Five Rights of Effective
Clinical Informatics Leadership
Right Domain Knowledge
RIght Domain Knowledge is a crucial foundation for Effective
Clinical Informatics Leadership. Without it, the
leader is ill-equipped to make judgments and resolve disputes. Without the requisite knowledge, it is easy to blunder, and the consequences can be devastating to
morale, timeline, and budget.
as humans, have areas of strengths and weakness. In an ideal corporate
culture, people collaborate to enhance all their knowledge bases. In the real
world, executives sometimes prefer not to show their ignorance but are
then less prepared for the challenges before them. An outsider, focused
on filling those knowledge gaps, can enhance overall team performance.
diagram shows the expertise needed for Effective Clinical Informatics
Leadership with a "+" and common weaknesses with a
"-". Many exceptions exist, but this framework is useful for
considering your organization's circumstances.
||CEO, COO, CFO
Richard Kremsdorf, M.D., President of Five Rights Consulting Inc. has
strengths in each of these areas and has for 14 years positioned himself
as the translator/facilitator among these different leaders and their
organizations and partners.
- 20 years practicing Pulmonary and Critical Care Medicine in a
private office practice and community hospital setting
- Clinical Professor of Medicine(voluntary) at University of
California San Diego
- Board Certified in Internal Medicine, Pulmonary Diseases, Critical
- Led implementation of the same sophisticated and widely-acclaimed
clinical information system in use at Intermountain Health Care
- Extensive clinical information systems product development and
- Created the benchmark report Medication Safety Tools
requirements for CPOE, Medication Administration, and Clinical Signs
- Knowledge base of the implementation experiences of others using a
variety of vendor products in a variety of settings
Organizational Change Expertise:
- Formerly Vice President, Clinical Information Systems for
$4.5 billion annual revenue, 48- hospital, chain. Developed and led
CLinicians' Toolkit" initiative.
- Created the role of Medical Director, Clinical Information
Systems, starting in 1988
- Has reported at different times to CEO, COO, CFO, CMO, and CIO
- Has been coached by CMOs, CEOs, CIOs and has personally mentored 7
is an important foundation, but it still must be applied to real-life
situation to develop the Right Synthesis
of an often challenging situation.