Hospital's Digital Transformation How to lead it?

Agustin Argelich
Telecom Engineer
Principal Consultant at Argelich Networks
Speaker & Author
@aargelich
aac@argelich.com
(+34) 93 415 12 35

Healthcare Digital Transformation. © 2018 All rights reserved. E-mail: argelich@argelich.com Tel. +34 93 415 12 35 @aargelich - 2 -
Which is the
challenge we
are facing?
Which strategies
(best leadership
practices) can
we apply?

More needs
Few qualified
resources
Spanish population pyramid 2016
Social and Demographic changes
Only
Technology
can help us

Agenda
Content
Technology Strategy
Leadership
How is the current ecosystem?
How is the digital ecosystem?
How can we response and
create welfare?
How we can lead
the digital
transformation ?

Objective - Retos
UC2
Unified
Communications
and
collaboration.
IP wire
and
wireless
networks
Which are the digital
tools available?
CBPA
Communication
Based Processes
Automation
Why do we need UC2 and
CBPA?

Let’s take Gaudi’s thoughts.
What’s digital transformation about?

Everything comes from the great book of nature.
What’s digital transformation about?

Networks are the nervous
system of any organization
The nervous system transports
different kinds of signs and orders,
sounds, images, touch, heat, cold,
etc.
An IP telecommunications network
transports in a transparent way
different kinds of information: voice,
data, video, control.
We have evolved from separate
service-specific networks to a single
network.
We are moving on to a more efficient
and natural solution.

The brain is protected by the skull,
i.e. a Data Center.
Where is your
Data Center
located?

When Do We Use a
Network?
➢ To think➢ To fish
We need telecom networks
to create wealth as well as
for safety and security
reasons.
➢ To be
connected
➢ To protect
ourselves
➢ To rescue
somebody

Our brain is a
network
We use a
network:
TO THINK

The New Age of Telecoms in
Healthcare
You need a wire o wireless
network port everywhere
Symmetric high-capacity
WAN and LAN Ethernet links.
Sharing information and resources.

Video age
Communication
among humans is
not easy.
High-capacity IP networks
facilitate video transfer.
“The world is heading towards visual communication”,
declared John Chambers, CEO at CISCO, during the
speech he held in Barcelona at the Global Mobile
Congress in February 2008.
12%
57%
35%
Persuasion channels
Kinnhestetic Visual Audio
We cannot do without the most
important communication channel.

Mobility is the “fall of the wall” in
corporate communications
No more borders, no
more geographical
limits in your network
Voice, data, video and
control signals.
Wireless high capacity
data networks
No more walls in any Hospital

OHSJD WAN NETWORK
MAN
BARCELONA
2 Mbps
Sant Boi
Madrid
Pamplona
Hospital de Sant Joan de Deu
Esplugues
100 Mbps
2 Mbps
10 Mbps
10Mbps
10 Mbps
100 Mbps
INTERNET30 Mbps
Saragossa
Intern
et
2 Mbps
Bkup by asdl
10 Mbps
2 Mbps
Lerida ( Almacelles)
Palma de Mallorca
10 Mbps
2 Mbps
Bkup by asdl
Bkup by asdl
Bkup by asdl
Bkup by asdl
Man
P. Mallorca
Man Madrid
Man Pamplona
Macrolan
VPN-IP
Rest of type 2 sites
(43 small sites)
Bkup ISDN
ASDL Advance
4M/512K
40 Mbps
100 Mbps
100 Mbps
ICT
C3560
C3560
C3560 C3560
C2801
C2801
C28
01
C2801
C28
01
Sant Boi Campus
C3560C35
60

IP converging network architecture

Standard hardware + software
There is no finish line
New applications
Virtuous circle of innovation
Software
Servers
Ethernet
switches

What is Unified Communications?
“Communications integrated to optimize business processes”
Communications
Technology
used to facilitate
personal
interaction via
speech, watch,
and text
integrated
Communications
linked to or built
into a business
process
to optimize
To make our
business
processes work
more efficiently
and effectively
business processes
A sequence of
related tasks
performed to
achieve a
business
outcome
Marty Parker
With mobility it doesn’t matter where
you are, where the data are, you can
optimize your process everywhere.

