Too Far Ahead of the IT Curve Harvard Business Review July August 2007 Michele Hom Dr Minder Chen BUS 550 5 10 11 Agenda 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 collapsing Should the CEO approve a shift to risky new technology or for with the time tested monolithic system MONOLITHIC SYSTEM Functionally distinguishable aspects are not architecturally separate components but are all interwoven SERVICE ORIENTED ARCHITECHTURE Loosely coupled architecture designed to meet the business needs of the organization Autonomous services Monolithic System PROS Consistent infostructure Outline Unifying for all new current facilities Allows MDs to work together CONS 500 million TIME Redesign acquired facilities Curbs MD independence SOA 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 center and expand Question The ability to loosely couple architecture designed to meet the business needs of the organization is A Monolithic system B Enterprise system C SOA Pick this one D Microlithic system Discussion 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 MDs
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