Transaction

Roll-up: IT merger of a practice network

Multi-site practice network for radiology and nuclear medicine, merged from five practices

Company
≈ 250 employees, ≈ 40 physicians
Role
Interim CIO
Responsibility
Reporting to shareholders and the strategy/finance committee
Scope
5 merged practices; 10–11 sites; 3 phases (as-is, to-be, transition)
Period
2013–2016
½

Integration time for new sites halved

Standard

Heterogeneous IT landscape standardised, network IT transferred to external services

Contracts

Contract enforcement towards GE Healthcare, Versatel and AHD

Starting point

Five heterogeneous IT worlds

5 RIS / 4 PACS, isolated solutions, outdated and unsecured infrastructure, opaque IT cost.

IT on call

No SLAs, no prioritisation, high dependency on individuals; physicians performed IT functions.

Time pressure and provider delays

Merger at year-end; schedule delays by suppliers and cost debates in the finance committee.

Objectives

  • IT merger into one network with cross-site reporting
  • Standardised, scalable infrastructure for further sites
  • Binding service commitments with SLAs

Measures

  • As-is analysis across 8 sites: 211 findings, 20 interviews, IT risk portfolio
  • Service catalogue with 7×24 levels, architecture, security and organisation concept
  • Tender to 9 bidders; transition to external services (RIS/PACS ≈ EUR 1m, MPLS WAN, data centre)
  • Integrated master plan across all providers, status reporting to sponsor and finance committee
  • Interim system administrator as an immediate measure to stabilise operations

Decisive turning point: Operating model decided with the shareholders; tender to 9 bidders, contracts enforced towards the providers.

How I proceed

  1. Day 30Ability to act and decide

    Situation, risks and decision papers are on the table; the first decisions have been taken.

  2. Day 60Stabilisation and alignment

    Operations are stable, governance and reporting are running, the target picture is agreed.

  3. Day 90Ability to transform

    Organisation, plan and budget carry the implementation; it runs in phases with accepted outcomes.

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Situation

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