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Avoiding the Alignment Trap in It

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Submitted By msvirsky
Words 1994
Pages 8
Executive Summary
Peachtree Healthcare consists of a network of 11 large and midsized institutions that came about by way of mergers. Max Berndt is the current CEO of Peachtree and he has been instructed by the Board of Directors to ensure quality, consistency, and continuity of care across the entire network, and to deliver all that with the highest levels of efficiency, economy and respect for patients and staff. The Board believes that total standardization of IT systems would achieve the business goals of Peachtree but Max believes in selective standardization which would still allow physicians the flexibility they need in order to provide the best care possible.
The current IT systems in place in Peachtree are out of date, complex due to the mergers, and are failing. The IT infrastructure is consuming so much maintenance energy that further technological innovation was becoming an afterthought. In order to combat the issue Max wanted to know what it would cost to rearchitect technology across all of Peachtree’s facilities.
Two options were presented by Candace Markovich the Chief Information Officer. The first option is Monoliths – massive systems running massively ambitious enterprise software that would compel the arduous redesign of every business process. This would provide the standardization the Board wanted but would hinder the flexibility of physicians. The cost of implementation is higher than the budget and would run about five hundred million to a billion dollars over five to seven years.
The other option presented was the Service Oriented Architecture - A way of parsing information systems into modules that perform discrete services, build out of reusable strands of programming code, these modules could be reconfigured, into new applications at a diminishing future cost. This system is new and has not been tested in the market and does not have

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