DEVELOPMENT OF NATIONAL AND SUB-NATIONAL ELECTRONIC HEALTH RECORDS TO ENABLE HEALTH DATA EXCHANGE FOR IMPROVED MATERNAL HEALTH SERVICE DELIVERY AND PROGRAM: THE CASE OF A TERTIARY CARE STATE GOVERNMENT HOSPITAL IN INDIA

Despite the fact that understanding stakeholders and their health information needs, health data systems, and workflows are essential for the development of electronic health records to enable inter-organizational health data exchange for decision-making, there is limited research evidence about how to enable inter-organizational health data exchange in India. A qualitative case study focused on a tertiary care state government hospital in India was conducted. The study aimed to identify factors that favor or hampered development of electronic health records, document and describe stakeholder, their health information needs, data systems and workflows associated with maternal health, and proposed a health data exchange model for improving maternal health services and programs at hospital, state, and national levels. The study applied purposive sampling to identify and collect data from twenty key informants using key informant interview technique. Inductive analysis was conducted. The findings suggested that leadership support and coordination, budgetary constraint, centralized decision-making authority, siloed data collection and reporting systems, shortage of workforce, gaps in health information technology education and training, and poor system design affected development of health data exchange. The findings showed national level agencies were driving adoption and use of electronic health records, provision of financial incentives, program development and had limited engagement of the state and hospital level stakeholders. Both electronic and paper-based data collection, storage, and data sharing systems and the processes and the workflows were complex and ad-hoc. Following an iterative design process and based on the essential requirements suggested by the key informants an interorganizational health data exchange model was developed. The proposed model leverages electronic heath records to enable use of data for patient care, and reuse of data to support management and administrative decisions at hospital, state, and national levels. The model shows how to balance inter- and intra-organizational data exchange needs. The study also offers five recommendations to facilitate the operationalization of the health data exchange model. The study adds to the current knowledge base and calls for additional research focused on strengthening use and reuse of data for clinical and public health decision making at different health system levels.Doctor of Philosoph

Index to Library Trends Volume 38

published or submitted for publicatio

An Evaluation of Inter-Organizational Workflow Modelling Formalisms

This paper evaluates the dynamic aspects of the UML in the context of inter-organizational workflows. Two evaluation methodologies are used. The first one is ontological and is based on the BWW (Bunge-Wand-Weber) models. The second validation is based on prototyping and consists in the development of a workflow management system in the aerospace industry. Both convergent and divergent results are found from the two validations. Possible enhancements to the UML formalism are suggested from the convergent results. On the other hand, the divergent results suggest the need for a contextual specification in the BWW models. Ce travail consiste en une évaluation des aspects dynamiques du language UML dans un contexte de workflow inter-organisationnel. Le choix du language par rapport à d'autres est motivé par sa richesse grammaticale lui offrant une très bonne adaptation à ce contexte. L'évaluation se fait par une validation ontologique basée sur les modèles BWW (Bunge-Wand-Weber) et par la réalisation d'un prototype de système de gestion de workflows inter-organisationnels. À partir des résultats convergents obtenus des deux différentes analyses, des améliorations au formalisme UML sont suggérées. D'un autre coté, les analyses divergentes suggèrent une possibilité de spécifier les modèles BWW à des contextes plus particuliers tels que ceux des workflows et permettent également de suggérer d'autres améliorations possibles au langage.Ontology, Conceptual study, Prototype Validation, UML, IS development methods and tools., Ontologie, étude conceptuelle, validation du prototype, UML, méthodes et outils de développement IS

Contracts, relationships and innovation in business-to-business exchanges

Purpose: – This paper aims to contrast two approaches to the study of contracts in business and industrial marketing: first, as a legal document in shaping at the outset exchanges and interactions, for instance in projects; and second, as relational norms in becoming integrated into a business relationship through interactions, for instance as a resource. Design/methodology/approach: – The paper draws on cross-case comparison of three projects, as actors develop an engineering service for optimizing the maintenance of large-scale capital equipment by analyzing real-time data from sensors and user records. Comparison is by coding interview and observational data as micro-sequences of interactions among actors. Findings: – Preparing contracts allows a project to commence and is an early form of interaction, intensifying new relationships or cutting into and recasting established ones. Relational norms augment and can supersede the early focus on the contract, thus incorporating incremental innovation and absorbing some uncertainties. Research limitations/implications: – The research approach benefits from detailed comparison and captures some variety across its three cases, but the discussion is limited to theoretical generalization. Practical implications: – The analysis and discussion highlights and focuses on when different approaches to understanding contracting are more apparent across durable business relationships. Transitions from a contractual document to a view of relational norms are subtle, vulnerable and not always made successfully. Originality/value: – This paper’s originality is in it comparison of overlapping approaches to understanding businesses’ uses of contacts in business and industrial marketing, of contract and relational norms. It develops a valuable research proposition, in the transition from a mainly contractual to a mainly relational uses of contracts, thus identifying contract as a particular business resource, to be deployed and embedded