Infant Protection
LabResults
Nurse call
Security System
Location Tracking
IT System
Monitoring
ADT System
Pager
Remote
Monitoring
Devices
Digital
Signage/
Whiteboard
Smart
Phones
Web
Wireless
Telephony
Enterprise-widedirectory,presence,
preferenceand escalation rules
Deliveryto right
endpoint
Web
Directory
Emergency
Notification
Speech
Recognition
Wireless
Telephony
Dashboard
On-site
Paging
OnCall
Alarms
Integration
E911
Nurse Call
Integration
RFID
Presence
Call Recording
Call Accounting
Operator
Console
Unified
Communications
Services
Universal
connectivity to
data sources
1. Collect the information where it occurs.
2. Apply the rules and procedures. Support decision tools.
3. Processed information is delivered to the key person wherever s/he is.
3 Steps

Business Process Automation
✓Shorter processes cycle of life.
✓Avoid human errors

Business process improvement
Introduce data on real time
300 prescriptions per day
x 5 min. to process each
prescription
Each action is done once.
Avoiding mistakes
9.125 hours /year

Critical communications
➢ The high level of mobility of medical and technical management
staff
➢ Dynamic and complex directory. Who is available?
➢ Mobile messages. High volumes of short message to mobile
devices.
➢ A large amount of machine and system data from two different
origins:
➢ Patient follow-up.
➢ Building management
➢ Group communication is also very frequent. Different specialists
must be consulted in real time. Second opinions are required
➢ Communication traceability and auditing.

UC2 Unified Communications and
Collaboration
1. The physician needs a
second opinion on an
X-ray.
2. He checks availability
of his colleagues on
the collaboration
portal.
3. He starts a conference
to share the graph
with his three
available colleagues.
If you are
interdependent, you
are efficient (Stephen
Covey).

UC2 Unified Communications
and Collaboration
Nurse
The physician accepts
the nurse’s call
The physicians are unavailable
1) The nurse needs to contact a specialist urgently.
2) The system’s UC2 application immediately contacts one of
the available physicians by just clicking on “Surgical
team” button on her Wi-Fi PDA/Smartphone.

Healthcare Digital Transformation. © 2018 All rights reserved. E-mail: argelich@argelich.com Tel. +34 93 415 12 35 @aargelich - 26 - 4
Tele medicine 4 - Modules
+ Medical device
Class IIa or IIb
+ Low cost.
+ Very accurate.
+ Self measure
+ Easy to operate
+ Smartphone
App for patients.
+ Smartphone
App for family
(tutor)
+ Smartphone
app for
Physician
+ Avoiding self-
medication.
+ Process data
received from
patients.
+ Alarms to
patients, family
or Physician.
+ Biggest
database of
illness ever
build
+ Research using
standard tools.
Personal
Medical device
Comm. Patient
Physician
Family
Real - Time
monitoring
Big Data
01 02 03 04

Service flowchart
Send data to
the portal
Process
data on
real-time
Big Data
Analysis
01 02 03
05
Capturing
Real Data
with
personal
medical
device
Paper
Research
06
04
Patient
Send alarm to
the right
endpoint
Tutor
Physician

Tele-assistance Solutions
Architecture

The Lego Strategy
Only invest in what really add value
Linking POT with other existing “modules”
Big Data toolsOphthalmologist
portal
Patient
Smartphone App

Results
✓ Rapid response to incidents and alarms.
✓ Improved response times to patient
requirements.
✓ Locating the right person at the right time.
✓ Automating daily work flows, improving
efficiency. Avoiding errors
✓ Improving team work. Facilitating the sharing
of information.
✓ Access to resources from other, far-off
hospitals. Share expensive resources.

Digital Transformation is
the right answer to meet
current challenges
✓ Improving the quality of patient care and in
consequence their level of satisfaction.
✓ Improving the level of satisfaction felt by
hospital’s staff
✓ Reducing cost and inefficiencies.

What can we
do?
Which one is
the right way?
How to lead Digital
transformation?

Ignore the nature of reality
Remaining isolated
Option I:

Understand the
Human factor

Why is it so difficult to
implement a change?
“Humans only
change when they
actually realize the
consequences of not
doing it.”
It’s easier to do
nothing.

