Developing a comprehensive program for long-term success is the focus of

Strategic Planning and Strategic IT Planning for Long-Term and also Post-Acute Care (LTPAC) Providers: A “How To” Workbook

Table of Contents

1. Introduction and also Executive Summary 1.1. Overview 1.2. Executive Summary2. Synopsis of Strategic Planning and also Strategic IT Planning 2.1. Definition of Strategic Planning 2.1.1. Purpose of Strategic Planning 2.1.2. Characteristics of an Effective Planning Process 2.1.3. Keys to Success 2.2. Definition of Strategic IT Planning 2.2.1. Technology as a Strategic Ascollection 2.2.2. Linking Technology via the Strategic Plan 2.3. Importance of Technology Investments3. Governance Structure and Role of the Chief Indevelopment Officer 3.1. Governance Structure 3.2. Role of the CIO 3.2.1. CIO’s Duties and also Accountability 3.2.2.Realities of Aging Services 3.2.3. Options for Smaller Organizations 3.3. Best Practices from Aging Services4. Strategic Planning Approaches and also Steps 4.1. When to Conduct Strategic Planning 4.2. The Strategic Planning Team 4.3. Usual Models and Approaches to Strategic Planning 4.3.1. Vision or Goal-Based Planning 4.3.2. Issues-Based Planning 4.3.3. Alignment Model 4.3.4. Scenario Planning 4.3.5. “Organic” (or Self-Organizing) Planning 4.3.6. Real-Time Planning 4.4. High-Level Strategic Planning Reresources 4.5. 10-Step Vision/Goal-Based Strategic Planning 4.5.1. Step 1: Agree on a Strategic Planning Process 4.5.2. Tip 2: Carry out an Environmental Scan 4.5.3. Tip 3: Identify Key Issues, Questions and also Choices 4.5.4. Step 4: Define/Rewatch the Organization's Values, Community Vision and Mission 4.5.5. Tip 5: Develop a Shared Vision for the Organization 4.5.6. Step 6: Develop Statements Describing the Organization’s Goals and Future Status 4.5.7. Tip 7: Agree on Key Strategies 4.5.8. Step 8: Develop an Action Plan 4.5.9. Step 9: Finalize a Written Strategic Plan 4.5.10. Tip 10: Build in Procedures for Monitoring and also Modifying Strategies 4.6. Strategic Planning Resources5. Strategic and Operational IT Planning Steps 5.1. Understanding Organizational Direction, Company Objectives and Strategic Plans 5.2. Understanding the Existing IT Infraframework 5.2.1. IT/Technology System Inventory 5.2.2. Staff IT Competencies 5.3.Understanding the Need to Update/Upgrade Technology Applications 5.3.1. Assessing the Needs of all Existing and also New Firm Units 5.3.2. Assessing Internal Interfacing, Connectivity, Integration and also Interoperability Needs 5.3.3. Assessing the IT Needs of Strategic/External Partners 5.3.4. Assessing the Needs of Management 5.3.5.Implications for the Selection of Technology Applications 5.3.6.Implications for the Information and also Communication Infrastructure 5.4.Create the Strategic IT Plan 5.5.Phasing of Planning and also Implementation 5.6.Strategic IT Planning Resources6. IT Infrastructure 6.1. Virtual Cloud Servers vs. Local Server 6.1.1.Dedicated Server 6.1.2.Cloud Computing 6.1.3. Comparikid 6.2. Netfunctions and Their Architecture 6.2.1. Basic Documents Netjob-related Topologies and also Their Attributes 6.2.2.Basic Netjob-related Standards and also Classifications 6.2.3. Wired vs. Wiremuch less Netfunctions 6.2.4. Recommended Minimum Bandwidth Speeds 6.3. Technology Applications in Senior Living 6.3.1. Administrative and Firm Back-Office Applications 6.3.2.Clinical and Care Services Documentation 6.3.3.Safety and Security Solution 6.3.4. Health and also Wellness Applications 6.3.5. Resident Connectivity, Entertainment and Social Connectedness 6.3.6. Campus/Facility Management 6.4. File Backup, Disaster Recoexceptionally and Off-Line Operation 6.4.1. Documents Backup 6.4.2. Disaster Recoextremely Plan 6.5. Support of the IT Infrastructure: In-Housage vs. Outsourcing 6.5.1.In-Housage IT Support 6.5.2.Outsourcing IT Support 6.6. Interconnectivity, Interopercapability and also Exreadjust of Indevelopment 6.7. IT Infrastructure Resources7. Overview of Operational Planning, Selection, Implementation and also Support 7.1. Project Planning 7.1.1. Project Team 7.1.2. Goal Setting 7.2. Understanding the Impact on Workflow and Operations 7.2.1. Workflow and Process Rearchitecture 7.3. Identifying Desired Functionality and also Features 7.4. Comparing Products to Create a Shortlist of Vendors 7.5. Vendor Evaluation and also Selection 7.5.1. Objective Scoring 7.5.2. System Demonstration 7.6. Shortlisting and Researches for Proposals 7.6.1. Creating an RFP 7.7. Infrastructure Implications 7.8. Implementation, System Integration, Documents Migration and Change Management 7.8.1. Implementation Phase 7.8.2. Post-Implementation Phase 7.8.3. System Integration and also Interopercapacity 7.8.4. Data Migration 7.8.5. Change Management 7.8.6. Success Factors for any type of Project 7.9. Training and Support 7.9.1. Training 7.9.2. Support8. Acknowledgements 8.1. Writing Sub-Workteam 8.2. Workgroup

1. Review and also Executive Summary

1.1 Introduction

Eextremely organization, regardmuch less of form or size, have to have actually a strategic setup in location. Strategic planning is an organization's procedure of specifying its strategic direction and also making decisions about just how it will certainly alsituate its sources to seek this direction. In short, the purpose of strategic planning is to help an company develop priorities to much better fulfill its mission.

Indevelopment innovation (IT) is a service imperative in now and age. Technology has actually changed eexceptionally sector, and the aging solutions area is no exemption. Hence, strategic IT planning should be an integral component of an organization’s strategic planning and also enterprise administration.

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Strategic IT planning includes an organization’s leadership, business structures and also processes. This planning can assist ensure that the organization achieves its strategic goals and goals.

