...fill the hospital beds which led to closures of many hospitals. Therefore, Massachusetts hospitals realized to keep afloat they would need a strong balance sheet in the perceived future price war. It was under these circumstances CareGroup was formed in 1996 through a three-way merger. The merger brought $1.6 billion of revenues to them and made it the second-largest group hospital in eastern Massachusetts. The Beth Israel Hospital and the Deaconess Hospital integrated into a single hospital, while the Mount Auburn Hospital reported to CareGroup as a separate entity. CareGroup consisted of health-care professionals who were devoted to provide high quality personalized health care to their patients. They offered community-based primary care and provided specialty services close to where their patients lived or worked. CareGoup’s mission was to develop integrated services across the hospitals, improve the quality of care, and cut down the cost. Their hospitals and physicians participated in nearly all managed care and health insurance plans which allowed them to continue to deliver the same outstanding, personal care that their patients have come to appreciate and expect. One significant strength of the IT environment created at CareGroup before the collapse, was its ability to streamline the three main hospitals information into one system. When Mr. Halamka, a doctor and a Unix genius, took...
Words: 626 - Pages: 3
...Table of Contents Executive Summary 2 Introduction 2 Core Issues 3 Diagnosis 3 Competing Values Framework 3 Evaluation of the Lessons 5 Recommendations 7 Appendix 8 Bibliography 10 Executive Summary CareGroup is a result of a merger between three prominent and large hospitals that include, Beth Israel, Deaconess, and Mount Auburn Hospital. Although the major objective of this merger is to cater the vast population of the region with medical facilities; the first factor that encouraged this merger is the growing trend of merger in the industry, the price war in the industry is becoming highly complex and cost as a combined effort help hospitals to cut the cost significantly and deliver quality that will help them to improve immensely. The major issue that the company is facing is regarding the network collapse that happened due to the improper efforts of a researcher while experimenting with an application. Furthermore, the role of the researcher while testing the new software, the employees that tried to handle the situation without sufficient knowledge, the dependency on the guru and the improper and outdated back system, played a vital role in making the situation more complex for the company. However, in order to tackle these issues or any such issues related to the company’s network is suggested to follow four methods that will help in reducing these issues. The four suggestions include seeking help from external experts in handling network that will...
Words: 2524 - Pages: 11
...* In 2002, the entire IT network for five Massachusetts hospitals and CareGroup providers went down for almost four days * We examine the repercussions of this network failure, and the technological and structural issues that led to the network collapse. * We also propose risk management strategies to avoid similar problems in the future, specific steps that CareGroup should take, and 10 key lessons to be learned from this case * In 1996, five sizable hospitals in Massachusetts merged. * CareGroup was the team of healthcare providers who offered healthcare to this vast patient population. * The IT department of CareGroup needed to create an IT network that integrated each facility's numerous departments * By 2002, the hospitals were brought together on a common system and shared what was believed to be among the most advanced network systems in the United States at the time What went wrong? * In November 2002, a researcher in CareGroup was experimenting with a file sharing application * Upon finding that his wife was in labor, he suddenly left with the software running in an untested state * This new application began to explore surrounding networks and copied data in large volumes, eventually moving terabytes of data across the network * On November 13 2002, the entire network for CareGroup went down for almost four days * No one in the IT department was able to identify the problem- eventually field experts from Cisco were called...
Words: 913 - Pages: 4
...CareGroup Executive Summary CareGroup is an alliance of healthcare providers that seeks to offer a diverse range of high-quality care to residents of eastern Massachusetts. The CareGroup team was formed through a merger of major hospitals including Beth Israel Deaconess Medical Center, Mount Auburn Hospital, New England Baptist Hospital, Deaconess-Glover Hospital and Deaconess-Nashoba Hospital—all in an effort to combat rising industry competition and to increase bargaining power against health maintenance organizations (HMOs). As a result of the merger, CareGroup is the second largest hospital group in its region, with over 15,000 employees and $1.6 billion in revenue. To deal with the mismatching legacy IT systems of each of these different hospitals after the merger, John Halamka, CIO, brought them together with Meditech software. Shortly after, CareGroup’s system became recognized as one of the most advanced and efficient systems in the healthcare industry. Unfortunately, over time, the system grew “out of spec” as many smaller networks added complexity and fueled the fire that started the network collapse. This was the root problem that caused the CareGroup outage. The mechanisms that added to the growing problem were originally intended to be controls that safeguarded the group’s network. The redundant components, which were intended to protect data, and the network switches, which route data packets, were both compromised by the complexity of the system and played...