Our mind is tremendously powerful
Discouragement can
lead to a collapse.
Positive thoughts create a
physical state much better
than negative ones.
Dr. Alonso announced:
“Neurons regenerate”

“Procrastinate”
is an ugly verb
Why are we
delating
decisions?

Three-
dimensional
and
polyhedral
reality
Complex and
multidisciplinary
projects

Multinational
and
multicultural
teams working
on network
from far away
different
locations
The present
of work is
….
Work on a
project
basis
Work on a
network

The creative
process
comes
interlinking
seemingly
unrelated
things.

To get a
great and
disruptive
idea you
must be
Renaissance

Innovation is a
new way of doing
something.
The innovation dilemma
Evolution versus Revolution
Taking risks is
inevitable.

The Solution
True Leadership

How do you
feel?
Aligned or
alienated
Leadership is to help
others understand why it
is clever to be aligned
with project objectives

You not only can, you
must, choose your attitude
Aptitudes
and
Attitudes
Leadership is helps others
to choose the right attitude
Teach them how to choose
the right aptitude

Disciplined
Collaboration
Undisciplined
Collaboration
Disciplined
Collaboration
Centralized
Autonomy
(silos)
Performance from decentralized work
Performance
from
collaboration
Low
Low
High
High

Examples
True Leadership

The people who
are crazy enough
to think they can
change the world
are the ones who
do

Columbus was looking for
a different route to India.
He was successful
because he was open-
minded.
He was trying to
optimize an established
procedure.
He thought globally.
“Communications
integrated to optimize
business processes”
Be open-minded, my friend

As Gaudi
imagined
Barcelona’s new
cathedral, …
… imagine your
own future.
The power of imagination

We choose to go to the moon.
(John F. Kennedy)
We are not saying “if we can”, of
course we do.
We are now talking about:
“if we want to”.
Are you still thinking technology is a
“commodity”, or do you believe in a
better future thanks to the right use of
technology?
Are you still thinking that digital
technology (ICT) is only a technical
issue?
Willingness to innovate
July 16, 1969, at 10:30 a.m.
Apollo XI launch

Always go
forward and
never turn
back ….
Fr. Junipero Serra , Catalan
Franciscan monk, founder of
California
Photo: US Capitol

“A leader is
best when
people
barely know
that he
exists"
Lao Tse

Stephen Covey, The 7 habits
of highly effective people
If you are
interdependent,
you are
efficient

Be efficient, my friend
A person, machine, or
organization that is
efficient does a job well
and successfully, without
wasting time or energy.
Collins Cobuild Essential English Dictionary

How?

Authoritas versus Potestas
Use soft power.
Leadership is
an art.
Hard power
must be the last
option.

Do you have
enough
authority?
The winner
has won
before the
battle begins

Empathize
Try to understand
their position(s)

Don’t think
they are
stupid.
Don’t forget who
is your client/ end
user

1. DNA
2. By strategy
3. Special
circumstances
or situation
You can learn how to
determine why your
interlocutor is an
impossible person.

1. Builders
2. Destroyers
3. Vegetables
Indentify all the players.
1. Winners
2. Loosers
3. Followers
1. Make things happen
2. Wonder what has happened
3. Watch things happen
Any person involved is important
for the success of the project.

Improve your
communications skills.
•Technicians have to
improve their
communication skills.
•Be careful with e-mail.
•Building human
relations takes time.
•Networking.
•Interdependence.

Listen
Try to
understand
before being
understood

Ask
Ask about their needs
and expectations.
How can you and the
new technologies help
them?
Right design.
Simple user interface.
How can I help you ?

Spend your time with the
workforce.

Ski Slalom
Strategy
Turn before you arrive
at the gate.
Solve the problems
before they arrive, in
advance.

Meetings
•Prepare the agenda.
•Write the minutes.
•Large meetings are dangerous.
•Prepare the key meetings in advance
with one-to-one contacts.

“Sell” the project to your organization and
they will change themselves

Training needs
budget and time.
How many times
is there not
enough budget
for training?
How many vendors
do you know who say
our products are
user-friendly and
training isn’t
necessary?