The strategic IT plan have to reflect the relevance of innovation to each of the organization’s strategic organization purposes, and alters the organization will must make to its information and also communications facilities.

An organization’s modern technology setting should be aligned via its long-term strategic arrangement, objectives and missions. An organization’s monitoring and also governance board must identify the critical function of technology in laying the structure for and also permitting its strategic direction and operational purposes.

For this factor, innovation administration is inevitably the duty of the board and also executive administration. This is a piece that is frequently overlooked. Yet, it is vital to implementing a effective long-term innovation plan. Strategic thinking about technology has never been more instrumental for aging services suppliers that are seeking to define their role in the confront of a shifting reimbursement landscape, increasing demand also for doing even more for much less, climbing customer expectations for top quality, and also a raising must demonstrate excellence with objective data.

1.2 Executive Summary CAST’s strategic IT planning initiative has actually 4 objectives:

Raise awareness around the prominence of strategic planning and the need to incorpoprice innovation right into the strategic plan, and frequently upday and also adapt this plan.Provide the executive management of aging services organizations through an overview of and also guidance about philosophies to incorporating technology and strategic IT planning into their strategic plans.Provide comprehensive guidance, devices, references and also sources to help an organization’s IT management conduct strategic and also operational IT planning.Share case studies from carriers that have actually effectively performed strategic IT planning.

This workbook is the first component in a multi-phased initiative that will certainly likewise incorporate digital interactive educational modules and also a set of provider situation researches. We hope you uncover this reresource advantageous in your strategic planning and strategic IT planning endeavors.

The workbook consists of 8 sections, including this development. The various other sections explore a range of topics, as outlined below.

Section 2of this workbook offers a meaning and also a high-level oversee of strategic planning, strategic IT planning and also operational planning.

Section 3focuses on administration structure and also the duty that chief information policemans (CIO) play in strategic planning and also strategic IT strategic planning. It additionally presents alternatives for smaller establishments that carry out not have actually a CIO, and presents an example of ideal exercise in IT administration from a LeadingPeriod member.

Section 4offers an arrival to strategic planning, beginning through questions like:

When should an organization think about embarking on strategic planning?Who have to be connected in the process?What are the common approaches to strategic planning?

This section also presents a deep dive right into the vision/goal-directed strategic planning design, which is the a lot of generally supplied method among aging solutions companies. This version calls on institutions to construct a vision around a future state, and also then work-related backwards to determine what objectives are necessary to attain that vision.

Section 4 emphasizes that technology need to be incorporated into the organization’s strategic arrangement from the beginning. An company have to identify a selection of innovation applications that are relevant to each strategic goal.

This innovation have the right to assist the organization accomplish its vision by facilitating strategies designed to help the company satisfy each goal properly and also cost-efficiently.

This section concludes by identifying strategic planning resources, consisting of sources from CAST, which will certainly aid an company navigate the strategic planning and strategic IT planning process.

Section 5gives an overview of strategic IT planning, which builds on an organization’s strategic goals and the modern technology applications that are appropriate to each of those objectives.

This area offers strategic IT planning measures to help an organization assess:

The existing IT infrastructure and just how it supports current operations.Existing technology applications and future technology-connected requirements.IT competencies among staff and also IT teams.

The require for an IT team to update/upgrade innovation applications in order to assistance brand-new organization models and also operations, as established in the strategic setup.

This assessment should encompass interopercapacity, integration, interencountering and health information exchange (HIE) needs, including the HIE needs of strategic partners.

Once the assessment phase of the strategic IT arrangement is completed, the executive team, with the help of IT management, need to formulate a arrangement to upday the IT infrastructure.

That facilities need to assistance all potential modern technology applications necessary now and later, including applications that support staff, operations and administration, and also those that serve residents/clients.

Applications serving residents/clients could encompass Internet access, telephone, television, social connectedness modern technology, concierge services, energy administration, and maintenance researches.

The strategic IT planning process will carry out the company via guidelines it have the right to usage to build comprehensive specification for the IT facilities, as well as for the selection of, and also operational planning for, certain technology applications.

Section 5 referrals templates, devices and sources on strategic IT planning that service providers may find beneficial.

Section 6provides an introduction of present IT framework fads, consisting of cloud computer, wired and wiremuch less IT netjob-related topologies, media, speeds and also ideal methods.

The section then offers a summary of technology applications commonly encountered in senior living, and also covers topics like information backup, disaster recoextremely, and options for IT facilities management and assistance.

This section concludes through appropriate IT infrastructure resources from CAST Associates.

Section 7dives into operational planning and also execution of the strategic IT arrangement, emphasizing the planning and also selection of particular innovation applications.

The section underscores the importance of engaging an range of stakeholders in the planning and selection process, and establishing measurable job objectives and also operational objectives.

The area also:

Explains the prestige of engaging stakeholders in identifying desired usability and also essential features of a modern technology application.Reviews workflows and procedure redesigns, and technology selection and implementation. This indevelopment will aid establishments prepare a research for proposals (RFP).Emphasizes the need for ongoing training and also assistance for the brand-new modern technology applications. This training and support, which must extend beyond the implementation phase, will ensure that the company properly meets its strategic purposes.References a variety of templates and also useful devices that suppliers deserve to usage, consisting of a selection of Technology Selection Tools emerged by CAST.

Section 8acknowledges the workteam members that contributed to this work, and the composing sub-workgroup who assembled this workbook.

2. Outline of Strategic Planning and also Strategic IT Planning


Roberto MunizPresident and CEOThe Francis E. Parker Memorial Home, Inc.Piscatamethod, New JerseyDonna LazarticChief Operating OfficerThe Francis E. Parker Memorial Home, Inc.Piscatamethod, New JerseyRick MalliaSenior Director, Support ServicesThe Francis E. Parker Memorial Home, Inc.Piscataway, New Jersey

AudienceGeneral readership, including boards and also executive leadership.

2.1. Definition of Strategic Planning

Eexceptionally company, regardless what form or dimension, need to have actually a strategic plan in place.

Strategic planning is an organization's procedure of defining its strategic direction and making decisions about how to allocate its sources to pursue that direction.

