Strategic information system planning in healthcare organizations

Copyright © 2015, IGI Global. The healthcare industry is a critical and growing part of economies worldwide. To provide better quality of care, and value for money, billions of dollars are being spent on bettering information systems in healthcare organizations. Strategic Information System Planning (SISP) is instrumental in making informed decisions to achieve the health organizations' goals and objectives. This paper undertakes a systematic review to gain insight into existing studies on SISP in healthcare organizations. Our systematic review of papers on SISP from 1985 to 2011 examines the background and trend of research into SISP in the healthcare industry, classification of topics in SISP, as well as sets of tools and guidelines to aid practitioners and the research community alike

The Association Between Organizational Characteristics and Strategic Information Systems Planning: A Study of U.S. Hospitals

Despite the potential of Strategic Information System Planning (SISP) to reduce cost and improve quality, hospitals have been slow to have strategic plans on Information Systems. Our objective was to explore which organizational characteristics influence SISP in healthcare. Data on Information Systems plans from the HIMSS analytics database was combined with organizational characteristics data from the American Hospital Association. Logistic regression analyses on a sample of 2,495 hospitals revealed that hospitals with system membership and for profit status had a greater likelihood of selecting ‘computerized medical records’ (OR=1.88, OR=6.60 respectively, p<0.05), ‘decreasing medical errors’ (OR=7.02, p<0.05), ‘resolving integration issues’ (OR=1.36, OR=0.15 respectively, p<0.05), ‘migrating towards a paperless environment (OR=1.66, OR=8.28 respectively, p<0.05), and ‘reducing the number of software vendors’ (OR=1.78, OR=0.23 respectively, p<0.05) as their Information System plans. System membership and ownership status are associated with SISP. An understanding of the hospital characteristics that may impact Strategic Information Systems Planning, managers would assist managers in making informed decisions about planning and implementing Information Systems at their hospitals

Understanding User Resistance to Information Technology in Healthcare: The Nature and Role of Perceived Threats

Information technology (IT) in healthcare is here to stay. The United States government has made efforts in the past ten years to harness the power of information technologies in healthcare to improve legibility, lessen medical errors, keep costs low, and boost the overall quality of health care. However, IT user resistance in healthcare is continually cited as a major barrier to achieving desired outcomes. Understanding the nature and manifestation of resistance is clearly a key to successfully managing this industry-wide change, fostering adoption, and realizing positive outcomes. Earlier research had established perceived threats as a significant antecedent of user resistance; but its nature and role has remained vastly unexplored. This study draws from the psychological reactance theory and justice literature, to explain both the nature and relationship of perceived threats and user resistance to IT within the healthcare setting. The theoretical and practical implications of the findings shall be discussed

The Nature and Role of Perceived Threats in User Resistance to Healthcare Information Technology: A Psychological Reactance Theory Perspective

The efforts of the United States government in the past 15 years have included harnessing the power of health information technology (HIT) to improve legibility, lessen medical errors, keep costs low, and elevate the quality of healthcare. However, user resistance is still a barrier to overcome in order to achieve desired outcomes. Understanding the nature of resistance is key to successfully increasing the adoption of HIT systems. Previous research has showed that perceived threats are a significant antecedent of user resistance; however, its nature and role have remained vastly unexplored. This study uses the psychological reactance theory to explain both the nature and role of perceived threats in HIT-user resistance. The study shows that perceived helplessness over process and perceived dissatisfaction over outcomes are two unique instances of perceived threats. Additionally, the results reveal that resistance to healthcare information systems can manifest as reactance, distrust, scrutiny, or inertia. The theoretical and practical implications of the findings are discussed

Perencanaan Strategis Sistem Informasi Menggunakan Metode Ward And Peppard (Studi Kasus: STMIK Parna Raya Manado)

STMIK Parna Raya Manado adalah institusi perguruan tinggi swasta yang berfokus di bidang keilmuan Teknologi Informasi. STMIK Parna Raya Manado belum pernah membuat suatu perencanaan strategis khususnya dibidang sistem informasi dan teknologi informasi, sehingga timbulah suatu permasalahan bagaimana membuat sebuah usulan perencanaan strategis sistem informasi untuk STMIK Parna Raya manado untuk menciptakan keunggulan bersaing dalam mewujudkan visi, misi dan tujuan organisasi, maka dibuatlah sebuah usulan perencanaan sistem informasi berdasarkan penelitian yang dilakukan dengan menggunakan Metode ward and Peppard. Untuk menentukan tools atau teknik analisis mana yang cocok dipakai untuk menganalisis data maka digunakan sebuah Conceptual Framework dan ditemukan tools/teknik analisis  yang akan digunakan adalah SWOT, Value Chain, CSF, Porter Five Force Model, dan hasil akhirnya ditampilkan dalam bentuk portofolio system informasi  McFarlan. Penambahan tools Audit Grid Model sebagai tambahan dalam analisis ini. Hasil perencanaan system informasi masa mendatang dengan menggunakan tools portofolio McFarlan dihasilkan sebelas jenis aplikasi sistem informasi baru yang direncanakan akan dibuat dan tujuh jenis aplikasi yang dipertimbangkan untuk diperbaharui (updates). Penentuan Visi dan misi dari organisasi dalam hal ini STMIK Parna Raya sangat menentukan hasil dari perencanaan sistem informasi dan teknologi informasi STMIK Parna Raya walupun hasilnya beum dapat menentukan kesuksesan sebuah organisasi dikarenakan masih adannya faktor lain yang harus dipertimbangkan

