Healthcare IT M&As – The Information Services Transition

The M&A Series – Speaking from Experience

By Dan Critchley, Co-founder & Managing Director, Hitch Health IT, LLC

Information Services is typically the first department to meaningfully engage with organizational counterparts in a healthcare M&A environment. Their services are relied upon to establish information-sharing and communication channels in both the due diligence and the immediate post-closing periods. Whether the healthcare organization is experienced or new to M&A transitions, Information Services will often set the tone for the work ahead.

The post-merger work required of Information Services to facilitate integrated operations and consolidate redundant technology platforms is a considerable undertaking. Experiential leadership perspectives are imperative in both the planning and execution phases.

Despite the prevalence of healthcare mergers and acquisitions in recent years there is no definitive playbook for how to complete a transition. While there is a common denominator of Information Services deliverables across all M&As, the different flavors of M&A and unique objectives of each transaction creates many distinct pathways.  We have seen organizations struggle to gain footing with their transition efforts. Recurring themes include:  

  • Reliance on consulting advisors whose M&A experience come exclusively from non-healthcare settings

  • Information Services proceeding in the absence of clearly stated enterprise-wide M&A objectives

  • Consolidation for consolidation’s sake; no guiding principles directing purpose, prioritization, and sequencing of transition activities

  • Viewing competing initiatives from only the perspective of resource constraints and not organizational change management limitations

  • Allowing the technology environments being replaced to deteriorate during the course of the transition

  • Governance! A model always exists, but often in a form that is ineffective or counterproductive

Development of a credible transition plan requires concerted collaboration between IS leaders and executive stakeholders. What are the organization’s M&A objectives and what are Information Services’ considerations including timelines, budgets, resources, competing projects, security, and system architecture dependencies? When facilitating development of a transition plan with IS leaders and executive/operational stakeholders we distill the work into three general categories: 

This primarily includes items the organization expects to be in place upon closing or in the immediate post-closing period to present the merged organizations as a single entity to both the community and staff/physicians. Some of this work is in subsequent phases as well and may include interim solutions to expedite collaboration.

While the crown jewel, the electronic health record (EHR), falls into this category, there are many other systems and technologies that do as well. The formerly disparate organizations each posses a unique set of highly integrated systems. Dismantling one of them to consolidate to the other takes a considerable amount of expertise, planning, and management.

This is largely an interdepartmental, albeit complex, component of the transition strategy. It does not include significant involvement of stakeholders, but it will certainly impact them. This includes redesigning the staffing and leadership structure and consolidating to a common IS operating model.

Components of each category may be either sequential or concurrent based on objectives and underlying dependencies. This is a suggested means for how to categorize the work at a macro level to make the planning less daunting. It also helps frame the work for stakeholders whose objectives we are working to obtain, prioritize, and contextualize.  

Not everything can be done immediately or concurrently. We have a saying we often use: design with the end in mind. Some solutions will be temporary or interim, but this should be by design and not due to lack of foresight. Similar to a project request scoring system, the consideration of whether, when, and how transition activities will be completed should be a thoughtful one. We recommend using the 3 C’s when defining the timing, impact, and purpose:

Care

What is the patient care or business case for consolidation?

Care

What is the patient care or business case for consolidation? 

Cost

What is the cost and/or cost savings?

Cost

What is the cost and/or cost savings?

Chaos

What is the level of disruption the transition activity will create?

Chaos

What is the level of disruption the transition activity will create?

Documenting this information allows for informed decision-making. This isn’t only to determine IF something should be done, but in what sequence things might be completed.

There is a seemingly endless number of transition items to consider and complete. Our future informational insights into our series on Healthcare Mergers and Acquisitions – The Information Services Transition will delve into specifics of some of the key areas including:

  • Transition governance
  • Transition program staffing
  • Contract review
  • Staffing and leadership consolidation
  • Applications rationalization
  • Legacy system support
Leaders from Hitch Health IT have an abundance of experience leading complex healthcare delivery organizations through M&A transitions. Our demonstrated success and lessons learned can help your organization and Information Services Department develop and execute an M&A strategy that meets your objectives, timeline, and budget.
Email us for a confidential discussion focused on your organizations M&A strategy and needs.