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Editor's Notes

3 Posts tagged with the e-healthcare tag
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Innovation. Everyone wants it; few achieve it — or at least not easily. That’s a fact I was considering recently when I interviewed Faye Sahai, Executive Director of Innovation and Advanced Technology at Kaiser Permanente, on the topic of “Seeding Innovation.”

 

Fostering innovation-- a topic we have discussed previously in a blog and another here -- is gaining new urgency. Scan the news these days and you’ll see summer camps, professional organizations, governments, and of course businesses in every industry and country, offering awards, incentives, contests and funds for new ideas. They all seem to know that without innovative approaches and fresh ideas, the economy will stagnate and progress will stall. Why, then, is it still so tough to really execute on these goals?

 

One reason, alluded to by Google’s CEO Larry Page last week, is that you have take risks. In response to questions about the company’s innovation model, he was quoted as saying: “When we started doing search, people thought we were crazy.” Clearly, that risk has paid off.

 

Another big innovation inhibitor is funding. Even Google’s Page and other executives — never mind those lower down in the organization — have to defend some seemingly “crazy” investments to nervous boards and investors who don’t see innovation for its own sake as a good business model.

 

Additionally, many experts say that in order to succeed, you have to expect some failures along the way — and that’s not always easy to accept. In fact, at many organizations, corporate culture can become a barrier that restrains innovation. Unless everyone is in sync — and makes innovation part of the way the enterprise operates — it will be tough to pull off.

 

These are all points that Sahai addressed during our interview. Kaiser — one of the nation’s largest not-for-profit health plans with $424.2 billion in 2010 revenue and more than 8.6 million members — seems to have conquered these innovation obstacles, and a long list of awards and accolades demonstrates that it’s on the right track.

 

It certainly helps that Chairman and CEO George Halvorson is on board, as is the CIO, Phil Fasano. But even with buy-in, innovation could get stalled in the discussion phase without someone like Sahai and her team driving it forward every day.

 

As she told me, “Innovation is in the company’s DNA; it’s part of our root and core.” To some, Sahai may have a dream job, with access to internal and external partners and the weight of Kaiser’s Garfield Innovation Center at her disposal. But her own diverse background in both IT and business has helped her to champion ideas and inspire others while aligning with the business every step of the way.

 

With healthcare reform and competitive pressures, she knows that there’s a lot riding on leapfrogging others with new robotics, e-health and predictive analytics, as well as fast delivery of member services. At the same time, she needs the support of the doctors, nurses and providers who are often more concerned about high touch than high tech.

 

Her tactics are to collaborate closely with IT to “operationalize” innovation rather than keeping it in silos. For instance, she uses an internal social media platform to share ideas and expertise among employees “so it bubbles up” through the organization. Additionally, HR rewards idea-generation as part of employee performance reviews. It takes “technology, people and funding,” to put ideas into action, she says.

 

Sahai makes it seem easy to seed innovation — and maybe it is. Her advice? Open the environment to employees and partners; identify a leader and a strategy and fund the efforts, and encourage sharing of both successes and failures.

 

Hey, it’s worth a try …

 

You can find more data on IT innovation in this article on Smart Enterprise Exchange. For more details on Kaiser’s efforts, read the current issue of Smart Enterprise magazine. Also, listen to the full podcast with Faye Sahai and let me know your thoughts.

 

 

 

Paula Klein

 

Editor and Community Manager

 

Smart Enterprise Exchange

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July 2010

 

Although it is definitely possible to see results from smaller, incremental projects, bigger certainly looks better when it comes to most IT innovation. It seems to me that what some CIOs view as “practical” innovation, however, might be far out of reach for the majority of businesses today. As an example, in a wide-ranging conversation about innovation and other topics, two leading CIOs each discussed how they have built their own private cloud networks.

 

To me, these CIOs clearly represent the leading edge of IT, not the mainstream. John Halamka, CIO of Beth Israel Deaconess Medical Center and Harvard Medical School, is well-known as an intrepid early adopter of emerging technologies and an e-healthcare industry leader, as his blog often explains. Speaking with Smart Enterprise Exchange recently for an upcoming podcast about Practical Innovation, Halamka said that the size of his operations has allowed him to host e-health record services for several smaller hospitals.

 

“If there were a cloud offering available with the security and privacy I need, I’d use it,” he said, “but [my IT operation is] big enough to provide e-health record services for smaller users from our cloud,” he said. Halamka has 5,000 CPUs and “petabytes of storage” available “at low cost for thousands of users in the Harvard community.”

