#CCIO

Moving from why to how:CCIOs and the power of collaboration

#CCIO

Working in partnership with suppliers – outsourcing vs

insourcing

#CCIO

Dr Cormac Breen CCIO,Guy’s and St Thomas NHS

Foundation Trust.

#CCIO

Insourcing or Outsourcing – what a choice!

Working in partnership with suppliers (whoever they are)

Cormac Breen Chief Clinical Information Officer Guy’s and St Thomas’ NHSFT

Guy’s and St Thomas • Large multi-site clinical provider: tertiary, secondary

and community services • Core systems iCM and iPM (iSoft) in acute settings • Core system RiO in community • Centralised laboratory services (GSTS) and

Radiology • Departmental and Legacy systems in abundance • Getting more into network care • Part of King's Health Partners

Compare and contrast Insourcing

Design the product Assemble the technical team Trying and testing Set / adopt standards Set timescale Assemble the delivery team Manage (down) expectations Cope with unknowns Deliver / deploy Transition to service / BAU

Outsourcing Get what you’re given Tried and tested (in theory at least) Have standards imposed Given product Have timescale set Receive delivery team Manage (up) expectations Be delivered / deployed to Transition to service / lock down

Compare and contrast Agile / iterative

Identify your ‘problem’ Design a clinical process solution Do a bit, deploy, measure, adjust the clinical process Do a bit, deploy, measure, adjust the technology Repeat through some cycles …. Learn to manage your teams and adjust velocity and scope accordingly

Traditional waterfall Identify your system Pick your clinical process, bend it or mend it Make the clinical change? Acquire the system and resources Deploy (having held breath) Hope not to turn blue… … Is the end result what you anticipated

Outsourcing

Insourcing

Insourcing

Now the exciting bit - Collaboration

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What is preferable?

• If it's a standard tool, works well, needs little redesign or configuring - outsource

• If it's non-standard, nothing quite fits, or is closely linked with service redesign - consider insourcing (all or in part)

• If a deployed product needs some adaptation to changing requirements - grey area

• Essential - good relationship with whichever are your suppliers, internal or external