Words: 620 - Pages: 3
...CareGroup is a company that had been formed as a merger of three health-care professional teams providing the best quality care to patients in a highly organized manner. CareGroup is a large company with more than 13.000 employees and 2.000 medical staff, which focuses on primary care and a wide range of specialty services. Among their main strengths of CareGroup would definitely belong the total size of the company producing revenue with $1.6 billion with strong balance sheet. This factor will allow them to better deal with health maintenance organizations (HMO’s) and negotiate better prices (higher bargaining power). This power could also be used against the HMO’s while discussing new contracts. And finally strong balance sheet would allow them to spend more financial resources in developing integrated services within all their hospitals that can further improve the quality of provided services and care with possibility to reduce operational costs. Second key strength that I found within CareGroup is the integrated technology system that enabled this large and quite complex organization together. Another strengths was their integrated technology system which was providing the most advanced email system, data center, voice/wireless system and including personal health records. This integration led to significant reduction of IT operating expenses. On the other hand to manage such a large organization with high complexity and diversity offering many different health services...
Words: 590 - Pages: 3
...learned through them. Background and Analysis On October 1, 1996 three prominent hospitals in eastern Massachusetts merged together to form CareGroup. CareGroup was a group of health-care professionals that offered community-based primary care and a broad spectrum of specialty services. Merging hospitals had the opportunity to develop integrated services that could greatly improve the quality of health care as well as drive down costs. An unforeseen achievement had been the development of an integrated IT system that linked the entire organization together. CareGroup became a leading innovator in IT not only recognized as the best in health care, but the finest in any industry. 2) Then look at each item and think about how that item affects the other sides of the triangle. From a birds eye view the CareGroup IT systems were not only strong, but also the most advanced in the nation. The company enjoyed the best e-mail system, voice and wireless, data center and web-based infrastructure in healthcare. Their IT systems had handled 900,000 patient records dating back to 1977 and 3,000 physicians and 200 staff personnel processed 40 terabytes per day. CareGroup’s CIO John D. Halamka was also a key strength for the organization. His impressive resume and extraordinary background made him the most qualified CIO CareGroup could hope for. Halamka explains that the reason why he’ve been successful is because I know all the technologies, I program in 12 languages...
Words: 1595 - Pages: 7
...After several attempts by others to step in and help fix the situation at the Beth Israel Hospital and Deaconess Medical Center, Paul Levy stepped in and applied for the job. Paul’s willingness to attempt to undertake the situation at BIDMC and save the hospital from being sold to a for-profit organization is very much in line with this ambition. The hospital was in desperate need of a competent leader who possessed the qualities that would turn around and save the non-profit company. Before he was hired he made several demands and each of those demands showed effective forms of leadership as seen through the political and symbolic frames. He established himself as a strong leader with the power to be the deciding force in decision making. By making the demands that he did it gave Levy the upper hand in the struggle for power with the board even before he was ever offered the position. Also, symbolically, this showed all employees and the board of directors that he was going to be a powerful leader. Picking the people who would be on the task forces was not an easy task. Paul did not want the steering committees to be too big because he wanted to make sure that people were productive and able to participate. He wanted to make sure that they had a broad representation of the hospital by the faculty and the administrative staff. There needed to be people who knew something about the area so they would know how to carry out the recommendations. The role of the steering committee...
