Thought Leadership


This page is updated regularly, so please check back frequently for new information and materials.

Cybersecurity as a ‘Team Sport’: Governance, Organization, Strategy and Tactics

Thirteen Chief Information Officers (CIOs) and Chief Information Security Officers (CISOs) of leading health systems gathered in Chicago to share best practices and lessons learned regarding information-security programs. These healthcare executives also explored lessons from other industries on innovative cybersecurity strategies. This report captures their discussion and shared insights.

Achieving Value-Based Payment Success: Implications for IT and the CIO

Nine CIO thought leaders from leading healthcare organizations across the country convened on October 14, 2016 for the annual Scottsdale Institute Fall CIO Summit. What resulted was a lively discussion about the challenges today’s healthcare CIOs are facing as the scales tip ever closer to value-based payment as well as a display of steadfast resolve to meet those challenges head on with innovative strategies and cutting-edge tactics. This report highlights the key focus areas of the discussion, and suggests some key strategies for success.

The 2016 Election: What Could the Results Mean for Provider Organizations?

On November 8, 2016 Donald Trump was elected President of the United States, with the Republican Party retaining control of both the House and Senate. The result of the election – which shocked both political parties – has left healthcare organizations speculating on the potential fallout. This whitepaper details the known, unknown, potential implications for providers and how it may affect Federal Payment Reform Initiatives and HIT Regulations

The MACRA Final Rule: Key Takeaways on MIPS and Advanced APMs

On October 14, 2016, CMS published a highly anticipated Final Rule that makes significant changes to the way ambulatory clinicians will be reimbursed by Medicare. The Final Rule implements two major provisions that were established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Merit-Based Incentive Payment System, or MIPS and Alternative Payment Models (APMs). This primer shares a summary of and the key takeaways on those provisions.

Realizing Clinical Benefits from EHR Investments

While most health systems have now implemented an electronic health record (EHR), a large percentage of organizations have failed to realize the expected benefits from EHR implementation. This primer explores what benefits are available to organizations and what a successful clinical benefits management program entails.

Creating Clinically Integrated Networks: Challenges, Successes, Lessons Learned

Driven by the accelerating trend toward alternative payment models that reward quality rather than volume, CIOs from some the nation’s leading health systems gathered at the recent Scottsdale Institute (SI) Annual Conference and CIO Summit to share experiences in the IT challenges of building clinically integrated networks, a key underpinning of value-based, accountable care. Insights and lessons learned from the discussion held in April, which was supported by Impact Advisors, are outlined in this report.

Cutover Plan: The Missing Link to a Successful Go­‐Live

Healthcare organizations today are spending months if not years planning for software projects. The project plan will always include build timelines, training, command center and staff support, as well as steps for optimization. This primer outlines how a well designed, reviewed, and constantly adapted Cutover Plan will lead to a successful go-live and end-user satisfaction.

Components of a Comprehensive Legacy Data Management Strategy: Challenges and Strategic Considerations

Most cost predictors for EHR/Merger & Acquisition transitions assume legacy application(s) expenses are eradicated at post go-live. Regulatory requirements, however, preclude the historical process of “box & storage” of old records off site. With the ongoing need to access historical data, organizations must address and fund the storage of electronic patient information on their legacy systems to accurately understand their EHR impacts. This primer explores strategies and tactics to consider for Legacy Data Management including Data Conversion, Data Abstraction and Data Archiving.

Transforming Clinical Care: Why Optimization of Clinical Systems Can’t Wait

In January 2015, the Department of Health and Human Services (HHS) announced new goals for value-based payment. By the end of 2018 they expect 50% of Medicare payments to be tied to alternative payment models, and 90% of Medicare fee-for-service payments to be tied to quality. The announcement of these new goals signaled HHS’s desire to rapidly accelerate value-based payment, and they encouraged private payers to follow suit by meeting or exceeding HHS goals. This white paper explores what preparations organizations need to begin now in order to succeed in the new paradigm.

