Healthcare innovation is being developed by many players simultaneously. No one company can create all the innovation they need to be successful in the new economy; therefore, they will need to partner with others to be successful. This means the CIO must be able to bring in new capabilities, reconfigure them, and dispose of outdated systems.
Who is getting it right? Companies like Amazon that have invested in scalable application programming interfaces (APIs) immediately come to mind, but consumer-service focused healthcare start-ups, such as Welltok, are also making headway. They are focusing on building the integration technology that makes it easy for any company to connect to their platforms so they can provide new services to consumers simply, easily, and consistently.
The Agile Leader
Digital upstarts in healthcare are agile at their core and create new products or new product enhancements at clock speed. The problem is most business leaders relegate agile to the domain of software development within IT or Silicon Valley. Agile is much more than a way to develop new software. It is a cultural way of connecting the entire organization together so products can be delivered to the market much faster. A CIO who can champion agile thinking will advance not just technology, but also larger corporate goals.
Who is getting it right? A healthcare start-up like OneMedical is an example of the culture of agility. There, business and technology work together to tailor each site to the neighbourhood they enter. Once an office is setup, the business teams and technology teams continuously modify their software and operational processes to improve the customer service, as well as the back-office operations.
The Frugal Modernizer
Wholesale replacement of legacy technology is fraught with risk and job insecurity. The ROI to completely replace legacy systems typically does not exist because the business community cannot see the payback in features or functionality for commodity technology that should just operate. This type of CIO needs to champion a new mind-set where the company creates annual funding pools solely earmarked for modernization enhancements to existing systems.
Who is getting it right? Financial services companies like Capital One have stated they are “going big” on technology and put in place funding mechanisms to continuously modernize and keep the dangers of legacy systems at bay. There are examples of healthcare companies following this approach – but not many. While most companies consider modernization a periodic event, one company took a more long-term view and budgeted efforts annually so that parts of the entire technology landscape were continuously upgrading. Today, this company is able to merge new plans into its infrastructure simply and efficiently.
The Utility Enabler
Some organizations are focused on innovating through M&A without integration. That is, they want to be more of a holding company and see what bets pay off in the future. This type of CIO needs to approach the solution as if they are supplying basic services and they let others determine what is necessary for each business unit.
Who is getting it right? Alphabet, a technology-holding company, is a good example. Not sure what product will be best for the marketplace, Alphabet is an umbrella over many smaller companies that are free to address the market as they see fit. Alphabet supplies basic services to the companies, but that’s all. Within healthcare, some regional health plans are taking this approach in the marketplace. They have been structuring themselves into lines of business (LOBs) where there is a core healthcare insurance company in one and acquisitions in another that create an innovation portfolio. Those in the innovation portfolio have more degrees of freedom and use different services from the IT organization.
Moving Ahead With the New CIO
These new archetypes of the CIO can create long-term success for a company. For example, you can only perform so much cost cutting before the business asks for something that requires sophisticated integration. In contrast, the CIO who focuses on an integration fabric creates an organization that allows the business to flexibly introduce new market capabilities quickly. This provides powerful and longstanding advantages over those who cannot.
So, who will chart your IT path through this period of change? The integrator? The agile leader? The frugal modernizer? Or the utility enabler?