Words: 2572 - Pages: 11
...Taking Charge of the Beth Israel Deaconess Medical Center (A) John School of Business/ Department of Organizational Leadership 02/25/2008 Taking Charge of the Beth Israel Deaconess Medical Center (A)/ Paul Levy Introduction /Background In 1916 the Beth Israel Hospital was formed in the Boston area mainly because Jewish doctors wanted a hospital they could perform their practice. At the time Jewish doctors were dismissed at the notion of being able to work at local hospitals in the area. The financing of the BI Hospital derived from the Jewish communities donations. Millions of dollars were donated in order to create an upper class academic medical center that was known not only for the quality of its research and teaching but also for the quality of its care. As time went on capitalism showed its face by driving the local Boston hospital’s to want more market share in their geographic locations. A Dean of Harvard Business School by the name of John McArthur organized a session in which he proposed the Brigham Hospital merge with the Massachusetts General Hospital to create a new organization called Partners Healthcare System. None of the surrounding hospitals in the area were notified when the decision to go ahead with the plan was made. Not only was the merger established because of the growth of market share but the organization would be able to capture a bigger portion of the market and therefore have a greater influence on the insurance companies and...
Words: 2439 - Pages: 10
...Post Graduate Diploma in Management Academic Year 2011-12 Course Title : Information Systems for Managers - II Credits :2 Area: Information Systems Term: 3 Course Instructors: Instructor 1 Prabin Panigrahi Instructor 2 Shubhamoy Dey Objectives : Advances in information technology (IT) have transformed business models, organization structures and processes, and the methods for sustaining innovation and firm performance. With information technologies becoming an important force shaping entire industries and value creation in firms, it is important that you as future business leaders understand the potential role of IT in creating value and competitive advantage. The objectives of this course are to help you develop the critical thinking to assess how information technology and systems shape business strategy, innovation, and operations in firms. The key goal of the class is to help you be better prepared to analyze and evaluate business challenges for maximizing the impact of IT on products, processes and services in different settings. E-mail E-mail prabin@iimidr.ac.in shubhamoy@iimidr.ac.in Pedagogy: This course is cognizant of a variety in the level of IT awareness amidst the students in the class. Hence, it is structured to be a combination of mini – lectures and discussions. The discussions are based on managerial articles from sources like HBR, SMR, CMR or book chapters. A significant part of the course is also based on case analysis. The discussions are...
Words: 536 - Pages: 3
...MANAGEMENT INFORMATION SYSTEMS (MIS) Term 1; ECTS: 10 (July 2-22, 2015) Prof. D P Goyal, Ph.D. Management Development Institute Gurgaon-122001, New Delhi, INDIA dpgoyal@mdi.ac.in;dpgoyal23@gmail.com 1 INFORMATION ABOUT THE PROFESSOR Dr. D P Goyal is Professor at Management Development Institute, Gurgaon, New Delhi, India (www.mdi.ac.in/faculty/detail/28-d-p-goyal/). • • • • • • • • Post Graduate in Business Management; Doctorate in MIS Over 29 years of experience in teaching, research, consulting & executive training Published more than hundred research papers in national / international journals of repute Published 18 books including three well acclaimed text books one each on MIS from Macmillan; ERP from McGraw-Hill; and IT project Management from Macmillan Have supervised 13 Ph.D. research scholars Completed many sponsored research projects On the Board of Governors; Advisory Board; Academic Council; Board of Studies of many business Schools/Universities Member of editorial board and review panel of several referred journals OBJECTIVES OF THE COURSE The main objectives of the course are to provide the management student a broad understanding of: • • • • • Information Systems (such as Transaction Processing Systems, Management Information Systems, Decision Support systems, etc) from a Business Perspective Information Systems Planning Key IT Technologies, and the implications of these technologies for managers Identifying...
Words: 2915 - Pages: 12
...Health & Well-Being BY JOHN D. HALAMKA, MD Your Medical Information in the Digital Age The U.S. is moving toward electronic health records. Here’s how to make that work for you. for granted that you should manage your own résumé. After all, it catalogs your professional history and accomplishments – who else would manage it well? But chances are you don’t oversee your own medical records. Until now, doing so has been difficult because bits and pieces of your information are probably scattered across the files of several doctors, hospitals, labs, and pharmacies. That’s an inconvenient – and potentially dangerous – state of affairs, but one a new federal law may help to remedy. The American Recovery and Reinvestment Act is providing about $30 billion to improve the exchange of health care information. One trickle-down effect will likely be greater access to your lifetime medical information through a personal health record in electronic form. The underlying idea is simple: YOU PROBABLY TAKE Compiling your medical data in one place lets you be the steward of your health information. Like first writing up a résumé, creating a personal health record takes time, but there are several payoffs. Having the record can prevent unnecessary testing and treatment (and, in turn, save you money), reduce the chance of a medication error, and instantly provide vital information in an emergency. It also can be used to keep track of your weight, blood sugar, and much more. (For a list of...