In order to determine the direction of the company, it is important to understand its current position and the possible opportunities with which it deserve to go after a details course of activity.

Usually, strategic planning encounters at leastern one of three essential questions:

What perform we do?For whom execute we perform it?How carry out we excel?

n many type of institutions, answering these inquiries is regarded as a process for determining wbelow the organization is going over the following year or, even more typically, over a longer period of 3 to 5 years.Some establishments extend their vision to twenty years.

2.1.1. Purpose of Strategic Planning

The function of strategic planning is to assist an company create priorities to much better accomplish its mission. Strategic planning enables an company to collaboratively align through its mission in a high-top quality, meaningful means in order to produce a strategic vision of what the company is, what it desires to be, and just how it deserve to readjust through times.

In short, strategic planning helps an company task its wanted future. An organization’s mission is its objective and also reason for being. It serves as a guiding light.

It has no timeframe. If crafted appropriately, it have the right to reprimary the same for decades.

An organization’s strategic vision is an image of the future that the organization looks for to produce. It is a graphic statement of what the company desires to be and also exactly how it will obtain tright here.

The strategic vision need to reach beyond the organization’s present understand. Yet, it have to be concrete enough that the company deserve to use it to take activity.

The strategic vision have to be rewent to on a regular basis.

2.1.2. Characteristics of an Effective Planning Process

An effective strategic planning process should not be ruburned. The planning process might be basic, yet it have to likewise be valuable. It should:

Result in a functional, sustainable and integrated strategic vision frame for the years ahead.Develop a defined list of strategic goals and also missions, and campaigns to place the company for the near-term and permanent.Be an inclusive, collaborative and outside-in expedition and also decision-making process.Generate high-impact strategic vision, goals and goals to which the team is strongly committed and also aligned.Illustprice the organization’s strategic vision and goals through data-thrust strategic company plans.

incredibly strategic planning process is uniquely designed to fulfill a details need. Good strategic planning develops via an outside-in process, during which the organization moves from “divergence” to “convergence.”

Aberration consists of the following:

An outside eco-friendly sdeserve to, which identifies trends and also uncertainties, and also outside pressures of readjust.An evaluation of sector teams, customer qualities and also competitive frameworks that includes benchmarking of the organization’s key competitive capabilities.An “as is” assessment of the organization’s existing competencies/staminas, culture and values.Articulation of key success factors and also opportunities/capabilities forced to help the company bridge gaps and also end up being a effective, high-top quality company provider to the targeted populace later.

Divergence is adhered to by convergence, a procedure that includes:

Generating a strategic vision for the future, and also near-term, mid-term, and also irreversible strategic alternatives to achieve that vision.Synthesizing and also clarifying the organization’s direction by identifying strategic initiatives that administer a frame for relocating forward. Developing a in-depth service arrangement for each initiative. These company plans need to estimate the magnitude of the economic opportunity, sources, investment and timeframe required to execute the strategic initiative.Prioritize and approve the strategic efforts. Identify resource investments and also integrate these investments into the organization’s operating and also capital budgeting processes.

2.1.3. Keys to Success

As you embark on your strategic planning procedure, keep these 5 keys to success in mind.

Take one step at a time. When arising the strategic setup, be sure to identify the organization’s capacity to lead, fund and implement the prioritized initiatives, and the initiative compelled to finish these tasks. Strategic planning is a finding out and structure process; one action leads to another.Enlist the assist of others. Due to the fact that the planning procedure is an outside-in initiative, many establishments connect an external consulting firm/consultant to lead the initiative.Keep an eye on the exterior environment. Organizations should store tuned to how alters in the exterior environment will influence their strategic planning efforts.Revise periodically. The strategic plan needs to be revisited and evaluated periodically to make correct alters and also change the course of action as crucial.

2.2. Definition of Strategic IT Planning

Strategic IT planning is an integral part of your organization’s strategic planning and enterpclimb administration. It includes your organization’s management, organizational structures and procedures.

The planning process should encertain that your organization's technology sustains and also extends your organization's methods and helps the company accomplish its strategic goals and goals.

The strategic IT arrangement have to reflect the relevance of technology to each of the organization’s strategic service goals. It must outline transforms that the company will certainly should make to its information and interactions facilities.

The plan have to include:

A list of all the technology applications essential to bring out each of the organization’s strategic objectives, objectives, efforts or innovative organization models/operations effectively, cost-successfully and also securely.Updays to the existing indevelopment and communications framework that will be required to assistance the established technology applications.Firm and operational priorities, including a roadmap for modern technology tasks that delineates the sources required for each project.Continuing education and learning and also talent administration initiatives that will be designed to ensure consistency of IT skills and also shipment of customer-concentrated tech assistance.A Security Management Plan for your innovation facilities that aligns via the guidelines outlined by the Health Insurance Portcapability and Accountability Act of 1996 (HIPAA) and the National Institute of Standards and Technology (NIST).

2.2.1. Technology as a Strategic Asset

Tbelow is a thriving recognition that suppliers of aging solutions need a durable modern technology setting to accomplish the changing needs of residents/clients and carry out high quality of care and high quality of life for those residents/ clients.

Technology adoption need to be perceived as a strategic ascollection, particularly in light of the transforming customer landscape. Aging baby boomers -- the future consumers of aging services -- are living longer and making use of even more complicated wellness services than former generations.

They also tend to be educated, tech-savvy and also demanding consumers.

Multiple forces -- consisting of heightened federal government oversight, the patient security activity, value-based reimbursement, and also consumer expectations -- are driving the need for aging solutions organizations to boost their care distribution and also performance.

Further pressures, including health and wellness care recreate, have steered the field of aging solutions towards a vision featuring high quality, coordinated care that promotes prevention, achieves populace wellness and cost-containment, and maintains client satisfactivity.

Achieving this vision of coordinated care requires that establishments put into location a data-propelled structure for top quality innovation.

This frame have to encompass technologies like interoperable electronic health documents (EHR), telesurveillance, and also health information exadjust. These and also other modern technology applications require an proper and durable IT facilities if they are going to aid the company achieve its strategic missions, objectives, mission and also vision successfully and also cost-effectively.

