Too Far Ahead of the IT Curve?AgendaPEACHTREE HEALTHCARESlide 4Slide 5Slide 6Slide 7Slide 8Slide 9Too Far Ahead of the IT Curve?Michele HomDr. Minder ChenBUS 5505/10/11Harvard Business Review – July/August 2007Agenda•Background•The dilemma•Monolithic vs SOA•Pros and Cons•Possible Solutions•Question•Discussion (if time permits)PEACHTREE HEALTHCARE•CEO= Max Berndt (12 yrs at institution)•Encompasses 11 mid-large sized institutions plus:•Supported by:•Ancillary clinics•Practicing MDs•Trauma centers•Rehabilitation facilities•SNFs•Over 4000 employees•Mission is:•To deliver the best quality and efficient care•IT infostructure is collapsingShould the CEO approve a shift to risky new technology or for with the time-tested monolithic system?MONOLITHIC SYSTEMSERVICE-ORIENTED ARCHITECHTURE•Loosely coupled architecture designed to meet the business needs of the organization•Autonomous services•Functionally distinguishable aspects are not architecturally separate components but are all interwovenOutlineMonolithic SystemSOAPROSCONS•Consistent infostructure•Unifying for all new/current facilities•Allows MDs to work together•$500 million +•TIME•Redesign acquired facilities•Curbs MD independence•Quick•Flexibility in $•Ability to integrate new facilities•Immature market•Experimental•Different for all•Never before in HC•Cost ??•Time ??POSSIBLE Solutions??•Define clear criteria for system capabilities•Create a risk profile•Construct from the desired goals and establish a plan for achievement•Incorporate a β center and expandQuestionThe ability to loosely couple architecture designed to meet the business needs of the organization is: A. Monolithic systemB. Enterprise systemC. SOA (Pick this one!)D. Microlithic systemDiscussion•How do you think the implementation of a SOA can impact healthcare?•Can a system streamline medical decisions or will there be push back from
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