Dale Sanders-Senior Technology Advisor & CIO-National Health System
Dale Sanders

Dale Sanders

"You have to think like a physician, nurse and healthcare economist; and behave like an IT specialist."

Dale Sanders
Senior Technology Advisor & CIO
National Health System in the Cayman Islands

Dale has spent the last 15 years applying IT to improve quality and efficiency in healthcare, while also reducing expenses. He is the founder of the Healthcare Data Warehousing Association, with now over 200 institutional memberships worldwide.
 
Challenges in technology to meet enterprise needs in 2013 and expectations
 
The challenges and wish list in brief:
 
• Provide affordable, proven analytics solutions that will support my analytic strategy for at least the next five years
• Enhance EMRs to allow me to capture detailed and more accurate cost data, making the actual cost of care transparent to physicians and patients at the point of care
• Help physicians identify, manage and engage patients with chronic conditions in their own care more effectively
 
The areas in business environment where solutions do not yet exist or not up to the mark, and which if existed, would've made job easier

As I mentioned earlier, the lack of detailed cost accounting and patient reported outcomes data is very disturbing. One thing that keeps me awake is how to implement the “instrumentation” of workflow to collect more granular data, about physicians and other providers so I can more accurately account for their costs.

Another area is the lack of integration between HIT and smartphones; which would ease data gathering and exchange.

Technology trends impacting enterprise business environment

Analytics will have the biggest impact. We’ve gone through the first two phases of data management- collecting data in financial and EMR systems, and sharing information via HIEs and EMRs. The third phase will be analyzing data and disseminating actionable information to the front end of care.

The second trend I see coming is mobile enablement of healthcare through smartphones. This includes things like physicians practicing medicine, accessing and transmitting records etc.

Manner in which data is used to head off problems and complications before they happen
 
We use analytics to target specific problems which we want to improve or prevent. One of the first and easier ways is to identify and eliminate variability in care. We also target disease states/ care processes that consume the most resources.

Thoughts on how IT strategic planning supports organization-wide efforts to improve quality, cut costs and improve efficiency in the healthcare sector
 
As a CIO, do you follow and react to what the business request from IT or do you lead and pull an integrated IT business plan as an active member of the executive team? Are you more of a technocrat or a leader- a leader who helps guide and pull the organization along from a business perspective with innovative applications of IT? If you have that interest as a CIO and fellow executives who welcome your contribution, you can play a huge role in your enterprise’s strategic success.
 
My roles and responsibilities as a CIO

Whatever be the role of the CIO, one message that I want to send to the other members of the executive team: The old days of dismissing or treating technology as a bothersome afterthought, not worthy of your attention- those days are long gone. I still see a lot of healthcare executives who treat IT as the world of the nerdy propeller heads.

Lessons learned and advice for fellow CIOs

There are three basic types of CIOs that I’ve witnessed and seen in myself- the Technologist, the MBA, and the Integrator. My advice for CIOs is that they study and understand the business of healthcare. You have to think like a physician, nurse and healthcare economist; and behave like an IT specialist.