The document discusses the roles of Chief Medical Information Officers (CMIOs) and Chief Information Officers (CIOs) in health IT leadership. It describes how the roles of CMIOs and CIOs have evolved from being siloed to becoming more collaborative partners. The ideal roles involve shared strategy and vision, a focus on patients and providers, and discovering the best solutions through partnership rather than individual priorities. The document also discusses challenges around change management and offers guidance on career opportunities and improving health IT safety.

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Physician Computer Connection
Changing Roles in Health IT Leadership
June 26, 2013
David S. Muntz, CHCIO, FCHIME, FHIMSS
Principal Deputy National Coordinator
Jacob Reider, MD
Chief Medical Officer
Office of the National Coordinator for Health IT
Department of Health & Human Services

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Our target today is to:
Provoke Thought
Offer Guidance
Share Insight
Learn
Recruit

4. The History of the CIO
June 26, 2013 3Office of National Coordinator

5. The CMIO
• What’s a CMIO?
• I don’t need a
CMIO?
• Why are they
asking so many
questions about
“my” stuff?
June 26, 2013 4Office of National Coordinator

6. The CMIO
June 26, 2013 5Office of National Coordinator

7. The CMIO
June 26, 2013 6Office of National Coordinator

8. The CMIO
June 26, 2013 7Office of National Coordinator
• “Please Manage the
Doctors for us .. “
• “The vendor says we
need a clinical
champion …”
• “You’re into
computers …”

9. The Terrible CMIO
June 26, 2013 Office of National Coordinator 8

10. The Terrible CMIO
June 26, 2013 Office of National Coordinator 9
“You IT people don’t get it”
“Why the ^%$# didn’t I get invited to that
&^%$ meeting?”
“This &^%$ system isn’t going to work – I
told you so…”

11. The Traditional CMIO
June 26, 2013 Office of National Coordinator 10

12. Transforming CMIO
• What is best for
YOU and the
business?
• What are my
strengths and
how do we work
best together?
June 26, 2013 11Office of National Coordinator

13. The Enlightened CMIO
June 26, 2013 12Office of National Coordinator
• What is best for the
patients and providers
and what role should I
play?
• How do we discover what
is best for all participants
and non-participants in
health care? How can we
inspire best efforts?

14. The Enlightened CMIO
June 26, 2013 Office of National Coordinator 13

15. The History of the CIO
June 26, 2013 14Office of National Coordinator

16. June 26, 2013 15Office of National Coordinator

17. The History of the CIO
June 26, 2013 Office of National Coordinator 16
Wadley Institutes of Molecular Medicine
Dallas, TX est. 1969
Granville C. Morton Hospital
Long Radiotherapy Institute
Wadley Blood Bank
Wadley Research Institute
Goddard Computer Institute

18. The Terrible CIO
June 26, 2013 Office of National Coordinator 17

19. The Terrible CIO
June 26, 2013 Office of National Coordinator 18
• What is best for
ME?
• How can MY career/
power/control be
enhanced?
• I know what is best
for YOU.

20. The Traditional CIO
June 26, 2013 19Office of National Coordinator

21. Transforming CIO
• What is best for
YOU and the
business?
• What are my
strengths and how
do we work best
together?
June 26, 2013 20Office of National Coordinator

22. The History of the CIO
June 26, 2013 21Office of National Coordinator

23. The Enlightened CIO
June 26, 2013 22Office of National Coordinator
• What is best for the
patients and providers
and what role should I
play?
• How do we discover
what is best for all
participants and non-
participants in health
care? How can we
inspire best efforts?

24. The Enlightened CIO
June 26, 2013 23Office of National Coordinator

25. Solving The Problems
• Those are good
questions. I wish I’d
thought of them
• I think they could help
me
• How can I choose to
respond rather than
react?
June 26, 2013 24Office of National Coordinator

26. June 26, 2013 25Office of National Coordinator
Solving The Problems: Partnering
I think we should be partners. We are great partners.

27. Putting the patient at the center
June 26, 2013 26Office of National Coordinator

28. Role Definition
Activity CIO CMIO CXOs
Strategy and vision Shared Shared CEO, COO,
CMO, CNO,
CSO, CFO
Technology assessment/management Primary Secondary CMO, CNO,
CSO
Clinical assessment/management Secondary Primary CMO, CNO,
CSO
Change management Shared Shared All
Value of Investment Shared Shared COO, CMO,
CNO, CSO,
CFO
Relationship management Shared Shared All
Execution Shared Shared All
June 26, 2013 Office of National Coordinator 27

29. Major Challenge:
Change Management
• Workflow
• Lifeflow
June 12, 2013 28

30. Sharing
June 26, 2013 Office of National Coordinator 29

31. Sharing
June 26, 2013 Office of National Coordinator 30

32. RACI / RASCI
June 26, 2013 Office of National Coordinator 31

33. Career Opportunities
Activity CIO CMIO
Chief Operating Officer  
CEO  
CIO (somewhere else)  
CMIO (somewhere else) – clinicians only  
CFO
CMO – Clinical Leadership – clinicians only  
Chief Innovation Officer  
Office of National Coordinator 32
Really?

34. Where the puck will be
June 26, 2013 Office of National Coordinator 33

35. June 26, 2013 Office of National Coordinator 34

36. Data Liberation: Eclectic Data
• Chief Nursing Informatics Officer
• Chief Privacy Officer
• Chief Security Officer
• Chief Pharmacy Informatics Officer
• Chief Radiology Informatics Officer
• The Patient and Consumer
• Others…
June 26, 2013 Office of National Coordinator 35

37. Value Analytics
June 26, 2013 Office of National Coordinator 36

38. Safety

39. HHS Safety Plan
• Promote the health care
industry’s use of health IT to
make care safer.
• Continuously improve the safety
of health IT.
June 26, 2013 Office of National Coordinator 38

40. HHS Safety Plan
• Learn
• Improve
• Lead
June 26, 2013 Office of National Coordinator 39

41. HHS Safety Plan: LEARN
Increase the quantity and quality of data and
knowledge about health IT safety
June 26, 2013 Office of National Coordinator 40

42. HHS Safety Plan: IMPROVE
Target resources and corrective actions to
improve health IT safety and patient safety
June 26, 2013 Office of National Coordinator 41

43. HHS Safety Plan: LEAD
Promote a culture of safety related to health IT
June 26, 2013 Office of National Coordinator 42

44. The best
care
At the
lowest
cost
For the
whole
population
Improve
individual
experience
Improve
population
health
Control
inflation of
per capita
costs
D. Berwick, Institute of Healthcare Improvement, 2007
The Triple Aim

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Our target today was to:
Provoke Thought
Offer Guidance
Share Insight
Learn
Recruit

46. Who are our Federal partners?
June 12, 2013 45
More to
come…

47. Together, we are making a difference!
Thank you!
Please send comments or questions to
David.Muntz@HHS.gov
Jacob.Reider@HHS.gov

48. www.CMS.gov/eHealth
June 26, 2013 Office of National Coordinator 47

49. www.HealthData.gov
June 26, 2013 Office of National Coordinator 48

50. www.HealthIT.gov
June 26, 2013 Office of National Coordinator 49