Personalize the training
✓Small groups.
✓Specific training for
each type of users.
✓Train trainers who
train end users.
✓ Regular re-training

OR

The
cost
of
not
acting

Hard $ and
Soft $
Less investments
Less maintenance costs Less
administration costs
Improve your organization by
improving your networks with
the new functionalities of
Unified Communications and
Collaboration.

Demographic considerations
new generations,
our teenagers, are
more innovative
and dynamic than
enterprises.
Many directors ask
their kids about IT.
They have always
been living with what
we (adults) call “new
technologies.”
Probably, it is the first time in
human history that

History lessons learned
➢ Don’t ignore the nature of things.
➢ Use the right technology.
The Polish Pomorska Cavalry, ignoring the nature of our
tanks, had charged them with swords and lances and had
suffered tremendous losses.
General Heinz Guderian,
commander of the 19th Corps.

Your competitors
will do it

Analog technology has already died, you cannot maintain it.
New digital solutions, new functionalities, soft-based,
continuous improvement, simpler, more efficient.
Analog Blackout

Product
Obsolescence
Skill
Obsolescence

Preferred skills to face
the digital era
✓ Communications skills, oral and writing. Social skills.
✓ Right aptitude. Aligned with business/community objectives.
✓ Open –mined. The power of imagination.
✓ Nimble. Flexible.
✓ Fundamental concepts well acquired.
✓ ESL: English second language.
✓ Constant improvement.
✓ Tenacity.
✓ Efficient. Proactive – Interdependent.

Preferred skills to lead
innovation
✓ Renaissance-type.
✓ Good communicator.
✓ Good negotiator.
✓ Innovative and imaginative.
✓ Able to delegate.
✓ Good at listening.
✓ Able to link differently in knowledge, technologies, and
insights.
✓ A little bad-tempered and moderately rude.

Top Ten Best Practices
to Lead Innovation
1. Involving representatives of the entire organization, starting with the most influential
people, from the very beginning of the process.
2. Selling the process. Dedicating resources to market the project.
3. Listening, asking, taking time with those most directly affected by the change,
accompanying them while they develop their daily work. Detecting where they have
difficulties, where it hurts them.
4. The analysis and design stages are critical. Designs must not only be accurate and
correct, but, above all, simple.
5. Knowing how to manage meetings. Watch out for large meetings, problems must be
solved in advance. Agreements are reached before starting the meetings.
6. Prioritizing one-by-one contacts. Be careful with email. It is more convenient to use the
phone or, even better, still make video calls. Always improve your own communication
skills. Having a beer, a coffee, or a glass of wine at the right moment helps.
7. Be very strict about testing systems in the laboratory and in an actual situation. Quality
control is very important. Perform load and stress tests.
8. Training should not be left for the very last moment, because it helps to sell an
innovation. Education, selling, setting up an innovative system should run parallel to
the project development and must be refreshed later.
9. Adjust the solution. Excellence can be found in the details: you have to fine-tune
adjustments.
10.Celebrate the project completion, take a short break, and start again.

✓ Preguntarse
✓ Pensar
✓ Buscar
✓ Comparar
✓ Decidir
✓ Actuar
✓ Analizar los resultados
✓ Ajustar
✓ Volver a empezar.
¿Qué tenemos que hacer?
Do nothing is the
worst option

There is no other option
Use mobility and digital
tools and solutions to be
more efficient.
In an imperfect world, you
cannot blame mobility and
ICT tools.
Imagine you have a
problem; you have to
increase your productivity,
but if you don’t solve this,
you could get lost in space.
April 13, 1970, at 21:30: Jack
Singert from Apollo XIII at 320,000
km from Earth
“Houston, we
have a problem.”

Become
a Leader
Real
transformation
need true
leadership

Key of success
The persons
are the key

Let’s know your opinion,
comment or suggestion
Questions?

There is
no finish
line
Always
be
running

The
cycle
of life

The cycle of
life
✓ Question
✓ Think
✓ Look for
✓ Design
✓ Compare
✓ Made a Decision
✓Act
✓ Analyze results
✓ Adjust
✓ Begin again.

