SOA)

States & Local Agencies

Focus on Local Not-for-Profit Communities

Business Analysis &

Architecture

Business Process

Modeling

Transition Planning to

Service Oriented

Architecture (SOA)

HIT Extensions

. Focus on HHS, CMS , ONC Business Analysis &

Architecture

Business Process

Modeling

Transition Planning to

Service Oriented

Architecture (SOA)

Players in Transformation

Federal Agencies

Ideas for

Change

Framework with

Strategic

Alignment

Envision Key

Business

Scenarios

Plan Performance

Improvement

Roadmap-

Dashboard

Research

Driven

Target

Architecture

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Policy

Alignment

New

Technology

Strategy

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Technology

Performance

Outcomes

Blueprint for

Change

Building A Blueprint for Change

Blueprint

Policy

Alignment

New

Technology

Strategy

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Technology

Performance

Outcomes

Blueprint for

Change

Building Our Blueprint for Change

Blueprint

Policy

Alignment

New

Technology

Strategy

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Technology

Performance

Outcomes

Blueprint for

Change

Building Your Blueprint for Change

Blueprint

How can I promote public

awareness and effect change?

Ideas Essential Question

How can we promote public

awareness and effect change?

Ideas Essential Question

How can you promote public

awareness and effect change?

Ideas Essential Question

Ideas Framework Envision Plan Research

Framework

Triple AIM

Innovation Prescription

Meaningful Use Click to

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Innovation Prescription

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Innovation Prescription

Meaningful Use Click to

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Is it possible for alignment without

dictation?

Framework Prediction

Do you want room for innovation

within a framework and set of

standards?

Framework Essential Question

How can you be consistent with

security and privacy?

Framework Essential Question

Vision

Mission

Outcome “Better Care”

Knowledge Driven

Data

Technology

The “Triple

Aim”

Delivery System Change Drivers

Excellence in Operations, Patient Care Delivery, Integrated Care, Community Health

Knowledge Driven

“CHANGE”

Storytelling, collaboration, &

e-learning

Triple Aim

Systemic Reform: Innovation Prescription

General

Hospital

Isolated

Best Practices

Syste

mic

Re

form

Physician

Practices

Business

Model Innovation

Affordable Care

Act (2010)

To-Be “new”

Health Business

Models

Intuitive Medicine

Empirical Medicine

Precision Medicine

Pe

rso

na

l He

alth

Popu

latio

n H

ealth

Moving Forward: “Meaningful Use”

Focus of:

Stage 1

Stage 3

Stage 2

Strategic Framework Goals

Policy and Technical Infrastructure Goal

Privacy and Security Goal

Meaningful Use of Health IT Goal

Learning Health System Goal

To create a coordinated view of health and human services by linking information

and creating meaningful information exchanges to better support the citizen.

• Common Local Services

• Common Local

Business Processes

• Common State Services

• Common State Business Processes

• Common State Information Model

• Common Federal

Services

• Common Federal

Human Services

Processes

• Common Provider Services

• Common Provider

Business Processes COMMON VIEW

LOCAL-COMMUNITY

FEDERAL STATE

PRIVATE (Provider, Citizen)

Complete Alignment- Business and Services Framework: Support Alignment

Cross Boundaries

Ideas Framework Envision Plan Research

Scenario 1: MS

Scenario 2: Diabetes

Scenario 3:

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Scenario 1: MS

Scenario 2: Diabetes

Scenario 3:

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Scenario 1: MS

Scenario 2: Diabetes

Scenario 3:

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Scenario 1: MS

Scenario 2: Diabetes

Scenario 3:

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SMART GOAL

Create a Roadmap

Assessment and Data

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Assessment and Data

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SMART GOAL

Create a Roadmap

Assessment and Data

Plan Main Menu

What is your role in service orientation

and agility?

Personal Connection

What are the fragmented elements

and how can they be integrated?

Check for Understanding

Preparing the Medical Transformation Roadmap

Health Service

Grids Challenges and

Issues:

•Growing Expenses

•Fragmented

•Practice Gap

•Errors

•Overhead

•Hidden Expenses

•Interoperability

•Semantics

1950’s

Marcus Welby

Diagnose and

predict outcome

1970’s

Scientific Medicine

Diagnose and Treat

Reinventing Health Care

Leveraging from others

Research

IT and Standards

Today

Predict and

Prevent

Treat

Personalized

Medicine

46

Creating a Road Map for Enterprise Transformation

e-gov and LoB Solutions Demonstrate

Results

Development of e-gov and LoB

Solutions

Limited leadership and sporadic results, but extensive

foundation setting

Road map hit roadblock during 2007 and 2008. FSAM requirement and linkage to new strategic initiatives showing new

“life”

EA Strategic Management

Focus

2016 - 2017

2014 - 2015

2012 - 2013

2010 - 2011

47

PROPERTIES

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Ideas Framework Envision Plan Research

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Articles

Experts

Additional Resources

Research

Research-Innovation-Standards: Solving Tough Problems

Requires New Thinking &

Research on Critical Issues

Strategic

Alignment

Generating

Ideas for

Change

Critical

Issues

Technology and Innovation Trends and Directions

Envisioning

Key

Business

Scenarios

Performance

Improvement

Roadmap-

Dashboards

Technology

Enabled:

Research-Driven

Target

Architecture

Innovation Suggestions

Stds &

Technology

Research

What are critical issues that will drive

health care business strategy, the

Affordable Care Act,

& public awareness?

Assessment

Can you describe an evolutionary

process with revolutionary results?

Assessment