The New World of the Health System CIO: Consumers, Consolidation and Crooks

This past September, eight CIOs from some of the nation’s leading healthcare organizations convened at the annual Scottsdale Institute Fall CIO Summit to discuss the most important IT related challenges their health systems are facing and the strategies to position their organizations for success over the next year. The Summit was hosted by the Scottsdale Institute, a not-for-profit membership organization of health systems advanced in IT, and sponsored by Impact Advisors. The conversations and key findings from the Summit are outlined in this report.

Summary and Analysis of the MU Final Rule: Modifications in 2015-17 and Stage 3 Requirements

On October 6, 2015, CMS finally published the highly anticipated Final Rule on meaningful use requirements. The Final Rule actually covers changes from two different proposed rules: the April 2015 proposed rule on modifications to meaningful use in 2015-17 and the March 2015 proposed rule on Stage 3 requirements. This white paper summarizes our initial impressions and takeaways from the Final Rule.

Realizing Value from an Enterprise EHR Investment

Impact Advisors conducted a survey to get a better understanding of how healthcare organizations are attempting to realize more value from their EHR. This primer outlines the survey results collected from more than 40 CHIME members.

Optimizing Healthcare IT: Challenges and Strategies for Success

This past April, thirteen leading healthcare CIOs convened at the annual Scottsdale Institute CIO Summit, supported by Impact Advisors, to discuss the optimization challenges their health systems are facing and the strategies needed to maximize the success of optimization projects. The report from the CIO Summit suggests seven key takeaways that CIOs need to consider and execute in order to maintain a successful optimization strategy within their health system.

Selecting a Population Health Management Vendor: Taming the Wave

As more organizations embrace population health management as a strategy to succeed in the emerging new paradigm of value-based payment, many are facing the next big question, "What tools do I need to support population health?" This white paper discusses the crucial elements that go into selecting a population health management vendor.

ONC Nationwide Interoperability Roadmap: “Driver’s Handbook”

On Friday, January 30, 2015, the Office of the National Coordinator (ONC) released the 166 page draft version of its 2015 "Interoperability Roadmap." This coincided with the 2015 ONC National Meeting held on Monday, February 2 and Tuesday, February 3, 2015 which also focused almost exclusively on interoperability. This white paper is your "Driver's Handbook" to both and discusses some of the more significant potential impacts of the ONC's vision for interoperability.

Optimization: The Next Frontier

No matter where your health system is on the EHR implementation continuum, to get the most value out of your EHR, both for clinical and revenue cycle processes, it is critical to have workflows and build that eliminate waste, improve efficiency, improve user and customer satisfaction and improve the operational bottom line. In short, every organization should be continually looking for ways to “optimize” their systems.

Information Requirements for the Competitive Healthcare Marketplace

A panel of eight healthcare Chief Information Officers (CIOs) convened for the annual Scottsdale Institute CIO Summit in Chicago in the fall of 2014 and developed a report that shares strategies, tactics and insights for the emerging informatics requirements in the healthcare industry and insights around the skill sets needed by CIOs to help navigate their health systems through the change occurring in healthcare.

Population Health Management Primer

A primer on strategies for effective Population Health Management and the elements required for success.

Healthcare Trends 2014: Pressure Rises and Delivery Organizations Respond

This market point-of-view document highlights not only the key trends we see impacting healthcare today but more importantly the IT implications delivery organizations need address to ensure they stay relevant and successful.

Overcoming a False Sense of Security in Healthcare

A primer that looks at how some health delivery organizations currently approach data breaches, and how a false sense of security can be overcome.

Managing Costs and Maximizing Value: Strategies from a CIO Summit

CIOs of seven leading healthcare organizations participated in a CIO Summit in late 2013 and shared strategies, tactics and insights for managing IT costs, fostering innovation and capturing and demonstrating the value IT brings to their constituents.

Revenue Cycle: Tactical Patient Access Considerations for Physician Practices

Patient Access in the revenue cycle begins with the initial contact between the patient and the physician’s office and continues through the point when the provider receives payment.