Continuous improvement Circle of Shewhart/Deming

Excellent
organizations
don’t believe in
excellence – only
in constant
improvement and
constant change"
Tom Peters

The best technology
The best communication
between human
A great knowledge of each
other
Better than ever
The World is imperfect,
but we have a lot of tools
to improve it

Contact Info
Thank You
Don’t hesitate to contact us if you need further information.
Hope to collaborate with you soon
aac@argelich.com
@aargelich
(+34) 934151235
Agustin Argelich
agustin.argelich
www.argelich.com
www.agustinargelich.com
www.sctcconsultants.org
www.intelligentcommunity.org
www.linkedin.com/in/agustinargelichDigital Technologies International
Consultant
Leadership & Innovation professor
Author & Speaker

Agustin Argelich
Digital Technologies International Consultant
Leadership & Innovation professor
Author & Speaker
aac@argelich.com
www.argelich.com
@aargelich
www.agustinargelich.com
About Me
▪ Born in Barcelona on 1963.
▪ Telecom Engineer by Ramon Llull University (Barcelona)
▪ Professor of leadership at Ingenio School (Lleida University).
▪ Spanish Air Force Lieutenant.
▪ Author of Analyze, Act, Advance, a book about how to build a virtuous
cycle of hope, innovation, renewal, and continuous improvement.
▪ Principal consultant of Argelich Networks, an independent digital
technology and management consultancy boutique.
▪ For 30 years, I have been leading significant digital technology
projects for business and for public entities. Expert in Unified
Communications and Collaboration
▪ Technological Director of the IX Paralympic Games Barcelona’92
▪ Member of the Society of Communications Technologies Consultants
International. I served as board member for 8 years, 7 as Chairman
International Affairs Committee and 2 as Vice President.
▪ Member Think Tank Intelligent Community Forum and of its
international jury awarding Intelligent Community of the year.
▪ Member Digital economy committee Circulo de Economia.
▪ Before Olympics, I worked as Telecom Manager in Asco Nuclear Power
Plant
▪ I am active member of significant professional and civil society
associations.
▪ Married with Mª Eugenia for 30 years, we are parents of 2 daughters
and 4 sons.
www.sctcconsultants.org
www.intelligentcommunity.org

Profile
The company was founded by Mr. Agustín
Argelich after the Barcelona ’92 Olympic Games.
He was one of the youngest project leaders in the
Barcelona ’92 Olympic Organizing Committee.
Argelich Network is an independent, international &
innovative digital technology consultants serving
governments & enterprises.
• Project Leadership
• Digital Transformation
• Telecom Expense Management
• Start-up Mentoring
• Training
• Unified Communications & Collaboration
• Internet of Things
• Digital Business & Cooperative Economy
• Customer Interaction Centers
• IP Networks – IP Infrastructures.
• Smart Cities – Intelligent Communities
• Mobility
• e-health
• E-learning
• Digital investments.

panrico.com
nyn.essagelogiccontrol.com
manpower.esmercabarna.es
laufen.comroca.es
aena.es
atll.esfibanc.com
palexmedical.com areas.es
ub.es
REFERENCES
regal.es lear.com grifols.esterrassa.catmercamadrid.es
ohsjd.es

SCTC is an international organization of
independent telecommunications and
information technology consultants who serve
clients in business and government.
Founded in 1976. Celebrating its 40th
anniversary.
Based in California.
SCTC members adhere to strict professional
standards and a rigorous code of ethics.
The Standard of Excellence in
ICT Consulting
SCTC is dedicated to improving the competence of its members so that they
may serve clients with reliability, integrity, and the highest level of
professionalism.
Thinking of building a better future

#BETTERFUTURE @Newcommunities @aargelich
People are at the heart of a holistic
approach to creating more livable
communities, enabled by
technology
In the 21st century it is unlikely that
"heroism" will be defined by fighting
wars and capturing real estate, or by
taking political risk. Rather, a new
heroism will come from those who
restore heritages, and build great
places for people to live and work
Smart City projects make cities work
better. Intelligent Communities are
different. They seek to make better
cities: places large and small, urban
and rural, where citizens and
employers thrive and prosper in the
broadband economy.
Intelligent Community Forum

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