Words: 998 - Pages: 4
...Case Study: Partners HealthCare Systems Case Study: Partners HealthCare Systems Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care. Problem Identified Partners HealthCare, which was created by major contributing hospitals and medical facilities in the Northeast, initially began as a way to focus on the patient needs; however, the company soon found themselves separating from their initial goal. There was more than one problem identified within the realms of the company. There are three main issues that this case study produced. The first outlying issue is called Alert/Warning Fatigue (Davenport, 2013). This derives from alerts that were placed in the system to warn doctors of notices that could be anything from mixing prescriptions to simple notifications that most doctors already knew or was not in their field of study. A second issue that requires resolution to create a successful working system is the sense...
Words: 1410 - Pages: 6
...• What were the problems that led to BIDMC getting in trouble? What could be a way out There were both external and internal factors that led BIDMC to the position it found itself in. The external factors included the fact that the landscape within which hospitals were operating changed due to mergers within the industry which was thought to give the merged firms greater advantage in terms of bargaining power etc. Due to these industry mergers, BI felt that they should also merge and the fact that they did so quickly with a hospital with a widely varying culture played a significant part in the issues at hand. It was not only the fact that these hospitals merged that caused a problem but the fact that they tried to achieve clinical integration between the different cultures which had a negative impact on the performance of the business. The second contributing external factor is the change from a cost plus to a more competitive managed care financial system, which was further compounded by the fact that each hospital before the merger was having its own financial issues. The third external factor was the changing national health care system which meant that hospital reimbursements were no longer as generous and the main player in the space – Medicare- started to face restrictions. These reductions in Medicare payments also coincided with cost pressures from other insurers, which led to Management signing under-cost contracts with local insurance companies. Internal factors...
Words: 1386 - Pages: 6
...com/stock-photo-doctors-having-video-conference-meeting-hospital-team-image44595386 [Accessed 29 Oct. 2015].Freshwater UK, (2015). [image] Available at: http://www.freshwatercreative-uk.com/news [Accessed 29 Oct. 2015].Reed Business Information Ltd, (2015). [image] Available at: http://www.communitycare.co.uk/2012/07/26/how-social-care-staff-can-improve-their-communication/ [Accessed 29 Oct. 2015].Watson, J. (2015). Dr Ellis said the method of communicating allows for “meaningful interactions”.. [image] Available at: http://www.thecourier.co.uk/news/health/new-non-verbal-communication-approach-sees-profound-reactions-from-dementia-sufferers-1.674832 [Accessed 29 Oct. 2015]. | | | | | 9 Role of Effective Communication in Health and Social CareGroup structures and communication patternsCommunication in a group is usually fed downwards based on hierarchy; people at the bottom have few...
Words: 2005 - Pages: 9
...com/stock-photo-doctors-having-video-conference-meeting-hospital-team-image44595386 [Accessed 29 Oct. 2015].Freshwater UK, (2015). [image] Available at: http://www.freshwatercreative-uk.com/news [Accessed 29 Oct. 2015].Reed Business Information Ltd, (2015). [image] Available at: http://www.communitycare.co.uk/2012/07/26/how-social-care-staff-can-improve-their-communication/ [Accessed 29 Oct. 2015].Watson, J. (2015). Dr Ellis said the method of communicating allows for “meaningful interactions”.. [image] Available at: http://www.thecourier.co.uk/news/health/new-non-verbal-communication-approach-sees-profound-reactions-from-dementia-sufferers-1.674832 [Accessed 29 Oct. 2015]. | | | | | 9 Role of Effective Communication in Health and Social CareGroup structures and...
Words: 2026 - Pages: 9