 

Another innovation podcast panelist, Richard Plane, who was until very recently the VP and CIO at Aviat Networks, formerly Harris Stratex Networks, has also built a private cloud for use by the company. Plane said he was looking for a public cloud provider “to seamlessly manage” the private cloud and public offerings. Using only a public network might lower costs, he said, but since most public providers still need to do more work on security, Plane is sticking with the private option for now. He recently joined Harris' Cyber Integrated Solutions as head of solutions development and delivery.

 

Long term, both CIOs expect to show financial savings as well as productivity improvements and better services with their cloud options. In fact, Halamka said that in a hosted private cloud environment, he can cut about 50 percent of the support costs of solution delivery. “Demand for services far exceeds budget growth. We have to cut costs with cloud and outsourcing” options, he said. Moreover, their cloud efforts represent just one innovation among many that these two CIOs' businesses are pursuing.

 

Tom Kendra, Executive Vice President for CA Technologies’ Enterprise Products and Solutions business line, agreed that cloud models give CIOs more choices for delivering services to internal and external customers. CIOs are now “managing a supply chain of options — all driven by technology innovation,” he said.

 

All CIOs may have more options with cloud technology, but as with other emerging technology efforts, the playing field is not level; bigger businesses have far more choices — and therefore, advantages — than others.

 

The full podcast includes discussion about mobile devices, virtualization and alternate IT delivery models as well as Practical Innovation. It will be posted on Smart Enterprise Exchange very soon.

 

Meanwhile, I invite you to share your experiences about funding IT innovation efforts such as cloud computing. Will you develop your own private clouds — or will you be among those who use the services of others?

 

And if you are concerned about cloud security, this month we also feature a Q&A with Nils Puhlmann, co-founder of the Cloud Security Alliance, who (surprisingly?), says that many security concerns are overstated. You can read the interview here.

 


Paula Klein
Editor and Community Manager
Smart Enterprise Exchange

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At the time of this writing, healthcare reform in the U.S. continues to be front-page news. Regardless of where you stand on the issue, it seems that massive changes are under way for this industry along with the people, processes and technologies that support it.

 

Healthcare reforms and E-records are also playing out in many other parts of the globe — notably Canada and western Europe — affecting careers, patient care and costs. While the challenges and solutions associated with managing electronic health records are debated, our Smart Practices article this month focuses on one specific part of the equation: the impact on IT skills and staffing.

 

The massive task of complying with E-healthcare initiatives is just one example of the increasing pressures placed upon all CIOs. Yet, it’s creating opportunities as well. At a time of high unemployment, there is great demand for anyone with combined expertise in medicine, healthcare procedures, finance and technology — obviously, a difficult skill set to find. Other vertical industries are looking for operational savvy combined with business and IT experience, too. As long as this demand outpaces the human-capital supply, healthcare organizations — like enterprises in every industry — will need to train new employees and retrain current staff to meet the challenges ahead.

 

One prominent IT executive — Intel’s former CEO Andy Grove —- sees technology merging with medicine and business savvy in the new field of transactional medicine. He says expansion of this area of study will more quickly put medical discoveries into mass production. Grove told The New York Times recently that he supports creation of a master’s degree program in translational medicine at the University of California to bridge the gap between medical advances and IT. “Why doesn’t technology give us medical treatments,” he asked, “that are better, faster, cheaper? A system that works, heaven forbid, like the chip world.”

 

Also offering advice and raising questions this month is contributor Dean Meyer. A CIO coach and author of eight books about shared services and organizational transformation, Meyer addresses the tough issue of funding innovation. In his Insights column, he explains how three common financial errors actually inhibit IT innovation and prevent CIOs from adequately funding their ideas. Instead, he says, “by thinking like a business within the business,” IT executives can demonstrate leadership and set aside funds for innovation without charging internal business customers for the efforts.

 

While the topics differ, all of these issues illustrate the increasingly complex situation CIOs face in the year ahead: The need to have integrated skill sets that encompass multiple specializations has never been greater.

 

How are you keeping pace with professional demands for your own career, and how are you preparing your staff for 2010 and beyond? Let me and your peers know on the Exchange … and Happy Holidays!

 

Paula Klein
Editor and Community Manager
Smart Enterprise Exchange



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