Sajjad A.

Yacoob, MD
Chief Medical Information Officer Childrens Hospital Los Angeles
Assistant Dean for Student Affairs Keck School of Medicine of the University of Southern California

Physicians (Clinicians) Without Borders

The evolving role of the CMIO/CCIO

The empires of the future are empires of the mind.

Sir Winston Churchill

Healthcare is evolving

Healthcare is evolving

Healthcare in the 21st Century

Electronic Health Record

Focus on patient safety

Manage disease populations

Bio-connectivity

Transparency
Data analytics

Managing cost/variations
Medicine in the cloud Bar Coding and RFID Device intelligence

Customer service
Personal health records

Healthcare IT is evolving

The role of the CMIO has always been a delicate, high wire balancing act

CMIO
The role of the CMIO, along with healthcare, is evolving

R
L

I
T Y

To know where we are going we need to see where we have been.

Healthcare is evolving

1. Heart Disease (724,269) 2. Cancer (538,947) 3. Cerebrovascular Dz (158,060) 4. Pulmonary Dz (114,381) 5. Medical Errors (98,000 est.)

6. Pneumonia (94,828)
7. Diabetes (64,574) 8. MVA (41,826)

9. Suicide (29,264)
10. Renal Disease (24,295)

The role of CMIO is evolving

We want healthcare to be

RELIABLE
Reliability
Understanding practices

Knowledge
Understanding patterns

Information
Understanding relations

Data

From Crisis to Confidence Creating High Reliability in HealthCare Joseph I. Bormel, MD, MPH

CPOE
Physician Champion
Information
Understanding relations

Data

Physician Champion
Physician champion a bridge and translator Focused on developing and implementing the technology Limited scope primarily physician adoption CPOE a big driver a violin solo

CPOE

LAB

CHARTING

PHARMACY

PHYSICIAN NOTES

RAD eMAR ICU

CPOE

LAB

CHARTING

EMR
PHARMACY

RAD eMAR ICU

PHYSICIAN NOTES

That it will ever come into general use, notwithstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations London Times

1834

EMR
CMIO
Knowledge
Understanding patterns

Information
Understanding relations

Data

Adoption across all disciplines Position now strategic Focused on developing and implementing solutions Expanded scope Requires more skills playing multiple instruments

CMIO
Knowledge
Understanding patterns

Information
Understanding relations

Data

CMIO must understand the interplay between technology, process and PEOPLE

Ultimately, people define and work the processes which utilize the technology

CMIO

Communication Credibility Committed Clinician

Captain Collaborative Confluent

CMIO as an executive

The Physicians Voice in IT: Defining CMIO Roles & Responsibilities Bob Mitchell Clinical Innovation and Technology
http://www.clinical-innovation.com/index.php?option=com_articles&view=article&id=29728:the-physicians-voice-in-it-defining-cmio-roles-aresponsibilities

Even as a CMIO strategically builds the EMR structures, there are forces over the wall that are pushing the boundaries of the role

CPOE eMAR

CHARTING

PAT I E N T C O N S U M E R I S M

On-line banking

Travel booking

News

Social network ing

Entertainment
PATIENT CONSUMERISM

You've got to think about big things while you're doing small things, so that all the small things go in the right direction
Alvin Toffler

The CMIO now has to look beyond the initial picture and see the relationships and transformative nature of each piece of technologysee the mosaic that is improved patient safety and quality

EHR HIE
Reliable healthcare Knowledge

CMIO 2.0
Reliability
Understanding practices

Understanding patterns

Information
Understanding relations

Data

CMIO 2.0

Now conducting a symphony Reliability VISION Recognizes how to position solutions as strategic Understanding practices Patient engagement Knowledge Data analytics Outcomes Understanding patterns Transformational

Information
Understanding relations

Data

Physician Champion CMIO

CMIO 2.0

Make HEALTHCARE reliable Improve population health outcomes Data analytics - predictive

CMIO 2.0

Physician Champion

CMIO

CMIO 2.0

Extraordinary clinicians make great stories, but they dont make great healthcare. Our goal should be to make healthcare reliable not heroic
Don Berwick, IHI

High Reliability Organization

Genomics
Data analytics

Patient consumerism

The CMIO evolution moves from facilitator to leader to transformational visionary

Reactive

Preventive

Predictive

QUESTIONS

We will be known forever by the tracks we leave.

American Indian proverb