Health System Boards Lack Sufficient Oversight Over Technology, Black Book Survey Reveals
TAMPA, Fla., July 17, 2019 (Newswire.com) - In a Q2 2019 poll, Black Book sought to identify the technology presence in the boardroom of hospital and health systems to discover that over two-thirds of those surveyed had little to no significant tech expertise on their board of directors. Among currently serving board members, 4% have direct technology experience relevant to the healthcare industry.
According to the C-Suite executives polled, 91% of hospital boards rely entirely on consultants for IT strategy and advisement rather than the healthcare tech expertise of trustees. “The advisors on which health system boards depend are historically inclined to give very broad advice on vendor selections and the competitive landscape, which may not motivate digital transformation, but will keep the organization from lagging behind,” said Doug Brown, Founder of Black Book Research.
A Black Book survey recently asked 494 C-Suite hospital executives, “As a collective governance group, how tech-savvy is your organization's board on the following Issues?”
|
Q2 2019 - C Suite Executives |
Highly Knowledgeable |
Somewhat Knowledgeable |
No Knowledge |
Don’t Know/ Not Sure |
Enterprise IT Functionality |
0% |
3% |
68% |
29% |
Healthcare IT Vendors |
4% |
80% |
2% |
14% |
Cybersecurity Trends |
0% |
76% |
4% |
20% |
Healthcare Cyber Risks |
0% |
7% |
88% |
3% |
IT ROI & Bottom Line Impact |
23% |
54% |
3% |
20% |
IT Lifecycle Cost Studies |
0% |
0% |
92% |
8% |
IT Optimization over New Purchases |
2% |
17% |
63% |
14% |
Artificial Intelligence & Machine Learning |
0% |
2% |
91% |
4% |
Of the 308 board members surveyed separately, Black Book found 79% feel they receive too little data and or feedback on tech challenges facing the health system. Only 5% of these board members polled have a dedicated technology committee. Trustees and board members in both for-profit and not-for-profit health systems were polled, “As a collective governance group, how prepared is your organization's board on the following Issues?”
|
Q2 2019 - Board Members |
Very Prepared to Handle |
Somewhat or Moderately Prepared to Handle |
Not Prepared to Handle |
Not Sure |
Large Scale Data Breach or Hack |
0% |
6% |
85% |
9% |
Complete Failure of HIT/EHR System |
0% |
4% |
90% |
6% |
Switching/Replacing EHR with New Vendor |
0% |
10% |
84% |
6% |
High costs & overruns impacting financial stability |
18% |
34% |
19% |
18% |
Implementation Delays impacting physicians/community |
0% |
5% |
94% |
1% |
80% of CFOs and senior finance leaders disclosed their belief that board members were not impartial in recent vendor selection processes and approved spending that was influenced mainly by either another board member, corporate management and/or the vendor sales executives. Board members being unaware or uninformed of health system technology issues and concerns also increases large, enterprise-wide spends for software and services not well understood, according to 92% of chief financial officers participating in the polls.
“Overspending on IT is just as risky as being overly frugal, so health system boards must ensure they are not encouraging leadership to buy more than is needed or to just get by or layer older technology to save money,” said Brown.
Regarding disruptive technologies to the current health system mission, 76% of executives state their hospital board could not identify new technologies such as artificial intelligence, machine learning or patient privacy monitoring to understand as a group the risk-benefit equation of their IT approvals and spending choices.
“Up until governmental EHR incentives, the alignment of technology with patient care, quality and financial success meant that IT prowess was needed only at the operational level, but health systems in 2019 are implementing technology supports external-facing functions like marketing, analytics, intelligence, and interoperability, as well as supporting board affairs including strategy, vision, strategic and accountability.”
“Health systems boardrooms are definitely becoming smarter about digital technology but it is a slow work in progress,” said Brown.
About Black Book
Black Book™, its founders, management, and staff do not own or hold any financial interest in any of the vendors covered and encompassed in the surveys it conducts. Black Book reports the results of the collected satisfaction and client experience rankings in publication and to media prior to vendor notification of rating results and does not solicit vendor participation fees, review fees, inclusion or briefing charges and/or vendor collaboration as Black Book polls vendors’ clients.
Since 2003, Black Book™ has polled vendor satisfaction across over 30 industries in the software and services sectors around the globe to identify industry and sector trends and conditions. Black Book’s mission is to improve healthcare delivery by expanding the stakeholder’s voice from the front-line employee, IT and financial managers, clinical and nursing staff through the C-suite and board, as well as healthcare consumers.
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Source: Black Book Research
