Interview Answers IT GOVERNANCE SURVEY

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					IT GOVERNANCE SURVEY SUMMARY 4-25-06                                  Attachment 2



CRC                  INTERVIEWEE GOV COM                              COMPOSITION                                    ROLE                         AUTHORITY




                                      Multiple governance
Duke University      Steve Woody, CIO structures




                                                                   Vice Chancellor of Research,
                                        Management Com of DCRI     Associate department heads                        Strategic                       Full authority at DCRI
                                        Operations group           COO, Directors                                    day-to-day activities; tactical
                                        Subgroup out of management 50/50 faculty and operations                      new group hasn't met yet        makes recommendations; tries to find the right forum

                                                                                                                     look across medical center;
                                                                                                                     working on research from a Answers to CIO of Med Ctr
                                                                                                                     medical systems             and not
                                                                   Associate CIOs, directors, faculty
                                        Web-based research committee                                                 information perspective     much authority




                                       Committee for clinical
                                       research oversees
                    Robert Lumis,      clinical research IT.
                    Assistant Dean for No governance for overall IT
                    IT, University     now; each IT                   Sr VP, IT Applications, Faculty Director for
                    Dr. Harry          structure has its own          Bioinformatics, Senior Med School staff--
Albert Einstein     Shamoon, Head      reporting chain;               research, web committee.
University &        of Research, Col   structured around who pays     University--is focused on university IT                                     Advisory, reports to Dan and
College of Medicine of Med             for things                     functions not research.                                                     President of Med Ctr
IT GOVERNANCE SURVEY SUMMARY 4-25-06                                Attachment 2



CRC                INTERVIEWEE GOV COM                              COMPOSITION                                  ROLE                       AUTHORITY
                   Kari Cassel, CIO
Univ of Arkansas   Cheryl Lane,
for                Director of        Multiple governance
Medical Sciences   Research           structures
                                                                    Dean College of Medicine, Dean of
                                                                    Academic Affairs, CEO, COO, other
                                                                    players at exec level
                                      IT Executive Steering Committee                                            Responsible for research
                                                                                                                 New products, security,
                                                                    2 people from research, a rep from           etc; IT perspective
                                      IT Coordinating Committee     every Dept/Div on campus                     on campus                  Reports to IT Exec Committee


                                                                   CIO; Director, Arkansas Biosciences Inst;
                                                                   Director, GCRC; Professor, Surgery &
                                                                   Pathology; Assoc Dean for Translational
                                                                   Research and Special Programs; Dir, Div
                                                                   of Hem/Onc; Chair, Dept of Physiology &
                                                                   Biophysics; Director, IT Clinical Services;
                                                                   Director, IT Technical Operations; Assoc
                                                                   Chief of Staff of Research, VA; Director,
                                                                   Basic Breast Cancer Research; Director,
                                                                   Research Programming; OADAP Professor
                                                                   on Alcohol & Drug Abuse; Chair, Dept of
                                                                   Med; Director of Basic Sciences, ACRC;                                   Reports to IT Exec Com;
                                                                   Professor of Nursing; Assoc Prof,                                        tremendous
                                                                   Biochemistry & Molecular Biology;                                        amount of authority; if make a
                                                                   Chairman, Pharmacology & Toxicology;                                     recommendation, it will be
                                                                   Prof, Dept of Physiology & Biophysics
                                      IT Research Steering Committee                                                                        approved.
IT GOVERNANCE SURVEY SUMMARY 4-25-06                                Attachment 2



CRC                INTERVIEWEE GOV COM                              COMPOSITION                                  ROLE                             AUTHORITY




                                                                                                                 Has authority for prioritizing
                                                                                                                 requests and make
Brigham &          Diane Keogh,                                      Chaired by Chief Academic Officer for       decisions.                       Reports to Partners
Women's            Corporate                                         Partners, Senior                            All of research, not just        Research Committee and
Hospital and       Director,                                         VP for Research from Brigham, Senior VP     clinical; including              tied informally to the
Massachusetts      Research                                          for                                         infrastructure systems,          executive committees at the
General Hospital   Computing                                         Research from MGH, CIO and Diane
                                       Executive IS Steering Committee                                           admin systems, etc.              two hospitals




