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Linking Systems to Strategy - Which system(s) and which strategy ?

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Health Informatics New Zealand
Health Informatics New Zealand

This document discusses challenges facing the New Zealand health system and opportunities to improve information technology (IT) governance and implement shared services. It notes a highly complex health system with over 3,000 GPs, 82 health organizations, and IT investments accounting for over 9% of GDP. Questions are raised about coordinating change across stakeholders and leveraging scale through a common approach to services. The key barriers to shared services need to be addressed and next steps identified to make progress on this. Strong IT governance is important, clarifying decision rights, accountability, investment priorities, and architecture to encourage better coordination and outcomes from IT.

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“ Linking Systems to Strategy” or “Which system(s) and which strategy?” 29 September 2008
Introduction Challenges of the health system How are we doing in implementing change? How can we do things together better? Slide
Health & Disability System Slide 3,000 GPs 82 PHOs Labs, NGOs etc 21 4.2 million >9% of GDP 120,000 people
How are we doing? Best value from IT investments? Can we implement new strategies fast enough? Are mechanisms to make IT decisions clear and quick? Can stakeholders explain IT governance? Do IT projects often run late and over budget? Is outourcing seen as a quick fix to IT problems? Does governance change frequently? Slide
IT Governance Specifying the decision rights and accountability framework to encourge desirable behaviour in the use of IT IT Governance P Weill, J W Ross Harvard Business School Press Slide
Key IT Governance Decisions IT principles IT architecture IT infrastructure Business application needs IT investment and prioritisation Slide
Leadership Principles of IT Governance Actively design governance Know when to redesign Involve senior stakeholders Make choices Clarify the exception handling process Provide the right incentives Assign ownership and accountability for IT governance Design governance at multiple organisational levels Provide transparency and education Implement common mechanisms across the six key assets Slide
How do we do things better together? Slide
Shared Services – Key Questions Shared services seem sensible, so why aren't they happening more? What are the barriers to making them happen? What would be the next major steps to making them happen? Slide
Shared services
Selecting appropriate services
Summary Future challenges requiring significant change Highly complex health system with powerful stakeholders Co-ordination of change necessary across sector Common approach to services needed to leverage scale Slide

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Linking Systems to Strategy - Which system(s) and which strategy ?

  • 1. “ Linking Systems to Strategy” or “Which system(s) and which strategy?” 29 September 2008
  • 2. Introduction Challenges of the health system How are we doing in implementing change? How can we do things together better? Slide
  • 3. Health & Disability System Slide 3,000 GPs 82 PHOs Labs, NGOs etc 21 4.2 million >9% of GDP 120,000 people
  • 4. How are we doing? Best value from IT investments? Can we implement new strategies fast enough? Are mechanisms to make IT decisions clear and quick? Can stakeholders explain IT governance? Do IT projects often run late and over budget? Is outourcing seen as a quick fix to IT problems? Does governance change frequently? Slide
  • 5. IT Governance Specifying the decision rights and accountability framework to encourge desirable behaviour in the use of IT IT Governance P Weill, J W Ross Harvard Business School Press Slide
  • 6. Key IT Governance Decisions IT principles IT architecture IT infrastructure Business application needs IT investment and prioritisation Slide
  • 7. Leadership Principles of IT Governance Actively design governance Know when to redesign Involve senior stakeholders Make choices Clarify the exception handling process Provide the right incentives Assign ownership and accountability for IT governance Design governance at multiple organisational levels Provide transparency and education Implement common mechanisms across the six key assets Slide
  • 8. How do we do things better together? Slide
  • 9. Shared Services – Key Questions Shared services seem sensible, so why aren't they happening more? What are the barriers to making them happen? What would be the next major steps to making them happen? Slide
  • 12. Summary Future challenges requiring significant change Highly complex health system with powerful stakeholders Co-ordination of change necessary across sector Common approach to services needed to leverage scale Slide

Editor's Notes

  1. Body parts medicine Computer between person and doctor