AHIC

Business Model for the Successor Organization to AHIC

Sharon Benjamin
Lisa Kimball
Curt Lindberg

703-836-1303

sharon@sharonbenjamin.com

June 2007

It’s About the Network

Managing the Unknowable:
Accepting An Unforeseeable Future

Form follows Function

What business model will enable the new organization to facilitate the key processes needed to steer the community toward the mission?
What mechanisms will enable it to effectively…
- Convene the diverse community around conversations and decisions that matter
- Catalyze innovations
- Engage peer-to-peer learning

Different Models for Different Tasks

The HIT Adoption Challenge:
Crossing the Chasm

In the Short Term

Create roadmaps owned by the communities involved that identify and define shared objectives
Kick start technical development to open standards by a target date
Take advantage of on-going pilots and launch multiple new experiments and pilots
Nurture the key relationships among stakeholders
Establish a vigorous, aggressive and responsive technical assistance network

Health Information Roundtable*

Set bold direction and catalyze the conversation about the role and power of Health IT in the community of stakeholders
Create and manage “roadmaps”
Establish “min specs” for technology development and certification
Identify and use leverage points: government policy, industry incentives, sector engagement
Delegate key authorities (for example to CCHIT for certification)
Coordinate with local, regional, and federal government bodies with related oversight responsibilities for privacy and security issues.

HIR: Distributed Control

Distributed Control:

In a Complex Adaptive System control is shared by many elements, rather than centralized in a single command center

Coexistence of

Order and Disorder:

In a healthy adaptive system, order and disorder coexist

HIR Ecosystem

Stages of Network Development

Innovation Fund

In addition to creating a Health Information Roundtable, we recommend establishing an Innovation Fund as a strategic investment mechanism to support collaborative research, development and innovation projects that are of importance to the mission of ONC, the new Health Information Roundtable and to meet anticipated unexpected needs.

Diffusion Network

Biggest problem is USE v. development
Need for regional outreach mechanism “technical assistance” meaning assistance with application (not just technology)
Competitive markets take care of technical development, but aren’t good at social development
We recommend creating a network of regional and local entities that can support adoption and adaptation

Diffusion Network:
Theory of Action

Knowledge does not change behavior

It is easier to act your way into a new way of thinking than it is to think your way into a new way of acting.

~ Jerry Sternin

Diffusion Network: Outcomes

Innovation Learning Network example
MD MRSA network example

Power the transition

with multiple,

simultaneous actions

Power the transition with multiple, simultaneous actions

Nature is not economical of structures—only of principles.

~ Abdus Salam

Winner Nobel Prize

for Physics, 1979

Principals

Sharon Benjamin
sharon@sharonbenjamin.com

Lisa Kimball
lisa@groupjazz.com

Curt Lindberg
curt@plexusinstitute.org