                                                                                                                 Strategic plan
                                                                                                                 fiscal year budget & goal
                                                                                                                 setting (capital
                                                                                                                 management)
                                                                                                                 Resource allocations (all
                                                                                                                 domains)
                                                                                                                 New technology planning
                                                                                                                 Review/approve
                                                                    Chair, Chief Medical Officer; 5 domain       subcommittee annual plans
                                                                    leaders; Chair,                              Project reviews (by domain)
                                                                    Clinical Information Systems; Chief Nurse;   Infrastructure management
                                                                    COO and                                      & architecture
Dana Farber        Jeff Kessler, CIO   Steering Committee           other execs.                                 (e.g., DRP, web strategy)   Has final approval.
                                                                                                                 Prioritize projects
                                                                                                                 Resource allocations
                                                                                                                 (within domains)
                                                                    Chaired by domain executive with IS          Portfolio/project
                                                                    person staffing it;                          management
                                       Domain Subcommittees         other domain members as appropriate          Portfolio/product planning  Exec SC has final approval.
IT GOVERNANCE SURVEY SUMMARY 4-25-06                                Attachment 2



CRC                  INTERVIEWEE GOV COM                            COMPOSITION                             ROLE                        AUTHORITY




University of                                                                                                 IT committee recommends
Rochester            Jerry Powell, CIO                                                                        to the formal funding
School of Medicine   Dr. David Krusch,                              CIO Chairs; representatives from clinical committees; makes         Reports to the Senior
and                  Chief Medical       IT Steering Committee at   and academic; mix of decision-makers and decisions on policy and    Leadership Team (SLT) of
Dentistry            Information Officer Med Center                 mid-level people who do the work          procedures                the Medical Center
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                                                                 CLINICAL RESEARCH
CRC                  CHARTER                      MISSION/VISION                       IT PLAN   IT vs. CLINICAL IT




Duke University                                                                                  Don't compete at this point.

                                                  Develop and share knowledge that
                                                  improves the care of patients
                                                  around                                         RFI for EMR includes clinical
                                                  the world through innovative clinical          research; physically in same
                                                  research --IT driven to share                  building; under CTSA new
                     None                         technology                            No       governance structure for IT
                     None
                     None



                     Investigate the use of
                     clinical data in research




                                                                                                 Institution recognizes the
                                                                                                 importance of IT to every
                                                  Developing Center for Genetic and              enterprise. Search for CIO shows
                                                  Translational Medicine;                        commitment.
                                                  developing shared resources in                 IT is a step child in the strategic
Albert Einstein                                   new and emerging technology                    process--too expensive to
University &                                      Med School become resp. for                    declare it as part of the strategic
College of Medicine Meets quarterly; no charter   research at Med Ctr                  No        plan
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                                                           CLINICAL RESEARCH
CRC                CHARTER                       MISSION/VISION   IT PLAN                  IT vs. CLINICAL IT

Univ of Arkansas
for
Medical Sciences




                   Development of IT Strategic
                   Plan for research
                   (current & future needs)
                   Develop funding/selling
                   strategies to ensure
                   research needs are met                                                   IT acts as facilitator; both
                   Communicate Research                                                     considered in tandem every time
                   support, application                                                     they look at projects; still a
                   development and reporting                                                dichotomy between the various
                   needs to IT                                    Few years old; IT SC will funding forces--clinical and
                   Communicate Research IT                        be revamping. Coord       research; informal process for
                   strategy throughout                            Com                       fitting IT into research and
                   research community                             created the orig one      clinical strategy
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                                                             CLINICAL RESEARCH
CRC                CHARTER      MISSION/VISION                    IT PLAN                    IT vs. CLINICAL IT




Brigham &
Women's
Hospital and                                                      Developing a plan over     Not well defined yet; Corporate
Massachusetts                                                     the last 6 months; still   Directors work as a team to fit
General Hospital                Will be included in the IT Plan   being refined              the strategic plans together




                                                                  Domains currently          At SC level; only 1 year of
                                                                  responsible; want          experience; by domain but
                                                                  to become more top         separate
Dana Farber        No           No                                down driven
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                                                            CLINICAL RESEARCH
CRC                 CHARTER                     MISSION/VISION   IT PLAN                    IT vs. CLINICAL IT

                                                                 CTSA grant includes
                                                                 Biomedical Informatics
                                                                 Program; weaves all
                                                                 programs into one
                                                                 program;
                                                                 whole new structure
                                                                 behind
                                                                 clinical research, clinical
University of                                                    practice and basic
Rochester                                                        research;
School of Medicine                                               Currently clinical          issues arise between clinical and
and                                                              practice IT plan but not a research in the area of support
Dentistry          10 years old; charge is stale No              clinical research IT plan and level of people support.
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                         IT BUDGET
CRC                  RESEARCH IT BUDGET                   ALLOCATION                MAJOR INITIATIVES                   COMMENTS

