Protocol for a scoping review to understand how interorganisational electronic health records affect hospital physician and pharmacist decisions

Introduction: Patient records are often fragmented across organisations and departments in UK health and care services, often due to substandard information technology. However, although government policy in the UK and internationally is strongly pushing 'digital transformation', the evidence for the positive impact of electronic information systems on cost, quality and safety of healthcare is far from clear. In particular, the mechanisms by which information availability is translated into better decision-making are not well understood. We do not know when a full interorganisational record is more useful than a key information summary or an institutional record. In this paper, we describe our scoping review of how interorganisational electronic health records affect decision-making by hospital physicians and pharmacists. Methods and analysis: This scoping review will follow the Arksey and O'Malley (2005) methodology. The review has adopted sociotechnical systems thinking and the notion of distributed cognition as its guiding conceptual models. The UK National Institute for Health and Care Excellence Healthcare Databases Advanced Search will be used, as it incorporates key sources including PubMed, Medline, Embase, HMIC and Health Business Elite. A hand search will be conducted using the reference lists of included studies to identify additional relevant articles. A two-part study selection process will be used: (1) a title and abstract review and (2) full text review. During the first step, two researchers separately will review the citations yielded from the search to determine eligibility based on the defined inclusion and exclusion criteria. Related articles will be included if they are empirical studies that address how interorganisational records affect decision-making by hospital physicians and pharmacists. Ethics and dissemination: The results will be disseminated through stakeholder meetings, conference presentations and peer-reviewed publication. The data used are from publicly available secondary sources, so this study does not require ethical review.</p

Factors driving enterprise adoption of blockchain technology

Amidst the rapidly evolving advancement of blockchain technology (BT), enterprises face notable challenges in leveraging its transformative potential, starting with a need to understand the technology and how it can be used for particular applications. Two challenges are that many BT trials have not been successful and large-scale implementations that have led to continued use are scarce. This research provides a comprehensive examination of factors that drive the successful adoption of BT for enterprise use cases. A dual-phased approach was employed. First, I introduce a taxonomy matrix correlating BT design characteristics with use case characteristics, offering a framework for BT design and benefits across different enterprise contexts. Second, I conducted case studies of five successful BT cases in large enterprises that led to the adoption in terms of continued use and contrasted them with one failure case. The data collection and analysis of the case studies encompassed technological, organizational, environmental, and inter-organizational variables that led to BT\u27s continued use. The cross-case analysis revealed that compatibility, relative advantage, and observability are primary technological factors contributing to continued use. Within the organizational dimension, organizational knowledge and internal characteristics emerged as crucial elements, while regulatory compliance came out to be a significant factor. Based on the cross-case analysis, I develop theoretical propositions about the factors that lead to the continued use of BT, which can be further validated and tested in future research

Modern trends in digital transformation of marketing & management

The monograph examines the current trends in the development of digital technologies in marketing, management and business administration. The prospects for the development of digital technologies in various sectors of the economy of Ukraine and the trends of the influence of digital technologies on global shifts in the systems of marketing management and business administration are determined. The transformations of business models in the conditions of the digital economy are analyzed, the impact of blockchain technologies on the development of promising areas of the marketing management system and business administration is analyzed. Reasonable impact of digital technologies on the transformation of management systems in social, public, legal and administrative spheres and various sectors of the economy. The contours of the formation of the digital economy in the sectors of economic activity and the social sphere have been developed

Developing and testing a framework for using Social Enterprise, Digital Health, and Citizen Engagement to deliver Integrated People-Centered Health Services

To achieve Universal Health Coverage and the United Nations’ Sustainable Development Goals’ by 2030, the World Health Organisation recommended the use of social enterprise, digital technology, and citizen engagement in the delivery of Integrated People-Centered Health Services (IPCHS). We aimed to develop and test a framework for using social enterprise, digital health, and citizen engagement to deliver IPCHS and achieve the WHO strategic vision for 21st-century primary care. We conducted a hermeneutic review of frameworks, models, and theories on social enterprise, digital health, citizen engagement, and IPCHS. This involved multiple iterative cycles of (i) searching and acquisition, followed by (ii) critical analysis and interpretation of literature to assemble arguments and evidence for conceptual relationships. This process identified a set of constructs that we synthesized into a conceptual framework to provide theoretical grounding for an empirical inquiry into how social enterprises use digital technology to engage citizens in co-creating IPCHS. We tested this preliminary framework with two community health alliances (CHAs) in South Western Sydney (SWS), namely the Wollondilly Health Alliance and the Fairfield City Health Alliance (FCHA). Each CHA comprised the local council of the local government area (LGA), the SWS Local Health District, and the SWS Primary Health Network who collaborated to address the health challenges faced by local communities. We developed comparative case studies using a combination of documentary analysis and semi-structured interviews with stakeholders from both CHAs. The reassignment of CHA staff to address the COVID-19 pandemic limited CHA operations and prevented many CHA stakeholders from participating in the case study, possibly introducing selection bias. Nonetheless, findings from the case studies yielded evidence for several of the conceptual relationships between social enterprise, digital health citizen engagement, and IPCHS identified in our initial framework; but also suggested that greater organizational maturity was required for the CHAs to operate as social enterprises. Considering these findings, we revised our initial framework, and then used it to develop a maturity model to suggest how health organizations like CHAs can achieve greater organizational maturity to operate as social enterprises that use digital technology to engage citizens in co-creating IPCHS