Aging services service providers have actually traditionally underinvested in modern technology, compared via various other health care and information-extensive markets. But this investment pattern will certainly have to adjust. Providers can no longer be satisfied with investment levels that enable them sindicate to “save up.”

Instead, they have to see modern technology as a crucial enabler of the organization’s strategic purposes, and setup their modern technology investments appropriately.

Most establishments go after modern technology investments without a guiding road map or strategic IT setup. Creating that plan needs top-dvery own instrumental reasoning around what is appropriate for the establishing, and what is important to the organization and also its strategic vision, goals and also objectives.

Engaging the leadership team, staff and various other key stakeholders throughout the entire planning process is crucial. So is looking out and investing in leaders through strong innovation expertise.

An organization’s modern technology atmosphere must be aligned via its irreversible strategic setup, goals and also missions.

The organization’s monitoring and also governance board need to identify the instrumental duty of modern technology in laying the foundation for and enabling the organization’s purposes, strategic direction and also operational goals.

2.2.2. Linking Technology through the Strategic Plan

How does an organization go around linking modern technology via the strategic setup and organization operations goals?

Here are some essential steps:

Establish clear missions and define the duty of technology for the organization
. Does the organization desire modern technology to be just a utility-choose business via a temporary value? Does it want innovation to enable business avenues that include value to its services over the long term? Or does the company want modern technology to be an integral component of its service success and also long-term strategic planning?Begin this discussion by conducting some initial benchmarking of your modern technology strategies and also spfinishing levels with peers that are leaders in technology fostering.Articulate a “future state” modern technology vision. This vision must be aligned via your strategic plan and also must map out which modern technology areas must mature in order for your organization to reach its wanted “future state.” Those areas might incorporate framework (information, voice and networks); applications (clinical, financial, service and also administrative); and also training.For example, replacing present applications might provide an opportunity to re-evaluate, standardize and also redesign clinical, financial, business and also administrative procedures to take benefit of the technology’s capabilities. In enhancement, training have to come to be component of the organization’s society as it prepares the workpressure for change.Identify IT process/solutions and also IT governance. You may desire to identify a skilled company to choose, implement and also preserve your complex portfolio of innovation solutions.In addition, decide on the procedure you will certainly usage to make informed decisions and assure the disciplined, reliable and efficient implementation of your modern technology investments, direction and also utilization. It is extremely important that the organization’s board/governing body is committed to making forced IT investments.Assess gaps in technology. Thoapproximately evaluate the organization’s current state of innovation and the gaps that exist in between this present state and the organization’s preferred “future state.”Identify strategic choices for filling the gaps. Make a qualitative assessment of these gaps making use of specific criteria. Those criteria might encompass your desire to:Provide strong support for unmet user needsAssume minimum danger.Achieve a reasonable time-to-worth ratio.Experience minimum conversion trauma.Incur the lowest possible cost.Select your ideal options and also outline implementation projects. Estimate onetime and continuous expenses. Map tasks over a multiyear timestructure with the expertise that investment budgets and also decisions would certainly come in multiple “leaps.”Foundational.Operational excellence.Innovation.Set guidelines for software application initiatives. Broadly define your guidelines for structure software application efforts internally or buying them externally. Factors affecting this decision:For instance, it’s vital to build a foundational infrastructure (Leap 1) before investing in operational excellence (Leap 2) or implementing technology developments to differentiate yourself in the market (Leap 3). Your 4-year innovation roadmap must be arranged into 3 leaps:For software remedies, you’ll need guidelines to assist you recognize if the device should be hoprovided in the organization’s interior data environment or a web-held (cloud) setting. A number of factors will affect this decision, including:

* Scalability

Scalcapability is a network’s capability to manage prospering amounts of work-related or to be readily enlarged. It is a preferable property in a network. Netfunctions that are based on a hierarchical version are more scalable because of their characterized roles, performance requirements, and throughput, claims Kiss. Maintainability

Maintainability is identified as the ease with which a netjob-related have the right to be modified to correct faults, enhance performance or various other characteristics, or adapt to a adjusted environment, says Kiss. Manageability

Manageability is defined as exactly how effectively and easily a network can be monitored and also maintained to store it working and secure, says Kiss. Due to the fact that contemporary networking devices are very configurable, they offer the user flexibility to choose the ideal solution to satisfy all requirements.

6.2.2. Basic Netjob-related Standards and also Classifications

Kiss identifies 3 forms of netjob-related devices characterized by the IEEE 802 standard:

Network-related access devices. This contains switches and also wiremuch less access points.Inter-networking devices. This contains routers and application routers.Security devices. This includes firewall surfaces and Intrusion Detection Solution.

Networks deserve to additionally be categorized by the area they cover. Different modern technologies and also protocols are used for different-sized coverage locations, says Kiss.


Copper wire or wireless innovations are mainly offered for short ranges, including:

The personal area network (PAN). This network offers Bluetooth or Wi-Fi innovation. Bluetooth-based telemetry is an example of a PAN.The Wireless Body Area Network (WBAN). This network-related is supplied for very short distances and also is taken into consideration a one-of-a-kind netjob-related for the patient/resident/client and also his/her cshed atmosphere. Kiss describes the WBAN as a set of mobile and compact intercommunicating sensors that are either wearable or implanted into the humale body. These sensors monitor important body parameters and also activities. They communicate through wiremuch less technologies and also transmit information from the body to a residence base terminal that forwards the information, in real-time, to a hospital, clinic or other place. Ethernet and also Wi-Fi Communication

Ethernet modern technology is most generally provided for wired modern technologies utilizing both copper wire and also optical fiber. Wi-Fi technology is a lot of frequently used for wireless interaction. Wireless netfunctions with brief segment ranges (choose WBAN or PAN) are not frequently provided in senior living.

Kiss defines Ethernet as the a lot of efficient solution for wired network technologies. Ethernet meets the bandwidth, reliability, and also implementation cost needs of single-site senior living organizations.

Optical fiber might be provided to attach the single website to other sites or to the cloud. Wi-Fi can meet the needs of wireless innovations deployed in hospitals and also other wellness care settings as long as certain demands are satisfied throughout implementation, says Kiss.

