The Infrastructure Adoption Model: Identifying Your Leaky Pipes


It All Starts With Plumbing.

Electronic Health Records, population health, data analytics, telemedicine, and other healthcare technology initiatives are directly reliant on the agility, security, and operational efficiency of the technical infrastructure on which it sits. Planning for future scalability takes strategic and tactical know-how. And to benchmark where a health system is on its technology path, it takes the INFRAM.

HIMSS Analytics developed the INFRAM maturity model as a follow-up to its industry-leading EMRAM certification process (EMRAM creates standards for EHR adoption). With the INFRAM, Health Systems get a measure of infrastructure stability and manageability in the areas of:

  • Mobility
  • Security
  • Collaboration
  • Transport
  • Data Center

INFRAM Scoring

Like a building constructed upon a shaky foundation, the healthcare industry has its share of EHR systems sitting on an aging network. Efficiency, quality of care, and security suffer while an investment worth hundreds of millions of dollars fails to realize its most basic potential. The INFRAM gives a health system an infrastructure architecture score (0-7), laying out a roadmap for increasing maturity and ensuring future state technical implementation.

Stage 0
  • No VPN, intrusion detection/prevention, security policy, data center or compute architecture 
Stage 1
  • Static network configurations
  • Fixed switch platform
  • Active/standby failover
  • LWAP-only single wireless controller
  • Ad-hoc local storage networking
  • No data center automation
Stage 2
  • Intrusion detection/ prevention
  • Informal security policy
  • Disparate systems centrally managed by multiple network management systems
Stage 3
  • Advanced intrusion prevention system
  • Rack/tower/blade server-based compute architecture
  • End-to-end QoS
  • Defined public and private cloud strategy
Stage 4
  • Multi-party video capabilities
  • Wireless coverage throughout most premises
  • Active/active high availability
  • Remote access VPN
Stage 5
  • Video on mobile devices
  • Location-based messaging
  • Firewall with advanced malware protection
  • Real-time scanning of hyperlinks in email messages
Stage 6
  • Software defined network automated validation or experience
  • On-premise enterprise/hybrid cloud application and infrastructure automation
Stage 7
  • Adaptive and flexible network control with software defined networking
  • Home-based tele-monitoring
  • Internet and TV on demand

The INFRAM Process

The INFRAM begins with health systems taking a self-directed 160 question survey outlining current infrastructure capabilities. HIMSS Analytics then determines a score and produces a Baseline Achievement Report that measures progress against the five focus areas. With score in hand, organizations can also get a Gap Assessment and then work with VertitechIT Certified Consultants to understand and outline next steps to improve their INFRAM standing.

The INFRAM is now available and more information can be found on the HIMSS Analytics website.

Strong buildings have strong foundations but they’re only as functional as the pipes running through them. The INFRAM puts it all in perspective.

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