Strategies for Adoption of Innovative Information Technology for Business Performance Improvement

Business leaders do not often consider investing in informational technology (IT) to increase performance. These business leaders lack knowledge of innovative IT adoption strategies to expand their revenue and reduce costs to sustain a competitive advantage. Grounded in the technology-organization-environment (TOE) theory, the purpose of this qualitative multiple case study was to explore IT innovation adoption strategies business leaders use to increase performance. The participants were four successful business leaders selected from finalists for international entrepreneurial awards presented annually in the Mid-Atlantic region of the United States. The data were collected using semistructured telephone interviews, media releases, and online publications. Using thematic analysis and Yin\u27s five-stage iterative data analysis process led to four themes: to increase performance, business leaders must adopt innovative IT strategies in business operations, human capital, production, and deployment systems. A key recommendation is that business leaders focus on IT innovation to leverage technology infrastructure as part of the workplace culture, business structure, and digital services to provide end-to-end customer experiences. The implications for positive social change include the potential to increase the profitability of more businesses, enhance the worth and dignity of struggling business owners and their communities, and have a value-added effect on the study\u27s participants as contributors back to their communities

A Mobile Holistic Enterprise Transformation Framework

Mobile phones and tablets shipments are surpassing those of the PC category, as well as in relation to Internet usage as of 2016; all details which have made mobile adoption a priority for many enterprises and a challenge for them as well. Many enterprises have fallen into a paradox of spending on creating and updating mobile services, and gaining less than expected in return. Reasons for this include the lack of vision, and the lack of a clearly defined, well communicated mobile strategy. Enterprise Architecture ‘EA’ facilitates a successful transformation by controlling and managing the transitions in order to arrive at a clearly defined future state. It is regarded as the science of change to many. However, EA frameworks are very comprehensive and require weeks of training and resources, and are often too generic for mobile transformation. Therefore, an EA-based mobile holistic enterprise framework has been developed to support enterprises in making mobile initiatives a priority. The proposed framework ensures a clearly defined, well-communicated, holistic future state that is continually evaluated, as opposed to many of the existing frameworks. The proposed Mobile Holistic Enterprise Architecture Framework - ‘MHETF’ - is based on the realisation of the capabilities of smartphones that are aimed at individual average consumers (the backbone of the current mobile trend). The capabilities are categorised and translated into four sets of services categories for business use. They are linked to another two components of the framework which are: (i) the categorisation of goals and objectives that are incorporated into the Balanced Scorecard for evaluation at a later stage in planning, and continually referred to during transitions and (ii) the categorisation of the implementation forms (categorisation of end solutions’ functionalities). The framework is supported by EA inter-operability and maturity models to ensure continuity and alignment with the existing initiatives, the enterprise’s strategic objectives, and the change required in the scope of transformation. An evaluation for the available enterprise architecture frameworks was carried out and resulted in the selection of The Open Group Architecture Framework (TOGAF). The decision was also commended by the participants in the case study evaluation due to their familiarity with this framework, which is being adopted as the Saudi E Government Standard in contrast to the other major frameworks of Zachman and Federal Enterprise Architecture (FEA). MHETF has been applied to three case studies in the Kingdom of Saudi Arabia; two applications for a leading national outsourcing company, and the third for the outpatient clinics in a large hospital in the capital city of Riyadh. The results have shown major improvements in the four goal areas of mobile transformation; productivity, processes, satisfaction improvement and facilitating new opportunities. Eventually, the final evolution has shown that the participants are satisfied with the framework overall, and indicates that the framework changed their perspective of the power of mobile applications significantly, is relatively easy to understand, and that they are planning to adopt it for future mobile initiatives