HCA Case Study

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Virtual Trade Mission: Exploring Opportunities in India

May 7, 2009

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  • Our application offerings are centered around the customer groups we support. Of course, our foundation is the clinical set:MEDITECH serves as our base technology application. We have surrounded this with best of breed offerings to provide comprehensive solution. PK portal provides a single view into these applications. As you might expect, creating the integration capability through the portal is quite complex.Our other clients include the Corporate Office and Shared Service Centers that we’ve just heard about. Technology is a key element to drive efficiencies and creating market diffreentiators.
  • HCA Case Study

    1. 1. HCA IT Sourcing Strategy NTC Virtual Trade Mission May 7, 2008 Mary Silva Doctor Former VP, IT&S Strategy & Planning 1 © HCA, 2009
    2. 2. HCA IT&S Sourcing Case Study • Overview of HCA IT&S • IT&S Sourcing History • Current Sourcing Strategy – Flexible Sourcing • Critical Success Factors 2 © HCA, 2009
    3. 3. HCA IT&S By the Numbers Hospitals Supported Employees – Corporate & Field 3,021 Regional Data Centers 4 HCA Storage 736 terabytes CHS Servers 1,160 LifePoint MEDITECH servers 146 Capella HCA, 167 Software applications 305 Total: 308 Enterprise-wide email boxes 98,162 Internet email received 37M/month Other Facilities Supported Active projects 195 Projects in Portfolio (incl. on hold) 271 Physician Practices IT Service Centers 14 Ambulatory Clinical interfaces to build 25 Surgery Ctrs Imaging Ctrs Clinical interfaces to install 461 Other Outpatient Ranked 162 on Information Week’s Top 500 Total: 602 3 © HCA 2009
    4. 4. HCA Background: Systems Context Accounts Payable Financial & Admin Systems Human Resources Billing & A/R (Lawson) Materials Management General Ledger Payroll Warehouse Management (Lawson) (Infor) Radiology MEDITECH Physician Portal (PatientKeeper) Clinical Systems • HPF • GE QS Critical Care • RAD PACS • GE MUSE Laboratory • CV PACS • GE ImageCast RIS • AGFA HeartSuite • T-Systems •Perinatal – GE • Empiric Pharmacy •Perinatal – Phillips •Neodata Physician Practice • GIM Pulmonary • Oncology (eCW) 4
    5. 5. For the hospital segment, IT spend is predicted to be about 4.4% of overall revenue Source: Values are based on Everest research and multiple industry surveys and reports Note: Survey taken in Q1 of 2008 of 1700 respondents. 10% of respondents were in the healthcare industry, 46% of those were from hospitals 5 © HCA, 2009
    6. 6. HCA IT&S is also a Sourcing Provider Background Historically, IT&S has provided IT services to non-HCA businesses. The strategy has been effective in offsetting costs through two streams of revenue - software as a service and professional services. Customers • Community Health (former Triad) • LifePoint • Capella • Signature • Additional non-affiliated/divested facilities 6 © HCA 2009
    7. 7. IT Outsourcers’ Market Share by Hospitals Number of Outsourced North American Organizations HCA Perot Systems Competition in IT outsourcing in hospitals is also dominated by Perot Systems which operates in 160 of 300 outsourced hospitals. Number of Outsourced North American Hospitals Source: KLAS “Extensive Outsourcing Study”, September 2008 7 © HCA 2009
    8. 8. Strategic Sourcing • Positioning to better meet and manage the delivery of IT products and services in the context of increased demand. 8 © HCA 2009
    9. 9. IT&S Sourcing Past and Future 2010 Today Next Wave: Staff Retooling Applications Development – New Project (4 Infrastructure Preferred Management Providers) Analysis Staff Augmentation (3 Preferred Vendors) Legacy Application Outsourcing 2000 9 © HCA 2009
    10. 10. HCA IT&S Current Sourcing Strategy • Need to respond to the challenge of providing new capabilities while tightly managing costs • More focused, contingent approach • Look at specific functions/skills in IT&S versus broad functions • Objectives may vary – cost, scarce skills, technology transfer, time to market • Frequent benchmark/comparison • Maintain flexibility • Balance demand and supply • Gain access to broader R&D/innovation in IT 10 © HCA 2009
    11. 11. IT Project Staffing Challenge (2008) Capacity Strategies ~1,200k hrs. Strategic Partner Sourcing TBD Incremental Staffing TBD Embedded Base Management (40-40-20) ~100 - 200k Full Staffing 800k hrs. Time to Effectiveness Leverage Existing Staff Introduce New Staff 11 © HCA 2009
    12. 12. IT&S Sourcing Decision Framework What Kind of What Sourcing Options Work/Project is It? do We Have? Work/Proj ect Sourcing Decision • Capacity • In-source • Strategic Importance • Staff Augmentation • Risk • Co-source* • Scarce/New Skills/Technology • Managed Service/ Outsourced* • Commodity • Time to Market • Cost * May be on- or off-shore 12 © HCA 2009
    13. 13. IT&S AD Sourcing Partners Staffing / Delivery Suppliers & Role Capabilities Project Business Application Data Developers DBAs Managers Analysts Architects Modelers       HCA / IT&S       IBM       Wipro       Syntel  Full Capability  Unproven or Limited by Capability or Location 13 © HCA 2009
    14. 14. Critical Success Factors • External advice/support/validation • Partnership perspective • Dedicated resources • Solid portfolio and resource management process and information 14 © HCA 2009
    15. 15. Summary • Flexible, Strategic Sourcing Seeks to Leverage the ‘Right’ Resources for Given Work • Supports Employee Engagement while Providing Access to Best Resources Available • Supports the inevitable Cycles in IT Investment 15 © HCA, 2009

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