Some empirical evidence on business-IT alignment processes in the public sector: A case study report

An empirical study that explores business-IT alignment processes in a networked organization among the province Overijssel, the municipalities Zwolle and Enschede, the water board district Regge & Dinkel and Royal Grolsch N.V. in The Netherlands, is summarized in this report. The aim of the study was to identify processes that contribute to improve such alignment. This study represents a continuation of previous validation efforts that help us to confirm the business-IT alignment process areas that should ultimately be included in the ICoNOs MM. Evidence was sought for the alignment of business and IT through the use of information systems to support the requirements of the organization in a specific project. The results of this study in the public sector also are relevant to the private sector where (i) business-IT alignment plays an increasingly valuable role, and (ii) the characteristics of collaborative networked organizations are present

Report a review of the concepts and definitions of the various forms of relational contracting

Partnering has been defined in many ways. It can be considered as an individual project mechanism or can be considered as a long term strategy. Alliancing is normally assumed to be a long term business strategy linking together client, contractor and supply chain. Relational contracting goes further than this and brings in the whole philosophy of the value chain and the linking of the interdependent parts within the construction project as a key business objective. This document aims to review existing definitions of these three concepts and present and overview of the current state of-the-art in terms of their use and implementation. The document should be useful for all of those project team members looking to sharpen their understanding of the various concepts and will also provide a platform for debating the current state of the definitions and implementations being used in Main Roads and Public Works Departments

Investigating the impact of networking capability on firm innovation performance:using the resource-action-performance framework

The author's final peer reviewed version can be found by following the URI link. The Publisher's final version can be found by following the DOI link.Purpose The experience of successful firms has proven that one of the most important ways to promote co-learning and create successful networked innovations is the proper application of inter-organizational knowledge mechanisms. This study aims to use a resource-action-performance framework to open the black box on the relationship between networking capability and innovation performance. The research population embraces companies in the Iranian automotive industry. Design/methodology/approach Due to the latent nature of the variables studied, the required data are collected through a web-based cross-sectional survey. First, the content validity of the measurement tool is evaluated by experts. Then, a pre-test is conducted to assess the reliability of the measurement tool. All data are gathered by the Iranian Vehicle Manufacturers Association (IVMA) and Iranian Auto Parts Manufacturers Association (IAPMA) samples. The power analysis method and G*Power software are used to determine the sample size. Moreover, SmartPLS 3 and IBM SPSS 25 software are used for data analysis of the conceptual model and relating hypotheses. Findings The results of this study indicated that the relationships between networking capability, inter-organizational knowledge mechanisms and inter-organizational learning result in a self-reinforcing loop, with a marked impact on firm innovation performance. Originality/value Since there is little understanding of the interdependencies of networking capability, inter-organizational knowledge mechanisms, co-learning and their effect on firm innovation performance, most previous research studies have focused on only one or two of the above-mentioned variables. Thus, their cumulative effect has not examined yet. Looking at inter-organizational relationships from a network perspective and knowledge-based view (KBV), and to consider the simultaneous effect of knowledge mechanisms and learning as intermediary actions alongside, to consider the performance effect of the capability-building process, are the main advantages of this research

ARIES WP3 – Needs and Requirements Analyses

Information and communication technologies have increasingly influenced and changed our daily life. They allow global connectivity and easy access to distributed applications and digital services over the Internet. This report analysis security requirements on trust establishment and trust evaluation based on two different use case scenarios: "Trusted Communication using COTS" and "Trust Establishment for Cross-organizational Crises Management". A systematic needs analysis is performed on both scenarios which haver resulted in a large and well documented set of requirements. This is the first step in a large effort to define a security architecture for the two use case scenarios.