The advantage of outsourcing IT services to an independent company tend to increase as hospitals with multiple healthcare facilities, and regions of hospitals consolidate their services, Dr Geisinger adds.
The requirements for individual hospitals in a geographic region to independently manage their HIS/RIS/PACS and permanent data archive may be easily manageable for the hospital’s internal IT professional staff. Interconnectivity among the hospitals, a shared data archive, and changing network requirements not only may be beyond the scope of the staff, but the process of managing a regional network may require a “portfolio” of dedicated and part-time experts.
Questions also arise with respect to “turf” ownership and responsibilities. Politics of ownership and payment responsibilities can create internal problems that outsourcing avoids, Dr Geisinger pointed out.
Dr Geisinger described the complex investigation and strategic operational planning issues and concerns that a hospital must make in selecting and negotiating with a vendor service provider. “The process is not easy or fast. A management framework must be defined,” he said.