Knowledge Management and Value Creation

Agenda
1. 2. 3. 4. 5. 6. 7. 8.

Context Project Presentation Strategic alignment assessment Expected outcomes Structure Capabilities Estimated costs Estimated risks Governance approach

Document objectives
Business case for the Knowledge Management project
This document aims at presenting the business case for the implementation of the e-Knowledge Management system at the Centre Hospitalier Universitaire de Nancy.

Business Case Methodology
The first steps consists in a pragmatic analysis of the current situation and the evolution of the needs for the hospitals. Then, we present the IS project in different perspectives. The strategic alignment together with the organization capabilities will be assessed, a basis financial analysis will be provided as well as the expected outcomes. Finally a risk assessment and the governance approach will be further detailed. Note: The business case focuses on the design-build-implement-operate phases. The retirement for the IS KM system is not foreseen in the long term.

1. Context
The Nancy ‘Centre Hospitalier Universitaire’ (CHU)
Reference hospital for Northeastern France 8 facilities, more than 10,000 employees

Organized by functional directions
Nursing department 6000 employees 200 head nurses IT department (60 people) Hospitalization: 80.000 patient/year, 450.000 outpatients Budget 600,000,000 € More than 200 applications running on dedicated servers Professional nursing documentation provided through binders (37) in care units

1. Context
Facts
More than 5% of medical nursery incident come from the lack of up-to-date information Extended encounter 4,6 day (Stanford study*) Average cost per day 1200 €/day Disparate information sources and formats 800 blood exams with lots of synonyms, 1260 procedures preparations Before the preparation of certain tests or procedures, nurses need to review useful information( 15-30 min /day) Maintaining Binders, sometimes two