33 research outputs found

    The incorporation of Radio Frequency Identification Technology in health institutions and the determining aspects of adoption

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    The process of traceability by radio frequency identification system (RFID) is considered one of the biggest contributions of the last years in the health sector. This article aims to study the academic contributions that this technology has brought to the segment in question and the consequent difficulties resulting from the implementation of this technology in the ambit of hospital and outpatient facilities. To carry out this work, we proceeded to survey and literature review in order to select the research related to the topic of RFID in the context of traceability. The data obtained clearly show that the benefits of this tool are numerous, ranging from drug screening to the correct availability of patient data. Although it is imbued with all these advantages, RFID still represents a visible difficulty of insertion in the hospital environment due to economic and security problems in terms of information privacy. However, this new reality is undeniable and its implementation is increasingly present in the medical environment, being a necessity rather than a technological advance

    Telemedicine

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    Telemedicine is a rapidly evolving field as new technologies are implemented for example for the development of wireless sensors, quality data transmission. Using the Internet applications such as counseling, clinical consultation support and home care monitoring and management are more and more realized, which improves access to high level medical care in underserved areas. The 23 chapters of this book present manifold examples of telemedicine treating both theoretical and practical foundations and application scenarios

    Crossing Borders - Digital Transformation and the U.S. Health Care System

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    Smart e-Health System for Real-time Tracking and Monitoring of Patients, Staff and Assets for Healthcare Decision Support in Saudi Arabia

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    Healthcare in Saudi Arabia has been lagging behind the developed countries of the world, due to the insufficient number of healthcare practitioners and the lack of applications of tracking and monitoring technology. These shortages have contributed to problems such as patient misidentification, long patient waiting times, and the inability to locate medical equipment efficiently. The country’s Vision 2030 plan outlines ways to solve the deficient workforce problem by promoting more local health-related educational outlets, and by funding this expanding sector. Consequently, Saudi Arabia needs to adapt to the demanding nature of modern healthcare, which presents major problems that this research aims to help solve. The literature has shown that Information Technology systems have begun to be implemented in some hospitals across Saudi Arabia, but even in those hospitals these technologies are being under-utilised. The intention of this thesis is to provide an appropriate choice for a real-time tracking and monitoring technology in healthcare, in the form of an integrated RFID/ZigBee system. This thesis develops a holistic framework for healthcare institutions, to be followed for customised solutions in improving staff efficiency and productivity, and for better patient care, while minimising long-term costs. This holistic framework incorporates contextual elements from both the Information System Strategy Triangle (ISST) and the Human, Organisation and Technology-fit factors (HOT-fit) frameworks, in a way that ensures the new framework addresses technology, organisational, human and business factors. The holistic model is refined through Communities of Practice (CoPs), one of which was developed and utilised for the research purposes of this thesis, and assisted in the creation of a questionnaire for assessing the requirements and challenges of the KSA healthcare system. This questionnaire was based on 220 usable responses. It also helped to refine the framework for its final version, which included all identified factors relevant to the decision a healthcare institution faces in choosing a health information technology system. Various cases were analysed to improve the hospitals workflow, using the proposed technology and including processes such as relocating staff and medical assets. This led to the need for visualisation and knowledge management, to support real-time data analysis for business intelligence decision making. The end goal of this analysis is to provide interactive platforms to healthcare staff for use in improving efficiency and productivity. The outcomes of these improvements will be to ensure better patient care, lower patient waiting time, reduced healthcare costs, and to allow more time for staff to provide improved patient-centric care in the Saudi healthcare sector. Keywords: e-Health, Health Information Technology, Tracking and Monitoring System, Kingdom of Saudi Arabia, Holistic Framework, Communities of Practice, Knowledge Management, Visualisation, KFM

    Semantic discovery and reuse of business process patterns

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    Patterns currently play an important role in modern information systems (IS) development and their use has mainly been restricted to the design and implementation phases of the development lifecycle. Given the increasing significance of business modelling in IS development, patterns have the potential of providing a viable solution for promoting reusability of recurrent generalized models in the very early stages of development. As a statement of research-in-progress this paper focuses on business process patterns and proposes an initial methodological framework for the discovery and reuse of business process patterns within the IS development lifecycle. The framework borrows ideas from the domain engineering literature and proposes the use of semantics to drive both the discovery of patterns as well as their reuse

