1. Leadership: Role of the CIO/VPIS/ISD Director.
2. Position in the organization: reporting and its issues.
3. Activities and responsibilities: service vs development/initiation.
4. Latitude of action and decision-making.
5. Interface(s) to the functions of the institution.
6. Local vs distributed vs centralized personnel.
7. Role of the vendor(s).
8. Your views.

1. Push vs pull or both.
2. IT/IS Planning.
3. Project management.
4. Technology management.
5. Procurement.
6. Implementation.
7. Maintenance.
8. User assistance.
9. Liaison (with vendors, departments, admin, other institutions).
10. Your views.

1. Analysts.
2. Trainers.
3. Project managers.
4. Tech experts (apps, op sys, DBMS, systems, networks, …).
5. Trainers.
6. Sometimes : communicators, negotiators, flow-charters, business types, …
7. Rarely: industrial engineers, management experts, educators,…
8. Your views.

1. Admin Head – often VP Finance.
2. CIO/VPIS.
3. Director IS.
4. Managers of various groups.
5. Classic operational groups (e.g., implementation, maintenance, etc.)
6. Your views.

1. Dealing with the full set of implementation issues (below).
2. Recognizing and addressing true complexity.
3. Contributing to institutional strategic planning.
4. Disruptive approaches and budgeting.
5. Delivering departments and enterprises.
6. Focusing on processes and workflow.
7. Minimizing the impacts of changing technologies.
8. Dealing with the human element (your perceptions?).
9. Regionalizing, provincializing and nationalizing IS.
10. Embracing reuse.
11. Your Views.

1. Best practices for working with vendors
2. Identifying measures for a “successful” implementation
3. Approaches to assuring a successful implementation
4. Governance
5. CDS implementation
6. Managing users
7. Optimal approaches to documentation.

1. Assuring safe use of HIT
2. Data quality (maybe)
3. Fitting an EHR and the workflow to each other
4. Using HIT to support the quality mission of the organization
5. Issues in moving from one EHR to another (as opposed to moving from paper to an EHR)
6. Meaningful use assurance.
7. Optimization (Thanks to Joseph Kannry for this one) *
8. Dealing with upgrades and patches.
9. Your Views.

The crucial role of the co-factors of technology.

1. Re-engineering.
2. Management of Change, including adoption and cultural assessment.
3. Education and Training.
4. HR and Role Restructuring.
5. Organizational Restructuring.
6. Quality and Information Systems Assurance.
7. Transitional Counseling.
8. Your Views.

The need for new competencies.

1. Quick review of competency definition.
2. New competencies base on new roles and co-factors (define key ones)
3. Your thoughts on this.
4. How to acquire new competencies: options.
5. Attitudes – key competencies
6. How do you know if you are competent?
7. The AHI Self-Assessment System: http://www.nihi.ca/hi/index.php.

Organizational models for the ISD in its new roles.

1. The local model – likely obsolete or transitional at best.
2. The single vendor shared models.
3. The multi-vendor shared models.
4. The regional model.
5. Other alternatives.
6. Your Views.

Human resources structure and function.

1. Some thoughts about HR structural rigidity.
2. Approaches that address complexity.
3. Hybrid and alternative models – a discussion.
4. Your Views.

The role of super-users and users: The ISD without walls.

1. Specialist users as extensions of the ISD.
2. Engaging providers in the IS organization.
3. The distributed ISD.
4. Your Views.

Issues and specific challenges.

1. This will be a brief idea-generation session to document participants’ thoughts regarding issues, barriers, gradients, etc. to change.

Responding to local environmental factors.

1. This will be a brief idea-generation session to document participants’ thoughts regarding specific contexts both existing and expected.

Discussion of the pros and cons of various approaches.

1. This discussion will follow and notes will be captured for circulation.