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A Chat with Catholic Healthcare West's New CIO, Part I

January 8, 2008
by root
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Forty two hospitals? No problem. Ben Williams has it all under control.

Benjamin Williams recently joined San Francisco-based Catholic Healthcare West (CHW) as senior vice president and CIO, with a mandate to lead the consolidated technology efforts of the organization's 42 hospitals across California, Arizona and Nevada. As part of his duties, Williams will oversee the organization's business intelligence, IT and clinical information systems, including the ongoing rollout of CareConnect, CHW’s EHR and CPOE system. With a team of over 1,000, Williams will have quite an army to execute his vision. Anthony Guerra, HCI editor-in-chief, recently had a chance to catch up with Williams — the former senior vice president of information services and CIO at St. Joseph Health System in Orange, Calif. — to talk about his plans for the future.

AG: Why did you decide to move from St. Joseph’s to CHW?

BW: Well, first of all, I am really excited to be in CHW. I am moving from a great organization to a much larger and widespread organization. St. Joseph’s health system has 14 hospitals and CHW has around 41 hospitals. I saw it as a fantastic opportunity to continue growing and developing as leader, but also to bring the great experiences that I enjoyed at St. Joseph’s into helping CHW, particularly in IT strategy and care-redesign kinds of areas, as well as building a strong IT model.

AG: What kind of due diligence did you perform on CHW to make sure it was the right fit?

BW: One of the things you realize is that in Catholic healthcare, we’re all connected to some degree. So I was very aware of CHW and its great mission. I was aware of the leadership. CHW has a great process for developing its ministry leaders — which are our executives — so I already had some great interactions with leaders here over the last several years.

AG: How has the role of CIO evolved over those years?

BW: First of all, I think the year 2006 — that period of time — there had been a lot of transitions in healthcare in terms of CIO leadership. I think that is connected to the fact that healthcare IT is evolving. It’s moving up and maturing, so there is a greater demand on CIOs to be business leaders and innovators and know the business and know the challenges and parameters. I think when you sit down with the operational leaders, and the financial folks, and you talk their language and understand the challenges that they are having and how you could help, it goes a long way of building a mutual relationship with your peers.

I think that’s a key element. I think a lot of times technology is so complex and is not often understood. One of the best things you can do when you’re listening and conversing is also being able to educate the organization and the leaders, particularly not on technology, but more on outcomes and investments, and how we can help transform new ways of thinking about process and technology.

Managing, operating and maintaining IT departments and your data center and that kind of thing is one skill set, but I think healthcare IT is far beyond that now in terms of what the expectations are. It’s been a discovery process. I am really strongly emphasizing the education here. Organizational leadership wants to understand and know how IT works on a business level, what decisions go in. They want the same level of rational and accountability that they expect from any other business process. But I think it’s often been a mystery because it’s difficult to understand its acronym and jargon, and there is a lot of fluff and puff and promises in the IT industry that don’t necessarily translate to better outcomes in healthcare. So I think the CIO has to not only be a great relationship builder, but also an educator.

AG: Some clinical systems are better sold to the executive committee as patient safety must-haves, rather than pure-play ROI deals. How do you handle that situation? What standards are you being held to in terms of establishing ROI for all your investments?