    A model on factors affecting nurses adoption of health information technology

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    Healthcare organisations are using Health Information Technology (HIT) to improve efficiency, reduce cost and reduce medical errors. This study focused on the factors that influence the acceptance of HIT among nurses in Saudi hospitals. This research used a 6 stage mixed-methods research approach. Literature was used to search for established models and frameworks of technology acceptance, and the many factors that could play a role. In the field study, the nature of practical HIT issues at the Prince Sultan Military Medical City (PSMMC) and the Heraa Hospital were studied, and combined with literature to create a HIT Implementation Issues Framework. The framework consolidates elements from the Technological, Organisational, Environmental and Human dimensions. The researcher participated in further PSMMC projects in the design and implementation of the new Cardio Pulmonary Resuscitation System and the Nurses and Pharmacists’ Communication System. From the implementation experience, pertinent factors were added to the Technology Acceptance Model and the “Nurses Acceptance Model” was proposed. The proposed model has eleven independent parameters, two dependent parameters, as well as seven moderators of key relationships. A questionnaire with 71 entries was distributed to over 2800 nurses in 52 wards in PSMMC. SPSS was used for data screening and descriptive statistics. The SmartPLS software was used for analysis and testing of the proposed hypotheses. The findings refined the “Nurses Acceptance Model” and highlight the significance of User Involvement and Training. The “Nurses Acceptance Model” enhances the scientific understanding of variables that affect technology acceptance among nurses in Saudi hospitals. The HIT Implementation Issues Framework helps hospital decision makers to plan HIT projects to improve the likelihood of successful adoption

    The Rising Costs of Hospital Pharmaceutical Shortages and the Impact on Patient Care: Exploring the Use of Predictive Analytics in New York Area Hospitals

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    This qualitative case study examined the rising cost of hospital pharmaceutical shortages and the impact on patient care. This study also explored the use of predictive analytics to reduce costs and improve patient care efficiency. Increased health-care spending is partially due to prescription medication prices. Management of hospital drug procurement affects patient health, quality care, and hospital budgets, while risk management needs to minimize possible medication shortages. For patients to get the drugs that they need, pharmacists need to have resources at their fingertips to obtain a deep insight into the knowledge of drugs through the supply chain. The research questions concentrated on the causes of rising costs, the role of supply and demand, and the possibility of predictive analytics as a tool for inefficiencies relating to rising costs of hospital pharmaceutical shortages. The unexpected factor in this study was the impact of the Coronavirus (COVID-19) pandemic. Not only did COVID-19 alter the data collection method, but the data itself. Hospital pharmaceuticals were and still are greatly affected by the pandemic. The findings from this study was applied to the professional practice of business. Additionally, the researcher discussed the implication of the biblical worldview and the implication of the strategic management field of study. The report finished with suggestions for practice, suggestions for further analysis, reflections, and conclusions. The researcher also recommended that the study be conducted again with a specific pharmaceutical shortage and no global pandemic