Bandwidth in the neighborhood location network varies from 10s of megabits per second (Mbps) to 10s of gigabits per second (Gbps), says Kiss. Bandwidth-intensive tools and also applications tend to use fiber optic web links. Historically, the fiber optic technology has gave much faster information transport than copper wires.

However, today’s copper innovations are giving inexpensive bandwidth of 1-to-10 Gbps. This compares favorably with the optical fiber solution. A real-time, high-interpretation, video-based telemedicine application is an instance of applications that require huge data transfers and also require a high bandwidth.


6.2.3. Wired vs. Wiremuch less Networks

The world about us is increasingly going wiremuch less, according to Steve Evans, a writer through Computer Weekly. But many type of offices remajor wired.9

There are many kind of reasons for this reliance on wired connectivity, claims Evans:

Control and security:“If a physical connection is necessary to accessibility the corporate netoccupational, the organization is in full regulate of that gets access and what gets accessed,” writes Evans. “It also suggests your netoccupational will not be overloaded with non-business critical traffic.”Cost:Physical relationships are fairly inexpensive, since cables don’t expense very a lot.

Tright here are disadvantages to a wired device also, says Evans:

Wires are unsightly.Wires can be costly. Wiring an older structure can be expensive, particularly when tright here are no suitable conduits, he states.Wires are awkward to keep. Wired relations need to be erected manually and cable breaks will should be fixed manually, says Evans.

See more: The Distinction Between Price Confusion Problems And Menu Costs Is That

A wiremuch less netjob-related, on the various other hand, adds mobility, adaptability and also place tracking to an company, claims Evans.

Employees working in a wireless setting have the right to bring their very own tools to work-related. An company that allows these gadgets to accessibility the corpoprice netoccupational will have actually even more abundant workers, states Evans.

But their IT departments will certainly additionally have actually astronomical headaches:

Malware. “The threat of malware gaining onto the corporate network-related by means of a endangered tool is one certain issue,” writes Evans. “If the mobile gadget or tablet is owned by the service, security is obviously simpler to deal with. But employee-owned gadgets are one more question, considering that most are not protected.”Evans recommends that establishments make employees aware of the threats before enabling them to connect to the wiremuch less network-related. Consider updating protection policies too.An increased coverage area. “Your network-related will currently extend past the physical walls of the office, offering attackers one more potential route right into the service,” writes Evans. If your wiremuch less network-related is not secure, your data can end up in the wrong hands.To address this worry, Evans recommends that establishments change the default service collection figured out (SSID) and also password to a much more secure one. In enhancement, encompass these facets in the system’s defense set-up:Authentication.Intrusion detection.Prevention.Reporting and protection event management.Slower rate and also fading signals. Wireless speeds are sreduced than a wired connection, says Evans. Walls, floors and also various other electronic items can adversely impact signals. Signals can fade if there are not enough wireless accessibility points about the building. Adding enough points to provide reputable coverage will drive up installation expenses, he states. Overcoming the Security Disbenefits of Wireless Networks

Can wiremuch less networks for the service, residents and also guests co-exist without compromising the defense and also performance of the business network?

Here are three suggestions to meet this goal:

Create a separate resident wiremuch less network-related and affix it to a separate local location netjob-related (LAN) and a separate Net Service Provider (ISP). Segregating the resident network from the company network-related will boost protection.Configure and also control the wiremuch less netjob-related remotely in the cloud to mitigate the burden of configuration and monitoring of access points. Be sure to encertain that the Company VLAN website traffic is provided priority over resident or guest VLAN web traffic, especially for clinical and safety applications.Make sure to usage Medical Grade wireless networks for mobile clinical gadgets that call for high relicapacity and also coverage. These networks have better thickness of access points. Survey your buildings and also generate warm maps to assist you recognize the number and places of accessibility points you will certainly have to carry out adequate coverage and relicapability while eliminating dead zones. This is specifically important for security applications prefer Personal Emergency Response Solution.

For more on health and wellness treatment wiremuch less netfunctions, see thiswhitepaperfrom HP.11 Legacy Infrastructure and also Mixed Environments

Wireless connectivity is far from ending up being the norm in the organization setting. In many institutions, tbelow is simply as well a lot tradition infrastructure in area. It would certainly be also challenging to discard this infrastructure and also relocation it via a wiremuch less set-up.

A combination of wired and wireless connectivity seems to be the way forward, at leastern for now. This combination allows a organization or provider to fulfill the requirements of its mobile workers while ensuring that it is meeting defense, control and also relicapacity needs.

Maintaining a mixed atmosphere does not should be a management nightmare. For instance, Cisco’s Unified Access platform brings wired and also wireless relationships together in one switch.

Juniper Networks integrates wiremuch less LANs via existing wired framework. These types of technology permit the organization to manage wiremuch less connections on top of an existing wired facilities.

This indicates that businesses will certainly watch the advantage of having actually both while, hopecompletely, reducing the negatives associated with either installation.

6.2.4. Recommended Minimum Bandwidth Speeds

It is important to have the broadband capabilities to assistance technology applications, cloud computer and also internet applications (consisting of digital health records) that you’ll run on your network-related and Net highmeans.

The Federal Communications Commission (FCC) recommends the adhering to minimum bandwidth speeds for various wellness care settings:12

Single Physician Practice – 4 megabits per second (Mbps)

Supports exercise monitoring features, email, and also web browsing.Allows simultaneous usage of digital health and wellness document (EHR) and also high-top quality video consultations.Enables non real-time picture downloads.Enables remote monitoring.

Small Physician Practice (2-4 physicians) – 10 Mbps

Supports exercise management functions, email, and web looking.Allows simultaneous usage of EHR and also high-quality video consultations.Enables non real-time image downlots.Enables remote monitoring.Makes possible use of HD video consultations.

Nursing Home – 10 Mbps

Supports facility administration features, email, and also internet looking.Allows simultaneous usage of EHR and high-top quality video consultations.Enables non real-time image downlots.Enables remote surveillance.Makes possible usage of HD video consultations.

Rural Health Clinic (around 5 physicians) – 10 Mbps

Supports clinic administration attributes, email, and also internet searching.Allows simultaneous use of EHR and also high-quality video consultations.Enables non real-time photo downtons.Enables remote security.Makes possible use of HD video consultations.