The relationship between Strategic Information Systems Planning (SISP) and facilitators to achieve successful business outcomes in South Korean organizations

Strategic Information Systems Planning (SISP) is an important process in the implementation and use of IT systems in today’s dynamic and increasingly digitalized organizations. However, SISP is not a straightforward task, it is a process that covers simultaneous multiple planning issues often in changing environmental and organizational climates. Although SISP has been widely studied, and evaluating the SISP process has matured, theory on SISP facilitators that enable successful outcomes remain sparse. The main objective of this paper is to explore such facilitators and to investigate their relationshipand contribution in achieving SISP success. By postal surveying a random sample of managers with SISP experience in South Korean organizations, we modeled the relationship between facilitators of SISP and their outcomes. The study used Structural Equation Modelling to analyze and validate its findings. This study suggests that facilitators positively affect successful SISP through business and IT alignment. It also demonstrates that effective SISP has a positive effect on organizational outcomes by ensuring organizational capabilities and IT infrastructure flexibility. The findings of this study expounding the role of facilitators adds to the theory of SISP and provides a guide to planners and managers responsible for information systems

Individualised care for patients with breast or prostate cancer aided by an interactive app : a frame of process evaluation

Background: Patients receiving outpatient cancer treatment often experience distressing symptoms and unmet needs. Collecting patient-reported outcomes via apps (ePROs) facilitates patient-clinician communication regarding symptoms and is recommended in clinical guidelines. Previous studies of an interactive app (Interaktor) for individualised symptom management show reduced symptom burden for patients undergoing breast and prostate cancer treatment. Aim: To contribute to the knowledge of the value of implementing ePRO in clinical practice by studies framed as a process evaluation of an intervention for individualised symptom management assisted by Interaktor. Methods: Following the Medical Research Council framework for process evaluation of complex interventions, qualitative and quantitative data were collected along two randomised controlled trials (RCTs). Patients receiving neoadjuvant chemotherapy for breast cancer (N=149), and radiotherapy for prostate cancer (N=150) were randomised to standard care with or without intervention. Intervention group patients reported symptoms and concerns daily by questionnaire and free text. The app included selfcare advice and symptom history graphs. Oncology nurses responded to alerts triggered by severe symptoms. Study I investigates which and how patients engaged, by analysing adherence and usage predictors from logged data and telephone interviews with patients. Study II analyses the effects on patients' perceptions of individualised care and health literacy by questionnaires. Study III assesses if the intervention is cost-effective according to the Swedish National Board of Health and Welfare. Cost-effectiveness analyses (CEA) estimate gains in Quality-adjusted lifeyears (QALYs), intervention costs, and the patient's healthcare utilisation as obtained from the Stockholm Council database. Acute healthcare use is also explored. Results: Study I shows that adherence to daily symptom reporting was 83 %; most patients used the self-care advice and free text. Patients regarded the app easy to use and helpful for self-management. Marital status, age, education level, and comorbidity were associated with usage variations. Study II shows no between-group differences in individualised care or health literacy among patients with breast cancer. Intervention group patients with prostate cancer rated their support for decision control as more individualised than their control group, and their ability to seek, understand and communicate health information improved. Study III shows the intervention produced significantly more QALYs, although the effect was small. The weekly intervention cost per patient was low. The cost-effectiveness depended on the type of healthcare costs studied. The intervention was cost-effective for patients with breast cancer if non-acute healthcare costs were excluded, and for patients with prostate cancer, considering all healthcare costs. Healthcare costs varied greatly. Patients with breast cancer who used the app had more acute visits for fever. Patients with prostate cancer who used the app had fewer acute visits for urinary problems. Conclusions: Patients used and valued Interaktor as promoting assurance and participation in care. Using the app can positively affect care individualisation and health literacy for patients with prostate cancer during radiotherapy. It may be beneficial to increase the individualisation of features and settings for patients with breast cancer. The intervention may be cost-effective, but to show if healthcare savings can be achieved requires a larger study

Transactions of 2015 International Conference on Health Information Technology Advancement Vol.3, No. 1

The Third International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 30-31, 2015 Conference Chair Bernard Han, Ph.D., HIT Pro Department of Business Information Systems Haworth College of Business Western Michigan University Kalamazoo, MI 49008 Transactions Editor Dr. Huei Lee, Professor Department of Computer Information Systems Eastern Michigan University Ypsilanti, MI 48197 Volume 3, No. 1 Hosted by The Center for Health Information Technology Advancement, WM