                                                                                 Focus on research process and
                                                                                 understanding it
                                                                                 Transforming IT to a strategic
                                                       DCRI allocates: 1) direct resource
                     DCRI FY2006 $9 million; budget    allocation to projects    Focus on external users--sites
                     remains stable                    funded through            doing research (Velos Siteworks
                     Multi-center trials within DCRI   grants/contracts, 2)      system)
                     good understanding of the budget; revenue or head count     Build communities of researchers
Duke University      can't speak to others             basis                     (blogs, wikis, etc)                    CTSA




                    Subsumed by programs; no
                    numbers.
                    Med Ctr has spent $150 million in
                    last 10 years in supporting a wide
                    network to eventually be used for
                    research.
                    Developed CTSA collaboration                                    Searching for University-wide CIO
                    around the use of this system.       $$ allocated one project   CTSA applic- creating strong
                    Bioinformatics shared resource is    at a time;                 linkage between med school and
                    $.5 million--clinical and basic      Just bought Eclypsis--     univ
Albert Einstein     research. Salaries of people doing   executive data             Med school trans to a new Dean;
University &        computer work are classified as      repository used mainly     expect changes over next two
College of Medicine something else-no numbers.           for research               years                               CTSA
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                        IT BUDGET
CRC                RESEARCH IT BUDGET    ALLOCATION   MAJOR INITIATIVES   COMMENTS

Univ of Arkansas
for
Medical Sciences
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                       IT BUDGET
CRC                RESEARCH IT BUDGET                   ALLOCATION                MAJOR INITIATIVES                     COMMENTS
                                                                                  Finalize the governance structure
                                                                                  Administrative systems--electronic
                   Still fighting for same budget $$ as                           proposal development, creating a
                   clinical side                                                  research portal
                   IT has an overall budget; allocated                            Service enhancements--build out
                   to revenue-generating entities                                 infrastructure support and services
                   Budget:                                                        around collecting research study
Brigham &          Operating            Capital                                   data
Women's            FY05 $3.7M           FY05 $1.9M                                Development of an enterprise
Hospital and       FY06 $4.2M           FY06 $1.9M      Haven't carved out a      tissue data bank
Massachusetts      FY07 $4.8M(est) FY06 $2.5M           specific % for research   Vendor evaluation for electronic
General Hospital   (sets)                               IT                        data capture applications


                                                                            Implementation of vendor solution
                                                                            for electronic capture for trials;
                                                                            purchased Phase Forward Inform
                                                     2006 Budget (% of      product; Pies and clinical research         Centralized IT shop;
                                                     total IT budget of     teams love it                               encompasses
                                                     $20.6M)                New electronic IRB system                   all domains--financial,
                                                     Clinical $3.6M (18%)   Large data warehouse                        clinical, fund
                                                     Financial $5.6M (27%)  Clinical Research Information--             raising, basic research &
                                                     Fundraising $1.4M (7%) technology refresh & looking to             clinical
                                                     Research (Cl+basic)    integrate the physicians                    research; other than grant
                   IS manager in each domain works $2.8M (14%)              component of capturing the                  funded
                   with                              Infrastructure $5.4M   information and integrating that            or odd exceptions, IS
                   their functional area customers;  (26%)                  with EMR system                             staff is
                   domains present separately to SC; Administrative $1.7M   Looking at enterprise specimen              centralized in these 5
Dana Farber        decisions made by SC.             (8%)                   banking system                              groups
IT GOVERNANCE SURVEY SUMMARY 4-25-06

                                                            IT BUDGET
CRC                    RESEARCH IT BUDGET                    ALLOCATION                 MAJOR INITIATIVES                   COMMENTS




                                                          $1M in capital budget                                             Matrix between clinical
                                                          centrally for IT this year;                                       research
                   Research IT needs flow up to the decentralized research              CTSA award                          and clinical care--heads
University of      IT Committee; 5-year IT budget         budgets--doesn't              University-wide committee           of
Rochester          that is prioritized and reviewed at capture so doesn't know          charged with creating a centralized departments wear both
School of Medicine the SLT level;                         Budget has been               cluster computer facility that can  hats
and                allocation for clinical research IT is consistent for past 5         be leveraged by all programs to     Submitted CTSA
Dentistry          based on historical use and value. years                             provide computer resources          application

				
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