Clinic/Large Physician Practice (5-25 physicians) – 25 Mbps

Supports clinic monitoring features, email, and also internet looking.Allows simultaneous usage of EHR and also high-quality video consultations.Enables real-time image move.Enables remote surveillance.Makes possible usage of HD video consultations.

CCRC/Hospital – 100 Mbps

Supports hospital administration functions, email, and also internet looking.Allows simultaneous use of EHR and high-top quality video consultations.Enables real-time picture transfer.Enables continuous remote monitoring.Makes feasible usage of HD video consultations.

Large CCRC/ Academic/Large Medical Center – 1,000 Mbps

Supports hospital monitoring functions, email, and also web looking.Allows simultaneous use of EHR and also high-quality video consultations.Enables real-time photo deliver.Enables constant remote monitoring.Makes possible usage of HD video consultations.

Bandwidth Factors to ConsiderThe Health Reresources and also Services Administration shares these determinants to think about as soon as delivering out the complicated job of estimating bandwidth requirements:

Number of users.User places.Real-time transactions.Applications used at the same time and also their require for bandwidth.Hardware.Storage innovation.

These are just basic guidelines indicating the minimum bandwidth requirements. When estimating your bandwidth requirements, be certain to ask your merchants about the recommended bandwidth needs of the applications you’ll run on your network-related or the Internet.

6.3. Technology Applications in Senior Living

The IT and network-related framework in senior living offers connectivity to staff and also occupants, and also serves as the foundation and also the highmeans for a vast range of modern technologies applications. These applications support:

Administrative and also company back-office operations.Clinical and also care services documentation.Safety and also security.Health and wellness.Resident connectivity.Entertainment and social connectedness.Campus/facilities management.

These separate units need to ideally be on a linked netjob-related to simplify integration, monitoring and monitoring. However before, some of these application devices might call for different wired/wiremuch less interactions netfunctions and protocols from your traditional information or Wi-Fi netfunctions.

As discussed in section6.1of this workbook, many type of applications are currently offered as cloud-held, web-based applications or software as a business (SaaS). The decreased price and also streamlined management connected with cloud-based applications makes them viable and appealing alternatives for senior living institutions.

Tright here is an enhancing need to integrate an organization’s various applications so that they can pass along shared data elements and also reduce duplicative information entry. File analytics, administration dashboards and reporting capabilities are likewise getting considerable prestige in senior living.

6.3.1. Administrative and also Company Back-Office Applications

Administrative and back-office application units assistance core business solutions and standard interaction. They encompass applications to support:

Billing and also finance.Point of Sale (PoS).Enterpincrease Reresource Planning (ERP).Asset Tracking, once applicable.Customer Relations Management (CRM).Donor Management. These devices might be applied within CRM systems.Human Resources. These systems facilitate new-hire onboarding, benefits enrollment, scheduling and also payment. Some devices enable staff members to self-schedule or regulate their schedules digital.Communication and also collaboration. These applications include Voice over Net Protocol (VoIP) phone devices, prompt messaging, video conferencing, email and standard document development and sharing. Cloud-based options like Office 365, Salespressure, Google Documents, GoToMeeting and also screen sharing applications can facilitate collaboration by providing staff members the chance to occupational on common information documents and also records in real-time.6.3.2. Clinical and Care Services Documentation

Electronic health record (EHR) and charting systems assist institutions document clinical and treatment solutions. EHRs incorporate many functionalities and features that allow the storage and retrieval of indevelopment about the wellness patient/resident/client.

These systems enable staff to record an individual’s:

History.Diagnoses.Allergies.Functional assessments.Care plans.Medications.Therapies.Care and support services.Interventions/interactions through other companies.

Many EHRs interface via point-of-care devices like touch display screens, laptop computers and also taballows. These tools permit the documentation of assessments, vitals and also medication management at the allude of care.

Several EHRs market progressed features favor clinical decision assistance systems, quality tracking and reporting, and also health indevelopment exreadjust.

See CAST’sElectronic Documentation Technologiesand also theCAST EHR Initiativesfor even more information.

6.3.3. Safety and also Security Systems

Safety technologies loss into the following categories:

Emergency nurse call and Personal Emergency Response Equipment (PERS).Fall detection and also prevention.Environpsychological surveillance of temperature, carbon monoxide, flood, smoke and also fire alarms.Access manage.Wander administration.Unattfinished stove shut-off units.Closed-circuit television protection camages.Security alarms additionally belong in this category.

See the CAST’s overview toSafety Technologiesfor more indevelopment.

6.3.4. Health and also Wellness Applications

Health and also health modern technologies are supplied in health and wellness promovement and include:

Mobile applications.Behavioral and wellness condition surveillance devices.Telehealth and also telemedication units.Medication monitoring.Physical and work therapy modern technologies concentrating on the physical wellness and also well-being of older adults.Cognitive assessment modern technologies, reminders devices and cognitive stimulation innovations concentrating on the psychological wellness and also health of older adults. Some computer-based cognitive stimulation innovations have actually an entertainment value, while others carry out physical stimulation as well as sensory and cognitive stimulation.

For even more information, watch CAST’s guide toHealth and also Wellness Technologies, and theCAST TelehealthandMedication Management.

6.3.5. Resident Connectivity, Entertainment and also Social Connectedness

Connectivity and entertainment applications include:

Net company.Phone Services.Television Services, consisting of Video on Demand also and HDTV.Computer Rooms/Clubs.Online Communities.Social Netfunctioning.Online activities, websites and calendars.

For even more indevelopment, check out CAST’s guide toSocial Connectedness Technologies.

6.3.6. Campus/Facility Management

Campus/facility monitoring technologies might include:

Facility monitoring.Heating, ventilation and also air conditioning control.Energy administration.Maintenance administration.

6.4. Data Back-up, Disaster Recoextremely and also Off-Line Operation

Like other businesses, aging solutions companies generate large quantities of information. These information papers readjust throughout the workday.

File deserve to be shed, corrupted, jeopardized or stolen with hardware faientice, huguy error, hacking and malware. Loss or corruption of information could result in substantial business disruption.

