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    Consolidating and centralizing functions

    Chamberlain in vain urged defense and political policies designed to centralize power in London.

    No people ever existed, who watched more narrowly the existence of power, and its innate tendency to centralize, and usurp.

    Chris Christie signed an executive order that will consolidate much of the state’s IT management under CTO David Weinstein, who was appointed by the governor in June 2016.

    The order aims to “set in motion a course of action that will deliver more secure, efficient and reliable IT services,” Christie said in the announcement.

    In this roundtable discussion moderated by Catherine Valyi, vice president of marketing at Health Port, HIM professionals discuss their direct experience with HIM centralization, challenges that hinder progress, lessons learned, and strategies for ensuring a successful transition.

    Catherine Valyi: Where is your organization in the process of centralizing HIM and what was your approach?

    Now, all the signs of the times indicate the necessity to centralize.

    Centralization of HIM services is one of these megatrends that places the profession at the heart of unparalleled change.

    None of the reforms of Ferdinand and Isabella was so efficient in restoring order and none did more to centralize power.

    This tendency to centralize brewing operations became more and more marked with each succeeding decade.

    In a centralized model, management also has the opportunity to reexamine department workflows and standardize processes based on best practices across the HIM continuum. HIM consolidation of services requires HIM leaders to use their change management skills to navigate successfully through centralization.

    By looking at how various HIM departments operate individually, management can design and apply standardized workflows, come upon best practices, and optimize resource-use in their organization. Success largely depends on how well they navigate their team through the transition.

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