Dbtech Blog

An Overview of John Mancini’s Occupy IT

by Greg Park

John Mancini, the CEO of AIIM – an organization I have followed for years because of their Document and Content Management expertise – has a rare gift of simplifying the complex. I must admit I am a Mancini fan and am delighted to promote his work.

Mancini’s latest book titled Occupy IT: A Technology Manifesto for the Cloud, Mobile and Social Era will change (or confirm) your thoughts on business communications.

Mancini’s demands for the progressively minded business are simple:

  • Commit to the Cloud
  • Mobilize Everything
  • Make the Business Social
  • Digitize Everything that Moves
  • Prepare for Extreme Information Management

These are Mancini’s demands for any business, but Healthcare has traditionally been a technology and process improvement laggard as compared to its peers in insurance, banking and communications. So, how should we in healthcare interpret these demands? Let’s break it down …

Cloud Computing

Cloud computing is here to stay. The age-old (and tired) excuses about security and Protected Health Information (PHI) in the Cloud ignore the multitude of deployment options. Forget Public Clouds, your applications will be delivered within Private Clouds with more safeguards and security than you accept from online banking.

As the world of Healthcare moves forward, you cannot ignore the cloud.

How is it that we embrace online banking as essential, yet disregard healthcare in the cloud?

In 1983 I implemented an SMS (now Siemens) application named Invision, which was (and still is today) a Private Cloud Solution with hundreds of hospital customers sharing the same data infrastructure. A shared environment was chosen because of the financial benefits as compared to implementing an in-house mainframe.

Talk about going back to the future!

As the world of healthcare moves forward, you cannot ignore the Cloud. The economics and support structures are superior compared to in-house applications. Additionally, you can expect a dramatic increase in Healthcare Cloud options in the next few years.

Mobile Technology

The iPhone and iPad have begun a revolution in information mobility, led by your physicians – your most vocal and influential employee base. Will you accommodate or discourage these devices? Accommodating mobile adds flexibility to chart approvals and CPOE. Accommodating mobile will also illustrate your commitment to forward-thinking technologies while satisfying your new base of employees.

On the other hand, discouraging mobile will mean less physician engagement, fewer referrals and diminished satisfaction.

Have physicians approached your IT leadership about accommodating smart devices? If they haven’t … they will. New employees, including physicians, will expect flexible access to data and processes. Consider these facts:

  • Forty-five percent of young professionals would accept a lower-paying job with more flexibility rather than a higher paying job with less.
  • One in four young professionals say the absence of a remote access option for their jobs would influence their job decision.
  • Thirty percent of young professionals feel that the ability to work remotely with a flexible schedule is a “right.”
  • More than three-quarters (77 percent) of young professionals have multiple computing and communication devices. Fully one third use at least three devices for work purposes.

Did you know the average organization that has deployed mobile solutions is 2.7 times faster in responding to customers and staff than those that have not? Imagine how this statistic translates into your bottom line.

Social Networking

Mancini says it best in his book, “If we buy the proposition that engagement is key to creating value — and ultimately profitability and productivity — then we really need to think about the social and mobile technology systems that create and foster engagement — and how they connect back to the existing information resources of the organization.”

Healthcare is late to the social networking party, but soon, customer feedback and outcomes will drive reimbursements and market-share. You need to listen closely to your consumers.

Your hospital has likely adopted facebook or twitter for general announcements, but have you engaged the consumer? Are you connected in a dialogue? Does the consumer personally derive value from following your social networks?

Patient Portals and individualized consumer content will delineate forward-thinking providers from the rest of the pack. In fact, this technology is critical to achieving Meaningful Use (MU) in year 2.

Digitize Everything

Dbtech’s favorite section of Mancini’s book! This is our forte and we are happy that document management and workflows are finally getting the attention and respect it deserves. There are tremendous financial and workflow efficiencies to be gained by digitizing everything.

There are tremendous financial and workflow efficiencies to be gained by digitizing everything.

Paper workflows are expensive. In fact, managing paper invoices can cost a business anywhere from $2 to more than $30, with an average cost of $11.60. Considering an average of 5000 invoices per month, this equates to $696,000 a year. This is a significant number – even if you only realize a third of the payback.

While monetary savings are significant when you digitize everything, your customer response time will also improve dramatically. On average, respondents using scanning and capture consider that it improves the speed of response to vendors, consumers or staff by six times or more. 70 percent estimate an improvement of at least three times, and nearly a third (29 percent) see an improvement of 10 times or more.

Extreme Information Management

The adoption of Meaningful Use (MU), Electronic Medical Records (EMR), Accountable Care Organizations (ACO) and Health Information Exchanges (HIE) are expected to contribute to the largest growth in raw-data since to onset of healthcare computing. The question on the horizon is, what your organization will do with this data to stay competitive. You have been warned!

How will this data drive business and efficiencies?

Dbtech customers are accustomed to managing large amounts of disparate data in a singular solution. Ras is typically second only to Picture Archiving and Communications Systems (PACS) when it comes to raw application storage requirements. According to the IDC Health Insights, the data that health facilities will need to manage will grow by a factor of 44 in just a few short years.

Leading to this growth is the digitization of documentation heretofore paper-bound. Many may say paper is dead, but the reality is that most hospitals are keeping these inefficient paper-bound workflows on life-support.

These workflows include:

  • Waivers
  • Release Notes
  • Progress Notes
  • H&Ps
  • Results
  • Remittances
  • Invoices
  • HR Documents
  • Contracts

In Mancini’s words, “In order to be viable, an electronic record must be capable of being digitally created or captured, then copied, distributed, used, maintained, stored and ultimately disposed of – with ease. It must also be usable with and by other EDRM systems in order to facilitate commerce and any other activities that require records to be exchanged with other organizations.”

Dbtech lives this description. We capture critical structured and unstructured data, make the data available to all users and systems, manage data life cycle and help our customers create efficiencies where there once was little.

Read Mancini’s Occupy IT manifesto, or contact dbtech to learn more!

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