TechTargain Editor Anne Steciw13advises entities spanned by the Health Insurance Portcapability and Accountcapacity Act of 1996 (HIPAA) to have a contingency arrangement in place.

This arrangement need to ensure that the entity:

Will have ongoing accessibility to digital defended wellness indevelopment (ePHI) in the occasion of a system faiattract.Has an ePHI information backup plan, a disaster recoextremely setup, and also an emergency mode operation arrangement.Has a plan for moving sensitive health care data without violating HIPAA privacy and also security demands.

Steciw argues that establishments follow these procedures to fulfill HIPPA requirements:

Conduct a business impact evaluation for different disaster scenarios, consisting of loss of power or Net connectivity. Identify every one of your devices and applications, and then determine the influence to the service if they were to fail. Health treatment institutions must identify the impact to patients and also care shipment.Identify feasible points of faientice and construct a arrangement to deal with those vulnerabilities. Your arrangement could include:Accessing emergency power.Having a backup Internet Service Provider (ISP) link.Founding a remote information facility.Working via EHR sellers to recognize business level agreements in the occasion of a disaster or mechanism faitempt.Examine different information replication tactics obtainable to recognize which ideal suits your organization.6.4.1. Documents Backup

Ready, a nationwide public business campaign to educate and empower Americans to prepare for and respond to emergencies, has actually arisen a helpful guide to data backup and also recovery, which it indicate need to be an integral component of an organization’s service continuity setup and information modern technology disaster recoexceptionally arrangement.14

According to Ready, emerging a data backup strategy involves:

Identifying what data to earlier up.Selecting and also implementing hardware and software application backup measures.Scheduling and also conducting backups.Periodically validating that information has actually been accurately backed up. Developing the Data Back-up Plan

Ready recommends that institutions begin the planning process by identifying information that must be backed up.

This contains information on netoccupational servers, desktop computer systems, laptop computers and wireless devices. Don’t forgain other hard copy records and information.

The backup setup have to encompass these regularly booked backups:

Back up wiremuch less tools, lapheight computer systems and also desktop computers to a netoccupational server.Back up the data on the server.Sdeserve to paper copies of necessary records right into digital layouts. Then, ago up those digital records in addition to various other digital data. Options for Data Backup

Ready recommends that your backup setup attend to the:

Frequency of backups.Security of the backups.Secure off-website storage.

Backups must be stored with the very same level of defense as the original data, claims Ready. You have the right to use a selection of backup media:

Tapes, cartridges or large-capacity USB drives via incorporated information backup software application.Online data backup services, including storage in the “cloud.” This is a cost-reliable solution for businesses via an Internet connection. Software mounted on the client server or computer system is automatically backed up.

Back up your information as frequently as necessary. Your goal should be to encertain that business deserve to recuperate easily from a data loss. Ready suggests that institutions conduct abusiness influence analysisto evaluate the potential for shed information and outline recoexceptionally strategies.

6.4.2. Disaster Recoincredibly Plan

As wellness care and also aging solutions carriers relocate towards the fostering of digital health and wellness documents (EHRs) and end up being dependent on electronic information units, the require for solid backup procedures and also disaster recoextremely planning (DRP) becomes more crucial, according to TechTarobtain Editor Anne Steciw.15

An information innovation disaster recoincredibly plan (IT DRP) should be developed in conjunction via the company continuity arrangement.

Throughout the organization impact evaluation, be certain to build priorities and recoincredibly time missions. Synopsis exactly how you will certainly reclaim hardware, applications and information in time to satisfy the demands of the business recovery.

Recovery methods must be developed for indevelopment modern technology (IT) units, applications and also information. This contains networks, servers, desktops, laptop computers, wiremuch less tools, data and connectivity.

Priorities for IT recoincredibly need to be regular through the priorities for recoexceptionally of service attributes and also processes that were developed throughout the business affect evaluation.

The disaster plan need to include:

IT resources required to assistance time-sensitive organization functions and also processes.The Recoextremely Point Objective (RPO). This describes the suggest in time before the disaster to which you will certainly recuperate data.The Recovery Time Objective (RTO). This describes the point in time after the disaster when you will be up and running aacquire. You will shed data/transactions between the disaster strike and also your RPO. The RPO is figured out by the intervals in between backups that the device percreates.

The time in between the disaster and also your RTO represents your downtime.16The recoexceptionally time for an IT resource should complement therecovery time objectivefor the company feature or process that relies on the IT resource.

Information innovation systems require hardware, software program, information and connectivity. Without one component of the “system,” the system might not run. Because of this, states Ready, recoincredibly strategies have to be arisen to anticipate the loss of one or more of the following:

Computer room.Hardware, including networks, servers, desktop and also lappeak computers, wireless tools and peripherals.Connectivity to a company provider.Software applications, consisting of electronic data interadjust, email, enterpincrease resource administration, and office performance software application.Data and also restoration.

Ready warns that some applications cannot tolerate any type of downtime. Larger carriers prevent this downtown by implementing an expensive solution entailing dual information centers that run in parallel to avoid information loss.

Ready says that small- to medium-sized businesses might protect important organization applications and data by using less expensive applications that deserve to work offline once Web or netoccupational connectivity is shed. These applications sync when nonworking devices are restored. Internal Recovery Strategies

Businesses that have even more than one website might have another choice to prevent shedding information in a disaster. The company can connumber hardware at the alternative facility so it will certainly run instrumental applications as soon as necessary. This will certainly work, says Ready, as lengthy as information is backed up off-site or information is mirrored between the two sites. When information is brought back at the alternative site, the systems deserve to be synced. Vendor-Supported Recovery Strategies

Ready likewise argues that establishments investigate vendors that provide “hot sites” for IT disaster recoexceptionally. These data centers have frequently offered hardware and software program commodities that can take care of the information needs of subscribers in an emergency. Subscribers deserve to carry out their unique devices or software application, either as soon as the disaster occurs or beforehand so it is all set to use once disaster strikes.

Organizations have the right to likewise look for out merchants to host and regulate data streams, data defense services and also applications. Ready explains that subscribers to this kind of service have the right to access information either at the major service website or they deserve to use a web web browser to access information from an alternative site.

