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Caregroup Executive Summary

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CareGroup Executive Summary

CareGroup is an alliance of healthcare providers that seeks to offer a diverse range of high-quality care to residents of eastern Massachusetts. The CareGroup team was formed through a merger of major hospitals including Beth Israel Deaconess Medical Center, Mount Auburn Hospital, New England Baptist Hospital, Deaconess-Glover Hospital and Deaconess-Nashoba Hospital—all in an effort to combat rising industry competition and to increase bargaining power against health maintenance organizations (HMOs). As a result of the merger, CareGroup is the second largest hospital group in its region, with over 15,000 employees and $1.6 billion in revenue. To deal with the mismatching legacy IT systems of each of these different hospitals after the merger, John Halamka, CIO, brought them together with Meditech software. Shortly after, CareGroup’s system became recognized as one of the most advanced and efficient systems in the healthcare industry.
Unfortunately, over time, the system grew “out of spec” as many smaller networks added complexity and fueled the fire that started the network collapse. This was the root problem that caused the CareGroup outage. The mechanisms that added to the growing problem were originally intended to be controls that safeguarded the group’s network. The redundant components, which were intended to protect data, and the network switches, which route data packets, were both compromised by the complexity of the system and played a role of problem instigators rather than backup measures. Some peripheral problems (even if they started the incident) included the capabilities of one sole person to freely experiment with software on the network and the lack of controls that allowed the rogue program to take over the entire system.
Hindsight is 20/20, and CareGroup could analyze the individual mistakes and oversights that

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