    The Second International Conference on Health Information Technology Advancement

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    TABLE OF CONTENTS I. Message from the Conference Co-Chairs B. Han and S. Falan …………………………....….……………. 5 II. Message from the Transactions Editor H. Lee …...………..………….......………….……….………….... 7 III. Referred Papers A. Emerging Health Information Technology and Applications The Role of Mobile Technology in Enhancing the Use of Personal Health Records Mohamed Abouzahra and Joseph Tan………………….……………. 9 Mobile Health Information Technology and Patient Care: Methods, Themes, and Research Gaps Bahae Samhan, Majid Dadgar, and K. D. Joshi…………..…. 18 A Balanced Perspective to Perioperative Process Management Jim Ryan, Barbara Doster, Sandra Daily, and Carmen Lewis…..….…………… 30 The Impact of Big Data on the Healthcare Information Systems Kuo Lane Chen and Huei Lee………….…………… 43 B. Health Care Communication, Literacy, and Patient Care Quality Digital Illness Narratives: A New Form of Health Communication Jofen Han and Jo Wiley…..….……..…. 47 Relationships, Caring, and Near Misses: Michael’s Story Sharie Falan and Bernard Han……………….…..…. 53 What is Your Informatics Skills Level? -- The Reliability of an Informatics Competency Measurement Tool Xiaomeng Sun and Sharie Falan.….….….….….….…. 61 C. Health Information Standardization and Interoperability Standardization Needs for Effective Interoperability Marilyn Skrocki…………………….…….………….… 76 Data Interoperability and Information Security in Healthcare Reid Berryman, Nathan Yost, Nicholas Dunn, and Christopher Edwards.…. 84 Michigan Health Information Network (MiHIN) Shared Services vs. the HIE Shared Services in Other States Devon O’Toole, Sean O’Toole, and Logan Steely…..……….…… 94 D. Health information Security and Regulation A Threat Table Based Approach to Telemedicine Security John C. Pendergrass, Karen Heart, C. Ranganathan, and V.N. Venkatakrishnan …. 104 Managing Government Regulatory Requirements for Security and Privacy Using Existing Standard Models Gregory Schymik and Dan Shoemaker…….…….….….… 112 Challenges of Mobile Healthcare Application Security Alan Rea………………………….……………. 118 E. Healthcare Management and Administration Analytical Methods for Planning and Scheduling Daily Work in Inpatient Care Settings: Opportunities for Research and Practice Laila Cure….….……………..….….….….… 121 Predictive Modeling in Post-reform Marketplace Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, and Morgan C. Wang…………...…. 131 A Study on Generic Prescription Substitution Policy as a Cost Containment Approach for Michigan’s Medicaid System Khandaker Nayeemul Islam…….…...……...………………….… 140 F. Health Information Technology Quality Assessment and Medical Service Delivery Theoretical, Methodological and Practical Challenges in Designing Formative Evaluations of Personal eHealth Tools Michael S. Dohan and Joseph Tan……………….……. 150 The Principles of Good Health Care in the U.S. in the 2010s Andrew Targowski…………………….……. 161 Health Information Technology in American Medicine: A Historical Perspective Kenneth A. Fisher………………….……. 171 G. Health Information Technology and Medical Practice Monitoring and Assisting Maternity-Infant Care in Rural Areas (MAMICare) Juan C. Lavariega, Gustavo Córdova, Lorena G Gómez, Alfonso Avila….… 175 An Empirical Study of Home Healthcare Robots Adoption Using the UTUAT Model Ahmad Alaiad, Lina Zhou, and Gunes Koru.…………………….….………. 185 HDQM2: Healthcare Data Quality Maturity Model Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, and Juan Carlos Lavariega-Jarquín.… 199 IV. A List of Reviewers …………………………..…….………………………208 V. WMU – IT Forum 2014 Call for Papers …..…….…………………20

    Smart Healthcare solutions in China and Europe, an international business perspective

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    The thesis is part of the Marie Curie Fellowship project addressing health related challenges with IoT solutions. The author tries to address the challenge for the implementation of telehealth solutions by finding out the demand of the telehealth solution in selected European economies and in China (chapter 1), analyzing the emerging business models for telehealth solution ecosystems in China (chapter 2), how to integrate telehealth solutions with institutional stakeholders (chapter 3) and why are elderly users willing to use telehealth solutions in China. Chapter 1 and chapter 2 form the theoretical background for empirical work in chapter 3 and chapter 4. The thesis addressed four research questions, namely “Which societal and social-economics unmet needs that Internet of Healthcare Things can help to resolve?”, “What are the business model innovation for tech companies in China for the smart health industry?”, “What are the facilitators and hurdles for implementing telehealth solutions”, “Are elderly users willing to use telehealth solutions in China?”. Both qualitative study and quantitative analysis has been made based on data collected by in depth interviews with stakeholders, focus group study work with urban and rural residents in China. The digital platform framework was used in chapter 2 as the theoretical framework where as the stakeholder power mapping framework was used in chapter 3. The discretion choice experiment was used in chapter 4 to design questionnaire study while ordered logit regression was used to analyze the data. Telehealth solutions have great potential to fill in the gap for lack of community healthcare and ensuring health continuity between home care setting, community healthcare and hospitals. There is strong demand for such solutions if they can prove the medical value in managing chronic disease by raising health awareness and lowering health risks by changing the patients’ lifestyle. Analyzing how to realize the value for preventive healthcare by proving the health-economic value of digital health solutions (telehealth solutions) is the focus of research. There remain hurdles to build trust for telehealth solutions and the use of AI in healthcare. Next step of research can also be extended to addressing such challenges by analyzing how to improve the transparency of algorithms by disclosing the data source, and how the algorithms were built. Further research can be done on data interoperability between the EHR systems and telehealth solutions. The medical value of telehealth solutions can improve if doctors could interpret data collected from telehealth solutions; furthermore, if doctors could make diagnosis and provide treatment, adjust healthcare management plans based on such data, telehealth solutions then can be included in insurance packages, making them more accessible
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