If the vendor detects an outage at a customer website, that vendor automatically holds data till the client’s device is restored. Vendors have the right to additionally provide information filtering and detection of malware dangers. This boosts cyber security. Developing an IT Disaster Recoincredibly Plan

Ready recommends that businesses build an IT disaster recoextremely arrangement by following these steps:

Compile an inventory of hardware, software applications and data.Develop a strategy to encertain that all important information is backed up.Identify important software applications and information and the hardware forced to run them.Use standardized hardware that will certainly aid you replicate and also re-image brand-new hardware.Make certain copies of regime software are obtainable so you can reinstall or rearea tools.Prioritize hardware and software restoration.

Ready advises that you encompass the IT disaster recoincredibly in theorganization continuity setup. Test the setup periodically to make certain that it functions. Disaster Recoextremely Planning in Virtual Environments

Some establishments are turning to virtualized disaster recovery to regain access to health and wellness care information in the event of mechanism downtime. Tbelow are many type of benefits to making use of virtualized disaster recoincredibly. However, it is important that health care organizations maintain HIPAA compliance.

In a virtual establishing, disaster recovery planning need to also incorporate steps for restoring backups to virtual hardware. Be certain to specify the conditions for using online makers.

6.5. Support of the IT Infrastructure: In-Housage vs. Outsourcing

IT can be percreated either in-residence or outsourced to a seller. AhelioTech, a Columbus, OH, IT firm, argues that it can seem counterintuitive for a firm to outsource highly visible or crucial services favor IT.

But, claims AhelioTech, “expertise the things a company have to perform to manage a company in-house (and save it running continuously), it becomes even more obvious why many type of carriers select outsourcing versus operating a service in-home.17

AhelioTech illustprices its suggest by listing the myriad tasks associated in giving in-home services:

Locating qualified employees.Training and certifying those employees, including employees needing IT certification.Paying employee weras and benefits.Providing a physical workarea.Providing required technology items, including computer systems, phones, Internet accessibility, copiers and also fax makers.Paying telecommunications expenses.

A 2012 AhelioTech blog weighs a variety of pros and cons to recognize if it provides feeling for businesses to hire full-time IT professionals or outresource their IT needs.

The blog comes down on the side of outsourcing. Following is a summary of its comparison.

6.5.1. In-House IT SupportPros:
A staff person will resolve your IT issues immediately. In addition, his or her salary will certainly reprimary the very same, also as your modern technology needs readjust.Cons:The expenses of providing a permanent IT skilled with a salary, benefits, computer system, desk and telephone will add up. In rerevolve, you might acquire restricted technological specialization. “Your IT specialist might be good through Excel and handy as soon as it comes to figuring out why the printer isn’t working, however might not be as savvy once it pertains to diagnosing netjob-related defense worries or upgrading the Exchange server,” says AhelioTech.6.5.2. Outsourcing IT SupportPros:Outsourcing can be less expensive because an IT agency often tends to spreview overhead expenses over several clients. You won’t have to train and also certify IT staff. And you’ll obtain 24/7 access to tech assistance professionals.Cons:If you pick offshore outsourcing, you might run right into interaction concerns, alerts AhelioTech. In enhancement, you won’t have the ability to bring your outsourced skilled onsite as soon as necessary. You might additionally spfinish additional time bringing an external skilled approximately rate as soon as problems aclimb or as soon as you desire assist to setup for the future. Ahelio Tech suggests that hiring locally and also signing an recurring “controlled services” contract could deal with both worries.

CAST believes that it is best to outresource to a regional IT business provider that has considerable understanding, field of expertise and clients in aging solutions.

6.6. Interconnectivity, Interopercapacity and Exchange of Information

Jennifer Bresnick of HealthIT Analytics argues that health care establishments challenge a daunting task as soon as they attempt to develop an interoperable health and wellness IT infrastructure that meets the data exreadjust requirements of post-acute care carriers.

“Providers have to choose carefully when investing in an electronic health and wellness record (EHR) platdevelop and also structure health and wellness indevelopment exadjust capabilities right into a complicated ecomechanism running whatever from laptop computers to iPods,” she warns.18

During a recent interwatch with Bresnick, Mark Crandall, chief information officer at Consulate Health Care, a large post-acute treatment provider in Maitland also, FL, provided these salient points about interconnectivity, interopercapability and exchange of information:

A cloud-based framework for an EHR platcreate could be finest option from an analytics standpoint, and will certainly ensure that the system is stable and also stays clear of downtime.Having a mobile platform for an EHR is crucial, particularly in settings where third-party doctors usage their iPhones during their rounds. Crandall maintains that mobile gadgets will certainly soon outnumber laptops among these medical professionals.By the moment occupants and patients arrive at a long-term and also post-acute treatment (LTPAC) setting, they will certainly have actually connected through many type of different service providers alengthy the continuum of care. “So among the biggest obstacles ideal currently is exactly how we end up being interoperable through all of these different companies,” claims Crandall.Tbelow has actually been a federal press for wellness information exchange and also the coherent use of EHRs. However before, not all EHRs have the right to exadjust all the needed indevelopment that need to flow in between LTPAC and acute treatment carriers. This will get better through time, as we gain deeper into Stage 2 and also as we move forward via Stage 3 and also 4 of the systematic use regime, which is driving interopercapability criteria and HIE.

In the meantime, providers are encouraged to:

Choose and occupational through EHRs that implement interopercapability requirements.Seek opportunities to take part in state and also regional Health Information Exadjust (HIE) entities. These have actually the benefit of connecting your organization to multiple acute care providers.

See more: What Should A School Counselor Do If A Student Is Pregnant, Asca School Counselor

Remember that HIE is not just around exaltering indevelopment. It additionally entails working on communications to reach agreement about important information elements to be exreadjusted, workflows, protocols and expectations concerning follow up.

6.7. IT Infraframework Resources

If you require exterior specialization, think about reaching out to the following LeadingPeriod CAST Supporters, Patrons and also Associates as sources for your strategic planning needs:

7. Rundown of Operational Planning, Selection, Implementation and also Support

ContributorsScott CodeAging Services Technology ManagerLeadingPeriod Center for Aging Services Technologies (CAST)Washington, DCMajd AlwanExecutive Center for Aging Services Technologies (CAST)Washington, DCGail GossAs