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

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Alan Hesketh
Ministry of Health

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

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

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